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: shortness of breath major surgical or invasive procedure: none history of present illness: 71f pmh dm, htn, hyperchol, cri, presented to the ed c/o sob, congestion, and pleuritic chest "pressure," since sunday. no chest pain. she had apparently had a viral-like infection on sunday, with uri symptoms, vomiting, and diarrhea, with resolution of the gi symptoms but persistence of the congestion. she appeared short of breath when she saw her nephrologist today, and was sent to the ed. when seen in the ed, she was chest pain free and blood pressure was 150/77. sats were 92-94% on ra. d-dimer was 1017, and given concern for pe she was sent for vq scan. while returning she became diaphoretic and was noted to have sbp 270/140. ekg revealed st elevations in anterior precordial leads. trop/ck/mb was 0.10/112/3 initially, and repeat values were 0.8/102/pending. she was given ntg sl x3, and started on a nitro gtt. she was started on nrb, with sats in high 90s with crackles on lung exam and jvp 8 cm, and given lasix to which she put out 2+l of urine. echo performed showed no rv strain, and symmetric wall hypertrophy without focal motion abnormalities. also notable on admission was a hct of 25 (pt has history of anemia (fe def and cri) with baseline hct 26 - 28), and a cr of 2.5 (baseline 1.7 - 2.0). pt was then admitted to ccu for hypertensive emergency given sbp 260s and st elev v2-v4. past medical history: 1) chronic renal insufficiency: followed by dr. at . (baseline creatinine 1.0 - 1.5) 2) small hiatal hernia with severe gerd sx. 3) htn: difficult to control, mra with 1 out of 3 renal arteries with mod stenosis but not likely to cause renal insufficiency or sig htn per rads report, urine metanephrines negative in the past 4) dm2 5) osteoporosis. 6) vertebral fractures. 7) history of depression. 8) anxiety. 9) hypercholesterolemia 10) chronic constipation. 11) sickle cell trait. 12) osteoarthritis. 13) status post left knee replacement. 14) history of mechanical falls. 15) total hysterectomy - about 20 years ago. mammogram negative, colonoscopy negative except for diverticulosis social history: patient from barbados, lives with husband, never used tobacco, no etoh. family history: father died of old age, mother had dm, htn physical exam: initial exam in ccu: g: nad, slightly cachectic female with bitemporal wasting heent: mmm, clear op, fundi were notable for some neovascularization with sharp optic disks neck: jvp ~8cm lungs: crackles bl to lung fields. no w/r cv: rrr s1s2 no murmurs +s4 abd: soft, nt, nd, bs+ ext: 1+ pitting edema neuro: a&ox3, appropriate, cn 2-12 intact, no sensory/motor deficits, 2+ reflexes, coordination intact, gait deferred. on transfer to floor: t 98.3 bp 144/56 (144-178/61-81) p 65-74 p17-22 sat 100% ra wt = 65 kg i/o: los neg 3.6 l, yest -895 cc, since midnight till now -500 gen: thin woman, pleasant, nad heent: perrl, eomi, op clear with mmm neck: jvp flat, supple, nt, no thyromegaly chest: cta bilaterally cv: rrr, no murmurs abd: s/nt, mildly protuberant, +bs ext: no edema, +2 dp pulses bilat neuro: cn 2-12 intact, dtrs 2+ throughout, strength 5/5 equal and symm bilat pertinent results: admission labs: 12:00pm blood wbc-6.9 rbc-3.39* hgb-8.1* hct-25.2* mcv-74* mch-24.0* mchc-32.3 rdw-15.1 plt ct-214 neuts-81.2* bands-0 lymphs-12.4* monos-4.4 eos-1.7 baso-0.2 hypochr-normal anisocy-1+ poiklo-normal macrocy-normal microcy-2+ polychr-normal plt smr-normal plt ct-214 pt-13.3 ptt-26.8 inr(pt)-1.2 glucose-253* urean-57* creat-2.5* na-133 k-5.4* cl-100 hco3-26 angap-12 11:10pm blood neuts-90.5* bands-0 lymphs-5.6* monos-2.8 eos-0.9 baso-0.2 7:00pm ck(cpk)-112 09:40pm ck(cpk)-102 ctropnt-0.08* ck-mb-4 lipase-40 ck-mb-3 ctropnt-0.10* 05:38am blood wbc-7.4 rbc-3.31* hgb-8.2* hct-24.7* mcv-74* mch-24.6* mchc-33.1 rdw-15.2 plt ct-207 ck(cpk)-71 ck-mb-notdone ctropnt-0.10* . ekg: st @ 102. nl axis. biatrial enlargement. lvh. deep twi v1-v4, with st elevations of about 1mm in v1-v3, new vs ekg from , but decreased vs ekg at 12pm today. . vq scan: normal lung perfusion, no evidence of pulmonary embolus. . on transfer to floor: cbc: wbc 8.4, hct 31.0, plt 223 chem 7: bun/creat 55/2.5 03:37am blood glucose-117* urean-55* creat-2.6* na-136 k-3.5 cl-99 hco3-27 angap-14 wbc-7.5 rbc-3.73* hgb-9.4* hct-28.8* mcv-77* mch-25.3* mchc-32.8 rdw-16.4* plt ct-225 brief hospital course: 1. hypertensive emergency: pt noted to have concerning st elevations on admission ekg, which were not concerning for acute thrombotic event, but rather consistent with ischemia in the setting of htn. pt ruled out for mi. pt was placed on labetalol gtt, cardiac enzymes with peak trop of 0.10 (prev baseline 0.05), ck and mb flat. in ccu, was transfused 2 units prbcs and was subsequently titrated off labetalol drip and placed on outpatient meds. her ace i and were initially held due to concerns about renal failure, but these meds were subsequently restarted. in addition, candesartan and norvasc were added, and labetalol was increased to 800mg po tid. her hydrochlorothiazide was discontinued, and lasix started in its place. sbp improved to 150s-170s, and were in 120s on day of discharge. pt denied any dizziness or lightheadedness at this bp. given her ekg changes with hypertension, she will need a stress test in the near future, when her bp is better controlled. 2. acute on chronic renal failure: pt's creatinine was noted on admission to be elevated above her baseline (1.7 - 2.0). for evaluation of her chronic renal insufficiency, pt has had renal biopsy in the past consistent with diabetic nephropathy. and ace i were initially held, then restarted. pt maintained good uop. cr remained stable at 2.5, thought possibly due to progression of disease. pt will follow up with nephrologist through the to further assess this issue. 3. dm type 2: glyburide and metformin held on admission given worsening creatinine clearance. pt was started on glipizide. fingersticks were checked four times daily; insulin sliding scale was given. pt will follow up at the . 4. anemia: pt has had chronic (microcytic) anemia with baseline hct 24-28, and was anemic on admission with hct 25. pt was guaiac negative in ed. per pcp, has been on procrit in the past as anemia is thought to be due to renal disease. iron studies c/w anemia of chronic disease. some concern for malignancy, as well, given h/o 25lb weight loss over the last few months. pt is up-to-date with routine cancer screening. hemoglobin electrophoresis was sent to r/o thalassemia. pt was transfused with 2 units prbcs with stable hct (>25). 5. constipation - pt with a history of chronic constipation, with constipation in the hospital, as well. pt had good response to mineral oil and tap water enemas. medications on admission: lasix 30 hydralazine 50 tid glucophage 500 glyburide 5 labetalol 40 hctz 25 daily cozaar 100 daily lisinopril 40 clonidine 0.6 protonix 40 procrit lipitor 10 daily iron mvi klonopin 1 hs discharge medications: 1. amlodipine besylate 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. candesartan cilexetil 16 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 3. furosemide 20 mg tablet sig: 1.5 tablets po daily (daily). disp:*60 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. atorvastatin calcium 10 mg tablet sig: one (1) tablet po once a day. 7. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po once a day. 8. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. psyllium packet sig: one (1) packet po bid (2 times a day). 10. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed. 11. lisinopril 20 mg tablet sig: two (2) tablet po bid (2 times a day). 12. clonidine hcl 0.2 mg tablet sig: three (3) tablet po bid (2 times a day). 13. hydralazine hcl 50 mg tablet sig: one (1) tablet po tid (3 times a day). 14. glipizide 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 15. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 16. labetalol hcl 200 mg tablet sig: four (4) tablet po tid (3 times a day). disp:*360 tablet(s)* refills:*2* 17. clonazepam 0.5 mg tablet sig: one (1) tablet po qam (once a day (in the morning)) as needed. 18. clonazepam 1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed. discharge disposition: home with service facility: homecare discharge diagnosis: primary 1. hypertensive emergency secondary 1. chronic kidney disease 2. diabetes mellitus, type 2 discharge condition: stable, tolerating po discharge instructions: please follow up with all your appointments as instructed (dr. , dr. ). please follow your blood pressure with the help of your visiting nurse. report to the emergency department if you develop the following: significant shortness of breath, chest pain, increased lower extremity swelling, severe headache, fainting, changes in consciousness, confusion, specific weaknesses, numbness, tingling, speech changes, severely decreased urine production or any other worrisome signs. followup instructions: 1. dr. , center (nephrology) wednesday at 10:30am. ( 2. dr. , monday at 1:15pm. ( procedure: transfusion of packed cells diagnoses: anemia in chronic kidney disease pure hypercholesterolemia congestive heart failure, unspecified acute kidney failure, unspecified atherosclerosis of renal artery osteoporosis, unspecified acute diastolic heart failure diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled other acute and subacute forms of ischemic heart disease, other hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage v or end stage renal disease 

Answer: The patient is high likely exposed to