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: mr. is a 39 year-old gentleman with a past medical history of pulmonary sarcoidosis recently diagnosed congestive heart failure who was transferred to for cardiac hesitation due to recent symptomatic exacerbation. his cardiac history dates back to where he presented with symptoms of congestive heart failure. tte revealed mild right ventricle dilatation with preserved function, severe global left ventricular hypokinesis, inferior and posterior wall akinesis with an ef of 20%, moderate mr pa systolic pressure around 15 mmhg. on the holter showed recurrent nonsustained ventricular tachycardia for which he had an electrophysiology study done, which was noninducible for ventricular tachycardia. he had a cardiac catheterization in , which revealed severe biventricular failure with mild pulmonary hypertension, 2+ mitral regurgitation and normal coronary arteries. an rv endomyocardial biopsy was negative for sarcoidosis. he was admitted to the coronary care unit for milrinone drip and for several days after the catheterization. in an aicd was placed prophylactically for ventricular ectopy. over the next several months congestive heart failure improved from class three to class one and he was able to go back to work on an assembly line. symptoms of dyspnea and fatigue returned about a month ago when he began working full time. at that time he became several short of breath when walking up a flight of stairs, which is consistent with congestive heart failure class three. his medications had been adjusted in the past several weeks with resulting hypertension. he had a stress test on to evaluate exercise tolerance where he exercised for fifteen minutes on the dobutamine protocol, which was then stopped for hypertension at peak exercise. his blood pressures decreased from 112/60 to 90/64. he was taken for a cardiac catheterization on , which showed a pa sat prior to dobutamine was 59%. after 8 micrograms per kilogram of dobutamine was 70%. before dobutamine his pulmonary capillary wedge pressure was 32, pa of 41, right atrial pressure of hrv pressure 55/8, pa pressures of 55/29 with a mean of 39. after the dobutamine his pa pressures were 58/20 with a mean of 38. pulmonary capillary wedge pressure was 25 with v wave of 40. he was then transferred to the coronary care unit on dobutamine drip. hemodynamic monitoring, diuresis were continued and anatropic support. he was also being considered for a cardiac transplant. past medical history: 1. pulmonary sarcoidosis diagnosed in . esr was 5, base was 16. chest x-ray revealed stable perihilar parenchymal changes. his last pulmonary function tests from was fvc 53%, fev1 1.85, fev1 was 1.85, fev/fvc was 86%, total lung capacity 55%, forced 0 capacity 44%. 2. congestive heart failure from idiopathic dilated cardiomyopathy. the patient's biopsy was negative for sarcoidosis. he has an ef of 20%. 3. runs of nonsustained ventricular tachycardia status post icd placement. medications: coreg 12.5 mg po b.i.d., zestril 5 mg po q.d., lasix 40 mg po q.d., tikosyn 0.25 mg b.i.d., aspirin 81 mg po q.d. allergies: no known drug allergies. social history: he is married. he lives in . he drinks alcohol socially until this summer. family history: brother with congenital heart disease. physical examination: vital signs, temperature 98. heart rate 97. blood pressure 110/70. respiratory rate 19. o2 sats 96%. oxygen saturation was 93%. pulmonary pressure was 50/26. mean pa pressure was 38. cardiac output 5.3. cardiac index 2.45 on 8 mics per kilogram per minute of dobutamine. weight was 90 kilograms. in general he was a middle aged man lying comfortably in no acute distress. heent pupils are equal, round and reactive to light. extraocular movements intact. oropharynx moist and nonerythematous. neck supple. jvp to 7 cm. chest clear to auscultation anteriorly. heart regular rate and rhythm, intermittent s3 with no murmurs or rubs. abdomen soft, nontender, nondistended with good bowel sounds. extremities no clubbing, cyanosis or edema. 2+ dorsalis pedis pulses bilaterally. he has a right arterial line and right vein sheath with a swan in place. laboratory: white blood cell count 4.4, hematocrit 39.8, platelets 303, sodium 140, potassium 4.1, chloride 101, bicarb 20, bun 21, creatinine 0.9, pt 13.8, ptt 31.4, inr 1.3, alt 21, ast 18, alkaline phosphatase 107, total bili 0.9. arterial blood gas ph 7.4, pco2 35, pao2 84%. chest x-ray revealed that he was in congestive heart failure. hospital course: 1. cardiovascular: he was transferred to the coronary care unit on a dobutamine drip with very good cardiac indices. he was fully diuresed to keep his pa diastolic pressure to 17 mmhg and his dobutamine drip was fully weaned off. because his cardiac index remained above 2.20 and his systolic blood pressure was greater then 90 mmhg for two days a swan-ganz catheter was discontinued. later on his systolic blood pressure while sitting in a chair was found to be consistently above 80 mmhg. the arterial line was discontinued and he was transferred to the floor on a 2 gram sodium diet with a 1.5 liter fluid restriction. on the floor he did exceptionally well with stable systolic blood pressures above 80 with absolutely no shortness of breath on ambulation. during his admission he was evaluated as stated for a cardiac transplant by the congestive heart failure team, a carotid ultrasound, ankle brachial indices and 24 hour urine collection for creatinine clearance and protein were obtained for a preop workup. upon discharge the patient was issued a ct of his chest. a ct scan of his chest done on for evaluation by the transplant team. captopril was added for after load reduction and digoxin was started to increase inotrophy. 2. pulmonary: a pulmonary consult was obtained to evaluate his pulmonary sarcoidosis. they came to the conclusion that there was no evidence of reactivation of his sarcoidosis. they stated that they did not believe that the patient warranted any treatment. they also examined his recent pulmonary function tests and determined that the patient would tolerate any surgery well. his o2 sats were well above 93% on room air by the time of discharge. condition on discharge: stable. discharge status: discharged to home. discharge medications: coreg 12.5 mg po b.i.d., tikosyn 0.25 mg b.i.d., aspirin 81 mg po q.d., digoxin 0.125 mg po q.d., lasix 40 mg po q.d., captopril 6.25 mg po t.i.d. follow up: return to the hospital if you develop worsening shortness of breath or weight gain. follow up with dr. of cardiology at her clinic in two and a half weeks. please follow up with the chf team via telephone three times a week. discharge diagnoses: 1. congestive heart failure secondary to idiopathic dilated cardiomyopathy. 2. pulmonary sarcoidosis. 3. history of nonsustained ventricular tachycardia status post aicd placement. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization diagnoses: other primary cardiomyopathies congestive heart failure, unspecified sarcoidosis primary pulmonary hypertension automatic implantable cardiac defibrillator in situ 

Answer: The patient is high likely exposed to