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: history of present illness: the patient is a 67-year-old male with history of coronary artery disease, status post coronary artery bypass graft, congestive heart failure with biventricular failure, ejection fraction of 20-30% on hemodialysis for volume overload/end-stage renal disease, who was found in nursing home unresponsive, pulseless, apneic. cpr was initiated. airway was opened and revealed copious emesis in the oropharynx which was suctioned, respiratory rate 1-2, rhythm pea at a rate of 25-50. pacing was initiated at 70 beats per minute. patient was intubated in the field. in the emergency department, patient was still in pea/asystole, received neophedrine 2 mg, atropine 4 mg, arterial blood gas, intubated revealed 7.24 ph, pco2 47, po2 77 on assist control rate 20, tidal volume 600, peep 5.0, fio2 100%. the patient had sbp in the 60s. was started on dopamine. sbp raised to 140, however, baseline was in the 80s. laboratories revealed a potassium of 6.9, he was given insulin calcium. repeat potassium was 6.4. electrocardiogram revealed peaked t waves. dopamine was stopped with sbp in the 120s, then propofol was initiated for sedation, for ventilation, and the sbp went down to 70, and dopamine was restarted. the patient developed frequent , dopamine was discontinued, and neo was started with resolution of ectopy. the patient was admitted to the medical intensive care unit. micu course notable for patient vented, neophedrine continued, hemodialysis was performed for hyperkalemia felt most likely due to tissue necrosis from primary cardiovascular event versus tachyarrhythmia from elevated k. the patient was initially unresponsive with dilated fixed eyes, but mental status cleared and patient was back to baseline. vent was weaned, and the patient was extubated. the patient was started on vancomycin, levofloxacin, and flagyl to cover for possible aspiration pneumonia and line infection given elevated white blood cell count. abdomen was distended and tense, but at baseline, so no studies were pursued. past medical history: 1. coronary artery disease status post coronary artery bypass graft in , right ventricular infarct post coronary artery rupture. 2. congestive heart failure. dilated cardiomyopathy causing biventricular failure. echocardiogram : ejection fraction 20-30% left ventricular, 1+ ar, 3+ mr, 3+ tr. 3. ascites secondary to right heart failure requiring ultrasound guided paracentesis, liver biopsy within normal limits. 4. heparin induced thrombocytopenia, left lower extremity thrombus status post below the knee amputation after gangrene. 5. gout. 6. hypothyroidism. 7. history of methicillin-resistant staphylococcus aureus. 8. hemodialysis q monday, wednesday, friday for volume overload and beginning in . allergies: heparin causing hit and codeine. admission medications: 1. epoetin. 2. allopurinol 100 q day. 3. enteric coated aspirin 325 mg q day. 4. niferex 150 q day. 5. amiodarone 200 q day. 6. protonix 40 q day. 7. zoloft 100 q day. 8. colace 100 . 9. actigall 300 tid. 10. tums tid. 11. dulcolax prn. 12. guaifenesin prn. social history: resident of with daughter and son. physical examination: on on transfer to floor: vital signs: 96.1, systolic blood pressure 80, heart rate 66, 18 respiratory rate, 98% in 2 liters. lying in bed, cheerful, occasionally coughing, breathing without discomfort in no acute distress. pupils are equal, round, and reactive to light and accommodation. extraocular muscles are intact. oropharynx is clear without exudate. neck is supple, no lymphadenopathy, jugular venous distention 7 cm. clear to auscultation bilaterally anteriorly except for crackles on left anteriorly. regular, rate, and rhythm, murmur at apex to axilla, distended, and nontender, normoactive bowel sounds, bilateral below the knee amputation, no ulceration, 2+ edema bilaterally. alert and oriented times three. nonfocal. grossly dry with peeling skin diffusely, palmar erythema, fluctuance. laboratories on admission: on white blood cells 21.7, hematocrit 38.0, platelets 257, inr 1.5. sodium 140, potassium 6.9, chloride 98, bun 78, creatinine 8.4, glucose 345, lactate 4.8. d dimer 1,000-2,000, fdp 10-40, fibrinogen 238. troponin less than 0.3 x3. chest x-ray: slight decreased subcutaneous emphysema, slight increase on the left, retrocardiac density on the left versus pneumonia. hospital course: a 67-year-old male with coronary artery disease status post coronary artery bypass graft, severe congestive heart failure, ascites, hemodialysis for volume overload, who presents after greater than 30 minutes pea arrest likely secondary to hyperkalemia requiring intubation now status post extubation with miraculous neurologic recovery. 1. cardiovascular system: pump, dilated cardiomyopathy with ejection fraction of 20-30% with 3+ mr, 3+ tr. hemodialysis for volume overload, not on beta blocker. ace because of low blood pressure, continue to monitor. coronary artery disease on aspirin: does not appear to be status post acute myocardial infarction. elevated ck mb and normal troponin most likely secondary to cpr, however, known coronary artery disease, systolic blood pressures 80-90 at baseline. rate and rhythm: bradic, stable. 2. pulmonary: extubated doing well on room air, subcutaneous emphysema resolving, significant right rib pain from cpr, given toradol and tylenol as needed. 3. renal: the patient is status post hemodialysis, has an elevated phosphorus, calcium acetate added. continue hemodialysis. 4. id: white blood cell resolving on vancomycin, levofloxacin, and flagyl, presumed femoral line infection, however, line was cultured and showed no growth to date, so vancomycin stopped. chest x-ray showed possible infiltrate, so patient was continued on levofloxacin and flagyl for 10 day course for aspiration pneumonia. 5. neurologic: mental status cleared significantly, still with increase in confusion from baseline was continued on zoloft for home regimen and was not given narcotics for pain to minimize confusion. 6. gastrointestinal: ascites secondary to congestive heart failure has required paracentesis in the past, but is in no pain, so this was not pursued. 7. fluids, electrolytes, and nutrition: taking a po diet. electrolytes within normal limits after hemodialysis. 8. heme: hematocrit stable. 9. code status: after conversation with wife, it was decided to make the patient dnr/dni. the patient was discharged back to . discharge status: discharged to . condition on discharge: stable. discharge diagnoses: 1. hyperkalemia. 2. cardiopulmonary arrest resolved. 3. aspiration pneumonia. 4. right rib fracture. 5. subcutaneous emphysema. condition on discharge: stable. discharge medications: 1. epoetin. 2. allopurinol 100 q day. 3. enteric coated aspirin 325 mg q day. 4. niferex 150 q day. 5. amiodarone 200 q day. 6. protonix 40 q day. 7. zoloft 100 q day. 8. colace 100 . 9. actigall 300 tid. 10. tums tid. 11. dulcolax prn. 12. guaifenesin prn. 13. tylenol prn for pain. 14. levofloxacin and flagyl x14 day course. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified hemodialysis cardiopulmonary resuscitation, not otherwise specified diagnoses: other primary cardiomyopathies hyperpotassemia congestive heart failure, unspecified acute kidney failure, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure pneumonitis due to inhalation of food or vomitus cardiac arrest infection and inflammatory reaction due to other vascular device, implant, and graft closed fracture of rib(s), unspecified 

Answer: The patient is high likely exposed to