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 / watermelon / almond oil / hydralazine attending: chief complaint: nausea, vomiting, and abdominal pain major surgical or invasive procedure: central venous catheter history of present illness: mr. is a 32 year old male with history of poorly controlled dm1 c/b esrd on dialysis and hypertension who presented to the ed with n/v and abdominal pain x 24 hours. patient was in usual state of health until day of presentation. he woke up with some abdominal pain and nausea/vomitting. subjective chills, no documented fever at home. he had one episode of non-bloody, watery diarrhea and was unable to take any of his po meds. he went to hd and initially felt better, then nausea/vomitting returned. vomiting is non-bloody. he went to the ed for eval. he states he has been compliant with his insulin regimen. the only additional symptom he has had is a runny nose over the past 2-3 days. he denies headache, cough, sore throat, shortness of breath, chest pain, palpitations, peripheral edema. . in the ed, initial vs were: t 100.2 p 125 bp 167/102 r 18 o2 sat 98%. initial labs showed hyperkalemia and an anion gap of 19, however bicarbonate of 26 and glucose of 410. cbc with wbc of 10.6 and 84.5% neutrophils. he was given zofran and iv protonix. he also recieved vancomycin and levofloxacin. he was placed on an insulin gtt and given 2l of ns with kcl and transferred to the icu for further monitoring. . on the floor, initial vitals were 98.9 187/111 118 15 100% ra. patient does not have any abdominal pain, but complains of hiccups and some nausea. he is tired and thirsty. . review of systems: (+) per hpi (-) denies night sweats, recent weight loss or gain. denies headache, sinus tenderness or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies constipation. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: - htn - dm i since age 19, seen at . complicated by nephropathy, gastroparesis, and possibly retinopathy. - esrd/ckd: htn and dm1; hemodialysis t/th/sat. on kidney/pancreas transplant wait list since 4/. - anemia on epo with dialysis - depression - s/p appendectomy social history: states that he previously drank heavily (30-40 drinks/week) but has not used alcohol since . +h/o tobacco use, quit in , relapsed, quit last year and denies tobacco currently. denies other drugs. neg ppd . lives with girlfriend. family history: no fh of pancreatitis. diabetes and heart trouble in grandfather. physical exam: vitals: t: 98.9 bp: 187/111 p: 118 r: 15 o2: 100% ra general: alert, oriented, no acute distress heent: sclera anicteric, dry mucous membranes, oropharynx clear with no erythema or exudate, nasal mucosa without obvious lesion neck: supple, jvp not elevated, no lad. right ij in place lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: tachycardic, regular rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: alert, oriented x 3, spontaneously moves all 4 extremities, no facial asymmetry or droop. . pertinent results: admission labs: 12:05am blood wbc-10.6# rbc-4.53* hgb-12.6* hct-35.6* mcv-79*# mch-27.7 mchc-35.2*# rdw-14.3 plt ct-231 12:05am blood glucose-410* urean-24* creat-7.8*# na-133 k-6.4* cl-88* hco3-26 angap-25* 05:20am blood calcium-9.3 phos-1.5*# mg-1.6 . discharge labs: 04:15am blood wbc-4.7 rbc-3.15* hgb-8.8* hct-26.3* mcv-83 mch-28.1 mchc-33.7 rdw-14.3 plt ct-154 04:15am blood glucose-51* urean-21* creat-8.9*# na-136 k-3.7 cl-96 hco3-32 angap-12 04:15am blood calcium-8.2* phos-3.8 mg-2.1 . 08:26pm urine blood-neg nitrite-neg protein->600 glucose-300 ketone-neg bilirub-neg urobiln-neg ph-8.5* leuks-neg brief hospital course: 32 year old male with history of dm1, esrd on hd, htn presented to ed with 24 hours of abdominal pain and n/v and found to have dka. he was managed in the with iv insulin and transitioned to sq insulin. he was discharged to home with good glucose control on glargin insulin plus a humalog sliding scale. . # diabetic ketoacidosis - presented with dka with anion gap and hyperglycemia. anion gap 19 in ed. patient recieved hd the day of admission, so possibilty metaboloic acidosis was corrected during hd session. trigger for dka unclear, however, infection can not be ruled out given subjective chills. no steroid use. initially on an insulin drip. weaned off with improvement in anion gap. blood and urine cultures were negative, and cxr was not consistent with infection. once he was tolerating pos, had wnl blood sugars, and a normal anion gap he was discharged home with close follow up. . # hypertension - history of hypertension. maintained on po medications as outpatient (toprol xl, amlodipine, lisinopril). bp's in 150's in ed, elevated on admission to . ekg with no ischemic changes. improved with home regimen. . # metabolic alkalosis - likely mixed picture of metabolic acidosis from dka and metabolic alkalosis from renal hd replacement of bicarb, however this is assumption in setting of no hd records. improved with improved dka and hd. . # esrd - on dialysis t-th-sa. recieved dialysis on and in the fic on . will resume hd as an outpatient the day after discharge. . # diabetes - in dka, see section above. discharged on glargin 15 units qam and a humalog sliding scale (see dc paperwork). . full code medications on admission: amlodipine 10 mg qday vitamin d 50,000 units qweek lasix 80 mg po qday glargine 15 units daily lisinopril 30 mg qday toprol xl 200 mg qday sertaline 25 mg qday sevelamer 800 mg tid discharge medications: 1. amlodipine 10 mg tablet : one (1) tablet po once a day. 2. vitamin d 50,000 unit capsule : one (1) capsule po once a week. 3. lasix 80 mg tablet : one (1) tablet po once a day. 4. lisinopril 30 mg tablet : one (1) tablet po once a day. 5. metoprolol succinate 200 mg tablet sustained release 24 hr : one (1) tablet sustained release 24 hr po once a day. 6. sevelamer carbonate 800 mg tablet : one (1) tablet po three times a day. 7. insulin glargine 100 unit/ml (3 ml) insulin pen : fifteen (15) units subcutaneous once a day. 8. humalog pen 100 unit/ml insulin pen : 1-10 units subcutaneous four times a day: per sliding scale. please see discharge paperwork. . discharge disposition: home discharge diagnosis: primary: diabetic ketoacidosis . secondary: diabetes type i, hypertension, chronic renal failure on hd discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted for diabetic ketoacidosis. this is a life threatening complication of not taking enough insulin. it is very important that you take your insulin and other medication. we treated you with iv insulin, and transitioned you to injected insulin. you improved, and are being discharged home. it is very important that you check your finger stick blood sugars before every meal and before bed. if your blood sugar is less than 80, please eat a snack. if your blood sugar is >380, please call your doctor or come to the emergency room. . this is the insulin regimen that we recommend for you: in the morning: - glargin insulin (lantus) 15 units in the morning before meals: - glucose 80-130 2 units of humalog insulin - glucose 130-180 3 units of humalog insulin - glucose 180-230 4 units of humalog insulin - glucose 230-280 5 units of humalog insulin - glucose 280-330 6 units of humalog insulin - glucose 330-380 7 units of humalog insulin - glucose over 380 come to the emergency room or call your doctor before bed: - glucose 200-250 1 unit of humalog insulin - glucose 250-300 2 units of humalog insulin - glucose 300-350 3 units of humalog insulin - glucose 350-400 4 units of humalog insulin - glucose >400 call your doctor or come to the emergency room . please attend dialysis tomorrow. followup instructions: provider: ,dialysis schedule hemodialysis unit date/time: 12:00 provider: , md phone: date/time: 1:00 provider: , md phone: date/time: 2:10 procedure: venous catheterization, not elsewhere classified hemodialysis diagnoses: hyperpotassemia anemia in chronic kidney disease end stage renal disease other and unspecified noninfectious gastroenteritis and colitis renal dialysis status depressive disorder, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease alkalosis long-term (current) use of insulin diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with renal manifestations, type i [juvenile type], uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], uncontrolled diabetes with ketoacidosis, type i [juvenile type], uncontrolled background diabetic retinopathy gastroparesis 

Answer: The patient is high likely exposed to