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: transfer from osh for pancreatitis, dka, and renal failure major surgical or invasive procedure: none history of present illness: is a 52m with a pmh s/f hyperlipidemia, and htn who presented to ed on the morning of with a chief complaint of 10 days of anorexia, and 5-10 days of nausea, vomiting, and abdominal pain. he was found to be in dka with an elevated blood sugar of 685, bicarbonate of 7, ph of 7.16, and an anion gap of 29. he was given a 10 unit bolus of iv insulin, started on an insulin drip at 3units per hour, and bolused 1.5l of ns. of note, the patient does not carry a diagnosis of diabetes. a ct of the abdomen and pelvis revealed acute pancreatitis. of note, the patient denies alcohol use, or any history of gallstones. he was also found to be in acute renal failure with a creatinine of 3.2 (baseline is 1.2) wbc count was elevated to 13.9, no chest xr was performed, and a ua was negative. . in the icu the hospitalist turned up his insulin gtt was increased to 12 units/hr, and he was bolused 5 more liters of ns. his most recent finger stick is 464, and his anion gap is 16. potassium is 4.7, and creatinine has increased to 4.0. the patient has become oliguric, only making 500cc of urine since arrival. the hospitalist is concerned about a pending need for intubation, and requests transfer to for further management. current access is two peripheral ivs, current vital signs are: afebrile, bp=168/78, hr=105, 97%2l. 6l ivf's given at osh. . on arrival to icu, vs: t94.9, hr 107, bp 128/69, rr 24, o2 96% ra. patient c/o abdominal pain. no other complaints. past medical history: htn hyperlipidemia congenital deafness gout obesity social history: lives with his mother. denies /etoh/ivdu. family history: nc physical exam: general: pleasant, well appearing. nad heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. mmm. op clear. neck supple, no lad, no thyromegaly. cardiac: regular rhythm, normal rate. normal s1, s2. no murmurs, rubs or . lungs: ctab, good air movement biaterally. abdomen: nabs. soft, nt, nd. no hsm extremities: no edema or calf pain, 2+ dorsalis pedis/ posterior tibial pulses. skin: no rashes/lesions, ecchymoses. neuro: a&ox3. appropriate. cn 2-12 grossly intact. preserved sensation throughout. 5/5 strength throughout. + reflexes, equal bl. normal coordination. gait assessment deferred psych: listens and responds to questions appropriately, pleasant pertinent results: 10:53pm blood wbc-19.1* rbc-4.42* hgb-13.6* hct-39.3* mcv-89 mch-30.7 mchc-34.6 rdw-13.2 plt ct-436 10:20am blood wbc-7.4 rbc-3.15* hgb-9.4* hct-28.4* mcv-90 mch-29.7 mchc-33.0 rdw-13.1 plt ct-748* 06:27am blood pt-14.0* ptt-24.2 inr(pt)-1.2* 10:53pm blood glucose-354* urean-76* creat-3.2* na-136 k-4.9 cl-110* hco3-14* angap-17 10:20am blood glucose-95 urean-17 creat-0.9 na-144 k-4.1 cl-106 hco3-28 angap-14 10:53pm blood alt-10 ast-9 ld(ldh)-153 ck(cpk)-55 alkphos-79 amylase-804* totbili-0.3 06:27am blood alt-18 ast-29 ld(ldh)-359* alkphos-425* amylase-50 totbili-0.5 10:53pm blood lipase-2211* 06:18am blood lipase-59 10:53pm blood ck-mb-4 ctropnt-<0.01 07:29am blood ck-mb-notdone ctropnt-<0.01 10:53pm blood albumin-3.5 calcium-7.9* phos-2.7 mg-2.1 10:20am blood calcium-8.7 phos-4.9* mg-1.8 06:18am blood caltibc-222* vitb12-463 folate-7.8 ferritn-727* trf-171* 07:29am blood %hba1c-11.9* 06:18am blood triglyc-122 hdl-26 chol/hd-5.3 ldlcalc-88 10:53pm blood triglyc-511* 06:18pm blood lactate-1.3 blood/fungal culture (preliminary): no fungus isolated. blood/afb culture (preliminary): no mycobacteria isolated. cxr: the lung volumes remain low. heart is upper limits of normal in size allowing for this factor. bibasilar atelectatic changes are present as well as small pleural effusions, left greater than right. please see separately dictated cta of the chest for more complete assessment, dictated separately ab xr: impression: minimal dilation of the transverse colon, improvement of ileus. no evidence of obstruction. cta: impression: 1. limited examination, however, no central or lobar pulmonary emboli. 2. stable small bilateral pleural effusions with associated atelectasis. 3. small nonhemorrhagic pericardial effusion which appears slightly more extensive than two days prior. mrcp: impression: 1) severe acute pancreatitis, without evidence of necrosis. 2) 12-mm ill-defined probable reactive lymph node posterior to the portal confluence corresponding to the lesion of interest. this is discrete from the gda and does not represent a pseudoaneurysm. 3) hepatic steatosis. brief hospital course: #. acute pancreatitis: etiology remained unclear. denied etoh abuse, ct scan did not show ductal dilatation, and ruq u/s did not show gallstones. hypertriglyceridemia considered but tgs were only mildly elevated. be due to medications (?hctz), viral infeciton, or stone that passed. criteria at osh, predicted mortality was 1%. osh ct scan was reviewed here and did not show pseudocyst. as no iv contrast was given, this ct could not be evaluated for necrosis. upon admission, the patient was aggressively volume resuscitated and kept npo throughout icu stay. surgery was consulted and did not recommend any intervention. on hd4, patient appeared volume overloaded and was started on lasix drip for adequate diuresis over the subsequent 3 days. a post-pyloric feeding tube was attempted under ir on hd5 but patient did not tolerate procedure. the patient developed an ileus w/ epigastric pain and one episode bilious emesis on hd6. kub showed dilated loops of small bowel but no transition point or air/fluid levels. an ng tube was again attempted but the patient adamantly insisted that he did not need this. he had one large bm on hd6, and pain significantly improved. ct abdomen was obtained prior to transfer and the read is still pending. he was transferred to the medical floor where tpn was started. his diet was slowly advnaced and he was eventually able to tolerate a regular diet. he was discharged home after being seen by pt. . #. dm/dka: the patient was admitted with fingerstick glucose of 464 and anion gap of 16. he was aggressively volume resuscitated, with k+ repletion as necessary, and placed on insulin drip w/ d51/2ns. likely to severe pancreatitis. by hd2 his gap had closed. he was switched over to d10 once he became fluid overloaded and was maintained on insulin drip until hd6. consult was obtained. as patient's hba1c is 11.9, he likely has background of undiagnosed t2dm, with development of type 1 dm physiology in the setting of islet cell destruction in pancreatitis. recs, patient was transitioned to 70mg lantus qhs with q6h fs and sliding scale on hd6, with good glucose control. he was uptitrated on his lantus and on the medical floor was taught how to give himself insulin and how to check his fingersticks. his blood sugars were under control with insulin. he will have close follow-up. . #. acute oliguric renal failure: patient's creatinine was 3.5 at the time of admission. with fluid resuscitation, creatinine trended down each day and was 1.1 on the day of transfer. arf likely prerenal volume depletion. colchicine was held and all medications were renally dosed. likely secondary to underresuscitation. uop has picked up and his creatinine returned to what is likely his baseline. . #. htn: outpatient medications were held. patient became mildly hypertensive to sbp 140s on hd5. amlodipine 5mg was given once, but was then held in the setting of ileus. patient remained normotensive at the time of transfer. his blood pressures were well controlled in the hospital and he was discharged on only diovan (holding hctz likely indefinitly). medications on admission: diovan/hctz 160/12.5 colchicine 0.6mg allopurinol 100mg po bid(?) lovastatin 20 mg qday discharge medications: 1. one touch ultra system kit kit sig: one (1) miscellaneous once a day. disp:*1 kit* refills:*0* 2. one touch ultrasoft lancets misc sig: one (1) miscellaneous once a day for 1 months. disp:*qs misc* refills:*0* 3. one touch ultra test strip sig: one (1) in once a day for 1 months. disp:*qs strip* refills:*0* 4. diovan 160 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 5. lovastatin 20 mg tablet sig: one (1) tablet po once a day. 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. insulin glargine 100 unit/ml solution sig: fifty seven (57) units subcutaneous at bedtime for 1 months. disp:*qs qs* refills:*0* 8. humalog 100 unit/ml solution sig: two (2) units subcutaneous three times a day: please see attached sliding scale for dosing instructions on the humalog dose for after your meals. . disp:*10 vials* refills:*2* 9. insulin syringe 1 ml 29 x 1 syringe sig: one (1) miscellaneous four times a day for 1 months. disp:*qs qs* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: pancreatitis, acute diabetic ketoacidosis diabetes discharge condition: stable, tolerating po diet discharge instructions: you were admitted to the hospital because of pancreatitis. you were found to have diabetes as well. the pancreatitis may have been related to hydrochlorothiazide (hctz), you should avoid this medication in the future. in the hospital you recieved diabetes teaching. you pancreatitis slowly resolved. you needed nutrition though an iv for a little while but slowly you were able to eat a regular diet. medication changes: stop hctz start insulin as directed. you were given a prescription for diovan without the hctz please do not take your colchicine and allopurinol until talking with your primary care doctor. please return to the hospital or call your doctor if you have temperature greater than 101, shortness of breath, worsening difficulty with swallowing, chest pain, abdominal pain, diarrhea, or any other symptoms that you are concerned about. followup instructions: pcp: , . in weeks you have an appointment with at diabetes center with interpretor at 3pm. you also have an appointment with dr. at diabetes center at 10 am. please call if you need to reschedule. md, procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified unspecified essential hypertension acute kidney failure, unspecified gout, unspecified other and unspecified hyperlipidemia paralytic ileus acute pancreatitis diabetes with ketoacidosis, type ii or unspecified type, uncontrolled other specified forms of hearing loss 

Answer: The patient is high likely exposed to