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: patient recorded as having no known allergies to drugs attending: chief complaint: transfer for acute chf exacerbation major surgical or invasive procedure: intubation history of present illness: 63 y/o man with pmh of dmii, copd, ckd/esrd on hd, 3vd s/p rca stent (). admitted to osh with resp distress, intubated and noted to have elev tropi and cks. pt developed acute dyspnea and nausea while watching tv with his family late pm on . denied cp per notes. intubated in osh ed. peak myoglobin > 1000, troponin i 0.74. . recently admitted to osh () with chf exac from dietary indiscretion which family says has been continuing issue. . upon admission, decision was made not to take for immediate intervention given his questionable nstemi and known anatomy. cards to consider intervention on monday. past medical history: 1. cad- known 3vd with 90% rca s/p des, 70% ulcerated lmca lesion, pt and ct declined cabg () co-morbidities (ica disease, esrd) cath = right dominant circulation. lmca was short and heavily calcified with a distal taper. lad proximal eccentric 80% lesion and the distal vessel had a tubular 70% lesion. numerous diagonal arteries were without critical lesions. lcx = non-dominant vessel with heavy calcifications. only a ramus was seen and it was occluded proximally. rca = dominant vessel with a proximal 99% lesion. the abdominal aorta was found to have moderate diffuse disease with iliac aneurysmal dilation and poor distal flow to the cfa. the rca was stented with a 3.0 x 18 cypher. the final residual was 0% with normal flow. 2. dmii 3. esrd on hd- tuesday, thursday, and saturday. 4. copd 5. hypertension 6. s/p cva, b/l ica occlusion 7. s/p ccy social history: pt is separated from his wife. has not worked for the past three years but used to be employed as a salesman. he has an 80 pack year tobacco history and smokes 2.5 packs per day. ? etoh use. denies iv drug use. family history: he is unsure of what diseases run in his family. he reports that his parents had "all the big diseases." his brother had an aneurysm. he reports that his sister has inner ear troubles. physical exam: 100.6 120/80 109 20 ac 600x fio2 0.4 peep 5 gen- intubated and sedated neck- l >r carotid bruit cardiac- ii/vi systolic murmur, crescendo/descrescendo pulm- exp wheeze, mild basilar rales abdomen- soft, + bs extremities- cool, 1+ palpable dps neuro- responds to voice, follows simple commands pertinent results: 11:49pm type-art po2-118* pco2-41 ph-7.55* total co2-37* base xs-12 11:49pm lactate-1.4 07:58pm glucose-104 urea n-16 creat-3.5*# sodium-142 potassium-3.9 chloride-98 total co2-30 anion gap-18 07:58pm alt(sgpt)-10 ast(sgot)-24 ld(ldh)-202 ck(cpk)-249* alk phos-84 tot bili-0.2 07:58pm ck-mb-3 ctropnt-0.41* probnp-* 07:58pm albumin-4.0 calcium-8.8 phosphate-3.1 magnesium-1.9 07:58pm wbc-9.0 rbc-3.42* hgb-10.0* hct-29.9* mcv-87 mch-29.3 mchc-33.6 rdw-15.9* 07:58pm neuts-82.2* lymphs-13.4* monos-3.9 eos-0.3 basos-0.2 07:58pm plt count-245 07:58pm urine color-straw appear-hazy sp -1.014 07:58pm urine blood-lg nitrite-neg protein-500 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-9.0* leuk-mod 07:58pm urine rbc-* wbc-* bacteria-occ yeast-none epi-0-2 . ecg: sinus tachy at 100, nl axis, 1- depr v3-v6, i, l (old, v3-v6 improved) . imaging: cxr = no signif pulm edema/infiltrates, lines and tubes ok . echo: ef 45-50% the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with nmore prominent hypertrophy of the basal septum, but no resting lvot gradient. normal cavity size with hypokinesis of the basal half of the inferior wall. the remaining segments contract well. tissue velocity imaging demonstrates an e/e' <8 suggesting a normal left ventricular filling pressure. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. . brief hospital course: a/p:63 yo male with 3vd s/p rca des () p/w acute pulm edema at osh and ?nstemi. . #) cad: known 3vd, not cabg candidate; recent rca des, 80% lad lesion, diffuse lcx disease, now with ?nstemi -- rx with asa, plavix, high dose statin, beta blocker, hep gtt, -- no giibiiia (given esrd) -- cycle cks, follow ekgs -- to more urgent cath if hemodynamics worsen, ste develop... . #) pump: -- recent tte with ef 40-45%, mild slvh, mild global hk, mildly dilated la; repeat tte in 48hrs -- volume o/l noted at osh and here bnp > 54,000 -- will consider pa cath if hemodynamics change . #) rhythm: -- nsr, follow ekgs . #) resp failure: -- likely related to acute pulm edema from ?ischemic event, volume o/l from inadequate hd -- will try to wean vent as tolerated -- pt with known copd, tolerate elev pco2 (approx 55) -- c/w atc combivent mdi . #) esrd on hd: - getting hd tthsat; had hd on at osh. - c/w epo, hold phoslo for now - renal following . #) fever: could be copd exacerbation/bronchitis vs. uti vs. inflammation (s/p mi, pulm edema, etc.) - sputum, blood and urine cx - cxr clear - will trend fever curve and cxr and exam and assess wbcs in am. consider azithromycin for acute exacerbation of copd . #) s/p cva: b/l 100% ica stenosis -- monitor neuro status, c/w asa, plavix, statin for prevention . #) copd: -- atc mdi as above -- bl pco2 near 55 based on hco3 . #) dm 2: -- riss, hold oral hypoglycemics . #) fen: -- npo for now, start tf if intervention not planned for > 24hrs . #) dispo: full code. . #) communication - sister, . medications on admission: 1. paxil 2. lopressor 50 mg 3. plavix 300 mg x1 4. protonix 5. dilantin 400 daily 6. nephrocaps 1 tab daily 7. lipitor 40 mg daily 8. gemfibrozil 600 mg 9. phoslo 10. combivent 11. advair 12. asa 13 humulin 10mg discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 6. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 7. insulin regular human 100 unit/ml solution sig: ten (10) units injection twice a day: same outpatient dose. 8. epoetin alfa 10,000 unit/ml solution sig: one (1) injection asdir (as directed): during dialysis. 9. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 10. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 11. combivent 103-18 mcg/actuation aerosol sig: one (1) inhalation every 4-6 hours as needed for shortness of breath or wheezing. 12. atorvastatin 40 mg tablet sig: one (1) tablet po once a day. 13. dilantin 100 mg capsule sig: four (4) capsule po once a day. 14. paxil 20 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: vna of southeastern mass. discharge diagnosis: primary: chf cad resp failure secondary: esrd copd dm2 discharge condition: stable discharge instructions: please take all medications as prescribed. seek medical attention immediately if you experience symptoms including shortness of breath, chest pain, numbness, fatigue, weakness, seizure, arm or jaw pain or any other new concerning symptoms. you need to avoid salty foods including pizza and chinese food. these foods are clearly causing you to have excess fluid in your lungs. follow up as per below. followup instructions: 1) , g md #201 doctors phone : . friday @ 11am 2) , md phone: date/time: 11:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube hemodialysis diagnoses: end stage renal disease subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified percutaneous transluminal coronary angioplasty status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure 

Answer: The patient is high likely exposed to