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: history of present illness: the patient is a 70-year-old man with coronary artery disease, status post cabg, end stage renal disease on hemodialysis and chf with an ef of approximately 35% at baseline. he was admitted to hospital on after an episode of chest pain and shortness of breath at hemodialysis. he reportedly had a similar episode on at hemodialysis. ecg at that time showed a left bundle branch pattern. troponins of 0.17 and 2.01 were obtained. he was started on heparin for presumed acute coronary syndrome. at 6:30 the following morning on he became diaphoretic and briefly lost consciousness. a code was called at that time and the patient was resuscitated. he had melena and coffee ground emesis with a hematocrit dropping from 33.5 to 26.9. he became bradycardic to the 40's, was given atropine and was intubated. ck rose to 727 and troponin i of 34 at that time. an egd was performed and no ulcer was visualized secondary to not being able to enter the duodenum. repeat echo showed an ef of 25% with 3-4+ mr. was given 6 units of packed red cells, 4 units ffp, started on levophed for hemodynamic support and transferred to the for further management. past medical history: coronary artery disease status post cabg, end stage renal disease secondary to glomerulonephritis on hemodialysis, ischemic cardiomyopathy, copd, history of supraventricular tachycardia, laryngeal carcinoma status post xrt to larynx, benign prostatic hypertrophy, ventral hernia. medications: outpatient medications are as follows: digoxin 0.125 mg po q d, iron sulfate 325 mg po q d, nephrocaps, aspirin 81 mg po q d, phos-lo 2-3 tabs with meals, paxil 10 mg po q d, rocaltrol 0.25 mg po q d, prevacid 15 mg po q d, zestril 5 mg po q d, cardura 2 mg po q d, flovent and aerobid inhalers, klonopin 0.5 mg prn. medications on transfer to : albuterol, flovent, prevacid, cardura, klonopin, lisinopril, paxil, rocaltrol, digoxin, ferrous gluconate, aspirin, phos-lo and nitroglycerin. allergies: no known drug allergies. social history: the patient is a retired teacher. he is married and lives with his wife, they are raising their granddaughter. ethanol use. he quit smoking approximately 7 years ago. physical examination: the patient was intubated at time of transfer with a propofol drip. blood pressure was 84/37, heart rate in the 80's. oxygen saturation was 92-94% on 50% fio2. his heent exam was unremarkable. mucus membranes were moist. pupils were equal, round and reactive to light. ogt and edt were both present. jvd could not be actually assessed. the lungs had coarse breath sounds throughout. heart was regular rate and rhythm, 2/6 systolic murmur was noted at the apex. his abdomen was soft, nontender, non distended. extremities were without edema. laboratory data: on admission, wbc 19.4, hematocrit 37.7, platelet count 207,000, sodium 141, potassium 6.3, chloride 105, co2 18, bun 79, creatinine 6.7, inr 1.5, ptt 50.3, ekg showed sinus rhythm at a rate of 69, left bundle branch block with 2- depressions in v5 and v6. chest x-ray showed right pleural effusion with right lower lobe infiltrate. hospital course: the patient was admitted to the ccu for further management after cardiac catheterization. 1. cardiac: cardiac catheterization showed two patent grafts but could not identify blood flow to the left circumflex territory. no interventions were done at this time. the patient was quickly weaned off pressors on . during hemodialysis the patient went into atrial fibrillation with rapid ventricular rate. he was rate controlled with diltiazem as the family requested the avoidance of beta blockers. he was subsequently loaded on amiodarone and spontaneously converted to normal sinus rhythm. on the patient had a 10 beat and then a subsequent 5 beat run of ventricular tachycardia. he was seen by ep at that time, however, due to a national state of emergency, further ep evaluation could not be performed as an inpatient. instead, he will have a complete ep study with possible placement of an icd as an outpatient. in the interim, the patient has been given an event recorder. 2. pulmonary: the patient was noted to have an aspiration pneumonia on chest x-ray and elevated white count at time of admission. he was treated with a 14 day course of levofloxacin and flagyl. he was extubated on the third and was subsequently noted to have some wheezes. he was initially treated with albuterol nebs and then switched over to combivent mdi and restarted on his at home medications. 3. gi: the patient's hematocrit was stable throughout this hospitalization. he was started on a proton pump inhibitor. initially he had some heme positive discharge from his ng tube. on he had two episodes of emesis that were heme positive. since then his hematocrit has continued to be stable. however, it was decided to defer further evaluation of this until the patient was an outpatient as proper evaluation cannot occur during the peri mi period because this places him at greatly increased risk. his h. pylori status was noted to be negative. he will follow-up with gi as an outpatient. 4. renal: at the time of admission the patient was given calcium gluconate and kayexalate for hyperkalemia. he was then hemodialyzed on his regular schedule without further incident. 5. neuro: the patient initially had decreased levels of consciousness after extubation, only being oriented to person. with continued pt and recuperation, the patient became alert and oriented times three. 6. fluids, electrolytes & nutrition: the patient was noted to have difficulty swallowing shortly after extubation. a video swallow study showed deep laryngeal penetration of thick and thin liquids. he subsequently tolerated a moist solid with liquids thickened to nectar consistently diet. discharge medications: asa 81 mg po q d, paxil 10 mg po q d, cardura 1 mg po q h.s., protonix 40 mg po q d, captopril 50 mg po tid, flovent 2 puffs , serevent 2 puffs , combivent mdi 2 puffs qid prn, digoxin 0.125 mg po q d, amiodarone 400 mg po q d, iron sulfate 325 mg po q d, phos-lo three tablets po tid with meals, nephrocaps, klonopin 0.5 mg po bid prn, trazodone 25 mg po q h.s. prn. the patient was discharged to rehab in stable condition. discharge diagnosis: 1. gi bleed. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization enteral infusion of concentrated nutritional substances hemodialysis diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation pneumonitis due to inhalation of food or vomitus 

Answer: The patient is high likely exposed to