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: history of present illness: this is an 83-year-old white male with history of coronary artery disease status post coronary artery bypass graft times three vessels in , end stage renal disease on hemodialysis three times a week, diabetes mellitus and hypertension transferred from hospital for cardiac catheterization. the patient initially presented to hospital with complaints of increased dyspnea on exertion, weakness and dizziness. in the emergency department their he was found to have new ekg changes, new t wave depressions in v2 through v3 and more depressed t wave depressions in v4 through v6 and atrial fibrillation. the patient was ruled out for mi by serial enzymes, although he did have an initial ck mb index of 3.2 and had an echocardiogram which showed lv enlargement with akinesis of the inferior and posterior walls. also with hypokinesis of other lv walls and ejection fraction of 30%, mitral tricuspid regurgitation with a pulmonary artery systolic pressure of 45 mg of mercury, mild mr with significant left atrial enlargement. patient then had a persantine mibi which showed a small lateral wall ischemia and small inferior wall infarct. decision was then made to transfer to for cardiac catheterization. cardiac catheterization showed a pulmonary capillary wedge pressure of 22 mg of mercury, right atrial pressure of 25 mg of mercury, pa pressure of 46/17, right ventricular pressure 48/9. a totally occluded lad with positive collateral flow, 70% stenosis of the left circumflex. the svg to om graft was totally occluded. svg to dm graft was patent and lima to lad graft was patent. overall severe three vessel disease. two out three grafts had moderately decreased left ventricular ejection fraction of 40%, moderate mitral regurgitation and moderately diffuse hypokinesis. during the procedure, the patient became hypertensive with a 210/110 and intravenous prior to nitroglycerin was started. patient also had flash pulmonary edema after a ................. load of about 500 cc and was electively intubated for increased shortness of breath and agitation. the patient was then transferred to the ccu for nipride wean and extubation. medications on transfer: 1. tylenol p.r.n. 2. ambien p.r.n. 3. metoprolol 25 mg p.o. b.i.d. 4. captopril 6.25 mg p.o. t.i.d. 5. ec-asa 325 mg p.o. q.d. 6. coumadin 5 mg h.s. then 2 mg h.s. 7. nitroglycerin drip 0.052.2 mcg per kilogram per minute. 8. nephrocaps one cap p.o. q.d. 9. regular insulin sliding scale. 10. glipizide xl 10 mg p.o. q.d. 11. propofol drip. past medical history: 1. coronary artery disease status post coronary artery bypass graft for three vessels in . 2. end stage renal disease on hemodialysis on tuesday, thursday and saturday. 3. hypertension. 4. diabetes mellitus. 5. anemia. 6. prostate ca. 7. new onset atrial fibrillation. social history: not obtainable. family history: not obtainable. initial ekg showed atrial fibrillation at 65 beats per minute, normal axis, qrs mildly elongated, left ventricular hypertrophy by voltage, t wave inversions in v2 through v5, st depressions in i and l, unchanged from outside hospital ekgs. physical examination: vital signs with a temperature of 97.6 f, blood pressure 106/45, heart rate 68. pulmonary artery pressure 37/11. in general elderly, sedated, intubated male lying still in bed. head, eyes, ears, nose and throat: normocephalic, atraumatic. pupils are 2 mm bilaterally, equal, round, reactive to light. endotracheal tube in place. neck: no jugular venous distention. cardiovascular: iv/vi systolic murmur loudest at the apex radiating to the axilla into the back, irregular. pulmonary: loud bronchial sounds bilaterally. abdomen: soft, nondistended with normal abdominal bowel sounds, no hepatosplenomegaly. positive abdominal bruit. extremities: warm, no edema, no hematoma at right groin. neuro: patient sedated. withdraws from touching of feet. initial laboratory results: white blood cell count of 5.7, hematocrit 32.7, platelets 134. differential was 72.4% neutrophils, 18.2% lymphocytes, 8.2% monocytes, 1.0% eosinophils, 0.2% basophil. inr was 1.3. potassium 5.5, calcium 8.3, magnesium 2.7, phosphorus was 9.7. abg done was 7.45, 73 and 345 on 100% oxygen. initial assessment: this is an 83-year-old male with history of coronary artery disease, diabetes mellitus, end stage renal disease on hemodialysis transferred from outside hospital for cardiac catheterization secondary to abnormal p mibi with dyspnea and hypertension in cath lab. started on nipride and nitroglycerin drips, intubated and electively transferred to ccu for extubation and drip weaning. hospital course: 1. cardiac: patient is being kept on the nitroglycerin drip throughout the entire course when he was on the ventilator and it was discontinued once he had been weaned. the patient was started on imdur 50 mg p.o. q.d. for approximately six hours prior to stopping the nitroglycerin drip with no ill effects. patient was noted to have a moderately decreased left ventricular ejection fraction of 30 to 40%. the patient was started on an ace inhibitor and was gradually titrated up, however two days into ace inhibitor therapy with captopril, the patient developed an erythematous rash which was pruritic. at this point, it was assumed that the rash was secondary to the sulfur group of the captopril and patient was switched to lisinopril 40 p.o. q.d. with eventual clearing of rash and no other ill effects. the patient was switched over from nitroglycerin drip to imdur with no ill effects. patient remained moderately hypertensive throughout the hospital course with blood pressures up to 160 mg of mercury systolic were tolerated as this patient is on hemodialysis. 2. rhythm: patient was noted to have new onset atrial fibrillation. patient was maintained on telemetry and had frequent episodes of nonsustained ventricular tachycardia as well as ventricular tachycardia throughout the first two days of hospitalization with gradual clearing of these. the patient was tried on a beta blocker and pr prolongation was noted. at this point, the beta blocker was discontinued and patient had a pacemaker placed so that he would be able to tolerate amiodarone therapy. patient had a dual chamber rate responsive pacemaker placed and was started on amiodarone loading 400 mg p.o. b.i.d. at pacemaker placement, the patient received a dose of vancomycin. the patient tolerated the pacemaker placement and was kept on telemetry for 24 hours after pacemaker was placed with no adverse events noted. the patient was also restarted on coumadin for anticoagulation after pacemaker placement. the decision of how long to continue coumadin will be left up to the pcp. patient's amiodarone loading should be 400 mg p.o. b.i.d. times one week then 400 mg p.o. q.d. times one week and then 200 mg p.o. q.d. the patient should be seen at clinic in one week. 3. coronaries: patient with status post coronary artery bypass graft in , lima to lad, svg to lpda, and svg to om which is totally occluded, 70% stenotic lesion in mid circumflex. patient was started on lipitor 10 mg p.o. q.d. and was kept on aspirin throughout hospital course. the patient should continue to take these two drugs indefinitely. 4. pulmonary: patient had an initial weaning trial approximately 12 hours after admission to the ccu. the patient became tachypneic as he was initially weaned from the ventilator and it was decided to rest him for another day. the patient was switched over to pressure support and successfully weaned on hospital day #2. the patient initially required oxygen, but soon was able to tolerate room air with o2 saturations of 95% and above. there were no further pulmonary issues in the hospital course. 5. renal: patient was continued on hemodialysis throughout hospital course and initially started on amphojel and phos-lo as patient had increased phosphorus on presentation. eventually, amphojel was able to be discontinued after four hospital days as per renal's recommendation. patient to continue hemodialysis as an outpatient on tuesdays, thursdays and sundays. 6. endocrine: the patient was noted to become hypoglycemic with blood sugars as low as 48. patient had his glipizide discontinued and had some hypoglycemia for one day after discontinuation and subsequently high blood sugars of 160s to 200s while continuing regular insulin sliding scale. it was decided to reinitiate glipizide at a lower dose of 2.5 mg q.d. and further watch for hypoglycemia as an outpatient. 7. dermatologic: patient developed an erythematous maculopapular and some areas ................ pruritic rash over the trunk and upper thighs and back on day #2 of captopril. a dermatology consult was called and a skin biopsy was performed. the patient was switched from captopril to lisinopril. skin biopsy confirmed a lymphocytic infiltrate with rare eosinophils, focal rbc extravasation consistent with systemic hypersensitivity reaction, no leukocytoclastic vasculitis was seen. the patient's rash eventually cleared, although not completely after lisinopril was initiated. the patient was given sarna lotion, and benadryl p.r.n. for itching with moderate effect. 8. prophylaxis: patient received aspirin, lipitor, coumadin and protonix for gi prophylaxis during hospital course. discharge diagnosis: 1. new onset atrial fibrillation status post dual chamber pacemaker placement, initiation of amiodarone therapy. 2. coronary artery disease. 3. end stage renal disease on hemodialysis tuesday, thursday and saturday. 4. hypertension. 5. diabetes mellitus type 2. 6. anemia. 7. prostate ca. discharge medications: 1. warfarin 2 mg p.o. q.h.s. 2. amiodarone 400 mg p.o. b.i.d. times seven days started then 400 mg p.o. q.d. times seven days then 200 mg p.o. q.d. 3. lisinopril 40 mg p.o. q.d. 4. imdur 60 mg p.o. q.d. 5. lipitor 10 mg p.o. q.h.s. 6. enteric coated aspirin 325 mg p.o. q.d. 7. benadryl 25 mg p.o. q. six hours p.r.n. 8. docusate 100 mg p.o. b.i.d. 9. 60 mg p.o. b.i.d. 10. sarna tp p.r.n. 11. phos-lo three caps p.o. t.i.d. 12. two tabs p.o. b.i.d. p.r.n. condition on discharge: good. discharge status: to short term rehab. patient to follow up with own cardiologist to arrange pulmonary function test as patient is now being started on amiodarone and also to follow up tsh and lfts. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures insertion of endotracheal tube hemodialysis initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified coronary atherosclerosis of autologous vein bypass graft cardiac complications, not elsewhere classified atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified cardiac dysrhythmias acute myocardial infarction of other inferior wall, initial episode of care cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure 

Answer: The patient is high likely exposed to