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: codeine / gentamicin attending: chief complaint: right lower quadran pain major surgical or invasive procedure: pacemaker placement history of present illness: mr. is a 57 year old man with a history of type i diabetes mellitus, status post pancreas- transplant (failed), coronary artery disease, s/p multiple stents, congestive heart failure with ef: 50-55%, hepatitis b and c who p/w rlq pain. the patient states that he had onset of severe (can't rate), sharp, rlq pain 1d prior to admission that woke him from sleep. the pain was non-radiating worse w/ any movement and non-positional. he reports that the pain is essentially constant. he had 2 bowel movements that were normal and large yesterday. he did not strain, and they were formed and of normal consistency. the pain was unchanged after the bowel movement. he has had no bowel movement today. the stool is non-bloody, and normal in color (not tarry or colored). he has had minimal po intake anorexia. no change in pain w/ p.o. intake. denies n/v/diarrhea. denies fever/chlls/rash. +chills, no rigors. in the emergency department transplant surgery evaluated him and felt he had no surgical issues. he received synthroid, amiodarone, toprol xl, prednisone, prontonix, lipitor, phoslo, renagel, regular insulin (doses as listed in med list), dilaudid 2mg iv x4, vanc/levo/flagyl, and decadron 8mg iv (given as stress dose because ed thought pt would need surgery). noted to be hypoglycemic to 20s in ed, and he was given 1amp d50. past medical history: 1. esrd: status pancreas-kidney transplant , status post cadaveric transplantation in , now requiring dialysis 3x/wk 2. cad: s/p myocardial infarction in , s/p lcx stenting in , s/p lcx and om3 stenting in , s/p mid-lcx stenting on ', s/p om3 restenting in ' 3. dm 4. hypothyroidism 5. hypercholesterolemia 6. hep c (dx in '), viral load and hep b 7. cva in with residual left-sided weakness 8. pvd 9. diverticulitis, status post colostomy and hartmann's pouch in , status post reversal in , last colonscopy (): erythema, friability and granularity in the very distal portion of the colon, just inside the afferent limb of the stoma, with overlying clot. brown stool with no bleeding proximal to this. 10. pvd s/p multiple digit amputations 11. gerd 12. wheelchair bound after gentamicin related vertigo 13. paf: diagnosed in , continued on ccb and started on amio at that time 14. benign prostatic hypertrophy, status post transurethral resection of the prostate. 15. sbp 16. chf with an ef:50-55% social history: patient lives with his wife. they have two children who live nearby. he previously worked as a plummer but is now retired. he has a 30pk year smoking hx but quit 10 years ago. he denies ivdu and alcohol use. family history: father died at age 56 of mi, with dm and a "big heart". mother died age 84 of "old age" s/p cva, with dm and htn. sister has grave's dz and brother died of 56 with dm. physical exam: t97.3, bp 142/37, p 60, r 14, 97% ra well appearing male in nad pupils: l 1mm- surgical, r 3mm reactive. op clr, dry mm neck supple, 7cm jvp regular s1,s2. no m/r/g. l chest hd catheter w/o erythema/swelling. b/l basilar rales r>l r 5 cm subchondral scar, 7cm midline laparotomy scar. +bs. soft. +exquisite rlq tenderness, moderate ruq tenderness. +guarding. no rebound. guiac neg by ed note. no le edema/cyanosis/clubbing +mult digital amputations. alert and oriented x3 pertinent results: ekg: sinus brady, lad/ lafb, qtc prolonged at 516 . cxr: no radiographic evidence of acute cardiopulmonary process. no free air under the diaphragm . ct: no evidence of appendicitis or other focal fluid collections. admission labs: 02:32pm glucose-100 urea n-40* creat-7.8*# sodium-135 potassium-5.1 chloride-95* total co2-24 anion gap-21* 02:32pm alt(sgpt)-14 ast(sgot)-24 alk phos-433* amylase-21 tot bili-0.3 02:32pm wbc-5.1# rbc-4.37*# hgb-14.2# hct-42.6# mcv-98# mch-32.5* mchc-33.4 rdw-14.6 02:32pm plt count-134* 02:32pm pt-12.9 ptt-33.1 inr(pt)-1.1 02:37pm lactate-1.9 brief hospital course: patient is a 55 year-old gentleman with history of dmi, pancreas/ transplant (failed), esrd, cad s/p multiple stents, chf (ef 50-55%), hep b/c who was initially admitted on for rlq pain. pt reported rlq pain to be sharp ()and consistent exacerbated by movement. pt reports similar pain in that resulted in colostomy for perforated colon. pt reports intermittent episodes of chills since but denies f/n/v/brbpr/diarrhea/constipation. ct negative for obstruction or appendicitis. evaluated by transplant team but determine not to have any surgical issues. while on floor, patient became bradycardic to 30s, hypotensive to systolic 90s, and developed chest pain on . ekg revealed ventricular escape rhythm. ep was consulted and patient received pacer, placed in right cephalic vein. . # cardiac = rhythm: patient received pacer . unknown etiology of arrhythmia, most likely secondary to extensive cad. pt back on beta-blocker and amiodorone = pump: ef >60% per echo . fluid overloaded per cxr and labs but dry on exam - dealt with via dialysis. = ischemia: patient with chest pain in setting of bradycardia. pt found to have elevated 0.20 trop, likely due to failure . # rlq pain - unclear etiology. ruled out for appendicitis, perforation. pyelonephritis a possibility but no stranding related to either native or transplant kidneys. in d/w radiology, not clearly related to constipation as not impressive amts of stool. symptoms not c/w mesenteric/colonic ischemia and pt is guiac neg. possible infectious etiology, ? c.diff, but nl wbc so not high suspicion. patient with history of abdominal pain in past- could be hepatic or splenic infarct vs. atypical chest pain. at this point pt describes that pain has decreased signficantly and now has a good appetite. - prn dilaudid for pain control - check stim, could be related to adrenal insufficiency # esrd s/p transplant - continued on hd, monitor electrolytes - hd m/w/f , this wk, pt received hd on tuesday as well continue renagel/phoslo - increase phoslo to 3 pills tid, send pth - check ionized calcium - pt found to be hyperkalemic with a potassium of 6 given 15 of kayexalate and 1 amp of bicarb. # ? anemia - at goal - continue epo 10,000 - iron studies tibc decreased at 216 ,ferritin levels wnl at 315, trf decreased at 166. # s/p transplant - can stop t-plant meds per transplant team (bactrim, prednisone) # dm - cont lantus and humalog ss medications on admission: renagel phoslo synthroid 200mcg qday prednisone 5mg qday toprol xl 12.5 mg qday amiodarone 400 mg qday asa 325mg qday protonix 40mg qday lipitor 10mg qday lantus 15 hs, humalog ss bactrim tiw discharge medications: 1. sevelamer 800 mg tablet sig: one (1) tablet po tid (3 times a day). 2. calcium acetate 667 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). 3. levothyroxine sodium 100 mcg tablet sig: two (2) tablet po daily (daily). 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 7. insulin glargine 100 unit/ml solution sig: fourteen (14) units subcutaneous once a day. 8. metoprolol succinate 25 mg tablet sustained release 24hr sig: 0.5 tablet sustained release 24hr po daily (daily). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 12. hydromorphone 2 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed: no substituion. disp:*20 tablet(s)* refills:*0* 13. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily). 14. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 15. terbinafine 1 % cream sig: one (1) appl topical (2 times a day). disp:*1 tube* refills:*2* discharge disposition: home with service facility: discharge diagnosis: bradycardia type i diabetes mellitus complicated by failure discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet please take your medications as directed. followup instructions: 1) provider: clinic phone: date/time: 10:30 2) provider: , md phone: date/time: 8:35 procedure: hemodialysis initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle diagnoses: hyperpotassemia end stage renal disease coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation percutaneous transluminal coronary angioplasty status sinoatrial node dysfunction complications of transplanted kidney diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled complications of transplanted pancreas abdominal pain, right lower quadrant 

Answer: The patient is high likely exposed to