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: hematuria major surgical or invasive procedure: s/p cystoscopy, clot evacuation of bladder history of present illness: mr. is a healthy yo m with hypertension, hyperlipidemia, and type ii diabetes who developed the acute onset of pressure both when needing to urinate and when trying to hold his urine in on the morning of . he denies any fevers, chills, night sweats, nausea or back pain. he states that he was eventually able to urinate but that it took a lot of effort. later that morning, he also developed hematuria and clots in his urine. this was not associated with pain on urination, but he did have the continued sensation of pressure. he called dr. who advised him to go the er for evaluation. of note, he had undergone a urologic evaluation last thursday for a urine cytology which was reported as "suspicious" in late . per the patient, his work-up last week was unremarkable. vitals on arrival to the ed: t 99, p 61, bp 147/68, sats 100% on ra. in the ed he had a 3-way foley placed and was noted to be passing clots. he was started on irrigation in the ed and received morphine 4mg iv x1 and levsin 0.125mg po x1. he also received a total of 2l of ns. his hematuria did not clear with irrigation so urology was consulted and he was admitted to medicine for further treatment. his hct remained stable. on the floor, his vs were: t 96.0, bp 150/86, hr 87, rr 18, and sats of 99% on ra. he continued to have hematuria and his 3 way foley irrigation was "-aid" colored. he is able to get comfortable for a few minutes at a time, but then intermittently develops the sensation of "pressure" again. he denies any pain. he specifically denies any back pain, nausea, abdominal pain, fevers or chills. he denies any recent prior episodes of hematuria. review of systems is notable for an intentional 10 pound weight loss over the last 6 weeks which he attributes to an increased exercise regimen (he and a friend walk daily around centre). he denies any early satiety or change in appetite. he describes his energy as "good" and he feels "healthy". he denies any dizziness, lh, headaches, visual changes, recent upper respiratory infections, cough, sob, cp, change in his stool, or urinary issues, prior to his event tonight. past medical history: # hypertension # hyperlipidemia # macular degeneration # type ii diabetes mellitus # chronic knee injury, for which he uses a cane # bph, bladder spasms (uses ditropan, proscar, hytrin) social history: he is a wwii veteran. he was an officer in the marine corps during the war. he is a retired lawyer. is widowed. he has 3 children and 4 grandchildren. he smoked approximately 20 pack years, but quit "many" years ago. he has rare etoh use. he exercises daily and is independent in many of his adls, but does have to walk with a cane due to "an old war injury". here with son . family history: non-contributory. physical exam: admission physical: vs: t 96.0, bp 150/89, hr 87, rr 18, sats 99% on ra, pain 0/10. gen: wdwn elderly male in nad. appears younger than stated age. heent: sclera anicteric, with mild ptosis of l eye. op clear, mmm. cv: rr, normal s1, s2. more prominent s2. ii/vi sem at rusb, nonradiating. lungs: cta anteriorly and at the bases bilaterally. abd: soft, ntnd. + bs throughout. no masses, no organomegaly, no suprapubic tenderness. ext: no edema. gu: foley draining red, "-aid" colored urine. msk: no focal spinal tenderness. no cvat on either side. discharge physical : avss: tm/c 98.2, 98.1, hr68, bp 144/65, resp 18, 97%ra. foley catheter secured to leg draining pink, clot-free urine. resting comfortably and denying new complaints, pain. not using any narcotic medications for pain. no respiratory distress/genaralized distress. abdomen obese but soft, nt/nd. no pedal edema and lower extremities well perfused. pneumatic boots in place at time of exam. minimal erythema at left inguinal crease (added miconazole powder to medications) 06:35a na 144 cl 110 bun 6 glu 116 agap=9 k 3.9 co2 29 creat 0.7 ca: 7.7 mg: 2.0 pertinent results: labs on admission: wbc 7.4, hgb 11.2, hct 34.9, mcv 84, plt 153k n:71.2 l:22.0 m:4.0 e:2.1 bas:0.6 pt: 13.5 ptt: 29.7 inr: 1.2 140 104 17 agap=13 -------------< 99 4.3 27 0.8 estgfr: >75 (click for details) ua: red, cloudy urine, large bili, large le< large bood, protein >300, ketones 15, glucose 100, rbc >50, wbc , few bacteria, 0 epis blood culture : result pending at discharge 7:30am but ngtd 04:53am blood wbc-6.8 rbc-3.45* hgb-9.5* hct-29.5* mcv-86 mch-27.6 mchc-32.3 rdw-15.2 plt ct-121* 04:53am blood pt-13.9* ptt-32.0 inr(pt)-1.2* 06:35am blood calcium-7.7* mg-2.0 brief hospital course: mr. is a healthy yo m with hypertension, hyperlipidemia, and type ii diabetes who developed the acute onset of painless hematuria and pressure to urinate on . 1) hematuria: has been passing both frank blood and clots. improved since being on 3 way bladder irrigation, but urine is still -aid colored. , pt/ptt are normal. urology saw the patient in the er and are planning to see him again in am. he may need additional urologic intervention if his symptoms persist (? bleeding due to trauma from previous evaluation from last week vs. other etiology). unfortunately the records from his urologic evaluation from last week are not available to us currently but team will be able to obtain them through dr. office in the am. - for now, continue cbi with normal saline to keep urine pink and free of clots - repeat cbc, coags in am - make sure patient has active t+s - continuing aspirin for now (only on 81mg daily) but would discuss with urology - holding on nsaids for now 2) hypertension: slightly hypertensive overnight (150/80). on no meds, per his home medication list (though in omr, it looks like he used to be on atenolol). would confirm list with patient/family again in am. 3) hyperlipidemia: continue lipitor. 4) type ii diabetes: continue actos. will put patient in for fs while in house. 5) h/o bph and/or bladder spasm: continue finasteride, tamsulosin. need to confirm oxybutynin dose with pharmacy in am. 6) fen: regular diet. no ivf currently, can encourage po intake. replete lytes prn. there is a medication on his home med list which may be potassium chloride pills - would try to confirm list of home meds with his outpatient pharmacy in am. 7) access: piv. 8) ppx: pneumoboots. no ppi indicated. bowel regimen prn. 9) contact: - (pt's son) = hcp, phone - = 2nd emergency contact, phone 10) code status: per patient's medication card, he has dnr/dni with his hcp --> need to confirm this in am 11) dispo: pending resolution of his hematuria. : transferred to urology service, dr. , made npo and consented for cystoscopy, turbt, fulgeration bleeding bladder vessels. he went to the or and ultimately underwent a cystoscopy and evacuation of bladder clot; please see the detailed operative note for additional information. after the procedure, pt became delerious likely in the post-op setting and with administration of ativan requiring 5mg im haldol, 2mg midazolam x 2, 5mg morphine for sedation. he was admitted to the for overnight monitoring. agitation was resolved by the morning of . of note, pt was noticed to have a. fib with occasional 2 second sinus pauses throughout the night on tele. his pcp was and it was confirmed that this has been his baseline. pt underwent voiding trial on with only small amount of output and pvr of 325. foley was replaced before d/c to urology and transferred to the urology floor and out of the . : there were no overnight events and mr. urine remained free of clots and light pink. there were no new concerns and at time of discharge he was ambualating at baseline, tolerating po medications and diet and pain was well controlled. he will be discharged to a rehab facility on , with his foley catheter in place where he will have services for one week before returning for voiding trial. all of his questions were answered and those of his son . : no overnight events. added miconazole powder for some erythema noted at left inquinal crease. will be discharged later this morning to a short term rehab facility. medications on admission: allopurinol 300mg po daily actos 15mg po daily finasteride 5mg po daily lipitor 10 mg po daily oxybutynin - dose not listed chloride er (? if supposed to be potassium chloride) - 10 meq po bid spectravite sr 1 tab po daily tamsulosin 0.4mg po daily aspirin 81 mg po daily discharge medications: 1. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 2. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 7. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 8. actos 15 mg tablet sig: one (1) tablet po once a day. 9. aspirin 81 mg tablet sig: one (1) tablet po once a day: do not resume until cleared by your urologist . 10. acetaminophen 500 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. 11. pyridium 100 mg tablet sig: one (1) tablet po three times a day for 3 days. disp:*9 tablet(s)* refills:*0* 12. bacitracin 500 unit/g ointment sig: one (1) appl topical qid (4 times a day) as needed for urethral meatus irritation. 13. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed for scrotal redness. discharge disposition: extended care facility: - discharge diagnosis: hematuria discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid, walker or cane. usually cane at baseline. discharge instructions: --it was a pleasure participating in your care. -you may shower normally but avoid bathing while foley catheter is in place --the foley catheter should be secured to your leg at all times to reduce risk of trauma/fall. -do not drive or drink alcohol if taking narcotic pain medication. -tylenol should be your first line pain medication, a narcotic pain medication has been prescribed for breakthough pain >4. replace tylenol with narcotic pain medication. max daily tylenol dose is 4gm, note that narcotic pain medication also contains tylenol (acetaminophen) -colace has been prescribed to avoid post surgical constipation and constipation related to narcotic pain medication, discontinue if loose stool or diarrhea develops. -resume all of your home medications, except hold nsaid (aspirin, and ibuprofen containing products such as advil & motrin,) until you see your urologist in follow-up -call your urologist's office to schedule a follow-up appointment in 1 week and if you have any questions. -if you have fevers > 101.5 f, vomiting, severe abdominal pain, or inability to urinate, call your doctor or go to the nearest emergency room. followup instructions: -call your urologist's office when you get home today to schedule a follow-up appointment in 1 week and if you have any questions. -call dr. office (;for follow-up and if you have any questions (page dr. at ). procedure: transurethral clearance of bladder diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia gross hematuria delirium due to conditions classified elsewhere 

Answer: The patient is high likely exposed to