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: nausea, vomiting major surgical or invasive procedure: cardiac catheterization on history of present illness: ms. is a 50 y/o f with iddm type 1 who presents today with nausea and vomiting. the patient describes binge drinking the night prior to admission with her sister-in-law. she slept late today and did not take her am insulin. described severe nausea on awakening and had ~10 episodes of nbnb vomiting. could not eat any food due to the n/v. also with a mild ha and sore throat on awakening today. . on arrival to the ed, the patient's vitals were 98.0 81 143/91 15 97%. laboratory results were notable for a fs >500, ag of 44, potassium 5.9. the patient also had a wbc of 21 and received vanc/zosyn x1. while in the ed, the patient described mild cp which she has had with prior episodes of dka. ecg showed sinus tach with anterior st changes similar to prior ecgs. trop (-) x1. cxr was unremarkable. ua shows glucose 1000 and ketonuria. she was placed on an insulin drip, recieved 3l of iv fluids and transferred to the . . in the icu, the patient continued to describe mild cp. otherwise stable with initial vs 98.8 109 139/64 29 100%. past medical history: 1. dm1 - a1c 10.2 ; multiple ed visits for hypoglcyemia 2. htn 3. depression 4. bartholin gland abscess s/p i&d social history: lives with her 18 year old son. not presently employed. smokes 1/3ppd, drinks 1 beer/day. fri/sat > 5drinks per night. no other drug use. family history: history of htn; no dm, cad or cancer. physical exam: on admission: vitals - 98.0 81 143/91 15 97% general - patient appears well and is in nad heent - perrla, eomi, anicteric, mm dry, op clear, no teeth cardaic - tachycardic but regular, s1 and s2 appreciated, mid-systolic murmur ii/vi best heard at llsb chest - ctab, no w/r/r abdomen - soft, nt/nd, bsx4 extremeties - no gross deformity or edema neuro - awake, alert and oriented. cn ii-xii intact, strength throughout. pertinent results: on admission: 11:46pm blood wbc-20.8*# rbc-5.05 hgb-14.6 hct-48.0 mcv-95 mch-28.8 mchc-30.3* rdw-16.5* plt ct-311 11:46pm blood neuts-90.7* lymphs-6.0* monos-3.0 eos-0.1 baso-0.3 11:46pm blood pt-12.6 ptt-24.9 inr(pt)-1.1 11:46pm blood glucose-656* urean-36* creat-1.6* na-138 k-5.9* cl-92* hco3-8* angap-44* 01:00am blood alt-81* ast-107* ck(cpk)-206* alkphos-155* amylase-79 totbili-0.4 01:00am blood ck-mb-5 ctropnt-0.02* 05:30am blood calcium-7.2* phos-2.1*# mg-1.8 08:40am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg cxr - findings and impression: no focal opacity to suggest pneumonia is seen. no pneumothorax or pulmonary edema is present. there are likely trace pleural effusions. the heart and mediastinal contours are normal. brief hospital course: ## diabetic ketoacidosis: ms. was admitted for dka who p/w severe nausea and vomiting on after binge drinking the night before. she states that she missed her dose of lantus 27u that evening as well. labs in ed were notable for: serum glucose 656, ag 44, hco3 8, k 5.9, cr 1.6, lactate 5.0. utox was negative, u/a contained high glucose and ketones. cxr was negative. she was placed on insulin gtt, given 3l ivf, and admitted to icu. received one dose of vancomycin and zosyn given leukocytosis, but there was no sign of infection, so antibiotics were not continued. blood glucose improved rapidly with insulin gtt, iv fluids. endocrine/ followed her throughout admission. she was discharged on lantus 25u at bedtime, which is a decrease from her home 27u qhs. standing humalog 5u w/ meals was added to her regimen. she was advised to check her fingersticks at home daily and to avoid drinking alcohol. patient stated that she did not check her fingersticks at home in the past due to inability to pay for glucometer test strips. social work was instrumental in identifying that her insurance payor, mass health, would cover free style light test strips, so this was called in to the pharmacy, in addition to a new glucometer and lancets. . ## troponin elevation: patient complained of chest pain on arrival to ed. troponins were checked and peaked at 1.80 on , and later trended down. ekg was remarkable for non-specific changes and evidence of lvh. cardiology was consulted and felt that troponin leak was due to cardiac membrane instability in the setting of dka. the patient also provided history that she occasionally develops chest tightness when ascending the walkway to her pcp's office. thus, a pharmacologic stress test was obtained for risk stratification, which was positive for reversible perfusion defects and a drop in blood pressure after stress. cardiology spoke with patient and her daughter, and they ultimately decided to pursue cardiac catheterization on , which showed normal coronary arteries. patient denied further episodes of chest pain. . ## acute kidney injury: cr on presentation was 1.6, which was due to dehydration in setting of dka, etoh use, and poor po intake. rapidly resolved with aggressive hydration. cr came down to 0.8 prior to transfer to floor. . ## leukocytosis: had wbc 21 on presentation, which was thought to be due to dka. improved with management of dka. no infectious source was identified. blood cx showed no growth. . ## transaminitis: presented with mild transaminitis in setting of alcohol abuse and dka. trended down on its own. hepatitis serologies were negative. ruq us showed no evidence of cirrhosis. . ## alcohol use: patient was discouraged from drinking alcohol due to its own toxicity but also in hindering glycemic control. she was placed on ciwa protocol but showed no signs of alcohol withdrawal. . ## hypertension: home lisinopril was initially held due to but later restarted once cr normalized. bp was elevated, despite being on her home lisinopril 40mg daily and metoprolol 100mg . thus, hctz 25mg daily was started, which was continued on discharge. medications on admission: - asa 81mg daily - metoprolol 100mg - insulin glargine 100 unit/ml cartridge sig: twenty seven (27) units subcutaneous at bedtime. - insulin humalog 100 unit/ml cartridge sig: one (1) as per sliding scale subcutaneous qachs: please see sliding scale. - lisinopril 40 mg tablet sig: one (1) tablet po once a day. discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 8. insulin glargine 100 unit/ml solution sig: twenty five (25) units subcutaneous at bedtime. 9. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 10. insulin aspart 100 unit/ml solution sig: five (5) units subcutaneous twice a day: with meals. discharge disposition: home with service facility: homecare discharge diagnosis: diabetic ketoacidosis acute kidney injury non-st elevation myocardial infarction discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted for very high blood sugars, which was thought to be due to drinking alcohol and not taking your insulin. you should check your blood sugar every day and let your doctor know if it is consistently over 300 or less than 80. you should try to eat several small meals spaced out over the course of the day rather than just one large meal at lunch or dinner. you should also try to cut down on your drinking since this can make your diabetes harder to control. medication changes: - your lantus was decreased to 25 units at bedtime - you should take 5 units of humalog with meals - you were started on hydrochlorothiazide 25mg once a day because your blood pressure was high - you were started on atorvastatin 20mg at bedtime followup instructions: name: , r. location: community health center address: , , phone: when: tuesday, , 9:00 md procedure: coronary arteriography using two catheters left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care tobacco use disorder unspecified essential hypertension acute kidney failure, unspecified depressive disorder, not elsewhere classified alcohol abuse, unspecified long-term (current) use of insulin diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled dehydration leukocytosis, unspecified nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] 

Answer: The patient is high likely exposed to