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 / iodine; iodine containing / carbamazepine attending: chief complaint: sob, htn major surgical or invasive procedure: none history of present illness: 58m with esrd on hd, pvd, hcv c/b cirrhosis and ascites, seizures with sob worsening over past 24 hours. yesterday the patient noted increased fatigue. at around midnight, he was lying down to go to bed and noted acute onset sob that improved with sitting up. denies associated cp, n/v, diaphoresis, or other symptoms. was last dialyzed 3 days ago (scheduled again for today) terminated early at 2kg over dry weight due to low bps. has has noted increased le edema recently primarily in his right leg; also with worsening ascites s/p therapeutic paracentesis 2 weeks prior. while in the ambulance, the patient desated to 70% thought to be flash pulm edema and improved to 100% on nrb. noted to be hypertensive with sbp 240s, hr 110s. he was given nitro sl, and then started on bipap and nitro gtt. also hyperkalemic to 6.4 with ecg changes - given 5u iv insulin, amp d50, 1 amp ca gluconate. admitted to micu for hypertensive urgency and acute dialysis. . currently feels much better, sob resolved. does complain of bilateral finger numbness x 1 week. otherwise negative for fever, chills, headache, visual changes, weakness. past medical history: -seizure disorder -esrd on hd (m,w,f) due to idiopathic glomerulonephritis, s/p 2 failed renal transplants -labile hypertension -hypothyroidism -peripheral disease -hypoparathyroidism -hepatitis c -chf-systolic w/ ef 45% and diastolic dysfunction (echo ) -svt/avnrt s/p ablation -multiple fistulas -h/o mrsa line infection -recent admission for infected l upper arm av fistula. -h/o mechanical falls admitted -h/o vre, mrsa social history: lives at facility on mission called at , on disability, has two sons. smokes 1ppd x 40 yrs, no etoh, drugs. family history: mother with breast ca; father alive with cad & chf; sons healthy. physical exam: t 96.6 bp 194/110 hr 84 rr 20 spo2 100% on bipap wt 63.2kg gen: chronically ill-appearing thin male skin: warm, no rashes. right chest wall hd line without erythema. heent: perrl, anicteric, mm dry, +jvd lungs: bilateral crackles lower lung fields heart: rrr, s1s2 normal, no m/r/g abd: soft, distended, nabs, +ascites extr: no cyanosis, rle pitting edema without calf tenderness neuro: a&ox3, speech clear, strength 5/5 bilat, sensation intact to light touch, moves all extremities . pertinent results: admission labs: 04:41pm glucose-98 urea n-31* creat-3.2*# sodium-141 potassium-3.7 chloride-105 total co2-24 anion gap-16 04:41pm ck(cpk)-42 04:41pm ck-mb-notdone ctropnt-0.10* 04:41pm calcium-7.3* phosphate-4.8* magnesium-1.7 09:16am type-art peep-4 po2-454* pco2-41 ph-7.45 total co2-29 base xs-4 intubated-not intuba 08:51am type- comments-spec not h 08:51am lactate-1.6 k+-6.2* 08:45am glucose-91 urea n-77* creat-6.1*# sodium-136 potassium-6.4* chloride-92* total co2-25 anion gap-25* 08:45am ck(cpk)-91 08:45am ck-mb-notdone ctropnt-0.11* 08:45am wbc-7.9 rbc-3.86* hgb-10.9* hct-31.0* mcv-80* mch-28.2 mchc-35.1* rdw-19.6* 08:45am neuts-67.2 lymphs-20.9 monos-10.5 eos-0.3 basos-1.2 08:45am plt count-344 08:45am pt-12.5 ptt-28.4 inr(pt)-1.1 unilat lower ext veins right 12:52 pm unilat lower ext veins right reason: eval for dvt medical condition: 57 year old man with hcv cirrhosis and esrd with asymetric le edema and sob reason for this examination: eval for dvt indication: right lower extremity edema. right lower extremity ultrasound: normal compressibility, color flow, and doppler waveforms are seen in the deep venous system from the common femoral vein to the popliteal. impression: no evidence of dvt in the right lower extremity. chest (portable ap) 8:59 am reason: eval for chf medical condition: 58 year old man with sob reason for this examination: eval for chf indications: 58-year-old man with shortness of breath. question congestive heart failure. chest, upright ap portable: comparison is made to . a right internal jugular dialysis catheter terminates in the right atrium, as before. there are perihilar alveolar opacities and engorgement with upper zone redistribution of pulmonary vessels, consistent with moderate fluid overload or congestive heart failure. linear opacity in the right lower lobe is most compatible with atelectasis. there are no definite effusions or pneumothorax. impression: moderate pulmonary edema which may be due to congestive heart failure or fluid overload. paracentesis diag. or therapeu; guidance for /abd/para ce reason: therapeutic paracentesis x 6l. no albumin necessary afterwar medical condition: 57 year old man with hcv cirrhosis and esrd and cirrhosis, ascites. loculated, scarred peritoneum with 2 xplanted kidneys in situ. h/o of us guided in the past. difficult bedside tap. reason for this examination: therapeutic paracentesis x 6l. no albumin necessary afterwards indication: cirrhosis, ascites. ultrasound-guided paracentesis: written and informed consent were obtained. a preprocedure timeout was performed to confirm patient, site, and procedure. doctors and performed this procedure, with dr. , the attending radiologist, present and supervising throughout. a suitable pocket of fluid was located in the left lower quadrant. the area was prepped and draped in the usual sterile fashion. approximately 10 ml of 1% lidocaine were administered for subcutaneous lidocaine. a 19 gauge catheter was advanced into the abdomen, and 4 liters of fluid drained. the patient tolerated the procedure well. there were no immediate complications. impression: successful ultrasound-guided paracentesis. brief hospital course: a/p: 58m with esrd on hd, pvd, hcv c/b cirrhosis and ascites, seizure d/o presents with hypertensive urgency and acute onset sob likely from flash pulmonary edema. . # sob: flash pulm edema hypertensive urgency in setting of recent incomplete hd. admitted to micu after urgent dialysis with 3.6l removed with continuing o2 requirement, and started home anti-hypertensives and transiently on labetalol/nitro gtts overnight. had some bipap o/n as well and was quickly weaned to nc. cardiac enzymes x 2 flat and rle ultrasound negative for dvt. weaned to ra and transferred to floor with stable blood pressures. on floor pt's bp were stable and good. recieved hd on wed morning, slightly high bp afterwards, but this quickly resolved with restart of home meds. pt. sent home on new, higher nifedipine dose. cont' hd tiw. - otherwise, volume management at hd per renal . # esrd: mwf hd schedule. hd removed 7.5kg prior to call out to floor. renal following. continue nephrocaps, sevelamer, sensipar. . # anemia: chronic due to renal disease. hct decreased on admission without known active bleeding. recheck showed no further decrease in levels. . # hyperkalemia: noted to have ecg changes and given insulin, d50, calcium; ecg changes resolved s/p hd and k+ normal. continued monitoring of electrolytes showed no further alterations in levels. . # chf: ef 45%. systolic and diastolic dysfunction. volume overloaded, manage with hd per renal. continued bb, acei. . # htn: restarted home anti-hypertensives (changed toprol xl to metoprolol, nifedipine cr to nifedipine while inpatient). weaned nitro gtt especially in setting of hd to avoid hypotension. uptitrate nifedipine to 60mg q8h. . # hcv: cirrhosis and ascites. followed by dr. from liver as outpatient, liver team following this admission. therapeutic paracentesis x 4l by ir performed . . # pvd: s/p bilat common iliac stents. continued plavix, aspirin. . # epilepsy: continued lamictal, keppra. . # ppx: ppi, bowel reg, heparin sc tid # fen: renal diet, lytes for now # access: right hd catheter, piv # code: dnr/dni confirmed with patient # communication: (son) ; (father) ; (son) medications on admission: nephrocaps 1 daily lamictal 250 mg b.i.d. keppra 375 mg b.i.d. and 250 mg after each hd session (mwf) toprol-xl 200 mg once daily nifedipine 120 mg once daily lisinopril 20 mg once hs plavix 75 mg once daily asa 81 mg once daily clonidine 0.1 mg b.i.d. prevacid 30 mg once daily nortriptyline 10 mg q.h.s. sevelamer 800 mg tid cinacalcet 30 mg daily discharge medications: 1. b complex-vitamin c-folic acid 1 mg capsule : one (1) cap po daily (daily). 2. lamotrigine 100 mg tablet : 2.5 tablets po bid (2 times a day). 3. nifedipine 10 mg capsule : six (6) capsule po q8h (every 8 hours). disp:*540 capsule(s)* refills:*2* 4. levetiracetam 250 mg tablet : 1.5 tablets po bid (2 times a day). 5. metoprolol tartrate 50 mg tablet : two (2) tablet po bid (2 times a day). 6. lisinopril 20 mg tablet : one (1) tablet po hs (at bedtime). 7. clopidogrel 75 mg tablet : one (1) tablet po daily (daily). 8. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 9. clonidine 0.1 mg tablet : one (1) tablet po bid (2 times a day). tablet(s) 10. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 11. nortriptyline 10 mg capsule : one (1) capsule po hs (at bedtime). 12. cinacalcet 30 mg tablet : one (1) tablet po daily (daily). 13. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 14. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed. 15. levetiracetam 500 mg tablet : 0.5 tablet po qhd (each hemodialysis). 16. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed. 17. ibuprofen 400 mg tablet : one (1) tablet po q8h (every 8 hours) as needed. 18. calcium carbonate 500 mg tablet, chewable : eight (8) tablet, chewable po tid w/meals (3 times a day with meals). 19. oxazepam 10 mg capsule : one (1) capsule po hs (at bedtime) as needed. discharge disposition: home discharge diagnosis: hypertensive urgency flash pulmonary edema discharge condition: good discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: followup instructions: please go to dialysis on please see your pcp 3 days of discharge procedure: hemodialysis percutaneous abdominal drainage non-invasive mechanical ventilation diagnoses: anemia in chronic kidney disease end stage renal disease congestive heart failure, unspecified cirrhosis of liver without mention of alcohol unspecified viral hepatitis c without hepatic coma hypopotassemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease epilepsy, unspecified, without mention of intractable epilepsy 

Answer: The patient is high likely exposed to