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: no known allergies / adverse drug reactions attending: chief complaint: altered mental status major surgical or invasive procedure: intubation history of present illness: the patient is a yo man with h/o htn, hl, dm2, cri (baseline creatinine of 1.6), who presented from home with hypothermia, bradycardia, and ams. as the patient is altered, the majority of the history was obtained from the patient's daughter and medical records. in brief, the patient was reportedly in his normal state of health until last week, when he had several days of diarrhea and anuria. per his daughter, she gave him his night medications last night, and then this morning he was noted to be more lethargic. given this constellation of symptoms, she called 911 and the patient was brought to the ed. . in the ed, his initial vs were t 95.2, hr 88, np 100/51, rr 16, sat 4l nc. he kept repeating to the ed staff that he was having diarrhea, and hadn't urinated. he was in sinus rhythm and normotensive until he was taken to the ed room. per ed resident there, he was noted to become intermittently hypotensive to the 60s in the setting of bradycardia to the 30s. he was given iv 0.5mg atropine x 3. with his pressures reponding to increases in his hr. he was also given ivf rescusitation of 5l. his ekg was noted to ste inferiorly v3-v4 with q waves inferiorly, std depression in avl, flat twaves in lead i and lateral leads. stemi team was called at 0831 as well as toxicology, and he was started on a heparin gtt and was given asa 600 mg pr. he was found to have hyperkalemia and and an initial lactate of 10.1, for which he was given calcium gluconate and albuterol nebs. a cxr was obtained which showed low lung volumes but no pneumonia, vascular congestion, or pleural effusion. a kub/ct abd was also obtained given the bradycardia, hypotension, elevated lactate with a prelim read showing no acute intrabdominal process. he was started on vancomycin and flagyl. per discussion with his daughter, the patient's code status was reversed from dnr/dni to full code. given his ams, he was intubated in the ed. he was induced with rocuronium and etomidate and was noted to go into asystole. chest compressions were started, and he was given 1 round of epinephrine/atropine. a pulse was noted after 5 minutes of compression. his bps were noted to be in the 200s following epi administation. during placement of his femoral line the pt's systolic pressures were noted to drop in the 60s, with hr still in the 60s, he was then started on dopamine pressor support with an increase in bp to 87/59, last sbp recorded was 130s. he was then admitted to the ccu for further evaluation. . per report, the ed resident called his previous pcp and was informed that the patient had been lost to follow-up since and was fired for non-compliance. there was also reportedly a question of narcotics abuse in the past between the patient and his daughter. a message was also left with the patient's pcp, . . . in the ccu, renal was consulted and recommended a fluid challenge with 2 l of ns and 1l of sodium bicarbonate rather than immediately starting cvvh. his repeat potassium was elevated to 6.7, so he was given another dose of calcium gluconate, insulin, and dextrose. he was placed on artic sun and attempts to place an a-line were unsuccessful. given the patient's complex medical issues, he was transferred to the micu for further management. . on the floor, the patient opens his eyes to voice but otherwise is unable to contribute to the history. . ros: unable to obtain secondary to patient sedation. past medical history: type 2 diabetes hyperlipidemia hypertension oa of the shoulder gout chronic kidney disease peripheral neuropathy gerd social history: he occasionally smokes and drinks, but not to a significant degree. he is a retired maintenance worker at . he emigrated from . family history: n/c physical exam: general: pt currently intubated, not responding to verbal commands or withdrawing from pain. heent: 5mm b/l, minimally reactive (pt just received atropine) cardiac: normal s1, s2, rate in the 80s, no m/r/g. lungs: cta b/l abdomen: soft, no facial grimacing with palpation, no bowel sounds noted. extremities: no edema pertinent results: tte : the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is unusually small. regional left ventricular wall motion is normal. left ventricular systolic function is hyperdynamic (ef>75%). there is no ventricular septal defect. the right ventricular cavity is mildly dilated with moderate global free wall hypokinesis. there is sparring of the apical rv ( sign) suggestive of acute rv strain from pulmonary embolism. there is abnormal septal motion/position consistent with right ventricular pressure/volume overload. the aortic root is mildly dilated at the sinus level. the aortic valve leaflets are moderately thickened. the study is inadequate to exclude significant aortic valve stenosis. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. . impression: acute rv strain suggestive of pulmonary embolism. . ct abdomen : 1. no acute intra-abdominal or pelvic pathology. . 2. left renal cyst and bilateral renal hypodensities that are too small to characterize. 08:35am blood wbc-14.3*# rbc-4.08* hgb-11.8* hct-36.5* mcv-89 mch-29.0 mchc-32.5 rdw-13.9 plt ct-170 08:35am blood glucose-378* urean-69* creat-7.6*# na-134 k-7.0* cl-92* hco3-11* angap-38* 08:35am blood alt-3213* ast-3523* ld(ldh)-3525* ck(cpk)-513* alkphos-158* totbili-0.6 08:35am blood ck-mb-20* mb indx-3.9 ctropnt-2.02* 09:18am blood type-art po2-511* pco2-24* ph-7.27* caltco2-12* base xs--13 08:35am blood lactate-10.1* k-6.7* brief hospital course: mr. was a yo man with h/o dm2, htn, and hl, who presented from home with lethargy and ams. he was intubated for worsening mental status in the ed, sustained a pea arrest, and he was transferred from the ccu to the micu for further management of multi-organ failure. he became hypotensive during his course in the icu and the family had decided that they did not want to proceed with resusitation or escalation in care. he was given 2 more liters of fluid however he did not respond. patient expired at 1:45 pm on . . #. s/p pea arrest: the patient reportedly went into pea arrest with inducation for intubation with rocuronium and etomidate. he received atropine, epi x 1 and 5mins of chest compressions before a pulse was detected. pt's bp was noted to be in 200s following resuscitation. he was started on the arctic sun protocol, with core temperatures reaching 34 degrees celsius at 5:30 pm. ddx for pea arrest at this time is long and includes hypotension in the setting of anesthesia induction v. hyperkalemia v. pe v. acs. echo showed severe right heart strain concerning for pe. . # hyperkalemia: the patient's k on presentation was 7.0, which decreased to 5.4 with two doses of insulin, calcium gluconate, and glucose. his hyperkalemia is likely secondary to acute on chronic renal insufficiency and exacerbated by his lisinopril. renal is aware and had discussed starting cvvh if needed. . # complete heart block: per pt would become bradycardic in the ed to the 30s with resulting hypotension to the 30s. pt received atropine 0.5mg iv x 3 with improvement in his heart rate and bps. his ekgs in the ccu appeared to be in heart block with a junctional escape. ddx includes beta blocker toxicity v. metabolic acidosis v. hyperkalemia. pt's current ventricular rate is in the 50s on dopamine, pacer pads in place. . # hypotension: pt was reportedly normotensive in triage. following his arrest his bps were noted to be in the 200s, per ed during placement of the femoral central line he became hypotensive to the 60s and required approximately 5l of ivf, was started on dopamine which was uptitrated to 20mcg. will titrate dopamine for goal maps >60. hypotension may be hypovolemia given his diarrhea, at times he was noted to be hypotensive when he became bradycardic however his last episode of hypotension occured in the setting of his heart rate in the 60s-70s. sepsis needs also to be considered given the leukocytosis, hypothermia, diarrhea. . # diarrhea: pt reported diarrhea over several days, unfortunately pt is intubated and daughter is a poor historian making history of the diarrhea difficult to clarify. will monitor stool output to eval bloody vs watery. pt had ct abd/pelvis performed, will await final read to look for colitis. diarrhea could be infection, ischaemic colitis. . # metabolic acidosis: pt noted to have a significant anion gap acidosis with ag 31, hco3 ranging . suspect this is due to the elevated lactate although elevated bun could be contributing. he was started on a bicarb gtt, and his hco3 improved to 22. . #. transaminits: on arrival to the ed, the patient was noted to have transaminitis with ast/alt of 3523/3213. it appears that these labs were drawn prior to the time of the cardiac arrest, though this history is uncertain. his elevated transaminases are likely secondary to shock liver in the setting of significant hypotension. . dispo: expired 1:45pm medications on admission: omeprazole 20mg daily gabapentin 400mg lisinopril 10mg daily colchicine 0.6mg daily allopurinol 300mg daily metoprolol xr 50mg calcium citrate 250mg humulin n 10u qhs discharge medications: n/a discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: n/a followup instructions: n/a md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube other electric countershock of heart cardiopulmonary resuscitation, not otherwise specified diagnoses: hyperpotassemia acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified chronic kidney disease, unspecified acute respiratory failure other specified cardiac dysrhythmias atrioventricular block, complete acute myocardial infarction of other inferior wall, initial episode of care other sequelae of chronic liver disease personal history of noncompliance with medical treatment, presenting hazards to health diarrhea altered mental status dehydration hypovolemia diabetes with ketoacidosis, type i [juvenile type], uncontrolled shock, unspecified 

Answer: The patient is high likely exposed to