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: penicillins / erythromycin base attending: chief complaint: nausea/vomiting/diarrhea major surgical or invasive procedure: none history of present illness: 30m with hypothyroidism x 5 years, presented 24 hours prior to admission with diffuse lower abdominal pain, nausea, bilious vomiting, and watery green/brown diarrhea associated with fevers/chills. temperature at home was 104. he was referred from pcp's office. in the ed he was hydrated with 7 liters of saline, and he continued to be tachycardic with sbps in the 90's. he was found to have a pancytopenia, arf (cr 1.8), a coagulopathy (inr = 2, ptt = 49), and an indirect hyperbilirubinemia (tuberculosis = 9). a central line was placed in the ed and he was started on levo/flagyl, then admitted to micu. he was found to have serum cortisol of 0.1, and placed on stress-dose steroids as well. . of note he was recently seen in the ed 2-3 weeks ago with suspected gastroenteritis, admitted briefly for ivf and d/c'd home. he had n/v and abdominal pain, but abdominal u/s was negative. at that time he was diagnosed with given an isolated elevated indirect bili. he felt well between these episodes. on ros, parents may have noted skin darkening, wt loss, fatigue over last 1-2 years past medical history: hypothyroidism possible disease social history: pt works as an auditor. is married with 2 children, ages 5 weeks and 16 months. his wife had an episode of n/v 3 weeks ago which resolved. denies tobacco use, occ etoh use. originally from . denies recent travel. family history: grandparents w/ colon ca and dm2; no , thryoid, or known autoimmune disorders physical exam: vitals: t=86.4, bp=87/39-105/59, hr=74-85, rr=13-17, o2=98-100% on ra pe:gen: pt is well appearing in nad heent: icteric, mm, op clear chest: cta bilaterally cv: rrr, mild i/vi sem abd: soft, nt, nd; no stigmata of chronic liver disease ext: no le edema neuro: cn's intact, nonfocal exam; no aterixis pertinent results: 03:40pm wbc-5.0 rbc-5.34 hgb-15.8 hct-44.2 mcv-83 mch-29.6 mchc-35.9* rdw-13.3 07:30pm pt-18.0* ptt-47.2* inr(pt)-2.0 07:30pm fibrinoge-283 07:30pm ret aut-2.2 07:30pm hav ab-negative 07:30pm cortisol-0.1* 07:30pm tsh-0.74 07:30pm haptoglob-<20* 10:50pm crp-5.09* 10:50pm fdp-40-80 09:14pm lactate-1.2 abd ct - - multiple prominent inguinal and pelvic lymph nodes are seen, which do not meet ct criteria for pathologic enlargement. impression: no evidence of colitis or obstruction. moderate free fluid at the level fo the pancreas. if clinically warranted, mri or ct with contrast should be performed. brief hospital course: a/p: 30 yo male with hypothyroidism and , with newly diagnosed adrnenal insufficiency and gastroenteritis, with resolving arf, coagulopathy, and hyperbilirubinemia. . 1. hypotension - bp improved with ivfs and stress-dose steroids. intially there was suspected sepsis vs gastroenteritis with underlying adrenal insufficiency. initial temps to 104 were concerning, but he quickly became afebrile off antibiotics. lactates were normal. he recieved >7l ns with good urine output. after steroid replacement, he still had sbp's in 90's while ambulating and was asymptomatic. . 2. endocrine - endocrine was consulted. he was transitioned from hydrocort to prednisone, and tapered to 5mg in am and 2.5 in pm. multiple stim tests revealed very low cortisol levels of 0.1, 0.7, ans 2.0 without appropriate bump. acth was pending at the time of d/c as well as vit d level. he was increased per endocrine to 125mcg of levoxyl, to f/u tsh, t4, and t3 at clinic. he was told to get a medical alert bracelet and will be given iv solumedrol prescription at clinic. . 3. hematology - he intially presented with elevated inr with concern for slight dic. dic labs were negative, and his coagulopathy improved. he also had evidence of mild pancytopenia with low wbc and hct, and borderline low platelets. hematology was consulted. it was felt that his sx's may be related to underlying infection, and likely had resolving viral illness. hav and hiv were negative, cmv and ebv were ordered. his anemia appeared to have combined picture with evidence of mild hemolysis with low haptoglobin(but nl ldh and nl smear), but also with retic count of 2.2. iron studies not c/w clear iron deficiency, vit b12/folate pending at the time of dischrage. haptoglobin normalized, and hct began to rise. it was felt that his elevated indirect bilirubin may be related to and/or mild hemolysis in setting of acute stress with starvation/dehydration. he was also noted to have diffuse but non pathological lyphadenopathy on abd ct of unclear significance. this may due to his underlying infectious process. he may recieve outpatient chest ct during hematology follow-up. if his pancypenia persists, he may get bone marrow biopsy as well. . 4. gi - stool studies were negative and hepatitis a was negative. it was felt that his n/v/d may be related to underlying adrenal insufficiency, or possible superimposed viral gastroenteritis. given degree of diarrhea and underlying autoimmune disorders, anti-ttg was sent for celiac sprue which pending at the time of discharge. he was guiac negative. . 5. cardiac - upon presentation he has possible ste's in v1 and v2, which then resolved as the patient clincally improved. the patient had an episode of syncope earlier that day after severe n/v/d (but no prior episodes), but there was concern for brugada syndrome. these ekg changes resolved after the patient clinically improved. he was told to follow-up in cardiology clinic with ep, and may need further cardiac evaluation with echo or holter monitor. medications on admission: levoxyl 25mcg qd discharge medications: 1. fludrocortisone acetate 0.1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. prednisone 2.5 mg tablet sig: 1-2 tablets po twice a day: please take 2 tablets (5mg) in the morning, and 1 tablet (2.5mg) in the afternoon. this may be changed by dr . disp:*90 tablet(s)* refills:*2* 3. levothyroxine sodium 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: adrenal insufficiency hypothyroidism possible brugada syndrome resolving pancytopenia discharge condition: stable discharge instructions: please continue prednisone, fludricortsone, and levothyroxine as prescribed. please be sure to arrnge for a medical alert bracelet because of your adrenal insufficiency. if you develop any nausea/vomiting, fevers/chills, diarrhea, lightheadedness, or any other concerning symptoms whatsoever please go directly to the emergency department because of your severe adrenal insufficiency. followup instructions: please be sure to follow-up with your pcp 1 week of discharge. , l. please be sure to follow-up with dr from endocrinology within 1-2 weeks of discharge. please call (for an appointment. please discuss a prescription for a solumedrol in times of stress. please be sure to follow-up with hematology, please call ( for an appointment. you should follow-up with dr , in conjunction with dr (tuesday morning) or dr (weds afternoon). please be sure to follow-up with cardiology. please make a follow-up appointment with dr and/or dr at (. you require require further cardiac testing such as a cardiac echo and/or holter monitor. procedure: venous catheterization, not elsewhere classified diagnoses: acute kidney failure, unspecified unspecified acquired hypothyroidism other specified congenital anomalies of heart acute pancreatitis disorders of bilirubin excretion 

Answer: The patient is high likely exposed to