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: the patient is an 82 year old man with end stage renal disease on peritoneal dialysis with a history of coronary artery disease, who presented with worsening shortness of breath. the patient was in his usual state of health until a few days prior to admission when he began to experience worsening shortness of breath, more than his baseline. he had experienced paroxysmal nocturnal dyspnea for some time but more frequently and progressively worse. at 4:00 a.m. the morning of admission, he awoke with extreme shortness of breath which improved when he sat up. he also reported dyspnea on exertion and occasional chest discomfort with exertion over the six months prior to admission, much worse over the week prior to admission. he reports that his chest pain improved with rest. the patient denied diaphoresis, nausea and vomiting. he reported that he could only walk down a until he experienced shortness of breath and needed to rest. past medical history: 1. coronary artery disease, status post percutaneous transluminal coronary angioplasty to the d1 and right coronary artery. 2. end stage renal disease secondary to focal segmental glomerulosclerosis. the patient has been on chronic ambulatory peritoneal dialysis for two and one half years and has had two episodes of supraventricular tachycardia. 3. chronic leukocytosis. 4. history of pulmonary embolus. 5. chronic obstructive pulmonary disease. 6. hypertension. 7. hypercholesterolemia. 8. congestive heart failure. 9. gout. 10. status post total hip replacement. 11. status post right knee replacement. 12. prostate cancer. 13. status post cataract surgery. 14. history of adenomatous polyps. medications on admission: 1. digoxin 0.125 mg p.o. q.o.d. 2. phoslo 2 mg p.o. three times a day. 3. renagel 1500 mg p.o. three times a day. 4. simvastatin 40 mg p.o. once daily. 5. aspirin 81 mg p.o. once daily. 6. lactulose 15 to 30 mg p.o. three times a day. 7. metoprolol 2.5 mg p.o. once daily. allergies: motrin. social history: the patient quit smoking fifty years ago. he denies alcohol use. his primary cardiologist is dr. . physical examination: vital signs revealed temperature 96.3, heart rate 89, blood pressure 134/72, oxygen saturation 99% on two liters, weight 200 pounds. cardiovascular - the patient had distant heart sounds with a regular s1 and s2 and faint s3. pulmonary - he had faint bibasilar crackles. abdomen was obese, distended to percussion and nontender to palpation. extremities showed no edema, palpable posterior tibial pulses and no femoral bruit. neurologic examination was intact. laboratory data: on admission, white blood cell count was 14.7. potassium 3.3. blood urea nitrogen 33, creatinine 10.9. liver function tests were normal. digoxin level 0.88. hospital course: the patient was admitted and initially was believed to rule in for myocardial infarction with a troponin of 5.0. maximal ck was 157 with a mg of 13 and a positive mb index of 9.1. the patient was subsequently taken for cardiac catheterization where coronary angiography of the right dominant circulation revealed branch vessel coronary artery disease. left main coronary artery had no significant stenoses. the left anterior descending had mild luminal irregularities. d1 totally occluded distally at the site of prior stenting. d2 no lesions. left circumflex had mild luminal irregularities. three om branches free of disease. the right coronary artery was widely patent at the sites of prior stenting and otherwise free of significant stenoses. the right coronary artery supplied the posterior descending artery and plv. resting hemodynamics were measured at baseline and revealed a markedly impaired cardiac output of 3.6 liters per minute and a moderately elevated left ventricular filling pressures with a left ventricular end diastolic pressure of 25 mmhg. at rest, the gradient across the aortic valve was 21 mmhg with a calculated valve area of 0.97 square centimeters. dobutamine was infused up to 10 mcg/kg/minute. the patient's systolic blood pressure fell to a level of 70 mmhg. during this time, the patient's cardiac output rose to 5.9 liters per minute. aortic valve calculations revealed peak gradient of 34 mmhg and a valve area of 1.02 square centimeters. the patient was then started on dopamine with no effect on the systemic arterial pressure. for this reason, an intra-aortic balloon pump was inserted with subsequent return of blood pressure to baseline and a cardiac output of 7.1 liters per minute. the patient was transferred to the cardiac care unit where he was weaned off the balloon pump and dopamine without difficulty. electrophysiology service was consulted and evaluated the patient for biventricular pacemaker which was placed in addition to an icd. the patient's symptoms of shortness of breath improved markedly after the biventricular pacer placement. he was transferred to the cardiac medicine floor for an additional day of monitoring. he had one episode of systolic blood pressure in the high 70s but otherwise was stable through the remainder of his hospital course. renal - the patient was continued on his chronic ambulatory peritoneal dialysis throughout his hospital stay. he was closely followed by his primary nephrologist as well as the renal team. the patient's persistent leukocytosis was not felt to be a change, however, a sample of a diasolate was sent for culture with no growth by the time of discharge. gram stain was negative. per the renal team, the patient was instructed to continue his outpatient antihypertensive regimen with further fine tuning of his blood pressure through dialysis. discharge diagnoses: 1. status post biventricular pacer. 2. congestive heart failure. medications on discharge: 1. digoxin 0.125 mg p.o. q.o.d. 2. phoslo 2 mg p.o. three times a day. 3. renagel 1500 mg p.o. three times a day. 4. simvastatin 40 mg p.o. once daily. 5. aspirin 81 mg p.o. once daily. 6. lactulose 15 to 30 mg p.o. three times a day. 7. metoprolol 2.5 mg p.o. once daily. follow-up: device clinic , at 1:00 p.m., dr. in two weeks after discharge, dr. as needed. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters catheter based invasive electrophysiologic testing implant of pulsation balloon peritoneal dialysis implantation of cardiac resynchronization defibrillator, total system [crt-d] diagnoses: pneumonia, organism unspecified other primary cardiomyopathies anemia in chronic kidney disease subendocardial infarction, initial episode of care chronic airway obstruction, not elsewhere classified aortic valve disorders constipation, unspecified acute on chronic systolic heart failure hypertensive heart and chronic kidney disease, unspecified, with heart failure and chronic kidney disease stage v or end stage renal disease 

Answer: The patient is high likely exposed to