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: patient recorded as having no known allergies to drugs attending: chief complaint: 5 days of urinary and stool retention major surgical or invasive procedure: (1) intubation for mri (2)cardiopulmonary arrest requiring chest compressions x10 seconds history of present illness: patient is a 67 yo man with pmh of pe for which he takes coumadin, who comes in reporting 5 days of urinary and stool retention. reports that on wednesday, he helped a friend move an extremely heavy television. he denied back pain but said he might have strained it slightly. he then proceded to not urinate of defacate from wednesday evening onwards. he denies back pain, weakness or parasthesias. he denies fever, chills, headache, sweats, gait changes. when asked about perineal sensation he says he has no sensation in his penis but thinks he has normal rectal sensation. regarding the urge to urinate, he says he could feel that he needed to go and sensed abdominal distension. past medical history: - hypercholesterolemia - pulmonary embolism after a long drive - ptsd after a cave-in while working in - now with this admission: resolved acute renal failure after a period of acute urinary retention. social history: - hypercholesterolemia - pulmonary embolism after a long drive - ptsd after a cave-in while working in - now with this admission: resolved acute renal failure after a period of acute urinary retention. - lives with nephew (has drug addiction problems) family history: family history: + mother with chf + father with type ii dm, brother had mi and stent placed no family history of leg clots or pulmonary embolism physical exam: vs: t 99 hr72 bp92/60 rr18 sat 96% on ra pe: heent at/nc, mmm no lesions neck supple, no bruits chest cta b cvs rrr, no m/r/g abd soft, ntnd, + bs ext no c/c/e, no rashes or petechiae; there are some patchy areas of ecchymoses over left anterior chest and upper left leg. neurological ms: general: alert, appropriately interactive, normal affect;likes to joke with the examiners orientation: oriented to person, place, date, situation attention: spells "world" backward speech/: fluent w/o paraphasic errors; simple and complex command-following w/o l/r confusion. repetition, naming intact memory: after 5 minutes cn: ii,iii: vfftc, pupils 4 -->2 mm bilaterally to light, unable to visualize his optic discs due to the presence of cataracts iii,iv,v: eomi, no ptosis. normal saccades/pursuits v: sensation intact to lt/temp vii: facial strength intact/symmetrical viii: hears finger rub bilaterally ix,x: voice hoarse (post extubation), palate elevates symmetrically : scm/trapezeii bilaterally xii: tongue protrudes midline without atrophy or fasciculation motor: normal bulk and tone; no tremor, rigidity, or bradykinesia. no pronator drift. delt tri grip ip quad hamst tibant c5 c6 c7 c8/t1 l2 l3 l4-s1 l4 l5 l 5 4+ 5 5 5 5 5 5 5 r 5 5 5 5 5 5 5 5 5 reflex (brisk throughout; no crossed adductor noted): tri bra pat an plantar c5 c7 c6 l4 s1 cst l 2 2 2 2 2 extensor r 2 2 2 2 2 extensor sensation: lt, temp intact throughout. vibration, joint position sense intact. coordination: finger-nose-finger intact. gait: posture, stance, stride, and arm swing normal. pertinent results: 05:10am blood wbc-9.7 rbc-3.63* hgb-11.2* hct-33.1* mcv-91 mch-30.9 mchc-33.8 rdw-14.4 plt ct-231 11:46am blood neuts-88.8* bands-0 lymphs-5.2* monos-4.1 eos-0.5 baso-0.1 11:30am blood pt-17.5* inr(pt)-1.6* 05:19pm blood pt-39.4* ptt-41.5* inr(pt)-4.4* 05:10am blood glucose-101 urean-9 creat-0.9 na-143 k-3.7 cl-111* hco3-25 angap-11 05:10am blood alt-35 ast-28 ld(ldh)-217 ck(cpk)-94 alkphos-94 01:38pm blood ck-mb-7 ctropnt-0.41* 05:10am blood ck-mb-notdone ctropnt-0.04* 05:10am blood calcium-7.9* phos-2.5* mg-2.2 01:38pm blood psa-5.5* 04:25pm blood crp-134.0* 11:56am blood freeca-1.10* 11:56am blood lactate-1.0 brief hospital course: upon arrival, there was much concern regarding a neurologic etiology for his urine and stool retention without sensation of urgency. a spine mri was attempted, but the patient became very claustrophobic during the study due to reliving a past traumatic event that occurred during a cave-in in . he then elected to be intubated and sedated for the procedure. he proved to be a difficult intubation and subsequently was documented as desatting to the 30s at one point, spending a total of 1.5 minutes in a hypoxic state. he even required chest compressions for a total of 10 seconds during which time his heart rate dropped to the 50s. he eventually recovered, and a limited spine mri was obtained. there was no evidence of cord compression, but due to an lack of a post-gadolinium study, myelitis could not be ruled out. - limited spine mri: impression: 1. study limited by significant motion artifact and non-administration of gadolinium. grossly, no evidence of epidural abscess. if clinical concern persists, consider repeating study with intravenous gadolinium administration and conscious sedation to reduce the motion artifact. 2. multilevel degenerative changes in the lower lumbar spine and neural foraminal narrowing as described above. 3. bilateral small pleural effusions with adjacent atelectasis. ct of his head was also obtained at that time in order to rule out an acute bleed that may have contributed to his acute urinary retention and demonstrable rle weakness on exam. impression: no evidence of intracranial hemorrhage or mass effect. nonspecific white matter hypodense foci which could represent chronic microvascular infarctions. he was transferred to the icu for further management and was extubated on . nephrology was consulted to to an elevated bun and creatinine level (highest 79/7.7--> currently 13/0.8). this acute renal failure was thought to be secondary to an obstructed urinary tract. cardiology was also consulted due to troponin levels to a max of 0.41. this was following chest compressions and may have been due to this intervention. an echocardiogram was performed and demonstrated probable mild regional left ventricular systolic dysfunction with inferior/infero-lateral hypokinesis and trival/physiologic pericardial effusion. upon transfer to the floors, was started on po tid and restarted on coumadin. urology was also consulted after a normal renal ultrasound was obtained (). we followed their recommendations on starting doxazosin. they suggested discharge to home with a foley catheter. chronic intermittent catheterization was offered as an option to , but he would require home nursing for follow up regarding this. when such was brought up to him, he was vehemently opposed due to the fact that he lives with a nephew who is a drug abuser and tends to be impulsive at times. he was concerned about the safety of the visiting nurses. upon transfer to the floors, he remained clinically stable without any further complications. he was observed for 2 more days and then discharged home with follow up in place (this included open mri as an outpatient and urodynamic studies via urology department). medications on admission: - lipitor 10mg po qday - aspirin 81mg po qday - coumadin 5mg po qday discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. disp:*1 bottle* refills:*0* 4. warfarin 5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 5. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*30 capsule, sust. release 24 hr(s)* refills:*1* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. enoxaparin 80 mg/0.8 ml syringe sig: one (1) subcutaneous q12h (every 12 hours). disp:*qs 1 box* refills:*2* 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po twice a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: (1) acute urinary retention (etiology: enlarged prostate vs. neurologic) (2) acute stool retention (3) difficult intubation for sedated mri requiring chest compressions x10 seconds and a troponin leak likely due to this. discharge condition: good discharge instructions: (1) you will go home with a foley catheter in place. the removal of this will be addressed at a follow up appointment with urology. (2) if you have weakness, dizziness, visual disturbances or further difficulties with your stool--please come back to the emergency room for further workup. followup instructions: (1) urology appointment for a voiding trial and removal of your foley catheter -- they should call you with an appointment time, but if you do not hear from the urology department by , please call them at () (2) you have a cystoscopy scheduled (this is to look inside your bladder via urology department. this is scheduled for @ 9:15am (#) (3) open mri to visualize your entire spine is also scheduled for you near your home: ( - route 28; , ma; 1.. the study will be done over 2 days. appointment #1 (wednesday @12:30pm); appointment #2 (friday @ 12:30pm). (4) please call dr. for a follow up appointment regarding your coumadin management (#) procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closed [endoscopic] biopsy of bronchus closed chest cardiac massage diagnoses: pure hypercholesterolemia acute kidney failure, unspecified constipation, unspecified cardiac arrest long-term (current) use of anticoagulants retention of urine, unspecified personal history of venous thrombosis and embolism posttraumatic stress disorder 

Answer: The patient is high likely exposed to