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: this is a 23-year-old male with a history of type i diabetes for over 20 years, hypertension, cardiopathy, chronic kidney disease who was hospitalized here about one month ago for diabetic ketoacidosis. the patient at that time had a creatinine of 8.1 and a bun of 116. patient has never been dialyzed, but preparations to start have been ongoing in the past month. in the interim, liver donor for renal transplant is also being worked up. patient has been on lasix 80 mg po b.i.d. and zaroxolyn 2.5 mg po q.d. with initial weight and lower extremity edema decreasing, but over the past three to four days, the patient has had increasing lower extremity edema. patient was feeling well until the night prior to admission when he was noted to have a non-productive cough over the past few days and awoke with severe dyspnea on the morning of admission. the patient denies sore throat, chills, fever, diarrhea, hematuria, abdominal pain. the patient did vomit without hematemesis. the patient took his lasix and zaroxolyn medication, however, in the emergency room he was also given an additional 80 mg intravenous of lasix and 2.5 mg po zaroxolyn, as well as his antihypertensive medicines. patient was also given ceftriaxone 1 gram intravenous and zithromax 500 mg po q.d. in addition, he was given a subsequent dose of lasix 40 mg intravenously. he had a chest x-ray that was consistent with a pneumonia. past medical history: 1. congestive heart failure. cardiologist dr. . echocardiogram in with an ejection fraction of 35%, global hypokinesis, septal akinesis and 1+ mitral regurgitation. 2. diabetes type 1 diagnosed at age 18 months with retinopathy, neuropathy, nephropathy, status post multiple laser surgeries, as well as bilateral vitrectomies, and chronic kidney disease. 3. chronic kidney disease followed by dr. in nephrology with plans underway to consider transplant versus dialysis. 4. depression. 5. severe hypertension. 6. migraine headaches. 7. charcot foot. 8. - tears diagnosed post hematemesis after severe gastroenteritis in . allergies: zestril which causes lightheadedness. social history: positive for alcohol, one pack a day of tobacco and marijuana occasionally. family history: significant for two sisters and a mother with type 1 diabetes. home medications: 1. lantus 20 units q.d., humalog sliding scale per carbohydrate count. 2. norvasc 10 mg po q.d. 3. labetalol 600 mg po b.i.d. 4. lasix 80 mg po q.d. 5. phos-lo. 6. procrit 5000 units weekly. 7. zaroxolyn 2.5 mg po q.d. 8. hydralazine 25 mg po q.i.d. 9. protonix 40 mg po q.d. 10. isosorbide 10 mg po t.i.d. 11. reglan 10 mg po q.i.d. physical examination: temperature 97.8. pulse 92. blood pressure 205/105, decreased to 137/71. oxygen saturation 80% on room air. head, eyes, ears, nose and throat exam: oropharynx clear. mucous membranes dry. neck supple, no lymphadenopathy. cardiovascular regular rate, normal s1, s2, 2-3/6 small systolic murmur at the apex, no rub. lungs: crackles at the bases bilaterally. abdomen: normal active bowel sounds, soft, nontender, nondistended. extremities: warm, + edema bilaterally lower extremities to the knees. neurological: appropriate, no asterixes. laboratory data at the time of admission: white blood cell count 15.1, hematocrit 30.9, platelet count 475,000, inr 1.1, ptt 25.2, sodium 131, potassium 3.9, chloride 88, bicarbonate 20, bun 132, creatinine 8.2, glucose 582, ck 448, troponin i less than .3. albumin 3.9, ck-mb 6, calcium 6.8, magnesium 2.5, phosphorus 8.0. urinalysis: specific gravity 1.011, small blood, 100 protein, 1000 glucose, arterial blood gas on a nonrebreather was 7.37, 40, 97. patient had a lactate of 1.9. hospital course: 1. hypoxemic respiratory failure: patient with good ventilation, but hypoxia. patient was placed on supplemental oxygen and initially admitted to the medical intensive care unit. patient's respiratory failure was ascribed to volume overload with congestive heart failure, probably a combination of known decreased ejection fraction plus worsening renal failure. in addition, the patient had a left lower lobe infiltrate on his chest x-ray and history of a dry cough. this was treated with ceftriaxone and azithromycin while in the intensive care unit. patient was gradually less hypoxic and was taken off his supplemental oxygen after being treated with antibiotics and aggressive diuresis. patient had a follow-up chest x-ray on that showed marked resolution of his bibasilar pulmonary consolidations and congestive heart failure. he had some residual small bilateral pleural effusions and small atelectasis at the left base, but resolution of the previously seen right lower lobe infiltrate. 2. diabetes mellitus: the patient was initially on an insulin drip without any clear evidence for diabetic ketoacidosis. he was then changed to subcutaneous insulin and after consult was obtained, patient was changed to his home dose glargine at 20 units in the morning and a carefully titrated humalog sliding scale. subsequently, he had initially excellent glycemic control with blood sugars ranging from 54 to 209, however, on the next hospital day, the patient had an episode of hypoglycemia with a fingerstick of 16, as well as elevated blood sugars in the setting of a strict humalog sliding scale and glargine while patient unable to tolerate a full diet and mild emesis. patient's sliding scale was adjusted recommendations and eventually patient was placed on his home dose glargine and as an outpatient will only continue on carbohydrate counting. 3. hypertension: patient had blood pressures controlled with his home dose regimen including labetalol, hydralazine, isordil and norvasc. patient's blood pressures ran anywhere between mostly 120s to 150s during his hospital admission. 4. renal: end stage kidney disease: patient had evidence of volume overload, but no acute indications for hemodialysis. the patient had a pd catheter placed by transplant surgery. subsequent to this, he had considerable pain that required multiple doses of intravenous morphine which was then switched to percocet for his outpatient regimen. patient will have peritoneal dialysis initiated in the next three to four weeks as an outpatient. patient will have further evaluation for transplant as an outpatient. patient was placed on increasing epo doses at 10,000 units subcutaneously twice a week. he was initially on amphojel, calcium carbonate and calcium acetate while in the intensive care unit and this was switched to calcium acetate 2 tablets t.i.d. with meals and calcium carbonate 500 mg t.i.d. after meals. patient was also started on iron polysaccharide complex. patient's diuresis was maintained on zaroxolyn 2.5 mg po q.d. with lasix 80 mg po b.i.d. which is a double units dose of lasix from admission. disposition: patient will follow-up in clinic and will call for an appointment as per his usual regimen. patient has an appointment with dr. in renal on . discharge diagnoses: 1. congestive heart failure secondary to volume overload and decreased ejection fraction. 2. pneumonia. 3. end stage renal disease; to start perineal dialysis in the next two weeks. discharge medications: please resume all home medications with the following changes: 1. reglan decreased to 5 mg po q.i.d. 2. epo increase to 10,000 units biweekly. 3. lasix increase from 80 mg q.d. to 80 mg b.i.d. 4. addition of iron. 5. calcium acetate 2 tablets t.i.d. with meals and calcium carbonate 500 mg tablets t.i.d. after meals. 6. percocet total of 8 tablets to be used prn abdominal discomfort from peritoneal dialysis catheter placement. , m.d. dictated by: medquist36 d: 06:36 t: 13:08 job#: procedure: venous catheterization, not elsewhere classified pulmonary artery wedge monitoring creation of cutaneoperitoneal fistula diagnoses: pneumonia, organism unspecified other primary cardiomyopathies mitral valve disorders congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to