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: patient recorded as having no known allergies to drugs attending: chief complaint: abdominal pain, nausea and fatigue major surgical or invasive procedure: 1. dialysis tunnel catheter placement () history of present illness: 85 y/o man with pvd, atrial fibrillation, severe diastolic dysfunction and sss s/p recent ppm implantation () who presents with abdominal pain, nausea and fatigue. . he reports feeling well on the day of and after discharge, but began to feel fatigued the next day. on the evening prior to and the morning of admission, he began to have abdominal pain and nausea. his po intake and decreased as he has had no appetite. he reports that the abdominal pain is located in his upper abdomen. he denies fevers, chills, sweats or rigors. he denies yellowing of the skin or eyes. . he denies chesrt pain and reports mild and improved doe from prior to the ppm implantation. on further review of symptoms, pt reports some lightheadedness on saturday and reports that after micturition, his symptoms became much worse and he fell with possible loss of consciousness. past medical history: # diastolic congestive heart failure: echo ef of 50% & severe lvh, in acute on chronic diastolic congestive heart failure for past several months. lvh apparently adds component of restriction per . # atrial fibrillation on coumadin, failed cardioversion with complete heart block. # pacemaker, in for complete heart block # peripheral vascular disease s/p right lower extremity bypass # hiatal hernia with intrathoracic stomach (confirmed by ct) # hypertension # gout # ?prostate followed by urology (denies symptoms of bph) # chronic kidney disease (, cr 2.2, stage iii, est gfr 35) social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. family history: there is no family history of premature coronary artery disease or sudden death. patient's daughter had "kidney disease" and is now s/p renal transplant. 2 sons and 1 daughter. physical exam: vs - t 96.1 bp 108/70 hr 72 rr 22-24 o2sat 95% 3lnc gen: chronically ill-appearing man, in mild distress taking deep breaths heent: ncat. sclera anicteric. eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. cn ii-xii intact. neck: supple with jvp to jaw, likely 12 cm, + hjr. cv: rr, soft s1, s2. prominent s3, i/vi at lsb chest: no airmovement right posterior lung fields with dullness to percussion. crackles at left base. poor airmovement throughout rest of lung including anterior lung fields abd: soft, distended, non tender, marked hepatomegaly (10-12 cm in midclavicular line) with very firm liver edge, unable to appreciate any splenomegaly or tappable ascites. + bs ext: gross anasacra with 2+ pitting edema: legs, arms, at hip, cool extremities, 1+ dp, 1+ radial, no cynanosis. sites of prior ivs weeping serous fluid. skin: extensive ecchymoses on chest, upper abdomen, left arm, left side of back. skin tear left mid-back. neuro: cn ii-xii intact, somnulent, intermittent jerks, few tongue fasiculations, oriented to person, place, time, reason for admission. pertinent results: 07:50am blood wbc-6.0 rbc-2.75* hgb-9.0* hct-28.4* mcv-103* mch-32.9* mchc-31.9 rdw-18.9* plt ct-79* 08:00am blood pt-14.9* ptt-34.8 inr(pt)-1.3* 07:40am blood wbc-10.7 rbc-2.72* hgb-8.9* hct-28.3* mcv-104* mch-32.8* mchc-31.5 rdw-18.6* plt ct-75*# 05:16am blood wbc-10.1 rbc-2.63* hgb-8.8* hct-27.1* mcv-103* mch-33.2* mchc-32.3 rdw-18.4* plt ct-48* 07:40am blood glucose-96 urean-37* creat-4.2* na-137 k-4.4 cl-97 hco3-28 angap-16 05:16am blood glucose-101 urean-29* creat-3.5* na-134 k-4.1 cl-99 hco3-28 angap-11 05:40am blood glucose-101 urean-44* creat-4.3* na-133 k-4.5 cl-96 hco3-27 angap-15 09:41am blood ld(ldh)-235 totbili-1.1 dirbili-0.5* indbili-0.6 07:40am blood vitb12-greater th folate-7.2 06:25am blood %hba1c-5.9 06:25am blood triglyc-74 hdl-25 chol/hd-4.7 ldlcalc-78 ecg: v-paced at 60 . 2d-echocardiogram performed on demonstrated: the left atrium is dilated. mild spontaneous echo contrast is seen in the body of the left atrium. no mass/thrombus is seen in the left atrium or left atrial appendage. moderate to severe spontaneous echo contrast is present in the left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). no spontaneous echo contrast or thrombus is seen in the body of the right atrium or the right atrial appendage. there is mild diastolic bowing of the interatrial septum suggestive of elevated right atrial pressures. there are complex (>4mm) atheroma in the aortic arch and descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. . renal ultrasound : 1. no evidence of hydronephrosis. bilateral renal cysts. 2. small amount of ascites around the liver and questionable right pleural effusion. . ct abd/pelvis : 1. abdominal and pelvic ascites. no secondary signs to definitely suggest ischemic colitis, although this is a limited examination secondary to lack of iv contrast administration. 2. left diaphragmatic hernia with intrathoracic stomach. an upper gi barium study would allow for evaluation of functional impairment if clinically warranted. no definite evidence for obstruction on ct examination. 3. bilateral pleural effusions, right greater than left. 4. sigmoid diverticulosis. 5. small amount of pelvic ascites and small right inguinal fluid-containing hernia. 6. anasarca. . cxr : the heart is enlarged, the aorta is tortuous and the hilar contours are normal. bibasilar atelectasis is unchanged. there is increasing moderate right pleural effusion. no pneumothorax. the pacemaker device is in place. impression: increasing moderate right pleural effusion. . ct head : there is no hemorrhage, edema, mass effect, or shift of normally midline structures. vertebral artery calcifications are identified. there is left cerebellar encephalomalacia, chronic in nature. the white matter is normal in attenuation. the ventricles and sulci are normal in size and configuration. there is a right maxillary sinus mucus retention cyst or polyp (2a:2). the visualized paranasal sinuses are otherwise clear. impression: 1. no hemorrhage. 2. left cerebellar encephalomalacia. 3. vertebral artery calcifications. 4. single right maxillary sinus mucus retention cyst or polyp. . liver ultrasound : impression: 1. somewhat limited examination secondary to patient body habitus. if clinical concern persists, recommend ct imaging for further evaluation. 2. small ascites is seen. 3. right-sided pleural effusion. . anca: negative by indirect immunofluorescence anti-gbm: pending hbsag: negative hbs-ab: negative igm-hbc: negative hav-ab: positive hcv-ab: negative brief hospital course: #gi bleed/anemia: during micu stay pt experienced lgi bld requiring 1unit of prbc. for the last week his hct has remained stable and his stools have been guaiac negative. bld occurred whilst pt had supra therapeutic inr. he will need an outpatient colonoscopy. #acute on chronic renal failure: stage iii ckd likely secondary to chronic htn. pt developed acute on chronic renal failure likely related to icu status with pancreatitis. patient now on dialysis , wednesday, friday access via tunnel catheter (placed ). #diastolic heart failure: prior to this admission, patient had been experiencing increasing sob and increasing girth. during this admission patient developed worsening diastolic heart failure managed by hemodialysis. unclear if diastolic heart failure is secondary to hypervolemic status following treatment of pancreatitis or amyloidosis. #thrombocytopenia: patient developed acute drop in platelets on 104->55 and dropped to 17, since then plt count has started to trend up to 79. during work-up protonix was discontinued, pt was ruled out for heparin induced thrombocytopenia. hematology/oncology was also involved during work-up, ruled out ttp, myelodysplastic syndrome. #fib:pt has remained in sinus rhythm, rate controlled on amiodarone. #nutritional status: pt experienced decreased appetite and was switched to regular po intake, once his intake increases he will need to be switched to a cardiac-renal diet. #acute delirium: pt experienced acute delirium whilst on sleeping medications (ambien, trazodone, olanzapine), according to the family he sleeps well with regular tylenol. #pancreatitis: pt admitted to icu initially for pancreatitis thought to be related to amiodarone which pt started 1 week pta. pt was followed clinically, pancreatitis resolved. medications on admission: medications on transfer amiodarone 200 mg po bid pantoprazole 40 mg iv q24h docusate sodium 100 mg po bid ferrous sulfate 325 mg po daily humalog insulin sliding scale simethicone 40-80 mg po qid:prn lorazepam 0.5 mg iv q8h:prn zolpidem tartrate 5 mg po hs:prn morphine sulfate 1 mg iv q2h:prn ondansetron 4 mg iv q8h:prn senna 1 tab po bid:prn discharge medications: 1. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 2. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed. 5. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 6. lactulose 10 gram/15 ml syrup sig: fifteen (15) ml po bid (2 times a day) as needed for constipation. 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 8. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. 9. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). 10. acetaminophen 325 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 11. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for insomnia. 12. ondansetron hcl (pf) 4 mg/2 ml solution sig: one (1) injection q8h (every 8 hours) as needed. discharge disposition: extended care facility: medical center - discharge diagnosis: pancreatitis acute renal failure requiring dialysis congestive heart failure gi bleed discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: followup instructions: provider: , m.d. phone: date/time: 11:40 md, procedure: hemodialysis venous catheterization for renal dialysis transfusion of packed cells diagnoses: anemia in chronic kidney disease coronary atherosclerosis of native coronary artery unspecified pleural effusion congestive heart failure, unspecified acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) chronic kidney disease, stage iii (moderate) long-term (current) use of anticoagulants retention of urine, unspecified cardiac pacemaker in situ other ascites hemorrhage of gastrointestinal tract, unspecified hypovolemia chronic pancreatitis 

Answer: The patient is high likely exposed to