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: no known allergies / adverse drug reactions attending: chief complaint: s/p cardiac arrest major surgical or invasive procedure: central venous catheter placement cardiopulmonary resuscitation endotracheal intubation history of present illness: 86 yo m with history of metastatic prostate cancer with bilateral nephrostomy tube and recent diagnosis of malignancy in chest, initially presenting with altered mentatl status, who had an asystolic cardiac arrest in the ed, and is now transferred to micu post-arrest. . the patient was diagnosed with a uti 2 days ago, and was started on antibiotics (unclear what antibiotic). he took 2 doses of the antibiotic and presented this a.m. with confusion. he was following commands, but more confused that his baseline, which is a+ox3. , in the ed, the patient was taken for ct head and cxr, and was noted to be non-responsive after the imaging studies. he was found to be in asystole, and received 2 minutes of cpr. during the resuscitation, he was given atropine 1 mg, epinephrine 1 mg, and amiodarone 300 mg. he was subsequently intubated, receiving etomidate and succinylcholine peri-intubation. he was started on peripheral dopamine, switched to levophed. a central line was placed ed prior to transfer to the micu. the cxr that was done pre-arrest showed bilateral plerual effusions and interstitial edema. a bedside echo showed no rv strain. fast scan negative. only exam finding before code was mild abdominal pain. vital signs on transfer pulse 59 bp 137/51 rr 18 100%/ra. . in micu, the patient was initially non-responsive, with only corneal reflexes present. subsequently, he withdrew to pain in all extremities. past medical history: - metastatic prostate adenocarcinoma to bone with local extension to bladder and rectum also complicated by bilateral hydronephrosis s/p nephrostomy tubes. he has been treated with casodex, lupron, and most recently, ketoconazole. he has declined chemotherapy. - recently diagnosed extensive intrathoracic malignancy - coronary artery disease - atrial fibrillation (previously on coumadin) - hyperlipidemia - hypertension - type 2 diabetes - pleural effusion s/p right thoracenteses x 2 in the past month social history: mr. has 8 children who live nearby and are involved in his care. previously worked at as a transporter. reports no smoking, etoh, or illicits. he is a jehovah's witness and notes that his faith plays a central role in his life. family history: his mother 'may' have had diabetes. physical exam: vitals: t 98.2: bp 164/57: p 79: r 11: sat: 100% o2: general: intubated, not on sedation. non-responsive. heent: sclera anicteric, mmm neck: supple, jvp not elevated lungs: clear ventillated breath sounds bilaterally. cv: regular rate and 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: bilateral nephrostomy tubes in place ext: warm, well perfused, 1+ bilateral le edema neuro: non-responsive to sternal rub or painful stimuli. pupils 3 mm and non-reactive. corneal reflex present bilaterally. does not move any extremity initially. subsequently withdrew to pain. pertinent results: admission labs: 01:30pm blood wbc-11.4* rbc-2.84* hgb-6.6* hct-20.3* mcv-72* mch-23.3* mchc-32.6 rdw-17.8* plt ct-232 01:30pm blood neuts-83* bands-0 lymphs-8* monos-6 eos-0 baso-0 atyps-0 metas-3* myelos-0 01:30pm blood pt-13.7* ptt-30.7 inr(pt)-1.2* 01:30pm blood glucose-163* urean-42* creat-1.7* na-125* k-5.7* cl-88* hco3-25 angap-18 01:30pm blood alt-12 ast-28 alkphos-214* totbili-0.3 01:30pm blood lipase-27 11:44pm blood ck-mb-5 ctropnt-0.11* 01:30pm blood albumin-2.9* calcium-9.0 phos-4.1 mg-2.2 . ct head w/o contrast : 1. no acute intracranial process. 2. opacification of the left mastoid air cells . clinical correlation is recommended to assess for mastoiditis. . cxr (portable ap) : 1. worsening bilateral pleural effusions. increased opacity at the lung bases bilaterally may be a combination of pleural effusions and atelectasis. however, underlying pneumonia cannot be excluded. 2. bilateral hilar lymphadenopathy. stable right paratracheal mass. 3. mild pulmonary edema. brief hospital course: 86 yo m with metastatic prostate cancer and recent diagnosis of extensive intrathoracic malignancy, initially presenting with altered mental status, who had asystolic cardiac arrest in the emergency department. the pt arrived to the micu intubated and on blood pressure support. however given his extensive comorbidity combined with grave prognosis and failure to respond to supportive measures, it was ultimately decided by the family to focus on comfort measures and the patient was terminally extubated and died on . please see below for further details by problem. # goals of care: per recent omr notes, the patient elected a hospice approach and was dnr/dni. however, per family request, this was reversed in the ed and the patient was resuscitated and intubated. after discuss with family, patient was made full code but cpr not indicated. family meeting on demonstrated that they were not ready to withdraw life support and were hoping for a miracle. on , the family expressed some desires to not escalate care. on family meeting, it was decided to withdraw care and focus on comfort. # s/p asystolic cardiac arrest: his initial rhythm was asystole in the er with underlying etiology unclear. patient's fast exam was negative in the er and blood cultures on admission were positive which suggests septic shock as possible cause of asystole. he was not cooled, and mri the following day did not show any signs of anoxic brain injury. however, the eeg showed epileptiform activity and keppra was started. he had another episode on when on pressure support on the vent and turning where is hr decreased, he desatted and his bps dropped. he responded to atropine, and levophed was restarted. family meeting established the cpr was not indicated. neurology used eeg, clinical exam, and somatosensory evoked potentials to monitor the patient's neurologic status. the ssep were present which did not change the overall poor neurologic status as he was not improving. . # hypotension: vital signs were normal on initial presentation but he became hypotensive requiring levophed for blood pressure support s/p arrest. his hypotension could be related to cardiac stunning in setting of recent arrest but was more likely related to underlying sepsis. echo was orderd in the icu which showed focal regional left ventricular systolic dysfunction c/w cad. aneurysmal interatrial septum. moderate pulmonary hypertension with at least moderate tricuspid regurgitation and mildly dilated right ventricle. very small pericardial effusion. the patient continued to require norepinephrine for blood pressure support. with acute renal failure and poor urine output, and hypervolemia on exam, the patient was transitioned to low dose dopamine gtt with lasix boluses on , which improved his blood pressures and his creatinine 1.8 --> 1.7 with good urine output (100cc/hr x2-3 hours with each bolus). lasix gtt was started however his cr rose and this was discontinued. # respiratory failure: he was intubated in the er and has been ventilating well on the ventilator. he did have a near arrest on cpap and required reinitiation of full vent support. the patient was gradually transitioned back from assist control to psv with thoughts that intermittent tachypnea due to central process and some discomfort that responded to fentanyl 25mcg boluses. he was unable to be weaned from the vent and ultimately terminally extubated. # altered mental status: initially likely toxic-metabolic process in setting of medical illness/uti. ct head was non-focal, and mri after arrest without signs of hypoxic brain injury. his underlying toxic-metabolic encephalopathy is likely contributing as well. neurology followed and recommended continuing eeg with somatosensory potential evaluation from and respectively. . # urinary tract infection: u/a consistent with infection. he was broadly covered with vanc/zosyn, and urine culture was sent. urostomy tubes bilaterally continued to put out purulent fluid although right urostomy tube output was persistently ~half that of left urostomy tube. both tubes gradually had decreased output . # bacteremia: grew strep viridans from bcx. the patient was also cdiff negative. . # extensive intrathoracic malignancy: invades mediastinum and encases svc, brachiocephalic, jugular, esophagus, and all major airways. mechanical complications of this malignancy could underlie arrest, although echo in ed does not support this, and hypoxemia seems more likely given rapid return of spontaneous circulation. if patient improved, would have considered ct chest. . # metastatic prostate cancer: currently not on any treatment. . medications on admission: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation: hold for loose stools. disp:*60 tablet(s)* refills:*0* 5. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. disp:*30 suppository(s)* refills:*0* 6. oxycodone 5 mg tablet sig: 0.5-1 tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 7. ferrous gluconate 325 mg (37.5 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. folic acid 1 mg tablet sig: five (5) tablet po daily (daily). disp:*200 tablet(s)* refills:*2* 9. cyanocobalamin (vitamin b-12) 100 mcg tablet sig: 0.5 tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 10. home oxygen home oxygen 2-3l nasal cannula continuous discharge medications: n/a discharge disposition: expired discharge diagnosis: n/a discharge condition: deceased discharge instructions: n/a followup instructions: n/a md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube cardiopulmonary resuscitation, not otherwise specified diagnoses: coronary atherosclerosis of native coronary artery unspecified pleural effusion urinary tract infection, site not specified toxic encephalopathy diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of prostate chronic kidney disease, unspecified other and unspecified hyperlipidemia acute respiratory failure cardiac arrest cachexia malignant neoplasm of prostate long-term (current) use of anticoagulants pressure ulcer, lower back malignant neoplasm of other parts of bronchus or lung altered mental status encounter for palliative care do not resuscitate status pulmonary congestion and hypostasis hydronephrosis secondary malignant neoplasm of bone and bone marrow anemia in neoplastic disease pressure ulcer, stage ii other artificial opening of urinary tract status 

Answer: The patient is high likely exposed to