Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: past medical history: 1. end-stage renal disease on hemodialysis 3x a week (anuric). 2. history of nonsustained ventricular tachycardia previously treated with amiodarone (recently discontinued). 3. spinal stenosis. 4. parkinson's disease. 5. coronary artery disease status post myocardial infarction with ischemic cardiomyopathy and ejection fraction of 40%. 6. status post cataract surgery. 7. hypertension. 8. amiodarone pulmonary toxicity with restrictive pulmonary function tests. 9. status post recent pneumonia. allergies: no known drug allergies. medications on admission: 1. nephrocaps one tablet q day. 2. sinemet 25 mg/250 mg po tid. 3. vancomycin 1 gram 3x a week (dose at dialysis). 4. vitamin c 500 mg . 5. zinc 220 mg q day. 6. ativan 0.5 mg po q hs. 7. colace 100 mg po bid. 8. renagel 400 mg po tid with meals. 9. aspirin 81 mg po q day. 10. proscar 90 mg po q day. 11. zestril 5 mg po q day. 12. imdur 60 mg po q day. social history: patient is married and lives with his wife of 50 years. denies tobacco, alcohol, as well as intravenous drug use. family history: noncontributory. examination on admission: temperature 95.9, blood pressure 102/53, heart rate 90, respiratory rate 26, and oxygen saturation 99% on 100% nonrebreather. in general, the patient is found lying still, with flat facies, in no acute distress. heent examination: normocephalic, atraumatic, surgical pupils. extraocular movements are intact bilaterally. anicteric sclerae. clear oropharynx. poor dentition. moist mucous membranes. neck exam: decreased mobility secondary to spinal pain, supple, no jugular venous distention, no lymphadenopathy. cardiovascular examination: regular, rate, and rhythm, normal s1, s2, no murmurs, rubs, or gallops. pulmonary examination: scattered end inspiratory rales throughout, no wheezes or rhonchi appreciated. abdominal examination: decreased abdominal sounds, soft, nontender, and nondistended, no hepatosplenomegaly. extremities are warm and well perfused with no clubbing, cyanosis, or edema. neurologic examination: drowsy, but oriented to person, place, and time, conversant, and appropriate, bradykinesic, increased tone throughout, with symmetric motor strength and sensation intact to light touch. skin examination: multiple ecchymoses throughout the upper extremities, no rash. rectal: heme positive black stool. laboratories and studies on admission: complete blood count with a white blood cell count of 15.2, hematocrit 28.4 (previously 36.1 in ), mcv 103, platelets 270 with white blood cell differential of 77% polys, 18% lymphocytes, 3% monocytes. chem-7 with a sodium of 135, potassium 4.7, chloride 94, bicarb 31, bun 41, creatinine 5.1, and glucose 106. coag studies with a pt of 13.9, inr 1.3, and ptt of 28.4. calcium 7.9, magnesium 2.0, and phosphate 5.5. electrocardiogram on admission: normal sinus tachycardia at 107, with right bundle branch block, and st depressions in v3 through v5 (new) with left atrial dilatation. chest x-ray on admission with slight increased chronic opacities at the bases right greater than left, no edema, right pleural effusion. abdominal ct scan was notable for right lung base consolidation, diffuse vascular calcification, perinephric fat, no abdominal aortic aneurysm, spinal degenerative joint disease, no evidence of retroperitoneal bleed. hospital course: in the emergency department, the patient was found with a temperature of 95.9, blood pressure 60/43, respiratory rate 36, heart rate 113 with an oxygen saturation of 100% nonrebreather. the patient received intravenous fluids, levofloxacin, and dopamine for presumed sepsis. the patient's initial laboratory work was notable for a hematocrit of 28.4, previously 36 one month prior with hemoccult positive rectal examination. the patient's abdominal ct scan was without evidence of abdominal aortic aneurysm or retroperitoneal bleed. the patient's electrocardiogram demonstrated a right bundle branch block and new st depressions in leads v3 through v5. the patient's blood pressure responded to dopamine and intravenous fluids, and the patient was admitted to the medical intensive care unit for further management. remainder of the hospitalization by systems: 1. hematology: the patient was transfused a total of 5 units of packed red blood cells from for a hematocrit less than 30. after the second unit of packed red blood cells, the patient was weaned off dopamine and maintained adequate blood pressure. the patient was followed with serial hematocrits q8h with persistent requirement of transfusion for persistent gastrointestinal bleed. following a definitive endoscopic procedure, the patient's hematocrit stabilized and the patient was transferred out of the medical intensive care unit and maintained a stable hematocrit greater than 30, without evidence of bleeding. the patient developed thrombocytopenia while in the medical intensive care unit with a drop in platelets from 270-97 from to . the patient's medications were reviewed and heparin was subsequently discontinued with concern for heparin-induced thrombocytopenia. the patient's platelet count stabilized above 100 for the remainder of the hospitalization without signs of bleeding. the patient was continued off of heparin and the subsequent heparin-induced thrombocytopenic antibody was negative. the etiology of the thrombocytopenia is unclear. however, potentially type i hitt. 2. gastrointestinal: the patient developed melena while in the medical intensive care unit, and a subsequent nasogastric lavage was significant for 1 liter of coffee-ground emesis. the patient's melena persisted and on hospital day #2, the patient underwent an upper endoscopy with evidence of multiple pyloric and duodenal ulcers, with the stigmata of recent bleeding. the patient underwent bicap electrocautery without further evidence of bleeding. the patient was tested for h. pylori (negative) and gastrin (pending at time of dictation). the patient was started on high dosed intravenous protonix, now oral. the patient is now eight days status post electrocautery without further evidence of bleeding. 3. renal: the patient is anuric, end-stage renal disease, and continued on his previously scheduled 3x a week hemodialysis throughout the hospitalization. the patient had on average 1.5-2 liters of fluid removed at each dialysis, well tolerated. the patient was restarted on nephrocaps and renagel following the stabilization of the gastrointestinal bleed. 4. infectious disease: on admission, the patient was found to be relatively hypothermic and hypotensive with concern for sepsis, status post a recent pneumonia. blood cultures on admission grew coag-negative staph in bottles. given the patient's recent pneumonia and clinical picture, the patient was started on empiric vancomycin and continued on a 14-day course for coag-negative staph bacteremia. follow up blood cultures on are no growth to date. the patient will be continued on vancomycin to complete a 14 day course (last day ). the patient remained afebrile for the remainder of the hospitalization without further signs of infection. 5. cardiovascular: the patient's hypotension on admission resolved with intravenous fluids and packed red blood cells. the patient was maintained on dopamine initially with concerns for sepsis. the patient's initial electrocardiogram demonstrated new st depressions in leads v3 through v5. the patient ruled out for myocardial infarction by three sets of enzymes with a peak troponin-i of 1.7. the patient was placed on telemetry which demonstrated multiple premature ventricular contractions and occasional nonsustained v-tach. the patient has a known history of nonsustained v-tach previously treated with amiodarone, which was recently discontinued for amiodarone induced pulmonary toxicity. on admission, the patient was restarted on a low dose of amiodarone, however, this was discontinued secondary to concern for worsened pulmonary injury. the patient underwent a transthoracic echocardiogram which demonstrated diffuse left ventricular hypokinesis with akinesis of the inferior half of the basilar wall as well as inferolateral wall akinesis, symmetric left ventricular hypertrophy, ejection fraction of 35-45%, moderate mitral regurgitation, mild pulmonary hypertension. the patient was restarted on a low dose of zestril, well tolerated, and subsequently started on a low dose of lopressor at 12.5 mg . at the time of dictation, the patient is tolerating blood pressure management well with planned resumption of the previous outpatient dose of zestril. 6. pulmonary: the patient has a history of restrictive lung disease secondary to amiodarone toxicity. the patient was rapidly weaned off of oxygen while in the medical intensive care unit and has maintained adequate oxygen saturations on room air. 7. nutrition: the patient was maintained without oral intake on intravenous fluids while in the intensive care unit. the patient's diet was advanced following the stabilization of the gastrointestinal bleed. the patient underwent a swallowing study with evidence of fatigability and trace aspiration on liquids and soft solids. the patient underwent a video swallow study and was subsequently approved for a soft-solid diet. the patient tolerated this soft-solid diet without difficulty. 8. musculoskeletal/neuro: the patient has a known diagnosis of parkinson's disease and is now status post two prolonged hospitalizations with significant debilitation. the patient underwent physical therapy evaluation with recommendation to pursue rehabilitation-level care. however, given the patient and the patient's family's wishes to return home, the patient will return to home with home physical therapy. condition on discharge: good. medications on discharge: 1. lopressor 12.5 mg po bid. 2. zestril 2.5 mg po q day. 3. colace 100 mg po bid. 4. senna two tablets po bid prn constipation. 5. vancomycin (dose by level at hemodialysis). 6. sinemet cr one pill po q am. 7. methadone 5 mg po q am. 8. protonix 40 mg po bid. 9. ativan 0.5 mg po q hs prn. instructions on discharge: the patient is to be discharged to home with instructions to followup with his primary care physician in one week postdischarge. the patient is to continue on his previously scheduled 3x a week hemodialysis where he will continue his vancomycin dosing. the patient is scheduled to followup with cardiologist, dr. on at 12 noon in the building. the patient will be provided with home physical therapy as well as cna services. diagnoses on discharge: 1. end-stage renal disease on hemodialysis 3x a week. 2. upper gastrointestinal bleed (ulcers) status post electrocautery. 3. history of nonsustained ventricular tachycardia. 4. amiodarone pulmonary toxicity. 5. spinal stenosis. 6. parkinson's disease. 7. coronary artery disease status post myocardial infarction. 8. ischemic cardiomyopathy. 9. status post cataract surgery. 10. hypertension. 11. status post pneumonia. 12. coag-negative staphylococcus bacteremia. of note, the patient maintained a code status of dnr/dni. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified hemodialysis endoscopic excision or destruction of lesion or tissue of stomach diagnoses: thrombocytopenia, unspecified mitral valve disorders unspecified essential hypertension other chronic pulmonary heart diseases paroxysmal ventricular tachycardia bacteremia chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction 

Answer: The patient is high likely exposed to