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: heat stroke major surgical or invasive procedure: -central venous line -intubated from history of present illness: mr. is a 40 year old man with no significant transferred from an outside hospital with hyperthermia to 108 and question of a seizure while running in a road race. during the race, he reportedly collapsed and was found to have temperature 107.6. he was taken to where he was paralyzed with vecuronium, intubated for airway protection with 8.0 ett and cooled with ice packs, 4l cooled ns and ng lavage as well as bladder irrigation. he had tachycardia to 170 and received adenosine x 2 with no response. cardiology was consulted but felt rhythm was c/w sinus tach. r sc cvl placed and he had neg head ct. temp decreased to 102.7 and he was med-flighted here for further management. en route, he was shaking and was given 9mg iv ativan for concern for seizure which was later felt to be secondary to chills and improved with removal of cool blanket. . in the ed, initial vs were: t38.6 p105 bp 111/65 r18 spo2100%. he remained cool at 102 and continued to have shaking but was not felt to be seizing. ecg revealed sinus tach at 105. he was given fentanyl and versed for sedation and he was given 4l ns for hypotension to 90s. labs were remarkable for cr 1.6, ua with lg blood and 0-2 rbc, inr 1.2, lactate 3.1->2.8, ck 590, wbc 13 with 14% bands. abg 7.33/47/228 on ac 550x18 100% peep 5. vs prior to transfer:38.8 99 99/63 20 100%. past medical history: nasal fx s/p closed reduction back injury s/p mvc, receives cortisone injections s/p umbilical hernia repair social history: lives with wife and 2 children (2.5, 3.5 years old, both with sensory processing disorders). software engineer. no tobacco or drug use. drinks 1-2 beers a couple times per week. increased stress at home. family history: mother died of multiple myeloma. father with htn, arthritis. no other medical illness in family. physical exam: on discharge: o: tc 99.4 tm 100.4 bp 132/86 hr 82 rr 97 %ra (130-144/80-90), 82-85, 20, 97-100%ra 8h i/o: 1000/950 24h i/o: /1550 general: pt lying on back sleeping, nad heent: ncat, eomi, perrl, neck supple, oropharynx clear cardiac: rrr, no m/r/g, normal s1, s2 lung: ctab, scattered bibasilar crackles, no wheezes or rhonchi appreciated abdomen: soft, nontender, nondistended bs+, no hsm ext: w/w/p, no c/c, 2+ pulses in dp's bilaterally, b/l feet 1+ non-pitting edema (stable) r>l neuro: alert and orientedx3, responds appropriately, strength, tone and senstation equal bilaterally derm: warm, sweaty (esp back), intact except for scrape on l knee and r shin pertinent results: on discharge: 05:33am blood wbc-7.3 rbc-4.05* hgb-11.9* hct-33.9* mcv-84 mch-29.3 mchc-35.0 rdw-14.4 plt ct-303 05:33am blood fibrino-530* 05:33am blood glucose-95 urean-12 creat-0.7 na-141 k-3.4 cl-108 hco3-26 angap-10 05:33am blood alt-442* ast-265* ld(ldh)-322* ck(cpk)-5321* alkphos-94 totbili-0.9 dirbili-0.5* indbili-0.4 05:33am blood albumin-2.8* calcium-7.8* phos-3.6 mg-1.9 brief hospital course: #. rhabdo/ : cr back down to within normal limits. cr elevation was likely secondary to mild rhabdo and hypovolemia vs atn. patient received iv ns @ 200cc/hr. ck reached a peak of 15000s, but trended down to 5000s on discharge. . #. hyperthermia/heat stroke: most likely patient had exertional heat stroke related to running on hot day in context of nortriptyline which can predispose toward heat stroke and may interfere w/ perspiration due to anticholinergic effects. no clear endocrinologic or toxic insults. no longer being actively cooled and temps have been low-grade off antibiotics. had multisystem organ dysfunction in the context of this resolving syndrome. we held nortriptyline and gave the patient acetaminophen at less than the maximum dose . #. hypoxia: patient states that his breathing has improved and denies any shortness of breath. we monitored him for symptoms of fluid overload and there was no need for diuresis. patient used incentive spirometry as instructed. . #. transaminitis/acute hepatitis: resolving. likely due to heat injury and syndrome like shock liver. although it is documented that the patient was hypotensive to sbp of 90, it is likely that pt was more hypotensive at some point and it was not recorded. no reason to suspect acute viral hepatitis or toxic or medication mediated injury. transaminases, coags and total bilirubin continue to trend down. . #. coagulopathy: resolved. inr and ptt were elevated with low plt, low fibrinogen and elevated fdp consistent with early dic. smear did not show schistocytes, however, and parameteres now steadily improving. fibrinogen still > 500 and inr improving. there was no need for blood transfusion. . #. thrombocytopenia: resolved. was likely secondary to acute illness and mild dic; possibly with an element of sequestration given likely acute hepatitis. smear neg for schistocytes. . #. hypotension: resolved. likely secondary to multisystem dysfunction due to heat injury at presentation as well as vascular leak and likely hypovolemia. pt's lowest recorded sbp in the 90s although it is likely that he dropped lower at some point given the extent of the systematic dysfunction. . #. altered mental status: resolved. pt was intially quite altered though improves as distance from sedation increases. now fully oriented and appropriate. patient is concerned about residual cognitive impairment from hitting his head when he lost consciousness. he had an inpatient occupational therapy consult and will follow up as needed as an outpatient. . #. leukocytosis: leukocytosis and bandemia resolved. waxing and bandemia early in course with other premature forms likely due to leukemoid reaction. no signs of acute infection. final urine and blood cultures were negative. medications on admission: -nortryptiline 25 mg qam and 50 mg qpm -mvi pack including fish oil, vitamin c, d, calcium -gabapentin (prescribed but not taken) discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever. 2. outpatient lab work blood, to be collected on : cbc; sodium; alt; ck; potassium; ast; chloride; alk phos; bicarbonate; total bili; glucose; ld; bun; albumin; pt (includes inr); creatinine; ptt; calcium; phosphate; fibrinogen; magnesium; bilirubin, direct discharge disposition: home discharge diagnosis: hyperthermia rhabdomyolysis acute kidney injury hypoxia hypotension acute hepatitis disseminated intravascular coagulation altered mental status leukocytosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it was a pleasure treating you at . you were admitted for management of your episode of hyperthermia with subsequent muscle injury, kidney injury, shortness of breath, liver injury, blood count abnormalities, low blood pressure and altered mental status. you were treated with iv fluids and your laboratory abnormalities gradually resolved. no changes were made in your medications. please have labs drawn when you see your primary doctor . followup instructions: pcp : friday, at 11:45am name: dr. * location: family medicine associates address: , , phone: *your physician, . , is on vacation. dr. will see you for this visit. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified arterial catheterization diagnoses: thrombocytopenia, unspecified acute and subacute necrosis of liver acute kidney failure, unspecified defibrination syndrome hypoxemia hypovolemia rhabdomyolysis family history of other specified malignant neoplasm heat stroke and sunstroke accident caused by excessive heat due to weather conditions activities involving running 

Answer: The patient is high likely exposed to