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: chest pain major surgical or invasive procedure: hemodialysis, history of present illness: mr. is a 34 yom with a pmh significant for esrd and difficult to control hyptertension who presented to the ed with two days of left-sided chest pain, found to be hypertensive. the pt reports he was in his usual state of health until two days ago. after hd this past monday, he noted the onset of a sharp, deep, aching pain in the left side of this thorax. the pain radiates slightly to the left shoulder and upper abdomen. the pt cannot recall whether it began abruptly or gradually; it has progressed in severity since its initial onset and now comes in waves of severity, at it's worst. in terms of associated symptoms, the pt notes that he has been coughing since his hd session with producting of a small amount of white sputum. he has also felt somewhat nauseated. . on arrival to the ed tonight, initial vitals were 98.5, 117, 26, 197/134, 97% ra. the pt was noted to be writhing in pain on his stretcher. a cta of the chest was obtained which was negative for pe or dissection. a labetalol drip was started for suspected hypertensive emergency. the pt's pain was treated and controlled with dilaudid (3 mg), , zofran and morphine (6 mg). the pt is now admitted to the for ongoing evaluation and managment. . on arrival to the floor, the pt is in moderate discomfort, but denies any acute symptomes. his pain is improved and he is breathing comfortably. . on ros, the pt denies any history of trauma to his thorax. no fevers or chills. no pain elsewhere in the chest or abdomen. no dysuria, constipation or abnormal bowel movements. past medical history: - esrd secondary to htn - started on dialysis in - htn - h/o medication non-compliance - h/o substance abuse - h/o right internal jugular vein thrombus associated with hd catheter - h/o pulmonary edema in the setting of hypertensive urgency - h/o intubation in the setting of hypertensive urgency/flash pulmonary edema - dyslipidemia on statin - s/p appendectomy - s/p ex-lap social history: he used to work as a plasterer, but is now on disability. mother died 4 months ago. tobacco: 1ppd x 20 years, currently 3 cigarettes a day. etoh/drugs: denies recent alcohol, cocaine and marijuana use. family history: there is no family history of premature coronary artery disease or sudden death. father - died at age 36 from unknown cancer mother - died at age 58 of mi, had htn maternal grandmother - on hemodialysis for end-stage renal disease. physical exam: gen: well appearing adult male, moderate discomfort. heent: perrl, eomi. mmm. conjunctiva well pigmented. neck: supple, without adenopathy or jvd. no tenderness with palpation. chest: ctab anterior and posterior. with cough, some yellow, purulent sputum is produced. cor: normal s1, s2. mildly tachycardic. no murmurs appreciated. no pain elicited with chest wall palpation. abdomen: soft, non-tender and non-distended. +bs, no hsm. extremity: warm, without edema. 2+ dp pulses bilat. neuro: alert and oriented. cn 2-12 intact. motor strength intact in all extremities. sensation intact grossly. pertinent results: 09:30pm glucose-118* urea n-48* creat-11.8*# sodium-143 potassium-4.0 chloride-99 total co2-25 anion gap-23* 09:30pm neuts-81.1* lymphs-13.5* monos-3.4 eos-1.9 basos-0.2 09:30pm plt count-306 . chest cta () impression: 1. no pulmonary embolus. no aortic dissection. 2. diffuse ground-glass opacity with air trapping at bases suggests small airways disease and/or poor respiratory effort. mild pulmonary edema. 3. right chest wall collaterals suggest stenosis, occlusion of the right subclavian vein. 4. persistent coronary artery calcifications. 5. stable appearance of calcified right renal mass. 6. pulmonary hypertension given enlarged diameter of pulmonary artery. 7. dilated ascending aorta, stable from prior. 8. stable cardiomegaly. brief hospital course: 34 yom presents with hypertensive urgency/emergency and left sided chest pain. ## hypertensive urgency/emergency: occuring in the setting esrd. although pt endorsed medication adherence, and denies use of recreational drugs, either of these could contribute to his current presentation. pain is also likely an important factor. bp was well-controlled with a labetalol gtt on arrival to the micu, and the drip was able to be rapidly weaned. unclear that pt has actually had end-organ damage from elevated bp, thus will view this presentation as hypertensive urgency. he was called out to the medical floor where he underwent hd on his first full hospital day. his bp remained stable in the normotensive range on his home bp regimen for the remainder of his hospitalization. ## left sided chest pain: thought most likely musculoskeletal pain in the setting of increased coughing. no pe or aortic dissection was seen on cta. the pt's pain was easily controlled with nsaids. his cardiac enzymes were elevated at baseline esrd and he was monitored for one day on tele with no significant events. ## cough/leukocytosis: the pt was afebrile throughout his stay. given lack of infiltrate on ct, this was suggestive of atypical or viral infection. the pt was treated for atypical infection with with a course of azithromycin. ## esrd: thought secondary to chronic hypertension. the pt underwent hd on the first full hospital day. ## hyperlipidemia: home statin continued. ## anemia: hct currently at baseline. recent fe studies consistent with anemia of ckd. medications on admission: 1. sevelamer hcl 1600 mg tid 2. calcium acetate 667 mg two caps tid 3. isosorbide mononitrate 30 mg sr daily 4. lisinopril 40 mg 5. simvastatin 80 mg daily 6. mvi daily 7. aspirin 325 mg daily 8. ferrous sulfate 325 mg daily 9. nifedipine 90 mg daily 10. terazosin 1 mg qhs 11. nitroglycerin sl prn discharge medications: 1. sevelamer hcl 400 mg tablet sig: four (4) tablet po tid w/meals (3 times a day with meals). 2. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 3. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 4. lisinopril 20 mg tablet sig: two (2) tablet po bid (2 times a day). 5. simvastatin 40 mg tablet sig: two (2) tablet po hs (at bedtime). 6. multivitamin tablet sig: one (1) tablet po daily (daily). 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 9. nifedipine 90 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). 10. terazosin 1 mg capsule sig: one (1) capsule po hs (at bedtime). 11. azithromycin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 days. :*3 tablet(s)* refills:*0* 12. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. :*10 tablet(s)* refills:*0* 13. ibuprofen 800 mg tablet sig: one (1) tablet po three times a day as needed for pain. :*20 tablet(s)* refills:*0* 14. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 15. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. discharge disposition: home discharge diagnosis: primary: hypertensive urgency, musculoskeletal chest wall pain secondary: esrd on hd, htn, hyperlipidemia discharge condition: good, stable, o2 sats mid- to high-90s on room air, pain controlled with po medications discharge instructions: you were evaluated for left-sided chest pain and found to have very elevated blood pressure. this was quickly controlled with iv medication and remained stable on your regular home meds. your chest pain is thought to be musculoskeletal and improved with medication. if you have worsening chest pain, headache, weakness, confusion, episodes of loss of consciousness, shortness of breath, or any other concerning symptoms, call your doctor. followup instructions: follow up with your primary care provider as scheduled; you have an appointment with dr. on at 3:30pm. call her office at with any questions. resume your regular hemodialysis schedule. procedure: hemodialysis diagnoses: pneumonia, organism unspecified anemia in chronic kidney disease end stage renal disease hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia compression of vein other chest pain other postprocedural status 

Answer: The patient is high likely exposed to