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: allergies: ciprofloxacin / sulfa (sulfonamide antibiotics) / penicillins / nut flavor attending: chief complaint: syncope major surgical or invasive procedure: aflutter ablation history of present illness: this is a 78 year-old male with bipolar disorder, t2dm,hypertension, and hyperlipidemia who presented to hospital after a syncopal episode at home and was found to be bradycardic and hypotensive. he was managed there for about a day and transferred to as he is a patient of dr. . of note, he was recently discharged on after being admitted for rate control of atrial fibrillation/flutter. plan during his last admission was to have a tee and then ablation for his atrial flutter. however, due to an esophageal issue and inability to pass the tee probe, he was discharged home with medical management of his atrial flutter with plan for flutter ablation in the near future. per patient's wife, he went to the bathroom, had a bm, and immediately thereafter felt dizzy and subsequently passed out. his wife caught him as he fell, but he scraped his ear on the wall. no reported seizure-like activity. osh course: on admission, ekg was notable for atrial rate of 300 and ventricular rate of 28. he was hypotensive and was started on dopamine. he was found to be in arf and was hyperkalemic. he was admitted to the ccu. he remained clinically stable there. he was hydrated with 3l ns and bp maintained on low-dose dopamine. he remained in atrial flutter. his geodon and coumadin were held. upon transfer to the ccu, he arrived hemodynamically stable on dopamine gtt at 8 mcg/kg/min. his heart rate was in the 50-60s. ros: negative except as above. past medical history: prostate cancer s/p radiation treatment t2dm with neuropathy hypertension gout bipolar disorder type 1 hyperlipidemia atrial flutter cri social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse but the patient drinks shots of vodka per week when his neuropathy is hurting. there is no family history of premature coronary artery disease or sudden death. patient enjoys playing music, jazz piano in particular. family history: noncontributory physical exam: gen: elderly aged male in nad. oriented x 3. mood, affect appropriate, wearing cap due to photophobia. heent: sclera anicteric. perrl, eomi. no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 9cm. cv: regular rhythym, tachycardic, normal s1, s2. no murmur chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. crackles bilateral bases, no wheezes or rhonchi. abd: soft, nt, nd. no hsm or tenderness. ext: 2+ pitting edema to ankles. dp pulses 1+. skin: no ulcers, scars, or ecchymosis. neuro: cn2-12 grossly intact. strength normal. pertinent results: 05:10am blood wbc-5.0 rbc-3.76* hgb-11.2* hct-33.3* mcv-89 mch-29.7 mchc-33.5 rdw-15.2 plt ct-166 03:20pm blood pt-16.8* ptt-34.0 inr(pt)-1.5* 05:10am blood glucose-156* urean-35* creat-1.8* na-135 k-4.3 cl-100 hco3-28 angap-11 05:10am blood mg-1.8 cholest-86 03:20pm blood alt-15 ast-17 ld(ldh)-151 alkphos-87 totbili-1.0 05:10am blood triglyc-108 hdl-30 chol/hd-2.9 ldlcalc-34 05:23am urine hours-random creat-19 na-40 05:23am urine osmolal-203 barium swallow : normal-appearing esophagus without evidence for narrowing or obstruction. motility not assessed. echo : no la/laa thrombus. mild mitral regurgitation. simple atheroma in the descending aorta. brief hospital course: 78 m with bipolar, a-flutter/fib, t2dm who presents s/p syncopal episode with bradycardia and hypotension and cardiogenic shock causing renal failure and hyperkalemia. syncope/hypotension - most likely etiology of his bradycardia and syncope was nodal overdose. pt was recently admitted and diagnosed with atrial flutter, with rate control on metoprolol. patient reported taking diltiazem and metoprolol at home although specifically being told to stop the diltiazem. he also reports feeling weak and lightheaded since that discharge. both the beta blocker and calcium channel blocker were held and pt's heart rate improved. he required hr control for his atrial flutter, which was successfully acheived with slowly increasing doses of metoprolol. after normal barium swallow and tee ruling out vegetations, and inr decreased to acceptable, pt underwent successful ablation of his atrial flutter. pt was continued on warfarin after ablation for plan on 1 month of anticoagulation post ablation. pump - pt had received 3l ivf at osh for hypotension and was diuresed successfully at with several doses of iv lasix. bipolar disorder - patient on geodon as outpatient. concern that may be contributing to his bradycardia (known side effect of the medication). psychiatry was consulted and recommended holding geodon and starting bedtime zyprexa. acute on chronic renal failure - creatinine on admission was 2.6, up from 1.4. likely related to decreased perfusion in setting of hypotension was improving at time of discharge 1.8. diabetes type 2: continued neurontin for neuropathy. bs control with insulin sliding scale. bph - terazosin was held given hypotension and restarted prior to dc. gout - continue allopurinol medications on admission: home medications: metoprolol 100 mg po tid warfarin 2 mg po daily allopurinol 300 mg po daily neurontin 300 mg po zocor 20 mg po daily geodon 20 mg qam, 80 mg klonazipam 0.5 mg terazosin 10 mg lisinopril 20 mg daily cartia 240mg dialy glipizide 10mg . medications upon transfer: dopamine gtt neurontin 300 mg po protonix 40 mg iv daily allopurinol 100 mg po daily zocor 20 mg po daily geodon 20mg qam and 80mg qpm tylenol prn zofran prn discharge medications: 1. enoxaparin 100 mg/ml syringe sig: 1.5 syringes subcutaneous once a day. disp:*2 syringes* refills:*4* 2. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 3. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 4. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 5. zolpidem 5 mg tablet sig: 1-2 tablets po hs (at bedtime) as needed for insomnia. disp:*60 tablet(s)* refills:*0* 6. metoprolol succinate 50 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po once a day. disp:*45 tablet sustained release 24 hr(s)* refills:*2* 7. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 8. warfarin 2 mg tablet sig: one (1) tablet po once a day. 9. glipizide 10 mg tablet sig: one (1) tablet po twice a day. 10. terazosin 10 mg capsule sig: one (1) capsule po at bedtime. 11. zyprexa 5 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 12. outpatient lab work please get your inr, bun, creatinine and k drawn on and call results to dr. phone: discharge disposition: home with service facility: discharge diagnosis: atrial flutter s/p ablation acute cardiogenic shock due to excess nodal blockade and bradycardia. acute renal failure diabetes mellitus bipolar disorder discharge condition: stable bun 35 creat 1.8 inr 1.7 hct 33.3 discharge instructions: you had an ablation owithin the right atrium to treat your atrial fibrillation. you are now in a normal rhythm. you are at an increased risk of stroke for the next few weeks so we have started you on lovenox injection to be taken until your warfarin level is > 2.0. please take the lovenox until dr. tells you not to. you will resume warfarin at your outpatient dose. other medicine changes: 1. metoprolol has been changed to a long acting pill to be taken once a day. 2. after discussion with the psychiatrist here and your outpatient psychiatrist, your geodon was changed to zyprexa and your clonazepam was changed to zolpidem to be taken at night only. please avoid driving until you know if these medicines will make you sleepy. . only take the medicines on your list, throw out your cardiazem (cartia), do not take this medicine. . please call dr. if you have any palpitations, unusual bleeding, nausea, dizziness, extreme fatigue or any other concerning symptoms. followup instructions: cardiology: , md phone: date/time: 11:20 primary care: , md phone: date/time: at 3pm. psychiatry: dr. phone: date/time: at 8:30am. in office. procedure: excision or destruction of other lesion or tissue of heart, endovascular approach closure of skin and subcutaneous tissue of other sites cardiac mapping diagnoses: acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified personal history of malignant neoplasm of prostate unspecified fall diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes atrial flutter open wound of scalp, without mention of complication chronic kidney disease, unspecified other and unspecified hyperlipidemia other specified cardiac dysrhythmias cardiogenic shock bipolar i disorder, most recent episode (or current) unspecified home accidents 

Answer: The patient is high likely exposed to