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: past medical history: 1. diabetes mellitus type 1, long-standing, diagnosed at age 18 with retinopathy, neuropathy, and nephropathy. 2. end-stage renal disease on peritoneal dialysis. 3. congestive heart failure, ejection fraction 35% in , an ejection fraction of 30% in with global hypokinesis, septal akinesis, 1+ mitral regurgitation. 4. depression. 5. hypertension. 6. non st elevation myocardial infarction with troponin up to 20.4 in but a cardiac catheterization in showed no coronary artery disease. allergies: the patient is allergic to zestril causing lightheadedness. admission medications: 1. aspirin 81 once a day. 2. hydralazine 25 once a day. 3. nephrocaps one capsule once a day. 4. captopril 12.5 three times a day. 5. atorvostatin 10 once a day. 6. amlodipine 10 once a day. 7. labetalol 600 twice a day. 8. protonix 40 once a day. 9. glargine insulin 20 units each night. 10. calcium acetate 667 three times a day. 11. lasix 80 twice a day. 12. isosorbide dinitrate 20 three times a day. 13. metolazone 2.5 once a day. 14. reglan 10 twice a day. social history: alcohol use occasionally socially. tobacco one pack per day. family history: diabetes mellitus type 1 in two sisters and mother. physical examination on admission: vital signs: temperature 97.9, heart rate 116, blood pressure 218/110, respiratory rate 17, 02 saturation 96% on room air. general: well-nourished, well-developed white male lying on his right side, sleepy, in no respiratory distress. heent: the oropharynx was clear without exudate, moist mucous membranes, supple neck with no jvd and no lymphadenopathy. heart: tachycardiac, normal s1, s2, no murmurs, rubs, or gallops. lungs: clear to auscultation bilaterally. abdomen: soft, nondistended, peritoneal dialysis catheter in place, mildly tender to palpation. normoactive bowel sounds. extremities: there was 1+ peripheral pitting edema. no clubbing or cyanosis. pertinent diagnostics on admission: white blood count 26.4, hematocrit 34.4, platelets 555,000, mcv 80. pt 12.8, inr 1.1, ptt 22.4. sodium 131, potassium 4.9, chloride 91, bicarbonate 14, bun 94, creatinine 7.5, glucose 737. calcium 8.8, phosphate 7.3, magnesium 2.2, anion gap 26. alt 40, ast 21, alkaline phosphatase 196, total bilirubin 0.9, amylase 127. the urinalysis showed a specific gravity of 1.018, negative nitrates, 500 protein, 1,000 glucose, 50 ketones, no leukocytes, white blood cells, occasional bacteria. peritoneal fluid: white blood count 332, red blood cells 50. chest x-ray: no pleural effusions, opacity in the right upper lobe, stable cardiomegaly. hospital course: the patient was admitted to the medical intensive care unit on the and then later transferred to the inpatient medicine service on the . 1. diabetic ketoacidosis: the patient is with multiple episodes of diabetic ketoacidosis this year. the patient's increased anion gap, high glucose, ketones also diagnostic of another episode of diabetic ketoacidosis on admission. the patient was monitored in the icu closely with q. one hour fingersticks. the patient was started on an insulin drip which was eventually tapered according to protocol. the patient was then given d5 normal saline as well as subcutaneous insulin overlap. the patient was off of the insulin drip and requiring only subcutaneous insulin by the day after admission. the patient's anion gap closed and fingerstick glucoses were within normal limits by the second day of admission. consulted on the patient throughout his hospital stay. on the medical floor, the patient was restarted on his home dose of glargine 20 units q.h.s. etiology of the patient's multiple admissions to the intensive care unit this year for diabetic ketoacidosis is unclear. however, the timing of these admissions seem to correlate with starting of peritoneal dialysis. of note, peritoneal dialysis fluid contains a large amount of glucose and is likely contributing to his poor glycemic control. the renal fellow, doctors, medical team have been discussing this issue and the patient has been switched to a lower glucose peritoneal dialysis fluid as well as receives insulin in his peritoneal dialysis fluid. it was recommended that he check his fingerstick glucose home regularly in addition to his carbohydrate counting which he does due to the difficulty in assessing how much glucose is being absorbed during peritoneal dialysis. 2. infectious disease: the patient met the criteria for peritonitis on admission. the patient had no signs or symptoms of peritonitis on the medicine floor but was continued on cefazolin 500 mg iv b.i.d. while an inpatient. the patient was maintained on this antibiotic throughout his inpatient stay but this was discontinued at discharge. the patient's pneumonia was treated with fluoroquinolones during his hospital stay. blood, urine, and peritoneal dialysis cultures were nonrevealing. 3. end-stage renal disease: the patients' peritoneal dialysis catheter was apparently malfunctioning on admission. the patient underwent laparoscopic peritoneal dialysis catheter placement in the operating room on . beginning on and , the patient resumed his peritoneal dialysis cycles at the bedside with multiple short dialysis cycles, which the patient tolerated well. the patient's nephrologist was involved with his care throughout his hospital stay. the patient was continued on his nephrocaps. the patient was on the waiting list for a renal transplant. 4. anemia: hematocrit in the mid 20s. no signs or symptoms of acute bleed, guaiac negative, no history of coronary artery disease. the patient was not transfused. his anemia was likely related to his end-stage renal disease. the patient was on epogen as an outpatient. 5. congestive heart failure: left ventricular ejection fraction estimated at 30%, the patient with trace lower extremity edema. the patient was continued on lasix 80 p.o. b.i.d. the patient was also restarted on metolazone 2.5 once he was stable on the medicine floor. the patient was also restarted on his labetalol up to his home dose of 600 b.i.d. on the medicine floor. 6. pain: related to the patient's laparoscopic peritoneal dialysis catheter placement on . the patient's pain was controlled with ultram p.r.n. as well as tylenol 650 q. six hours. the patient also received morphine initially after the procedure. 7. fluids, electrolytes, and nutrition: the patient was maintained on a diabetic, renal, cardiac diet. the patient tolerated p.o. intake well. the patient's electrolytes were monitored closely. 8. prophylaxis: the patient was on subcutaneous heparin throughout his hospital stay until he was able to ambulate. the patient was also maintained on an h2 blocker for gi prophylaxis. condition on discharge: stable. discharge diagnosis: 1. diabetic ketoacidosis. 2. peritonitis. 3. peritoneal dialysis catheter obstruction. discharge medications: 1. aspirin 81 mg once a day. 2. folic acid. 3. vitamin b complex one capsule once a day. 4. hydralazine 25 once every six hours. 5. captopril 25.5 three times a day. 6. calcium acetate 667 one tablet three times a day. 7. isosorbide dinitrate 20 mg three times a day. 8. pantoprazole 40 mg once a day. 9. metolazone 2.5 mg once a day. 10. labetalol 600 mg twice a day. 11. lasix 80 mg twice a day. 12. tylenol 650 mg every six hours. 13. tramadol 60 mg every four to six hours as needed for pain for two weeks. 14. amlodipine 10 mg once a day. 15. atorvostatin 10 mg once a day. 16. glargine insulin 20 units subcutaneously q.h.s. 17. humalog insulin sliding scale. follow-up plans: the patient is to follow-up with his diabetes center doctor within two weeks of discharge as well as with his nephrologist within the next month after discharge. , m.d. dictated by: medquist36 procedure: peritoneal dialysis creation of cutaneoperitoneal fistula diagnoses: pneumonia, organism unspecified other primary cardiomyopathies congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled infection and inflammatory reaction due to peritoneal dialysis catheter 

Answer: The patient is high likely exposed to