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: cc: chest pain transferred to micu for: respiratory distress major surgical or invasive procedure: intubation history of present illness: 50 y/o m w/alport syndrome, esrd on hd, chf, htn, who presented to the ed last pm c/o left sided chest pain. per the notes, the pt developed left sided chest pain at rest, constant, lasting 2 days, not pleuritic. on arrival to the ed, his pressure was 198/112, p 78, rr 16, 100% on ra. throughout his time in the ed, he become progressively more hypertensive, eventually getting as high as 269/148 (has happened in past per notes.) along with this he became more agitated and was paranoid, trying to pull his lines out. he then became hypoxic to 69% on ra and was intubated. while in the ed, he received metoprolol 5mg iv x4 and 25 mg po x1, hydroxyzine 25 po x1, ativan 1 mg po x1 and 2 mg iv x2, sublingual nitro, benadryl, nitropaste, haldol 10 mg im, d50, a nitro gtt, propofol, and fentanyl. he was then transferred to the micu for further care. past medical history: 1. alport's syndrome with esrd, s/p 2 failed renal transplants ( and ), now on mwf hd. 2. chf w/ef >55% 3. htn 4. svt s/p ablation 5. cataracts 6. hx seizures (? metabolic per notes) 7. r hydrocele social history: divorced w/2 children, ages 10 and 13. used to work with computers. 3 pack yr hx. occ etoh. hx marijuana and cocaine, none x 2 yrs. no ivdu. family history: mother with alport's syndrome, father with cad and cabg at age 60, brother died at 16 yrs old from esrd physical exam: t: 96.5 bp: 137/85 p: 70 vent: ac fio2 60% 500x14 peep 5 o2 sat 100% gen: intubated/sedated, intermittently agitated, not following commands heent: nc, at. r pupil surgical, l pupil pinpoint. sclerae anicteric. neck: jvd approx angle of jaw. lungs: scattered crackles anteriorly, no wheezes or rhonchi cv: rrr, +s4, ii/vi sem at apex abd: mildly distended, nontender, hypoactive bowel sounds ext: warm/dry, 2+ dp bilaterally pertinent results: 10:10pm plt count-218 10:10pm hypochrom-2+ anisocyt-2+ poikilocy-2+ macrocyt-2+ microcyt-1+ polychrom-occasional ovalocyt-1+ target-1+ schistocy-occasional teardrop-1+ 10:10pm neuts-54 bands-0 lymphs-37 monos-5 eos-3 basos-0 atyps-1* metas-0 myelos-0 10:10pm wbc-9.1 rbc-3.25* hgb-10.2* hct-31.5* mcv-97 mch-31.4 mchc-32.3 rdw-20.6* 10:10pm calcium-10.8* phosphate-9.0* magnesium-2.2 10:10pm ck-mb-6 10:10pm ctropnt-0.15* 10:10pm ck(cpk)-327* 10:10pm glucose-102 urea n-57* creat-13.3*# sodium-140 potassium-4.7 chloride-96 total co2-26 anion gap-23* 04:50am pt-13.5* ptt-23.9 inr(pt)-1.2 04:50am plt count-228 04:50am wbc-14.5*# rbc-3.48* hgb-10.9* hct-36.7* mcv-106*# mch-31.4 mchc-29.7* rdw-20.8* 04:50am ck-mb-7 04:50am ctropnt-0.14* 04:50am ck(cpk)-404* 04:50am glucose-70 urea n-66* creat-14.5*# sodium-139 potassium-7.8* chloride-94* total co2-19* anion gap-34* 04:52am lactate-8.3* 06:05am type-art rates-/18 tidal vol-500 po2-416* pco2-50* ph-7.31* total co2-26 base xs--1 -assist/con ecg: rate 87, nrs, normal axis, slightly prolonged qt at 465, lae, lvh, st depression approx 0.5 mm ii/iii/avf (old), j point elevation v2-4 (old), twi iii (old). on earlier ecg this evening had twi in v6 that resolved this am. * cxr: increased perihilar markings (vs rml infiltrate), ett 6 cm above carina, no effusions. * ct head: comparison: . findings: there is no intracranial hemorrhage, abnormal extra-axial fluid collection, mass effect or midline shift. the ventricles are normal, and the cisterns are patent. the -white matter interface is preserved. the visualized paranasal sinuses are clear. a loop of the orogastric tube is present in the nasopharynx. impression: no intracranial hemorrhage or mass effect. brief hospital course: 50 y/o aam w/pmhx significant for alport's disease and esrd on hd, with numerous past admissions for hypertensive emergency and altered mental status. patient was initially found to have hypertensive emergency, with systolic blood pressures in the 260s with signs of end-organ damage (flash pulmonary edema and altered mental status.) it is unclear whether this is due to worsening renal fxn, increased volume load with a two day delay since prior hemodialysis, or drug use, with history of prior cocaine use. patient was placed on a nitroglycerin drip initially, and was hemodialyzed urgently. he was then placed back on metoprolol and lisinopril as well. his serum toxicology screens were sent and were positive only for tylenol. his lethargy improved as well with improvement in his blood pressure, and on discharge was alert and oriented. his head ct was negative. * patient was initially found to be in hypoxic respiratory failure, and was intubated. this was thought due to flash pulmonary edema in setting of hypertensive emergency. patient received hemodialysis, and was extubated after hemodialysis. on discharge, he had a clear lung exam and good oxygen saturations on room air. * patient initially presented with complaints of chest pain, with negative cardiac enzymes except for positive troponin in setting of esrd. ekg showed no ischemic changes. he was continued on asa, bb, and acei. his ldl in was 83, indicating no need for initiation of a statin. * patient initially had leukocytosis, likely in setting of stress. patient remained afebrile and was not started on antibiotics. * patient was noted to have an anion gap metabolic acidosis, with ag 26, likely due to renal failure and lactic acidosis, and returned to baseline with dialysis. he was also noted to have metabolic alkalosis, of unclear etiology. * patient has esrd secondary to alport's, with history of 2 failed transplants in past. he was continued on sevelamer, and continued on hemodialysis. his pruritus was thought secondary to uremia and he received a course of steroids. he also had restless legs, for which he was discharged home on mirapex. his ferritin level was checked and was elevated. * patient remained full code throughout his hospital stay. he was discharged to home in stable condition. . medications on admission: 1. prednisone 5 mg po daily 2. lisinopril 5 mg po daily 3. pantoprazole 40 mg po daily 4. diphenhydramine 25 mg po q6h prn 5. sevelamer 1600 mg po tid 6. toprol 50 mg po daily discharge medications: 1. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 2. sevelamer 800 mg tablet sig: two (2) tablet po tid (3 times a day). 3. toprol xl 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 6. lisinopril 5 mg tablet sig: two (2) tablet po daily (daily). 7. mirapex 0.125 mg tablet sig: one (1) tablet po at bedtime: before bedtime & also two hours prior to hemodialysis. . disp:*45 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: malignant hypertension esrd on hemodialysis restless legs syndrome anemia of chronic disease pruritus respiratory failure secondary to pulmonary edema discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 2l. if you develop nausea, vomiting, shortness of breath, swelling in your ankles, or chest pain, headache, or vision change, please call your primary care doctor followup instructions: 1. provider: , md phone: date/time: 9:30 2. provider: , np date/time: 10:30 3. provider: . phone: date/time: 8:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube hemodialysis diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease acidosis end stage renal disease anemia, unspecified congestive heart failure, unspecified other convulsions acute respiratory failure other extrapyramidal diseases and abnormal movement disorders other specified congenital anomalies 

Answer: The patient is high likely exposed to