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: penicillins / tetracycline analogues / sulfa (sulfonamide antibiotics) / erythromycin base / amiodarone attending: chief complaint: initiation of milrinone therapy major surgical or invasive procedure: none history of present illness: this is a 63 yo male with pmh of adriamycin (hodgkin's disease)induced cardiomyotpathy with ef of 15% on metolazone, torsemide, and aldactone, paf s/p dual chamber icd in after dofetilide induced torsades, and atrial flutter s/p ablation , who presented to hospital today with a chief complaint of nausea and epigastric pain. he notes the pain started friday night and has had poor po intake since. the pain is mid-epigastric without radiation. he denies vomitting. he has been moving his bowels without any blood in the stool or dark stool. of note, wife notes that he has had increasing confusion and anxiety over the past day. at he was noted to be hyponatremic to 124, with a baseline in our system in the low 130s. he was also noted to be in aocrf with cr of 1.8, and baseline over past couple of weeks 1.5-1.6. other labs significant for k+ of 5.6. he also had altered mental status and sbps in the 80s, and in the setting of his hyponatremia and elevated cr was thought to be in cardiogenic shock. he was subsequently transferred to for milrinone initiation . in terms of his heart failure, he has had multiple admissions over the past several years for acute failure requiring adjustment of his diuresis regimens. he recently was instructed to hold his torsemide on with a plan to restart at a lower dose of 40mg daily on (previously 60mg daily). he was told to continue his metolazone 2.5 mg 3x/week, and spironalactone 25mg daily. he notes that last week he had an increase in le swelling with some sob, but since restarting his toresemide yesterday he has had improvment in these symptoms. his dry weight is 163lb per outpatient records and he is 165 lb today. . of note, he had a recent admission at the end of for leg erythema thought to be due to erythromelalgia for which he was started on a full dose aspirin. . vitals on admission were: t: 98 bp: 90/55 hr: 76 (v paced) o2: 99% ra. pt noted to be a/o x3 but struggling to give a coherent history and appearing frustrated/anxious . on review of systems, he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. he notes headaches about 1x/week. he also notes a decreased desiire to eat. he denies changes in bowel habits, difficulty or pain with urination. he has baseline swelling and dusky color of his feet. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, syncope or presyncope past medical history: cardiac risk factors: diabetes, + dyslipidemia, + hypertension cardiac history: - paroxysmal atrial fibrillation (was on admiodarone which was stopped - in to lung toxicity, then failed dofetilide therapy) - atrial flutter, s/p ablation in - s/p dual-chamber icd in after dofetilide induced torsades - dilated cardiomyopathy with ef of 10% secondary to chemotherapy(hodgkins) in , last echo , ef 10-15% . other past history: # hx of hodgkin's disease , s/p chemo and xrt # severe gerd # chronic constipation # chronic lung disease with sleep apnea, emphysema and bronchiectasis with a history of severe hemoptysis in # history of diverticulitis x2; the last one was five years ago. # dyslipidemia # depression # obstructive sleep apnea - uses home nasal cannula with 3l o2 at night social history: patient is a former manager of a warehouse. he has been retired since age 46. lives at home with his wife, . does not drink. he is a former smoker family history: father with cad age 70's. no other family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death. physical exam: on admission: vs: t: 98 bp: 90/55 hr: 76 (v paced) o2: 99% ra. general: nad. oriented x3, but difficulty mentating and struggling to give coherent history. also appears anxious. sitting up but neck contracted and flexed to the right heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple, jvp not elevated while sitting up cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. basilar l>r crackles abdomen: soft, distended, mid epigastric tenderness to palpation without rebound or guarding. bs+. abd aorta not enlarged by palpation. no abdominial bruits. extremities: + edema to the shins bilaterally. 2+ dp/pt pulses. feet are noted to be bluish/purlple (baseline per patient) with chronic venous stasis changes. also noted to have bilateral linear heal erosions. he has a gauze wrap on his left ankle covering a group of varicosities. skin: as above, skin diffusely dry and cracked pulses: right: 2+ dp 2+ pt 2+ left: 2+ dp 2+ pt 2+ on discharge: no major changes in physical exam. pt began mentating well shortly after admission but remained significantly agitated throughout admission pertinent results: admisison labs: 01:31pm blood wbc-5.7 rbc-5.03 hgb-12.9* hct-41.2 mcv-82 mch-25.6* mchc-31.2 rdw-21.1* plt ct-195 01:31pm blood pt-41.2* ptt-38.6* inr(pt)-4.4* 01:31pm blood glucose-74 urean-105* creat-2.1* na-129* k-4.4 cl-89* hco3-25 angap-19 01:31pm blood calcium-9.5 phos-4.6* mg-2.2 04:26am blood digoxin-0.7* . discharge labs: 04:07am blood wbc-7.0 rbc-4.40* hgb-11.7* hct-35.8* mcv-81* mch-26.7* mchc-32.8 rdw-21.3* plt ct-168 04:07am blood pt-26.2* ptt-32.2 inr(pt)-2.5* 04:07am blood glucose-117* urean-63* creat-1.6* na-131* k-3.5 cl-93* hco3-27 angap-15 04:07am blood calcium-9.1 phos-3.2 mg-2.3 . studies: ekg : sinus rhythm with atrial premature beats and ventricular premature beats. intraventricular conduction delay of left bundle-branch block type. consider inferior myocardial infarction. since the previous tracing of atrial pacing is now not apparent and there are now premature beats. cxr : impression: ap chest compared to : lung apices are excluded from the examination. the other pleural surfaces and the imaged portions of the lungs are normal. a right pic line passes as far as the upper svc, where it is obscured by a transvenous pacer defibrillator lead going to the right ventricle and a pacer lead going to the right atrium. heart size is normal. brief hospital course: 63 yo male with chemotherapy induced cardiomyopathy, ef 15% presenting from osh with hypotension, altered mental status, aocrf, and hyponatremia for initiation of milrinone drip. . # adriamycin induced cardiomyopathy with ef 15% and low-flow state: he has had multiple admissions over the past few years for diuresis and on admission was on a home diuresis regimen of torsemide 40mg , metolazone 2.5 mg 3x/week, and spironolactone 25 mg daily. at , concern was for cardiogenic shock given hypotension, ams, hyponatremia, and aocrf, and was transferred to for initiation of milrinone infusion. upon transfer to , he continued to be mentating poorly with bps ranging 70s-90s concerning for a low flow state, however this improved throughout admission with milrinone and supplemental neosynephrine, as well as a lasix ggt. however, pt was significantly agitated and anxious over the course of admission and on self d/c'd his ivs/picc, vitals checks, ekgs, and lab draws. we therefore could not continue milrinone/neo and the decision was made with the family to pursue home hospice. his pcp was notified of the decsision and he was set up with a f/u with him. he was subsequently discharged back on his home diuresis regimen, with the exception of changing torsemide to 80mg daily from 40mg . . # depression/anxiety: pt noted to be significantly anxious over admission, and described feeling confined by being in the icu and hospital and scared by his diagnosis. this was partially responsive to klonipin and prn ativan, but eventually required a psychiatry consult who recommended prn 5mg iv haldol which helped his agitation. however, he self d/c'd all ivs and monitoring as above, and decision was made to pursue home hospice after which the patient became much more comfortable. for his depression, he was continued on his home sustained release wellbutrin at 150mg daily, and sertraline 25mg daily. . # hyponatremia: pt with baseline hyponatremia (low 130s), and noted to be 124 at osh. this trended up to 131 at last check. likely a hypervolemic hyponatremia given chronic volume overload and low flow state with improvement on milrinone/neo. . # aocrf: cr of 1.8 on transfer from , with recent baselines in our system of 1.5-1.6. up to 2.1 on admission to and trended down to 1.6 likely prerenal state in setting of hypoperfusion with improvement on milrinone/neo . # epigastric pain: pt noting mid epigastric pain without radiation that is worse with food starting 2 days pta. likely a worsening of his baseline gerd. remained asymptomatic over admission, and we continued home lansoprazole. . # hyperkalemia: k of 5.6 on transfer, down to 4.4 on admission to , and eventually trending down to 3.5 likely secondary to reinitiation of diuresis. we continued his home kcl 40meq . . # paf s/p dual chamber icd: pt remained ventricularly paced. we held his coumadin given his supratherapeutic inr which trended down to 2.5 the day prior to discharge. he was discharged with instructions to continue coumadin at his home dose and with a prescription for inr check to be done by home vna. . # asthma: continued fluticasone and prn atrovent nebs. not active issue in house medications on admission: -metolazone 2.5 mg m/w/f -torsemide 60mg (recently changed to 40mg ) -kcl 40meq -tylenol prn -bupropion 150mg sustained release daily -digoxin 62.5 mcg po daily -flovent 110mcg 1 puff -atrovent 1 puff 4x daily prn sob -gabapentin 1200mg po tid (no longer taking) -lansoprazole 30mg po bid -toprol-xl 25 mg daily -nystatin 100,000 u/ml 5cc by mouth 4x daily swish and swallow prn thrush -sertraline 25 mg po daily -simvastatin 10mg po daily -spironalactone 25mg po daily -coumadin 4-8mg daily -aspirin 325mg daily discharge medications: 1. bupropion hcl 150 mg tablet sustained release : one (1) tablet sustained release po (once a day (in the morning)). 2. fluticasone 110 mcg/actuation aerosol : one (1) puff inhalation (2 times a day). 3. metolazone 2.5 mg tablet : one (1) tablet po mwf (monday-wednesday-friday). 4. torsemide 20 mg tablet : four (4) tablet po daily (daily). 5. potassium chloride 20 meq tab sust.rel. particle/crystal : two (2) tab sust.rel. particle/crystal po bid (2 times a day). 6. digoxin 125 mcg tablet : half tablet po once a day. 7. ipratropium bromide 17 mcg/actuation hfa aerosol inhaler : one (1) puff inhalation four times a day as needed for shortness of breath or wheezing. 8. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). 9. metoprolol succinate 25 mg tablet sustained release 24 hr : one (1) tablet sustained release 24 hr po daily (daily). 10. sertraline 25 mg tablet : one (1) tablet po daily (daily). 11. outpatient lab work inr check. please fax results to: pcp . (fax # ) cardiologist dr. change (fax #) 12. aspirin 325 mg tablet : one (1) tablet po daily (daily). 13. spironolactone 25 mg tablet : one (1) tablet po daily (daily). 14. lorazepam 0.5 mg tablet : one (1) tablet po q4h (every 4 hours) as needed for anxiety. 15. warfarin 2 mg tablet : two (2) tablet po once daily at 4 pm. discharge disposition: home with service facility: hospice discharge diagnosis: primary: adriamycin induced cardiomyopathy anxiety discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. , you were admitted to the hospital for management of your congestive heart failure. we started you on a medication called milrinone to help with your heart function, as well as continuing your home diuretics to removed fluid. ultimately, the decision was made to stop the milrinone, and we have discharged you on your home medications, with the only exception being changing your torsemide to 80mg once daily (from 40 twice daily). you will be seeing by a visiting nurse while at home. we have also provided you with a prescription to have your inr (coumadin level) checked by your visiting nurse. we have made the following changes to your medications: changed: torsemide from 40mg twice daily to 80mg once daily restart: lyrica for your leg pain please continue all other medications as listed below also, please note your follow up appointments. if you feel these appointments will help with your comfort you should go to these appointments. we have also made an appointment with your pcp followup instructions: department: spine center when: tuesday at 3:15 pm with: , md building: sc clinical ctr campus: east best parking: garage department: cardiac services when: thursday at 2:20 pm with: , md building: sc clinical ctr campus: east best parking: garage department: vascular surgery when: monday at 3:45 pm with: , md building: lm campus: west best parking: garage primary care name: , location: healthcare - group address: , , , phone: date: at 2:20pm procedure: venous catheterization, not elsewhere classified diagnoses: other primary cardiomyopathies hyperpotassemia obstructive sleep apnea (adult)(pediatric) esophageal reflux congestive heart failure, unspecified acute kidney failure, unspecified hyposmolality and/or hyponatremia atrial fibrillation depressive disorder, not elsewhere classified chronic kidney disease, unspecified other and unspecified hyperlipidemia anxiety state, unspecified other emphysema chronic systolic heart failure other constipation cardiac pacemaker in situ bronchiectasis without acute exacerbation personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health personal history of hodgkin's disease antineoplastic antibiotics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to