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: lethargy major surgical or invasive procedure: none history of present illness: the patient is a 49 year old female with a history of "borderline dm" (not on rx; diet-controlled), chf (?), htn, and schizophrenia who presented with lethargy. according to workers at her rest home, she is often found eating from ice-cream containters, drinking non-diet soda, and also being non-compliant and refusing finger stick checks. on the day of admission the an outside hospital (osh) she was found on the bathroom floor after reportedly slipping off the toilet. she was noted to be lethargic and confused. upon admission to the osh, she was lethargic with a fruity breath. a clear history from the patient was not provided, given her mental status. she had low-grade fevers, sbps in the 100s, tachycardia to the 120s, lethargy and had a fruity breath. there was also nausea, vomiting and abdominal pain. her serum glucose was 900 and she was started on an insulin gtt. her abg was 7.33/23/78/12 on ra. cxr/bcxr/ucxr were sent (and were reportedly unremarkable). ruq u/s showed gall bladder stones. she was empircally started on levofloxacin and zosyn for presumed sepsis. she was transferred to the micu for further care. past medical history: "borderline dm" (not on rx), chf (?), htn, schizophrenia. social history: lives in a rest home. she currently smokes, but reports no etoh or illicit drug use. her daughter is her main contact. family history: dm and htn. physical exam: gen: alert, breathing comfortable, non-toxic appearing heent: anicteric, dry mm, thrush neck: supple, no jvd cv: tachycardic, regular lungs: cta b/l abd: hypoactive, obese, nt ext: no edema neuro: alert, not following commands but moves all extremities pertinent results: 11:39pm urine color-straw appear-clear sp -<=1.005 11:39pm urine blood-neg nitrite-neg protein-neg glucose->1000 ketone-tr bilirubin-sm urobilngn-neg ph-5.5 leuk-neg 11:37pm glucose-671* urea n-53* creat-3.1* sodium-140 potassium-4.9 chloride-107 total co2-20* anion gap-18 11:37pm alt(sgpt)-6 ast(sgot)-9 ld(ldh)-163 alk phos-102 amylase-73 tot bili-0.3 11:37pm lipase-36 11:37pm albumin-3.3* calcium-9.7 phosphate-2.8 magnesium-2.4 11:37pm wbc-18.6* rbc-4.70 hgb-14.2 hct-42.1 mcv-90 mch-30.2 mchc-33.7 rdw-11.8 11:37pm plt count-227 11:37pm pt-13.9* ptt-33.4 inr(pt)-1.2 brief hospital course: 51f h/o dmii, schizophrenia initially to osh with lethargy and then transferred to for dka and possible sepsis. on admission to the osh, she had low-grade fevers, sbps in the 100s, tachycardia to the 120s, lethargy and had a fruity breath. there was also nausea, vomiting and abdominal pain. her serum glucose was 900 and she was started on an insulin gtt. her abg was 7.33/23/78/12 on ra. cxr/bcxr/ucxr were sent (and were reportedly unremarkable). ruq u/s showed gall bladder stones. she was empircally started on levofloxacin and zosyn for presumed sepsis. micu course: she was then transferred to . she was lethargic, in arf, with bgs in the 600s and trace ketones in the urine. an insulin gtt was continued; she was further hydrated and was seen by . abx were discontinued as she was not hypotensive, overtly febrile and had no source of infection by lab data. she improved clinically with glucose control and hydration. her early course was then complicated by hypotension with sbps to the 60s that was refractory to ivf bolusing - she was temporarily placed on norepinephrine and abx (vanc, levo and flagyl) were restarted. ecg showed possible anterior t wave changes and ces and echo were performed - both were essentially unrevealing. pressors were weaned and abx were again stopped. her renal function improved slightly. she was then transferred to medicine and did well on her insulin regimen. she was followed by the () diabetes service and psychiatry service. 1. hyperglycemia/dm: she was clinically with honck on admission, but had trace ketones in the urine. the precipitating etiology was unclear. she was status-post a micu coures for monitoring and an insulin gtt. after stabilization, as above, she was stable on nph/ss insulin. her hba1c was amazingly 19%. she was reported to have a very poor diet at home (sodas, candy, eating from ice cear tubs etc). she was on a regimen of nph to 20u am and 20-25u pm + ss insulin. she was initially tried on glipizide xl 5 mg po qdinner which was then dced. she was seen by diabetes and discharged with follow-up. 2. arf: her creatinine was to the 3.0's on admission and then improved with hydration to the mid 1.0's. she likely had a prerenal etiology initially (fena was <1%) and then possible atn (fena at 2.8%) given her slow recovery. of note, chronic kidney disease was likely given her untreated diabetes (and hypertension). she was started/continued on ace-i and a statin was added to her regimen. 3. schizophrenia/mood disorder: she was seen by psych over her course and was clinically stable in this regard. her seroquel was held given initial sedation and lethargy. she was continued and discharged on divalproex sodium 1500 mg po hs, haloperidol 2.5 mg po hs:prn. psych followe-up was arranged. 4. htn: given her pressor-dependent hypotension in the micu, her nifedipine and sprinolactone were held. her sbps were then stable on captopril 6.25 mg po tid and slowly metoprolol 25 mg po bid. she was transitioned to long-acting agents upon dc. 5. fen: she was maintained on a diabetic/consistent carbohydrate, cardiac/heart healthy ( gm na) diet. medications on admission: nifedipine 90 qd, lipitor 20, haloperidol 5mg qhs, mvi depakote 1500mg qhs, seroquel 200mg qam/qpm and 400mg qhs, spironolactone 50mg , colace , oystercal 600 qd. kcl 20meq qds discharge medications: 1. multivitamin capsule sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*0* 2. divalproex sodium 500 mg tablet, delayed release (e.c.) sig: three (3) tablet, delayed release (e.c.) po hs (at bedtime). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. atenolol 25 mg tablet sig: one (1) tablet po once a day. 7. haloperidol 5 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 8. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). 9. insulin nph human recomb 100 unit/ml cartridge sig: twenty (20) units subcutaneous qam. 10. insulin nph human recomb 100 unit/ml cartridge sig: twenty two (22) unit subcutaneous qpm. discharge disposition: extended care facility: healthcare- discharge diagnosis: primary diagnosis: 1) diabetic nonketotic hyperglycemia. 2) acute renal failure. secondary diagnosis: 3) schizophrenia. 4) hypertension. discharge condition: good/stable discharge instructions: 1) please call your doctor or return to the er if you have increased frequency of urination, increased thirst, confusion, headaches, dizziness, light-headedness, fevers, chills, or any other concerning symptoms. 2) please adhere to a strict diabetic diet, as instructed to you by the doctors. followup instructions: 1) please see your new diabetes doctors at the diabetes center for the following appointment: at 10am with dr. on the of the diabetes center, which is next to the . 2) please call your primary doctor (,) for an appointment in the next week. 3) please follow-up with your psychiatrist or make an appointment with psychiatry with dr () so you can be seen in the next 2-3 weeks. your tsh, b12, and rpr will be followed-up. md, procedure: venous catheterization, not elsewhere classified diagnoses: acidosis unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia unspecified schizophrenia, unspecified hyperosmolality and/or hypernatremia systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction diabetes with hyperosmolarity, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to