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: sevoflurane / juice / reglan attending: chief complaint: hematemesis major surgical or invasive procedure: r internal jugular central line placement hemodialysis history of present illness: 46 m w/ pmh of anoxic brain injury, diabetes, gerd, and end stage renal disease on hemodialysis, recently admitted with a non-st elevation myocardial infarction and new onset seizure disorder p/w chest pain and coffee ground emesis. ugi bleed with vomiting of jelly like substance, abd pain, called in by vna who called ambulance for transit to . patient also has had the hiccups for the last 4 days, has not slept at all and is miserable. he feels like the hiccups prevent him from breathing well. he has had hiccups in the past thought to be secondary to gastroparesis, and treated with thorazine or baclofen. . in the ed, vital signs were: 98.9, 167/93, 75, 16, 100% on 1l nc. ng lavage---coffee ground; hct 25; guaiac neg; bp to 192/92, had cp that resolved w/ ntg and morphine. ekg and enzymes at baseline. l ej is his access. given protonix 40 mg iv x 1, zofram 4 mg iv x 1, morphine 4 mg iv x 2. admitted for r/o mi and upper gi bleed but went to dialysis prior to arriving to the floor where he received 2 u prbc. . on arrival to the floor, the patient is feeling bad. he is very uncomfortable with his ng tube in place, so it was removed. he has a sore throat from the tube. he continues to have severe hiccups. his chest pain is now minimal. he no longer feels nauseated. he has not vomitted since this morning with the jelly like substance. past medical history: - diabetes mellitus, type i , c/b retinopathy (legally blind on left), neuropathy and nephropathy , gastroparesis - chronic kidney disease stage v, on hd tues/thurs/sat; s/p avg placement - chronic systolic heart failure, ef 40-45% () - ntemi - hypertension - pulmonary hypertension - glaucoma - s/p surgical debridement of left arm fistula () and ruptured aneurysm repair () - history of pea arrest ()during av fistula repair - history of positive ppd, s/p one year of treatment - cad, nsemi . - seizure d/o on dilantin while hospitalized in - hiccups. social history: originally from . separated, with five healthy children. not currently working, but has worked for a security guard in the past. he just moved from to permanently stay in with his brother. current tobacco use (quit several years ago). he etoh or illicit drug use. history of homelessness, but currently lives in (a house). has hd in . family history: multiple siblings with hypertension and diabetes. two sisters with a " problem." no known early coronary disease or kidney disease. physical exam: pe on admission: vitals - t 99.6, bp 189/97 (max 209/103), p 82, r 22, 100% on 2l, pain is , recent fs was 66 gen - sitting up in bed, appears visibly uncomfortable, hiccuping quickly, maybe about 40x/minute heent - atnc, perrla, moist mucous membranes, supple neck, no jvd, no bruits, no lad cv - rrr, no m,r,g (difficult to hear because hiccups) lungs - cta bilaterally, no wheezes/rhonchi/rales abd - +bs, soft ntnd abdomen, no hsm, no masses, no guarding ext - no le edema, 2+ dp pulses bilaterally, fistula w/ thrill lue pertinent results: imaging: cxr findings: there is vascular engorgement consistent with mild pulmonary edema. there is no evidence of pneumonia. moderate degree of cardiomegaly is stable. mediastinal contours are unremarkable. there is no pneumothorax. there are small bilateral pleural effusions. osseous structures appear intact. no free air is seen beneath the diaphragms. impression: stable cardiomegaly. bilateral small pleural effusions with mild fluid overload. 05:30am blood wbc-6.3 rbc-3.94* hgb-12.3* hct-36.4* mcv-92 mch-31.2 mchc-33.8 rdw-15.8* plt ct-200 04:00am blood neuts-79.5* lymphs-9.6* monos-5.4 eos-4.8* baso-0.9 05:30am blood glucose-119* urean-26* creat-7.5*# na-137 k-3.7 cl-99 hco3-28 angap-14 04:03am blood alt-21 ast-19 ld(ldh)-264* alkphos-265* amylase-37 totbili-0.3 04:03am blood lipase-16 08:33pm blood ck-mb-5 ctropnt-0.24* 02:49pm blood ck-mb-notdone ctropnt-0.23* 07:38am blood ck-mb-notdone ctropnt-0.25* 02:49pm blood tsh-3.3 04:03am blood phenyto-6.6* 09:00pm blood phenyto-9.0* ct head findings: there is no acute intracranial hemorrhage, mass effect, edema, or shift of normally midline structures. there is no evidence of an acute major vascular territorial infarction. a small chronic lacunar infarction is again seen in the right parietal subcortical white matter. the ventricles are stable in size. the imaged bones appear unremarkable. calcifications are again noted in the lens of the left globe. thickening and calcification are again noted in the sclera of the left globe. impression: no evidence of acute intracranial abnormalities. mri brain impression: somewhat limited study, both by patient-motion and lack of intravenous contrast, with: 1. no acute intracranial abnormality. 2. stable small focal flair-signal abnormality centered on a small vascular structure in the left frontal corona radiata, with imaging characteristics most suggestive of an underlying developmental venous anomaly (as suggested previously); there is no associated cavernous angioma or other vascular abnormality, or hemorrhage. 3. mild cortical atrophy, as before. 4. unremarkable cranial mra, with no flow-limiting stenosis or aneurysm larger than 3 mm in diameter. 5. extensive chronic abnormalities involving the left globe and its contents with evidence of past retinal detachment and subretinal hemorrhage, as well as evidence of apparently known glaucoma (n.b. according to the history provided for one of the prior examinations, the patient is "blind in this eye"); there is no evidence of abnormality involving the contralateral orbit or globe. brief hospital course: 45 m with esrd, dm i, htn, p/w chest pain, hematemesis x1 day and four days of unremitting hiccups. . # cp - many possible etiologies of chest pain. most likely is severe esophagitis as seen on prior egd. treated with viscous lidocaine for now and morphine to see if it improves. troponins negativecould be cardiac pain, trending troponins (slightly high, although cks are going down). ekgs did not show st elevations. think ischemia is not likely contributing and increasing troponins are likely from demand stress from htn. patient remained chest pain free during hospitalization. # hematemesis - has known esophagitis on last egd, found to have upper gi bleed in er. not actively bleeding during hospital stay, with stable hct. gi was consulted and defered egd given risk of intubation, and recent egd showing esophagitis. they will follow up with him as an outpatient and consider egd as an outpatient. continue ppi. # hiccups - initially treated with baclofen, but this was discontinued once patient was in the icu. neurology considered that the baclofen may lower his seizure threshold. without hiccups for one week prior to discharge. . # dm i - sugars well controlled with lantus and sliding scale insulin. # esrd - on hd, due for dialysis tomorrow and is on mon wed fri. # htn - patient severely hypertensive on admission with sbps in 200s. bps well controlled on losartan 10mg po qd and metoprolol 50mg po tid. . # chronic systolic heart failure, ef 40-45% () - increasing losartan, switching to po beta blocker; appears euvolemic on exam, has fluid status monitored at hd. . # hx of seizure disorder - patient had eeg which showed no epileptiform activity. had episode of unresponsiveness and hypoventilation. was transferred to icu. neurology recommended dilantin; baclofen and reglan thought to lower seizure threshold. he is to continue dilantin until he follows up with neurology in . ..... micu course: the patient was transferred to the micu for unresponsiveness associated with apnea, hypoxia (88% on 2l nc), and acidemia. # altered mental status: unclear etiology, though much improved after starting dialysis (though 2nd dialysis session since his code). serum tox was negative, lp neg, no evidence of infection (no fever, elevated wbc, or localizing source), mri unchanged from prior. have been secondary to seizure or to some toxic/metabolic process or related. patient??????s regimen has been greatly simplified. he did have some periods of - respirations with occasional desats, but recovered spontaneously on his own. altered respirations likely related to a central process and has improved with patient??????s improved mental status. - f/u neurology recs - continue dilantin 100 mg qam, 100 mg qnoon, and 200 mg qhs. . # hypertension: bps elevated to 200s/100s on arrival to the icu. bps improved to goal range of 160-180 with metoprolol 10 mg iv q8h. with improved mental status he was switched to a po regimen of metoprolol 50 mg tid and losartan 50 mg daily the afternoon of . . # positive blood culture: patient with one positive blood culture, gram positive cocci in clusters, from (prior to cvl placement). received one dose of vancomycin but was not redosed post dialysis on . likely a contaminate as no other bcx have come back positive and the patient is afebrile. vanco stopped . . once he was transferred back to the medical floor, he remained clinically stable. his mental status returned to baseline and he had a nonfocal neuro exam. he was discharged home once his sister returned from . . medications on admission: -amitriptyline 25 mg qd -b complex-vitamin c-folic acid 1 mg tablet qd -insulin glargine 6u qam -losartan 50 mg tablet qd -metoclopramide 10 mg qid -metoprolol tartrate 25 mg tid -pantoprazole 40 mg -phenytoin sodium extended 100 mg qam, 100mg qnoon, 200mg qhs -sevelamer hcl 800 mg tid w/ meals tablet -simvastatin 80 mg qd -sucralfate 1 gram tablet four times a day take two hours after pantoprazole -aspirin 325 mg qd -senna, docusate prn. discharge medications: 1. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for itching/dry skin. 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 3. losartan 50 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po qnoon (). disp:*120 capsule(s)* refills:*2* 5. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po qhs (once a day (at bedtime)). 6. sevelamer hcl 800 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). disp:*90 tablet(s)* refills:*2* 7. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). disp:*30 tabs* refills:*2* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*2* 9. lidocaine hcl 2 % solution sig: one (1) ml mucous membrane tid (3 times a day) as needed for throat pain. 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 11. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for anxiety. disp:*30 tablet(s)* refills:*0* 12. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po qam (once a day (in the morning)). 13. insulin regular human 300 unit/3 ml insulin pen sig: as directed units subcutaneous qachs: please follow sliding scale. disp:*2 pens* refills:*2* 14. insulin glargine 100 unit/ml solution sig: three (3) units subcutaneous qam. disp:*1 pen* refills:*2* discharge disposition: home with service facility: health systems discharge diagnosis: primary diagnosis: upper gi bleed encephalopathy of mutifactorial etiology, resolved chronic kidney disease stage v type 1 diabetes mellitus hypertension history of seizures discharge condition: stable discharge instructions: you were admitted with chest pain, and upper gi bleed. you did not have a heart attack, and didn't have any further bleeding while in the hospital. you became unresponsive and were not able to breathe on your own, so you were transferred to the intensive care unit. they did a ct scan of your head that was normal. neurology evaluated you and started you on dilantin. you will need to take this and follow up with them. gastroenterology evaluated you. they would like to follow up with you in clinic to consider an egd procedure, where they use a scope to look for bleeding in your stomach. nephrology followed you, and you received dialysis three times a week. please call your primary doctor or go to the emergency room if you have chest pain, vomiting blood, blood in your stools, black stools, seizures, falls, fevers, or any other symptoms that concern you. followup instructions: you have an appointment for an ultra sound on at 8:30am. the number for the office is you have an appointment with dr. on at 1pm. the clinic number is . you have an appointment in liver transplant clinic on at 9am. someone will call you to set up an appointment with your primary care doctor. you have an appointment on at 2:30pm in ophthalmology with dr. . the clinic is on the of the building at . the clinic number is . you have an appointment with dr. in neurology on at 2pm. the clinic phone number is . you have an appointment with dr. in gastroenterology on at 2pm. the clinic number is . md procedure: venous catheterization, not elsewhere classified spinal tap incision of lung hemodialysis transfusion of packed cells diagnoses: end stage renal disease renal dialysis status esophageal reflux congestive heart failure, unspecified acute posthemorrhagic anemia iron deficiency anemia secondary to blood loss (chronic) other chronic pulmonary heart diseases polyneuropathy in diabetes unspecified glaucoma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease old myocardial infarction chronic systolic heart failure epilepsy, unspecified, without mention of intractable epilepsy other chest pain esophagitis, unspecified delirium due to conditions classified elsewhere diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with renal manifestations, type i [juvenile type], uncontrolled legal blindness, as defined in u.s.a. esophageal hemorrhage gastroparesis personal history of methicillin resistant staphylococcus aureus apnea hiccough 

Answer: The patient is high likely exposed to