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: cc: major surgical or invasive procedure: none history of present illness: hpi: 36 year old male with h/o dm i c/b severe autonomic dysfunction, mutiple admissions for malignant htn now being admitted for nausea and vomiting and hypertensive urgency. pt states he woke up this am with signif n/v and abd pain similar to prior episodes of gastroparesis. had planned hd on saturday with no issues. denies any f/c/cough. . in the ed he was afebrile, tachy to 110's and hypertensive to 230/110. in ed, unable to control bp with iv labetalol (30mg), iv hydral (20mg), nifedipine sl (10mg), ativan (5mg) and dilaudid (2mg). placed on iv labetalol gtt. n/v improved with ativan. . past medical history: 1. dmi for over 10 years 2. severe autonomic dysfunction with recurrent hospitalizations for hypertensive emergencies, gastroparesis, and orthostatic hypotension 3. esrd on hd started 4. history of esophageal erosion, mw tear 5. cad wtih 50% first diagonal stenosis, nl stress in -cad 6. recent admit in late for aspiration vs community-acquired pneumonia 7. recent port-a-cath related coag neg staph infection, s/p prolonged course iv vancomycin and replacement of port-a-cath in social history: social history: he lives with his girlfriend of 14 years and three of their children. he previously worked in real estate and has been disabled approximately two years. he denies cigarette, alcohol, drug or herbal medication use. family history: family history: his father recently died of esrd and diabetes. his mother is in her 50s and has hypertension. he has two sisters, one with diabetes; six brothers, one with diabetes and five children, ranging in age from 11 to 15. . physical exam: physical exam: pe: t 98.4 bp 166/100 hr 80s rr 16 99% o2sat ra gen: patient lying in bed in some distress due to abdominal pain, somnolent heent: perrl (2-3mm), eomi, op clear mmm, 2+ carotid pulse lungs: clear to auscultation b/l cardiac: tachycardic, regular rhythm, 3/6 sem. abd: soft, diffuse tenderness, no rebound or gaurding, +bs ext: palpable thrill at lue; no edema. neuro: aaox3 cn ii-xii intact no gross deficit. o x3. pertinent results: labs: na 143 k 4.3 cl 93 hco3 25 bun/cr 43/7.0 gluc 321 wbc 6.2 hct 43 plt 169 lfts nl or near nl . ekg: nsr at 90, nl axis, 1-2mm ste in v2-4 (new), 0.5mm ste i,l (new) 10:00am pt-14.1* ptt-26.6 inr(pt)-1.3 10:00am wbc-6.2 rbc-6.18 hgb-15.0 hct-49.6 mcv-80* mch-24.3* mchc-30.2* rdw-17.6* 10:00am alt(sgpt)-7 ast(sgot)-17 ck(cpk)-107 alk phos-136* amylase-73 tot bili-0.2 08:02pm calcium-9.6 phosphate-6.8* magnesium-1.8 08:02pm ck-mb-5 ctropnt-0.40* 08:02pm ck(cpk)-61 brief hospital course: a/p: 36yo m with dmi, gastroparesis, autonomic dysfnx, malignant htn, esrd on hd p/w n/v and htn urgency. hospital course issues include: 1.) htn - likely from recurrent autonomic dysfunction related to his dm, gastroparesis and inability to take po meds (therefore unable to take his antihypertensives). pt generally experienced htn episodes upon vomiting to his gastroparesis. on exam, there was no evidence of end organ damage, including no papilledema, no evidence of stroke, no disturbances in renal output. pt was started on labetolol gtt with sufficient decrease in his bp in < 12 hours. after d/c of labetolol gtt, pt experienced some decreased bp which came back to normal levels without intervention. pt's nausea/vomiting also improved o/n since admission with the use of anzemet, ativan and dilaudid, to point where he was able to take po. pt's outpatient htn medications include nefedipine, clonidin, lopressor. so as to not cause hypotension, the patient was started on just lopressor 25mg day after admission () with intent to slowly restart his other bp meds. ck's were also checked, did not demonstrate any cardiac ischemia. . pt was restarted on his home regimen, and htn well controlled, with average bp 120/70 to 130/80. the only change to pt's home regimen were: labetalol 800 mg po bid to labetalol 200 mg metoclopramide 5 mg po qidachs to metoclopramide 10 mg po qidachs 2.) nausea/vomiting/abdominal pain - secondary to gastroparesis and autonomic dysfunction. this was treated successfully with prn ativan, anzemet and dilaudid. plans to continue w/ ppi as outpt. pt now po. 3.) dmi - given 1/2 dose insulin while npo . 4.) esrd - patient gets dialysis t,th,sat. plan for hd as inpatient per renal, dialysis regimen. 5.) cad - asa pr and lipitor d/ced when npo. currently restarted on asa 325 mg po qd and lipitor 10mg po qd, as has restarted po. 6.) ppx- ppi, hep sc 7.) hx positive ppd - pt currently undergoing inh therapy - ?lenght of time. restarted on inh and vit b6 upon starting po (). medications on admission: clonidine 0.25mg 24 hour patch, 2x/wk (tues, fri) clonidine 0.2mg po tid duragesic 75mcg patch q 72 hr dilaudid 4mg 2.5 tabs qam prn iron 325 po bid labetolol 200mg 4tabs lasix 80mg lipitor 10mg qd lisinopril 10mg ativan 2mg q 6hrs prn nausea mg oxide 600mg capsule 2 tabs po bid morphine sulfate 30mg q 4-6hr prn abd pain norvasc 10mg qd paxil 20mg qd protonix 40mg qd reglan 5mg qid prior to meals isoniazid 300mg qd x 9mos. vitamin b6 50mg qd x 9mos. discharge medications: 1. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. isoniazid 300 mg tablet sig: one (1) tablet po daily (daily). 3. magnesium oxide 600 mg capsule sig: two (2) capsule po bid (2 times a day). 4. furosemide 80 mg tablet sig: one (1) tablet po bid (2 times a day). 5. morphine 30 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for abdominal pain. 6. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). 7. metoclopramide 5 mg tablet sig: two (2) tablet po qidachs (4 times a day (before meals and at bedtime)). disp:*240 tablet(s)* refills:*2* 8. pyridoxine 50 mg tablet sig: one (1) tablet po daily (daily). 9. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 10. calcium acetate 667 mg tablet sig: two (2) tablet po tid w/meals (3 times a day with meals). 11. clonidine 0.3 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qtues (every tuesday). 12. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 13. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 14. sevelamer 800 mg tablet sig: one (1) tablet po tid (3 times a day). 15. lisinopril 10 mg tablet sig: one (1) tablet po bid (2 times a day). 16. labetalol 200 mg tablet sig: one (1) tablet po bid (2 times a day). 17. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 18. clonidine 0.2 mg tablet sig: one (1) tablet po tid (3 times a day). 19. insulin regular human 100 unit/ml solution sig: one (1) dose injection four times a day: please take per insulin order flowsheet. disp:*2 2 bottles* refills:*2* 20. insulin nph human recomb 100 unit/ml suspension sig: seven (7) units subcutaneous 1x/breakfast, 1x/bedtime. disp:*2 bottles* refills:*2* discharge disposition: home discharge diagnosis: 1.) urgent htn 2.) gastroparesis 3.) dm with esrd 4.) htn 5.) hypercholesterolemia 6.) cad 7.) latent tuberculosis (pos ppd prior to admission, on inh) discharge condition: good. pt taking po including po meds, stable bp. discharge instructions: 1. please take all medications as prescribed. 2. please keep all follow up appointments. 3. seek medical attention for fevers, chills, chest pain, shortness of breath, nausea, vomiting, abdominal pain, or other concerns. instructions: 1. please follow up with your new primary care physician . on wed at 3:30. 2. provider: , md where: lm phone: date/time: 4:00 3. provider: , rn,bs where: lm disease phone: date/time: 11:00 procedure: hemodialysis diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease coronary atherosclerosis of native coronary artery ulcer of other part of foot diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled gastroparesis peripheral autonomic neuropathy in disorders classified elsewhere 

Answer: The patient is high likely exposed to