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 / vancomycin attending: chief complaint: tumor of right 10th rib major surgical or invasive procedure: 1. bronchoscopy. 2. right thoracotomy with wide-excision of right chest wall lesion and -tex reconstruction. history of present illness: pt is a 66 y/o male with h/o severe insulin-dependent diabetes, vascular disease and autonomic dysfunction along with chronic renal insufficiency and a remote history of bladder cancer status post cystectomy and ileal loop, who presents with an expansile lesion in the right tenth rib. this has been present for at least 4 years but is really expanding on serial exams. the tumor appears, at this point, confined to the marrow space. review with our musculoskeletal experts felt that percutaneous biopsy was unlikely to yield sufficient tissue for a discrete diagnosis. based on this, i recommended wide-excision, as low-grade chondrosarcoma remained within the differential diagnosis. the patient agreed to proceed. past medical history: iddm cri autonomic neuropathy peripheral neuropathy hypercholesterolemia l carotid stenosis (70% per pt) bladder ca with ostomy social history: pt denies use of tobacco, ethanol, recreational drugs family history: non-contributary physical exam: vitals: 99.6 98.4 77 118/50 18 95%ra gen: nad, alert and oriented x 3 cv: rrr no m/r/g pulm: cta b, no chest tube present abdomen: soft, nt, nd, (+) bs wound: c/d/i ext: warm, well perfused, no c/c/e pertinent results: 10:56pm cortisol-26.6* 05:59pm type-art temp-35.4 po2-213* pco2-40 ph-7.35 total co2-23 base xs--3 intubated-intubated 05:18pm glucose-151* urea n-29* creat-1.1 sodium-138 potassium-3.5 chloride-107 total co2-23 anion gap-12 05:18pm ck-mb-notdone ctropnt-<0.01 05:18pm ck(cpk)-70 05:18pm calcium-8.4 phosphate-3.0 magnesium-2.1 05:18pm wbc-7.6 rbc-3.73* hgb-11.9* hct-34.4* mcv-92 mch-32.0 mchc-34.7 rdw-14.0 04:10pm hgb-11.7* calchct-35 brief hospital course: mr. is a 66-year-old gentleman, with severe insulin-dependent diabetes, vascular disease and autonomic dysfunction along with chronic renal insufficiency and a remote history of bladder cancer status post cystectomy and ileal loop, who presented with an expansile lesion in the right tenth rib. the lesion has been present for at least 4 years but is really expanding on serial exams. the tumor appeared to be confined to the marrow space. on the patient was admited to for elective resection of his right 10th rib tumor. follwing induction of anesthesia in the l lateral decubitus position, the patient became profoundly hypotensive with a wide-complex ventricular rhythn and required cpr, iv fluids, and pressors to regain adequate map and sinus rhythm in the or. the patient was transferred to the tsicu following resuscitation; ep and cardiology were consulted to investigate his pacemaker and cv function (st. integrity sfx). a tee immediately post-episode showed incomplete lv/rv filling with resolution following ivf resuscitation. his cardiac enzymes were negative x 3 and he was on was consulted and recommendations were made to continue his current insulin pump regimen with sliding scale coverage. on the patient underwent a right 10th rib resection. his insulin pump was stopped. there were no complications and the patient tolerated this procedure well. he was extubated in the or and transferred to the sicu post-operatively for control of his hyperglycemia on an insulin drip. was again consulted and recommendations were made to adjust his sliding scale and nph dosing. his pain was controlled with a dilaudid pca. on the patient was transferred to 2 for recovery, was given a regular diet, and his chest tube was placed to water seal. on the patient's chest tube was discontinued and his insulin pump was restarted. there were no changes to his insulin pump regimen. at the time of discharge, the patient was afebrile, tolerating a regular diet, ambulatng without assistance, and with good pain control via po medication. medications on admission: 1. oxcarbazepine 300 mg tablet sig: one (1) tablet po qd (). 2. lescol xl 80 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 3. fludrocortisone 0.1 mg tablet sig: three (3) tablet po bid (2 times a day). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. reglan 10 mg tablet sig: one (1) tablet po twice a day. 6. celexa 40 mg tablet sig: one (1) tablet po once a day. 7. insulin pump please resume home insulin pump, as previously prescribed 8. aspirin 81 mg tablet sig: one (1) tablet po once a day. 9. atacand 8 mg tablet sig: three (3) tablet po qpm. 10. sodium chloride 1 gram tablet sig: one (1) tablet po twice a day. discharge medications: 1. oxcarbazepine 300 mg tablet sig: one (1) tablet po qd (). 2. lescol xl 80 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 3. fludrocortisone 0.1 mg tablet sig: three (3) tablet po bid (2 times a day). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. reglan 10 mg tablet sig: one (1) tablet po twice a day. 6. celexa 40 mg tablet sig: one (1) tablet po once a day. 7. insulin pump please resume home insulin pump, as previously prescribed 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 9. colace 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*0* 10. aspirin 81 mg tablet sig: one (1) tablet po once a day. 11. atacand 8 mg tablet sig: three (3) tablet po qpm. 12. sodium chloride 1 gram tablet sig: one (1) tablet po twice a day. discharge disposition: home discharge diagnosis: bony tumor of right chest wall discharge condition: stable discharge instructions: call dr. office or report to the ed if you develop fever, chills, chest pain, and/or shortness of breath. please monitor incision sites and call if you notice increased tenderness, redness, swelling, or obvious signs of infection. - you may shower on tuesday, . after showering, remove your chest tube site dressing and cover the area with a clean dressing daily until healed. no bathing or swimming for 6 weeks. - after showing, pat dry the stapled incision. leave incision uncovered. staples will be removed at follow-up appointment. - do not drive while you are taking narcotic pain medicine - take stool softeners every day you take pain medication: colace, senna, dulcolax, and mild of magnesia are all good options - you should eat a regular diet and resume your home insulin pump. - no heavy lifting (10-15lbs) for 4-6 weeks. - you should continue to do your breathing exercises with the incentive spirometry, coughing, and deep breathing. - you should remain as active as tolerated and gradually increase your activity level on a daily basis. followup instructions: please call to schedule followup appointment with dr in days. please arrive 45 minutes earlier than scheduled appointment and report to to obtain chest x-ray. procedure: diagnostic ultrasound of heart fiber-optic bronchoscopy cardiopulmonary resuscitation, not otherwise specified excision or destruction of lesion of chest wall diagnoses: other iatrogenic hypotension pure hypercholesterolemia cardiac complications, not elsewhere classified polyneuropathy in diabetes chronic kidney disease, unspecified paroxysmal ventricular tachycardia cardiac arrest long-term (current) use of insulin other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cardiac pacemaker in situ personal history of malignant neoplasm of kidney diabetes with peripheral circulatory disorders, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled peripheral angiopathy in diseases classified elsewhere other artificial opening of urinary tract status peripheral autonomic neuropathy in disorders classified elsewhere other bone cyst 

Answer: The patient is high likely exposed to