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 / aspirin attending: chief complaint: abd pain major surgical or invasive procedure: none history of present illness: 79yo m w/signif cardiac hx, ef 25%, crohn's, c/o epigastric pain, with wbc 15, elevated lfts, inr 3.3, cr 2.1 (1.3 baseline), and trop 0.25; he was recently hospitalized for chest pain, sob and treated for chf exacerbation. of note, at that time, he was found to be in a.fib and later started on coumadin as an outpatient. he states that for the last 2 months he has had nonradiating epigastric abdominal pain which he cannot describe in further detail however, he admits that it is worse post prandially and he has had decreased po intake because of it. he came to the ed for evaluation because he began to worry when it got worse. . in the ed, mr. was found to be afebrile but hypotensive to 88/68 with increased lfts. morphine, 500 mg levofloxacin, 500 mg flagyl, 1 gm vanco, 4 units ffp, were administed and the patient was admitted to the sicu. gi was consulted for ? ercp and hep serologies were sent. levo/flag were continued. ruq u/s showed some gb edema but not convincing for cholecystits or cholangitis; ct abd/pelv w/o iv contrast shows atherosclerosis, unable to eval biliary tree. he was then transfered to the micu for further evaluation and management. this morning he complains of thirst, says abdominal pain gone and wants to eat. past medical history: 1. coronary artery disease s/p cath with pci stent to lcx, rca 2. hypertension 3. crohn's disease 4. hypercholesterolemia 5. bph 6. macular degeneration both eyes - legally blind 7. hypothyroidism 8. s/p 2 hip surgeries 9. s/p back surgery . s/p knee surgery . history of gi bleed d/t pud 12. colonic polyps 13. chronic renal insufficiency baseline creat 1.3 social history: former . married with two daughters, lives with his wife. smoked 1-1.5 ppd x 35 years. quit in . etoh: ~ once a week, socially. no drugs. family history: mother with mi in 70s. father with mi 80s. brother and sister with "heart problems". physical exam: vitals - afebrile, hr 80, bp 112/63, rr 22, o2 89%-96% on 2l nc to 95%-96% on 3l nc heent - dry mm neck - jvd to angle of jaw, no noted carotid bruits cvs - irregularly irregular, no m/r/g lungs - decreased bs diffusely, mild crackles at l base abd - soft, nt/nd, +bs ext - 1+ pitting edema in ankles b/l pertinent results: 04:25pm lactate-5.4* 04:20pm glucose-103 urea n-79* creat-2.1* sodium-132* potassium-5.2* chloride-90* total co2-22 anion gap-25 04:20pm alt(sgpt)-1083* ast(sgot)-1068* ck(cpk)-52 alk phos-279* amylase-62 tot bili-1.8* 04:20pm lipase-70* 04:20pm ctropnt-.25* 04:20pm ck-mb-notdone 04:20pm albumin-4.1 calcium-9.4 phosphate-6.0*# magnesium-2.3 04:20pm hbsag-negative hbs ab-negative hbc ab-negative hav ab-positive 04:20pm hcv ab-negative 04:20pm wbc-15.3*# rbc-3.83* hgb-11.9* hct-36.5* mcv-95 mch-31.2 mchc-32.7 rdw-16.6* 04:20pm neuts-82.6* lymphs-13.9* monos-3.4 eos-0 basos-0.1 04:20pm hypochrom-1+ anisocyt-1+ poikilocy-1+ macrocyt-1+ 04:20pm plt count-368 04:20pm pt-21.4* ptt-37.0* inr(pt)-3.3 brief hospital course: patient was initially admitted to the surgery service. there is no dictated summary of the events that transpired while he was on that service from - . he was then transferred to the micu. no micu course was dictated or entered by the micu housestaff. patient was transferred to on the afternoon on to dr. and then transferred again the following morning () to dr. . he was then discharged home later that same day. all of the following hospital course is per record review: . #abd pain: patient was admitted with chief complaint of abd pain and elevated lft's. ddx included acute hepatitis,stones (u/s negative), ascending choleangitis (blood cx negtaive, no fever), ischemia. lft's not consitent with etoh or nash. iron studies not c/w hemasiderosis. also consider drugs vs autoimmune. zetia and hydral were held. blood cultures were negative. hepatitis panel negative. hepatology was consulted. liver enzymes were trended and it was noted that the lft's began to improve dramatically on hd2, which was consistent with an ischemic insult to the liver. eventually the elevated lft's were attributed to shock liver hypoperfusion, possibly due to a silent nstemi. patient improved clinically and was discharged with close follow-up with his cardiologist who is also his pcp, . . # leukocytosis: unknown source. patient covered empiracally for 48 hours with vanco, flagyl, levo util blood cultures were negative. trended down and had normalized by day of discharge. . # arf: unknown etiology but likely prerenal as patient complains of thirst and has decreased po intake. patient has had a recent renal u/s without hydro and it was not noted on ct abdomen so likely not post renal obstruction. this could be his new baseline as his cr was 2 during his last admit in . creatinine did improve slightly with gentle iv hydration. . #chf: ef of 30%. stable. . # rhythm: hx of a fib. anticoagulation was reversed with ffp and vit k. . # arteries: has history of stents, most recent in . ekg unchanged. trop up, consistent with arf. baseline 0.1. ekg w/ st elevations in inferior leads and depressions in anterior leads, unchanged or improved from prior. . # anemia: normocytic baseline hct 28. iron level was 41, tibc 248, ferritin 383, consistent with iron deficiency in . . # depression: continued paroxetine . # prophylaxis: hep sq, ppi . # fen: cardiac, low salt diet . # communication: wife, . medications on admission: 1. atorvastatin 20 qd - recently d/ced on last hospital admission elevated lfts 2. aspirin 81 mg qd - recently d/ced on last hospital admission gib 3. sulfasalazine 1500 po bid 4. ferrous sulfate 325 qd 5. docusate sodium 100 mg 6. cyanocobalamin 50 mcg qd 7. multivitamin qd 8. lisinopril 5 mg qd - recently d/ced on last hospital admission elevated cr 9. paroxetine hcl 10 mg qd 10.carvedilol 25mg . 11. azathioprine 50 mg qd 12. pantoprazole 40 mg qd 13. furosemide 40mg qd - recently changed from 60 mg qam and 40 po qhs 14. levothyroxine sodium 50 mcg qd 15. albuterol inh prn 16. atrovent inh discharge medications: 1. sulfasalazine 500 mg tablet, delayed release (e.c.) sig: three (3) tablet, delayed release (e.c.) po bid (2 times a day). 2. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 3. multivitamin capsule sig: one (1) cap po daily (daily). 4. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). 5. azathioprine 50 mg tablet sig: one (1) tablet po daily (daily). 6. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 7. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*1 inhaler* refills:*0* 8. isosorbide mononitrate 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*1 inhaler* refills:*2* 11. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 13. lasix 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: hepatitis congestive heart failure leukocytosis acute renal failure atrial fibrillation discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet take all of your medications as ordered. do not stop or change any of your medications without first speaking to your doctor. follow-up with your doctor below. please call your doctor immediately if you start having chest pain, shortness of breath, abdominal pain, or any other concerning symptoms. followup instructions: 1. provider: , . please call and confirm that you have an appointment on . you should have your blood drawn at that visit to confirm that your liver functions tests are still recovering. procedure: venous catheterization, not elsewhere classified arterial catheterization transfusion of packed cells transfusion of other serum diagnoses: hyperpotassemia subendocardial infarction, initial episode of care congestive heart failure, unspecified unspecified essential hypertension acute and subacute necrosis of liver acute kidney failure, unspecified unspecified acquired hypothyroidism atrial fibrillation percutaneous transluminal coronary angioplasty status regional enteritis of unspecified site old myocardial infarction nonspecific abnormal findings in stool contents unqualified visual loss, both eyes 

Answer: The patient is high likely exposed to