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: hydralazine / iodine attending: chief complaint: dyspnea major surgical or invasive procedure: none history of present illness: 65 yo m with cad, renal transplant, copd, chf, recent charcot foot wound debridement who presents with acute dysnea, cough, and viral sx x 2d. of note, has developed left foot erythema, pain x 8 days, had debridement 10 d ago. . in ed, patient was febrile to 102 hr 108, bp 150-170 systolic rr 30's and ra sat of 96%. he was given 80 iv lasix, nebs, nitro drip, and started on bipap. he was briefly started on heparin-with 4000 u bolus- for st depressions in lateral leads (original ekg missing). cards reviewed ekg though it was demand ischemia and pt was given asa, 1 unit prbcs. . on ros: admits to right hip and knee pain. patient says he was taking all his medications as prescribed. denies n/v/abd pain/dysuria/cp, +sick contact sunday dinner . of note, mr. made it clear on this and previous admissions that he would not want to undergo dialysis or endotracheal intubation, and his dnr/dni status was confirmed. past medical history: multifactoral iron deficiency (iron def. and cri) dm2 c/b retinopathy, neuropathy esrd after angioplasty 10 years ago. on dialysis 5 years and then had crt in complicated by chronic rejection. chronic allograft nephropathy with progressive proteinuria and decline in allograft function. s/p 5 years of hd and two av fistula placements. now with chronic renal failure with baseline creatinine high 4's htn copd (w/o prior pfts) h/o wenkebach heart block. left charcot foot. suppurative hydradenitis. right hip fx s/p orif . cad (patient reports having undergone cath, reports clean coronaries) pud c/b ugib hyperlipidemia. neurogenic bladder bph aflutter s/p ablation , dr. social history: lives at home alone. smokes 4 cigarettes/day after breakfast. 50 pack/yr smoking hx. no alcohol or drugs. born and raised in new city, studied economics at nyu, received a grad degree in economics, worked and moved to . has two sons but lives alone. he is close with his family. has been divorced for a number of years. family history: father deceased of an mi at age 74; mother deceased from a cancer at age 65. mother also was with breast cancer. one sibling healthy physical exam: vs: t 98.4 bp 125/56 p 89 irreg 100% bipap--> 4l nc, pulsus <5 gen: on bipap, speaking in full sentences heent: o/p clear neck: jvp 10-12, no bruits b cv: distant heart sounds. no rub heard. nml s1,s2. resp: rales bilaterally. inital wheeze and transmitted upper airway sounds, clears with cough, otherwise, no w/r/r abd: obese, soft. ntnd. ext: 1+ edema to shin bilat. pulses 2+, symmetric. left foot lesion, stage 2, with surrounding erythema, l arm av fistula site: pulse, but no thrill. rectal: neg x 4 in ed. evidence of chronic scarring and surgical changes perirectally. pertinent results: cxr: ap upright portable chest x-ray: the cardiac silhouette is grossly enlarged. the mediastinal contour is normal. there is bilateral hilar fullness. the pulmonary vasculature is engorged and redistributed. there is no pneumothorax. no consolidations or effusions are seen. the right lung base effusion seen on has resolved. impression: moderate chf. . 06:45am blood wbc-10.2 rbc-2.60*# hgb-7.0*# hct-19.6*# mcv-76* mch-26.8* mchc-35.5* rdw-19.1* plt ct-251 06:45am blood neuts-91.8* lymphs-3.7* monos-3.9 eos-0.4 baso-0.2 06:45am blood pt-15.2* ptt-28.5 inr(pt)-1.4* 06:45am blood fibrino-622* 06:45am blood glucose-128* urean-109* creat-5.0*# na-134 k-4.1 cl-97 hco3-16* angap-25* 06:45am blood calcium-6.0* phos-4.0 mg-1.5* 06:48am blood lactate-1.1 . 03:55am blood wbc-10.2 rbc-2.50* hgb-6.7* hct-19.6* mcv-78* mch-26.7* mchc-34.0 rdw-18.9* plt ct-223 03:55am blood neuts-97.1* bands-0 lymphs-1.6* monos-0.9* eos-0.3 baso-0.2 03:55am blood pt-15.5* ptt-30.5 inr(pt)-1.4* 03:55am blood glucose-153* urean-115* creat-5.8* na-134 k-4.8 cl-97 hco3-17* angap-25* 03:55am blood calcium-6.0* phos-6.7*# mg-1.7 . 06:45am blood ck(cpk)-361* ck-mb-7 probnp-* ctropnt-0.42 01:13pm blood ck(cpk)-381* ck-mb-10 mb indx-2.6 ctropnt-0.51* 03:55am blood ck(cpk)-495* ck-mb-8 ctropnt-1.07* . 07:02am urine color-yellow appear-clear sp -1.012 07:02am urine blood-neg nitrite-neg protein-100 glucose-neg ketone-tr bilirub-sm urobiln-neg ph-5.0 leuks-neg 07:02am urine rbc-0 wbc- bacteri-mod yeast-none epi-0-2 . and bcx: no growth ucx: no growth brief hospital course: history of diastolic dysfxn, presenting with worsening failure, with no diuresis response to 80 iv lasix in ed. volume overload state most likely due to worsening renal dysfunction as well as hypermetabolic state from foot ulcer/cellulitis. placed on lasix and nitro drips overnight in icu, with very little diuresis and laboraory evidence of worsening renal dysfunction. he was maintained on bipap. renal and podiatry services were initially consulted, but eventually were deferred due to change in goals of care as below. mr. ' wishes to not undergo dialysis or be endotracheally intubated were confirmed by him. after discussions with mr. , his family, pastor, and primary care physician, were in agreement to change the goals of care to focus on comfort. he was placed on a morphine drip to alleviate his dyspnea and, once the remainder of his family arrived, the bipap was discontinued. he died on with family at the bedside. there was no post-mortem examination. medications on admission: 1. tacrolimus 1 mg capsule sig: two (2) capsule po bid (2 times a day). 2. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po bid (2 times a day). 3. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 4. calcitriol 0.25 mcg capsule sig: four (4) capsule po daily (daily). 5. calcium carbonate 500 mg tablet, chewable sig: four (4) tablet, chewable po qid (4 times a day). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 7. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 8. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 9. epoetin alfa 20,000 unit/ml solution sig: one (1) injection qmowefr (monday -wednesday-friday). 10. lorazepam 1 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for anxiety. 11. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime) as needed. 12. hexavitamin tablet sig: one (1) cap po daily (daily). 13. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 14. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed). 15. amitriptyline 10 mg tablet sig: one (1) tablet po hs (at bedtime). 16. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 17. sodium bicarbonate 650 mg tablet sig: two (2) tablet po tid (3 times a day). 18. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4-6h (every 4 to 6 hours) as needed. 19. furosemide 40 mg tablet sig: two (2) tablet po every morning. 20. lasix 40 mg tablet sig: one (1) tablet po every evening. 21. medication insulin as per sliding scale discharge medications: none discharge disposition: expired discharge diagnosis: esrd, heel ulcer, diastolic heart failure discharge condition: deceased discharge instructions: none followup instructions: none procedure: transfusion of packed cells diagnoses: congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified acute on chronic diastolic heart failure diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes atrial flutter hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease complications of transplanted kidney diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy cellulitis and abscess of foot, except toes ulcer of heel and midfoot arthropathy associated with neurological disorders neurogenic bladder nos 

Answer: The patient is high likely exposed to