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. carcinoid tumor of the duodenum. 2. gerd. 3. copd. 4. hypothyroidism. 5. hiatal hernia. 6. bilateral inguinal hernia repair. 7. status post right hip surgery. 8. status post appendectomy. 9. workup for lymphoma approximately one year ago per family was reportedly negative. social history: per family, no tobacco, alcohol, or drug use. he lives in an facility with his wife. allergies: the patient has no known drug allergies. medications on transfer to the micu service: 1. aspirin 81 mg. 2. protonix 40 q.d. 3. synthroid 75 micrograms q.d. 4. heparin drip. 5. flagyl 500 t.i.d. 6. unasyn 3 grams q. 12 hours. 7. fentanyl 100 micrograms per hour. 8. albuterol and atrovent nebulizers p.r.n. 9. ativan 1 mg q. eight hours. physical examination on transfer to the micu service: vital signs: temperature 98.4, blood pressure 133/62, respiratory rate 13, oxygen saturation 94% with ventilator settings, simv 500 cc by 20 breaths per minute, peep 10, fi02 50%. swan numbers: pulmonary artery pressure 54/26, pulmonary capillary wedge pressure 15, cvp 16, cardiac output 6.6, index 3.5, svr 848. general: the patient was intubated and sedated. heent: his ent tube was in place. he blinks eyes on occasion but not to commands. the sclerae were anicteric. the pupils were pinpoint. on chest auscultation, he had diminished breath sounds at the bilateral bases. cardiovascular: regular rate and rhythm, normal s1, s2, no murmurs, rubs, or gallops. abdomen: soft, distended, diffusely tender to palpation with hypoactive bowel sounds. extremities: he had 2+ lower extremity pitting edema, 2+ dorsalis pedis and posterior tibial pulses bilaterally and was extremely anasarcic. neurological: he was intubated and sedated. he did not follow commands and was unresponsive to sternal rub. laboratory values on admission: white count 25.3, hemoglobin 10, hematocrit 31. the differential revealed 72% neutrophils, 17% bands, 5% lymphocytes, platelets 108,000. inr 2.2. fibrinogen 320. fdp elevated at 80:160. sodium 141, potassium 5.2, chloride 108, bicarbonate 14, bun 40, creatinine 3.2. lfts: alt 3242, ast 3868, ldh 6084, alkaline phosphatase 110, amylase 140, total bilirubin 0.7, lipase 75. cardiac enzymes: ck 529, ck mb 12, mb index 2.3, troponin 24.1. hepatitis panel: hepatitis a igg positive, hepatitis a igm negative, hepatitis b surface antibody positive, hepatitis b surface antigen negative, hepatitis c antibody negative. pertinent radiographic examination during admission: 1. chest x-ray showed left upper lobe opacity and right lower lobe infiltrate. 2. ct of the abdomen and pelvis on admission, , showed small areas of low-density in the liver which likely represented simple liver cysts, bilateral pleural effusions with bibasilar consolidations, left kidney perinephric changes from renal failure. impression: this is an 81-year-old man presenting to the outside hospital with a history of nausea, vomiting, and diarrhea times one day transferred to surgical intensive care unit service initially for question of gut ischemia with leukocytosis and elevated lactate level. he was then transferred to the micu service with acute renal failure, non-st elevation mi, and shock liver. hospital course: the patient was initially followed by the surgical intensive care unit service who performed an ultrasound-guided aspiration of fluid surrounding at the gallbladder. there were no organisms shown by gram's stain and the culture was negative. as there was no indication for cholecystectomy at this time, attention was then focused on whether surgical intervention would be indicated for possible gut ischemia. given the patient's significant comorbid illnesses at that time, it was felt that even if there were signs of gut ischemia surgery could not safely be performed and, therefore, he was transferred to the micu service for optimization of medical management. cardiology was consulted as the patient ruled in for an acute myocardial infarct with elevated troponin levels but no ekg changes. he was then evaluated by the cardiology consult team who felt that the non-st elevation mi in the setting of hypertension, tachycardia, and acidosis with relative hypovolemia represented myocardial damage around the setting of fixed cad. it was felt that optimizing medical treatment would be appropriate. heparin was not felt necessary at this time and, therefore, was discontinued. the patient's condition continued to deteriorate despite medical management and he became anuric by hospital day number three. his acidosis continued to worsen and his lactate level peaked at approximately 9.2 with signs of multiorgan failure including significant elevated transaminases at 3,000, creatinine continued increasing and anuria as well as myocardial infarct. the grim prognosis was discussed with the family. the patient's daughter then brought in his advance directive which stated that he had no wishes to be artificially kept alive should a significant recovery not appear likely. life sustaining support was then discontinued including withdrawal of pressors and extubation on . the patient expired at at 13:42. the family member, , who is the patient's daughter was and a request for an autopsy was made. at the time of dictation, it is unclear the initiating event of the patient's death; however, it seemed unlikely that this was secondary to acute hepatitis given the normal hepatitis serologies which were performed. the autopsy results should clarify the cause of death. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: subendocardial infarction, initial episode of care esophageal reflux acute kidney failure, unspecified unspecified septicemia unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified diaphragmatic hernia without mention of obstruction or gangrene acute respiratory failure 

Answer: The patient is high likely exposed to