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: no known allergies / adverse drug reactions attending: chief complaint: transfer from osh for hematuria major surgical or invasive procedure: endotracheal intubation and extubation mechanical ventilation central venous line placement (non-sterile code line) and removal history of present illness: 79 yo male with a history of prostate cancer txd with xrt/adt, renal cancer s/p l nephrectomy, cad s/p stenting, htn, acute cholecystitis s/p percutaneous drain placement and 4 cvas most recently in in (now nonverbal baseline) who was seen at today for hematuria and poorly draining foley. patient has been residing in a for the last several weeks. patient was admitted for acute cholecytitis last week and discharged back to . he has had intermittent urinary obstruction to hematuria this week, and was sent from to 3 days ago, and was discharged after clots were removed. patient did well for the next two days, until this morning when foley catheter again became obstructed. patient was transferred again to this morning. . at , a a 3 way foley was placed with gross hematuria. he received morphine 4 mg iv, zofran 4 mg iv, lewvaquin 750 mg iv and 1 l ns. labs were notable for a ua with many rbcs, chem panel with na 133, k 3.8, co2 21, gly 194, cr 1.5, bun 25, a cbc with wbc 20.2 ( 86% polys, 1 band), hct 35, plt 381. he was transferred to for further care and urology consultation. prior to transfer, patient was noted to have scrotal edema and decrease in hct from 35 to 26 . in the ed, urology was consulted and bladder was irrigated for > 1 h with large amoutn of clot removed. cbi was started, and hematuria cleared from frank blood to light pink in color. patient became hypotensive, and required 1 l ns bolus. patient received morphine 4 mg iv x4, oxybutinin 5 mg po x1, zofran 4 mg iv x1. patient was then being cleaned by nursing staff when he became unresponsive and went into pea arrest. although patient had previously expressed wishes to be dnr/i, son reversed code status in the when faced with this dire situation. patient received 1 mg of epi and 1 mg of atropine, and pulse returned to sinus tach. patient was shocked twice with 200j, and intubated. fentanyl and midazolam drips were started. nonsterile femoral line access was obtained and patient was started on norepinephrine and phenylephrine. a ct abdomen was obtained that revealed a right sided rp bleed. he was transfused 4 u prbc. he was previously on plavix and fragmin x 4 days, but these were stopped this week. after further discussions with family were held, patient was made dnr/i. on transfer, vs were 113, 165/86, 18, 100% on ac tv 500 peep 5 rr 18 and fio2 100%. . in the icu patient is intubated and sedated. he appears comfortable. . review of systems: limited given patient is intubated and sedated. past medical history: # prostate cancer dxd 12 years ago, s/p xrt and adt # renal cancer (unknown subtype) s/p left nephrectomy # cva x 4, most recently in with baseline now nonverbal and disoriented, unable to attend to adls # cad s/p stent in , on plavix # htn # recurrent cholecystitis, with percutaneous drain placement this month # iddm # dl # asthma social history: born in , and has been living in until recently immigrated to the us on to be closer to his son. nonsmoker, no sig etoh. former marketing consultant. speaks . family history: non-contributory physical exam: admission exam: vitals: t: 99 bp:120/46 p: 117 r: 22 o2: 100% ac tv 500 rr 18 fio2 100% general: intubated, sedated heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley with gross hematuria and clots ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema . discharge exam: vitals: none, cmo gen: alert, responds to commands heent: ncat, dry mms pulm: ctab cv: rrr nml s1/2 no /m/r/g ab: ttp suprapubically; percutaneous cholecystostomy in place draining brown bile gu: marked scrotal edema; foley; urine yellow ext: no edema neuro: moving 4 extremities spontaneously pertinent results: admission labs: 10:00am blood wbc-16.6* rbc-2.86* hgb-9.2* hct-26.3* mcv-92 mch-32.1* mchc-35.0 rdw-13.3 plt ct-326 10:00am blood neuts-94.8* lymphs-3.5* monos-1.6* eos-0.1 baso-0.1 10:00am blood pt-14.4* ptt-25.1 inr(pt)-1.2* 10:00am blood glucose-168* urean-25* creat-1.9* na-136 k-4.2 cl-106 hco3-18* angap-16 10:00am blood alt-49* ast-31 alkphos-70 totbili-0.6 10:00am blood lipase-23 10:00am blood calcium-7.5* phos-3.7 mg-1.7 10:40am blood glucose-146* lactate-1.9 na-138 k-3.4* cl-113* calhco3-16* 10:40am blood hgb-9.8* calchct-29 other labs: 03:59pm blood freeca-1.05* 02:45pm blood albumin-2.5* calcium-7.3* phos-6.4*# mg-2.1 02:45pm blood ctropnt-0.02* 07:30pm blood ck-mb-12* mb indx-5.7 ctropnt-1.01* 03:12am blood ck-mb-11* mb indx-2.9 ctropnt-0.60* 07:30pm blood ck(cpk)-212 03:12am blood ck(cpk)-380* micro: blood cultures: pending imaging: ct torso: 1. acute hematoma filling the urinary bladder. no evidence of bladder rupture. the etiology of the bladder hemorrhage is unclear, though given the localization of hemorrhage within the bladder and no associated ureteral/renal abnormality, the possibility of hemorrhagic cystitis is considered. moderate amount of subacute retroperitoneal bleed; please correlate clinically. status post left nephrectomy for renal cell cancer, with unremarkable appearance of the right kidney. cholecystostomy tube within a decompressed gallbladder, which contains multiple stones. no acute findings in the chest. ett and right femoral cv catheter in place. cxr: frontal radiograph demonstrates lines and tubes in appropriate position. widened mediastinum may be due to portable technique. lungs are relatively clear. brief hospital course: 79 yo male with a history of prostate cancer, renal cancer s/p l nephrectomy, cva now nonverbal baseline, cad s/p stenting, htn, acute cholecystitis s/p percutaneous drain placement who presented with worsening hematuria leading to catheter obstruction, and is now s/p pea arrest in the ed. . # goals of care: patient with multiple medical comorbities, and had previously expressed wishes to be dnr/i to his family. in the acute setting of pea arrest, patient's son asked for cpr, compression and shocks. son felt somewhat uncomfortable that he went against his dad's wishes, and hoped to limit any further interventions which would cause pain. he wanted to continue interventions as they were, which necessitated micu care. his son returned the following morning with his wife, and decided to limit care. the patient was transferred to the floor for comfort measures only. iv access was discontinued and the patient was discharged on oral analgesics for comfort as detailed under medications. 24h after being made cmo, the patient's clinical status had improved - sitting up and tolerating po diet. on discharge the patient was stable for transport. . # pea arrest: unclear precipitant but likely related to vagal event in the setting of cbi of high volume of urine with clots in the setting of possible rp bleed which may have preceded the code based on the findings on ct abdomen indicating a nonacute bleed. the patient was resuscitated and transferred to the micu; cooling protocol was deferred in light of goals of care. he was transferred to the floor for management once made cmo. . # shock: the differential was wide including cardiogenic, hypovolemia due to rp bleed, and possible some component of evolving sepsis in the setting of recent cholecystostomy placement. patient was initially aggressively fluid resusciated and broadly covered with vanco/zosyn, until the following day, when patient was transferred to the floor for comfort measures only care. . # cholecystostomy: patient admitted with cholecystostomy tube in place on amoxicillin and levofloxacin. antibiotics were stopped when the patient was made cmo. the patient was discharged with the cholecystostomy in place with intructions for inpatient hospice to drain as needed. . # rp bleed: some findings on ct scan indicated this was a subacute bleed, so femoral line unlikely to be a causative factor. patient had been on plavix for stenting, and has had repetitive foley trauma. patient also had percutaneous cholecystostomy tube last week, which could also be a causative factor. no further work-up or intervention was planned once he was made cmo. . # hematuria: have been related to infection vs worsening prostate malignancy vs radiation induced injury. urology saw the patient in the ed and started cbi, which was stopped prior to discharge after 36h of no hematuria. he was discharged with instructions for inpatient hospice to perform intermittent irrigation as needed for comfort. . # cad: his plavix, statin and ace were stopped once made cmo. . # dm: he was covered with an insulin sliding scale, which was stopped once made cmo. medications on admission: home: tylenol 650 mg q4h prn mom daily prn dulcolax prn levaquin 500 mg daily amoxicillin 500 mg florastor 250 mg daily lantus 10 u daily lisinopril 2.5 mg daily plavix 75 mg daily simvastatin 20 mg daily gatifloxacin 0.3% drops daily protonix 40 mg daily fragmin nystatin humalog sliding scale percocet tab q4h oxybutinin 5 mg daily discharge medications: 1. morphine concentrate 100 mg/5 ml (20 mg/ml) solution sig: 5-15 mg po q2h (every 2 hours) as needed for pain, sob, agitation. disp:*50 ml* refills:*2* 2. lorazepam 0.5 mg tablet sig: 0.5-2 mg po q4h (every 4 hours) as needed for anxiety, sob. disp:*100 tablets* refills:*2* 3. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*2* 5. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po bid (2 times a day) as needed for agitation. disp:*30 tablet, rapid dissolve(s)* refills:*2* discharge disposition: extended care facility: healthcare center - discharge diagnosis: primary: 1. prostate cancer 2. renal cell carcinoma 3. retroperitoneal bleed 4. st elevation myocardial infarction 5. pulseless electrical activity arrest discharge condition: stable for transport discharge instructions: you were transferred to for urology evaluation after you had blood clots in your bladder. in the emergency department, your heart stopped beating and you were resuscitated. you were transferred to the icu and the decision was made to focus on comfort as the goal. non-comfort measures were withdrawn. . continuous bladder irrigation was started for the blood in your urine and then stopped once the blood cleared. you are being discharged on intermittent bladder flushes as needed. . the following changes were made to your medications: # stop all previous medications . # start -sublingual concentrated morphine as needed for pain and shortness of breath -ativan as needed for anxiety and shortness of breath -senna, colace as needed for constipation -zydis as needed for agitation (danger to self) if symptoms not relieved with morphine and ativan followup instructions: none procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube cardiopulmonary resuscitation, not otherwise specified diagnoses: coronary atherosclerosis of native coronary artery acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of malignant neoplasm of prostate percutaneous transluminal coronary angioplasty status chronic kidney disease, stage iii (moderate) cardiac arrest other shock without mention of trauma do not resuscitate status gross hematuria acute myocardial infarction of unspecified site, initial episode of care acute cholecystitis personal history of malignant neoplasm of kidney hemoperitoneum (nontraumatic) hypertensive chronic kidney disease, benign, with chronic kidney disease stage i through stage iv, or unspecified 

Answer: The patient is high likely exposed to