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: ace inhibitors attending: chief complaint: hematuria, frequency, nocturia major surgical or invasive procedure: radical cystectomy with ileal loop history of present illness: hpi: mr. is a 75-year-old man with a history of recurrent bladder cancer. according to mr. , this was initially diagnosed in when he presented to the with hematuria. cystoscopy diagnosed localized superficial bladder cancer, and he was treated with intravesicular bcg. then in he had recurrence noted on screening cystoscopy, and at that time, he was treated with intravesicular bcg and mitomycin c. this course was complicated by severe uti leading to urosepsis and hospitalization at the va. he subsequently transferred his care to dr. at and had another episode of urosepsis in or . he transferred care to where he underwent turp in . it was soon after this that he began to follow-up with dr. for screening cystoscopy and treatment for recurrent urinary tract infections. he reports having had multiple cystoscopies with biopsies. on he was admitted to the hospital with recurrent hematuria with clots, increased urinary frequency and nocturia, and underwent cystoscopy on , which showed a 1.5-cm papillary tumor on the right anterior wall of the bladder. he then underwent transurethral resection on . the biopsy showed a high-grade bladder transitional cell carcinoma with smooth muscle invasion. he currently has a foley catheter in place. he denies having pelvic pain and admits to a small amount of low back pain. additionally, mr. was admitted to in and to in with decompensated diastolic heart failure. today, he denies having recurrent fevers, chills, night sweats or weight loss past medical history: -bladder carcinoma -diabetes type ii -hypertension -frequent uti -pulmonary hypertension -diastolic congestive heart failure (ef>55% on ) social history: lives with his wife in , ma. now retired. occasional alcohol use, with distant history of tobacco use. family history: noncontributory. physical exam: physical examination: weight 262.1 pounds, temperature 97.1, pulse 68, blood pressure 108/70, respiratory rate 20, oxygen saturation 100% on room air. in general, comfortable, obese male in no acute distress, walks with a cane. heent: pupils equally round and reactive to light. sclerae anicteric. status post bilateral cataract surgery with right pupillary scar. oropharynx is clear without lesion or exudate. lymph: no cervical, supraclavicular, occipital, axillary, or inguinal adenopathy. cardiovascular: pmi nondisplaced. regular rate and rhythm with i/vi systolic murmur. lungs: clear to auscultation bilaterally. no crackles, rhonchi or wheeze. abdomen: obese, soft, nontender, nondistended without masses or hepatosplenomegaly. extremities: bilateral 1+ lower extremities edema. foley bag on the right leg. skin: no rashes. neurologic: alert and oriented x3. cranial nerves ii through xii intact. strength 5/5 throughout. pertinent results: 12:40pm wbc-8.4 rbc-3.89* hgb-9.9* hct-30.0* mcv-77* mch-25.6* mchc-33.2 rdw-15.7* 12:40pm pt-14.8* ptt-27.6 inr(pt)-1.3* 12:40pm alt(sgpt)-12 ast(sgot)-9 alk phos-63 tot bili-0.2 12:40pm albumin-3.7 calcium-9.2 phosphate-4.5 magnesium-2.3 12:40pm glucose-113* urea n-62* creat-2.5*# sodium-136 potassium-4.4 chloride-99 total co2-26 anion gap-15 brief hospital course: 75ym with recurrent bladder ca admitted for cystectomy and ileal conduit on . patient went to the or for radical cystoprostatectomy, ileal loop urinary diversion, bilateral pelvic lymphadenectomy. he tolerated the procedure well with no complications, but was transferred to the icu in guarded condition still intubated. he had a ngt, rij, ett, urostomy stents x 2, and a right a-line in place upon transfer. he did require pressors for the first day post-op in order to maintain his arterial pressure. he was extubated without complication on pod 1 and transitioned to a face mask. he became hemodynamically stable and was weaned off of pressors. he was then started on his home lopressor, asa, and statins. his a-line was d/ced at this time as well. his pain was adequately controlled with a pca pump. the patient was transferred to the floor on pod3 in stable condition. he continued to experience bouts of rapid a. fib which were usually symptomatic and were usually stimulated by activity. his lopressor was titrated accordingly and eventually switched from iv to po once he began taking po. from a gi standpoint he was slow to return his bowel function and therefore was kept npo with ngt in place until he had some return of function. the ngt was then d/ced and he was begun on sips and slowly advanced which he tolerated well. from a gu/renal standpoint, the patient was restarted on his home lasix and had excellent diuresis from his ileal conduit without any issues. he was seen by physical therapy who recommended that the patient would need rehab s/p discharge. prior to discharge his pca was d/ced and he was switched to po pain meds. his ij was removed prior to discharge as this was his only available iv access. his uretheral stents are to remain in place for at least another 2-3 weeks. discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) 5000 injection tid (3 times a day). 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. ranitidine hcl 150 mg capsule sig: one (1) capsule po bid (2 times a day). 4. acetaminophen 325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain, temp>100. 5. trazodone 50 mg tablet sig: three (3) tablet po hs (at bedtime) as needed. 6. furosemide 40 mg tablet sig: two (2) tablet po daily (daily). 7. lasix 20 mg tablet sig: 0.5 tablet po once a day. 8. bupropion 75 mg tablet sig: two (2) tablet po bid (2 times a day). 9. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 10. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 11. cephalexin 250 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 7 days. 12. metoprolol tartrate 25 mg tablet sig: one (1) tablet po qid (4 times a day). 13. insulin regular human 100 unit/ml solution sig: sliding scale injection asdir (as directed): please follow sliding scale on flowsheet. discharge disposition: extended care facility: tcu - discharge diagnosis: bladder cancer discharge condition: stable discharge instructions: call urology office or go to your local emergency room if 1) temp greater than 101 2) nauseau and vomitting for greater than 24 hours 3) worsening pain not relieved by medications 4) inability to urinate you may resume your home medications you may shower followup instructions: call clinic at for follow up appointment to have staples removed within one week procedure: radical cystectomy formation of cutaneous uretero-ileostomy division or crushing of other cranial and peripheral nerves regional lymph node excision transfusion of packed cells diagnoses: congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation other chronic pulmonary heart diseases chronic diastolic heart failure secondary and unspecified malignant neoplasm of intrapelvic lymph nodes malignant neoplasm of anterior wall of urinary bladder 

Answer: The patient is high likely exposed to