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: from with acute renal failure major surgical or invasive procedure: swan-ganz catheter placement intubation history of present illness: admitted for arf (2.3), supratherapeutic inr (3.2) after mechanical fall with r orbital fracture. noted to have a.fib with rvr but rate controlled with b-blocker. cardiology felt cardioversion not indicated. baseline bp's noted to be 80-110 in legs and undetectable in arms. ace-i and lasix held. cr improved with gentle diuresis and d/c to rehab. * at rehab he was re-initiated on his lasix for increasing lower extremity edema and increasing evidence of chf. the lasix was titrated to a dose of 80mg po bid with good urine outpt but progressively increasing creatinine from 2.0 to 4.0. * also, he had mutliple episodes of a.fib with rvr requiring large doses of lopressor. on he was noted to be more lethargic and have gross hematuria. his coumadin was held for inr 6.1 and bladder irragation initiated. on abg 7.21/53/71 (2l nc) and started on bipap. subseqent abg 7.23/54/79 (3l nc) but not in significant respiratory distress at time of d/c per rehab notes and remained at 2-3l nc throughout rehab course. * in ed was given 1 unit ffp for inr 4.9 and initial cxr with right sided consolidation. subsequently, he was noted to have mild resp distress and decrease in sbp to 80's which transiently responded to dopamine gtt. however, he developed a.fib c rvr at rate of 150s and dopamine weaned off after 1l ns bolus. however, resp distress continued with cxr showing chf and intubated. his sbp's dropped again to 80's. fem line placed and started on levophed. he was given decadron, vancomycin, levofloxacin. past medical history: -end stage renal disease, status post living related kidney transplant -hypertension, -atrial fibrillation -peripheral vascular disease -hypothyroidism -osa -dm2 with peripheral neuropathy -chf ef mildly depressed (poor echo studies) echo : poor study, ef not documented but mildly depressed; pasp 52 and +2 tr. social history: social history: the patient lives alone in an apartment in , but is close with his sister, who helps him out often. states he does his own shopping and cooking. gets around in a motorized scooter. he is a lifetime nonsmoker and states he has not had any etoh in 10 years. before that had only occasional drinks. priorly a machinest but now on disability. family history: not-contributory physical exam: pe 98.0 124/104 (on 1 mcg/kg/min levophed) hr 130 (irregular) a/c 650/16 peep 5 fio2 100% pip 28 spo2 100% abg: 7.22/50/188 gen: intubated, sedated but responds to pain heent: r orbital eccymosis, conjuncival and subscleral hematoma neck: elevated jvd @20 degrees cv: tachy, irregular pulm: decreased breath sounds and faint crackles at bases abd: minor eccymosis, nd, soft, +bs ext: dusky appearing hands and feet b/l; +2 dp on left foot, +1 dp on right foot, ulcerations on left shin and toes of left foot; +2 pitt edema to upper thighs b/l and dependent areas. pertinent results: 11:22pm glucose-166* urea n-58* creat-3.9* sodium-133 potassium-5.1 chloride-99 total co2-20* anion gap-19 11:22pm ck(cpk)-39 11:22pm ctropnt-0.13* 11:22pm ck-mb-notdone 11:22pm cortisol-11.3 11:22pm wbc-5.9 rbc-4.10* hgb-12.6* hct-39.6* mcv-97 mch-30.8 mchc-31.9 rdw-20.2* 11:22pm neuts-96* bands-1 lymphs-0 monos-2 eos-1 basos-0 atyps-0 metas-0 myelos-0 nuc rbcs-1* 11:22pm plt smr-normal plt count-186 11:22pm pt-22.3* ptt-46.4* inr(pt)-3.6 08:49pm type-art po2-188* pco2-50* ph-7.22* total co2-22 base xs--7 -assist/con intubated-intubated brief hospital course: 50 m c h/o chf, a.fib on coumadin, renal transplant on immunosuppresive meds with arf, hypercarbic respiratory failure, coagulopathy, and hypotension. the etiology of his respiratory failure was not clear but pt was kept on ventilator to help compensate for metabolic aciodosis. in addition, he had lung collapse on cxr that suggestive of mucus plugging. he was bronched with good results. however his resp status continued to decline as his urine output decrease and he developed more pulm edema. he was noted to have r lung collapse again and repeat bronchoscopy did not show mucus plugging. the likely etiology of his hypotension was felt to be cardiogenic. echocardiogram showd he had dilated rv but relatively preserved lv suggesting that he needed pre-load to maintain cardiac output. trials of diuresis and iv hydration were not successful in optimizing his bp, urine outpt, and pulm edema. ultimately, he had pa catheter placed that showed ci of 2.91 by fick but pcwp 30 and pa 90/45. at this point he was felt to have biventricular failure and unlikely to be weaned off vent as well as require inotropes/pressors to optimize hemodynamics. he had progressive uremia requiring hemodialysis however family opted to not intiatiate renal replacement therapy. given his deteriorating condition and poor prognosis, the family made the pt on . he was put on morphine gtt and passed on am . medications on admission: coumadin (held since ) prednisone 5mg qday tacrolimus 2 mg lopressor 100mg tid lasix 80mg bactrim ds mwf elavil 10mg qhs vit c 500mg synthroid 125mcg qday prevacid 20 qday zoloft 100mg qday zinc 220mg qday discharge medications: n/a discharge disposition: expired discharge diagnosis: arf cardiogenic shock coagulopathy anemia discharge condition: deceased discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring transfusion of other serum infusion of vasopressor agent diagnoses: pneumonia, organism unspecified acidosis end stage renal disease congestive heart failure, unspecified acute kidney failure, unspecified unspecified acquired hypothyroidism atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes paroxysmal ventricular tachycardia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure cellulitis and abscess of leg, except foot cardiogenic shock unspecified sleep apnea long-term (current) use of anticoagulants surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation diseases of tricuspid valve complications of transplanted kidney 

Answer: The patient is high likely exposed to