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: failure to diurese major surgical or invasive procedure: none history of present illness: the patient is an 84 y.o. male with h/o ischemic cm, cri, ef = 30% who is admitted from clinic for volume overload and failure to diurese despite receiving twice weekly infusions of natrecor. of note upon admission his bnp is increased from 2587 on . he is admitted for medical management until he can obtain a bed in the ccu where he will undergo tailored therapy. his dry wt = 130 lbs and today in clinic his dry wt = 138.5 lbs. via a russian interpretor he denies chest pressure and states that his sob on exertion is no worse than usual, in the past two weeks he has only used slng once. he can walk 50 yards before becoming sob. he is currently c/o back pain which is chronic and he thinks that this most recent exacerbation of back pain may have been by malposition while sleeping. can lay flat on one pillow to sleep, no change. no change in chronic lower extremity edema. no pnd. no f/c/n/v/d. past medical history: ##cad s/p cabg cath at : lad:p100, m100 lcx: m100 rca:p95 pda: 100 lima>>lad: patent svg>>pda: 70% svg>>om: thrombus ##ischemic cm with ef 30% with apical aneurysm ##vf arrest in ##aaa (5.3 x 3.8 cm by ct in ) ##paf with wap ## mvr ##crf (blc ) ##htn ##hyperchol ##tia ##gerd ##hypothyroidism ##r renal mass (suspected rcc) ##anemia. social history: russian speaking. former general surgeon. married lives with wife, able to do . denies any t/a/d use family history: + family history of cad, mi physical exam: t afebrile bp 149/97 hr 84 rr 15 o2sats 100% 2lnc gen: elderly gentleman, comfortable, nad heent: clear op, poor dentition, mmm neck: supple, + jvd to ear lungs: faint crackles at right base otherwise clear heart: rrr ii/vi sem at sternal borders greater on expiration, + mechanical s2 radiating to left posterior chest wall abd: soft, nt, nd, +bs + pulsatile liver ext: + pitting edema from ankles-knee neuro: a&o times 3, strength/sensation intact throughout +r slr, no saddle anesthesia. pertinent results: 08:15am glucose-118* urea n-68* creat-3.5* sodium-136 potassium-3.7 chloride-99 total co2-27 anion gap-14 08:15am probnp-* 08:15am magnesium-2.2 uric acid-8.0* 08:15am wbc-6.9 rbc-3.06* hgb-9.6* hct-29.4* mcv-96 mch-31.5 mchc-32.8 rdw-18.8* 08:15am plt count-183 08:15am pt-17.1* inr(pt)-1.8 echo-; left and right atrial enlargement dyskinetic apex the right ventricular cavity is mildly dilated. there is mild global right ventricular free wall hypokinesis. the inferior vena cava is dilated (>2.5 cm). moderate global left ventricular hypokinesis with an apical aneurysm.. bileaflet mitral valve prosthesis is present moderate to severe tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. significant pulmonic regurgitation is seen brief hospital course: mr. was an 83 yo male with a complex cardiac history, ef of 30%. he was on biweekly natrecor with resistant volume overload and was admitted for tailored therapy. on admission clearly volume overload by exam(elevated jvp and le edema). on , he recieved lasix and nesiritide with no relief of volume status. he was transferred to icu for ultrafiltration. central line consented. hydralazine, imdur, lasix, and nesiritide were continued. he has a history of atrial fibrillation, now in nsr on amiodarone. he was continued on aspirin and lipitor. mr has ischemic cardiomyopathy with apical aneurysm, on coumadin at home, switched to heparin gtt here. he has a mvr. inr goal 2.5-3.5 but coumadin stopped and was on heparin on the floor. this was temporarily stopped for line placement. for his hypothyroidism, his tsh was checked and, his current dose of levothyroxine was continued. th patient has crf with cr baseline at 3.2-3.5 he's also on epo for anemia of chronic disease. he was started on chf solutions and received a treatment taking about 2 liters off. then his lines clotted and the treatment was stopped. about 10 minutes later, he started complaining of extreme right "kidney" pain. he was screaming and demanded 2 mg of morphine, shouting, "i am a surgeon. give me morphine! 2mg morphine!" he was given 1 mg of morphine which provided some relief. about 15 minutes later, the patient became hypotensive and unresponsive. a code was initiated and the patient was intubated. three pressors were started. mr. was found to have a hct drop of 31 to 21. it was thought that the patient had a catastrophic intraabdominal bleed, either from a ruptured abdominal aorta or from a ruptured renal mass. the patient expired within a few hours. medications on admission: allopurinol 100 mg--one by mouth every day ambien 10mg--one by mouth at bedtime as needed for sleeplessness amiodarone hcl 200mg--one by mouth every day epoetin alfa 4000 u/ml--4000 ubits mwf furosemide 40mg--one by mouth twice a day hydralazine hcl 10mg--one by mouth three times a day isosorbide mononitrate 60mg--one by mouth every day klor-con 20meq--one by mouth 3x/wk lactulose 10g/15ml--one tablespoon by mouth 1-2 times per day as needed for constipation levothyroxine sodium 75mcg--one by mouth every day lorazepam 1mg--one by mouth at bedtime lovastatin 20 mg--take one by mouth every day metoprolol succinate 25mg-- (12.5mg) twice a day nitroglycerin 400 mcg (1/150 gr)--one under the tongue as needed for for chest pain q 5 min x 3, then to er physical therapy --please evaluate and treat for strengthening exercises protonix 40mg--one by mouth every day pt/inr --fax results attn: clinic as needed for as directed questions: syringe 1ml (insulin) 1 ml--use as directed tramadol hcl 50 mg--1 tablet(s) by mouth four times a day as needed for pain walker --n/a miscell. n/a: folding walker with wheels and seat. warfarin 1 mg--as directed to maintain inr discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube cardiopulmonary resuscitation, not otherwise specified injection or infusion of nesiritide diagnoses: anemia in chronic kidney disease esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified unspecified acquired hypothyroidism atrial fibrillation malignant neoplasm of kidney, except pelvis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified forms of chronic ischemic heart disease heart valve replaced by other means abdominal aneurysm without mention of rupture hemorrhage, unspecified 

Answer: The patient is high likely exposed to