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: dyspnea, peripheral edema major surgical or invasive procedure: 1. right heart catheterization history of present illness: 54 yo man currently undergoing evaluation for heart transplant for severe cardiomyopathy previously treated with weekly nesiritide infusions in clinic admitted with progressive dyspnea, le edema, and weight gain (home scale up to 315 lbs from 298) over the past two weeks. three weeks prior to admission, pt was admitted to osh for diuresis with furosemide. patient states his le edema improved but was not diminished to the same degree as it was following his hospitalization here in . since his discharge from the osh two weeks ago, he has had progressive exertional dyspnea and le edema despite compliance with his sodium and volume restriction. he phoned the clinic and was referred for hospitalization for tailored diuresis. also of note, on he noted maxillary > frontal sinus pain with nasal discharge (initially brown, now chartreuse per patient) and cough productive of similarly colored sputum. no f/c/s. symptoms are persistent but improving. he has been taking naproxen and otc decongestants for relief. he denies increasing orthopnea, chest pain, palpitations, abdominal pain, n/v, diaphoresis, or dysuria. past medical history: 1. non-ischemic cardiomyopathy (lvef 15-20% ) 2. dm-ii c/b neuropathy 3. hypertension 4. dyslipidemia 5. obesity 6. chronic renal failure (baseline cr 1.6) 7. rle cellulitis 8. thyroid lymphoma s/p xrt , now hypothyroid social history: pt is retired from owning a printing business. works in wife's daycare. pt is married with three grown children. no etoh. quit tobacco 20 yrs ago (smoked <1 pack per week). family history: non-contributory physical exam: temp 98.7, bp 113/80, hr 69, rr 16, spo2 98% ra gen: very pleasant, comfortable, non-toxic heent: diminished but significant l > r maxillary sinus tenderness, no frontal sinus tenderness neck: soft, supple, no cervical adenopathy, 2+ carotid pulses, minimal jvd (?7 cm, limited by body habitus), post-thyroidectomy scar cv: rrr, normal s1 and s2, no m/r/g pulm: cta bilaterally abd: soft, non-tender, non-distended, active bowel sounds back: no cva or paraspinal tenderness ext: trace ble pitting edema, 2+ dp and 1+ pt pulses bilaterally, right greater than left le chronic venous stasis changes, equal warmth bilaterally pertinent results: labs on admission: wbc-7.2 (n-80.4 l-10.6 m-6.0 e-2.8 b-0.3) hct-48.1 mcv-83 plt-268 pt-13.6 ptt-27.4 inr-1.2 na-143 k-3.5 cl-98 bicarb-32 bun-32 cr-1.6 glu-166 u/a negative labs on transfer: wbc-7.6 hct-42.9 mcv-85 plt-240 na-143 k-3.6 cl-101 bicarb-32 bun-29 cr-1.5 glu-78 ca-9.1 mg-1.9 phos-3.7 r heart cath (): c.i. 1.60 l/min/m2, pcwp 22, pa 47/25, rv 47/5, ra mean 10 metabolic stress test : vo2 of 8 tte : mild symmetric lvh, moderately dilated lv, severe global lvhk, severely depressed lvef (15-20%), moderately dilated aortic root and arch, moderately dilated ascending aorta, 1+ mr ccath : clean coronary arteries, moderate diastolic dysfunction, low cardiac index (1.6-1.8 l/min/m2). brief hospital course: 54 yo man with severe dilated cardiomyopathy admitted for tailored diuresis, now nearly at his baseline clinical status. 1. congestive heart failure: patient with known, severe, non-ischemic, dilated cardiomyopathy as per hpi. precipitant for deterioration in cardiac function on admission unclear, although patient may simply have severe chf refractory to outpatient control. no symptoms to suggest cardiac ischemia. recent nsaid and probable viral sinusitis may have been contributing factors. since admission, right heart cath demonstrated elevated right and left sided filling pressures and a depressed cardiac index. attempted tailored diuresis with milrinone resulted in an increased cardiac index and decreased pcwp but was complicated by acute renal failure due either to peripheral vasodilatation and poor renal perfusion or obstructive nephropathy (the patient's foley catheter may have been obstructed). since the milrinone was stopped on , his renal function has returned to baseline, and he has diuresed well. his net fluid balance this admission is roughly three liters negative. his pa catheter has been removed and he is stable for transfer to the floor. - furosemide 80 mg twice daily, carvedilol 25 mg twice daily, asa 81 mg daily - spironolactone 25 mg once daily, lisinopril 20 mg once daily, metolazone qfri - daily weights - continue fluid and sodium restriction - no further nsaids - transplant evaluation unremarkable to date 2. sinusitis: most likely viral given course of symptoms (gradually improving), although exquisiste maxillary sinus tenderness suggests possible bacterial superinfection, especially given colored nasal discharge. symptoms persist but are improving. - doxycycline 100 mg twice daily for three more days - continue saline and steroid nasal sprays (pt instructed re: proper usage) - consider sinus ct if symptoms do not continue to improve 3. acute renal failure: creatinine now back at baseline. - lisinopril dose increased today - recheck bun and creatinine in the morning 4. diabetes: adequacy of outpatient control not clear. - continue twice daily nph, add riss while in-house - restart outpatient glyburide - continue gabapentin for neuropathic pain 5. hypothyroidism: continue levothyroxine 250 mcg daily 6. gout: patient reports gouty attacks have been precipitated by high-dose furosemide in the past. he reports that plans to transition from colchicine to allopurinol have been thwarted by recurrent hospitalizations. he has, however, been stable off colchicine thus far. - continue to hold colchicine - plan outpatient transition to allopurinol 7. proph: low-sodium diet, oob 8. f/e/n: fluid and sodium restriction as above. recheck am lytes. 9. access: peripheral ivs. 10. code: full. 11. dispo: possible discharge tomorrow. medications on admission: 1. carvedilol 25 mg twice daily 2. spironolactone 25 mg twice daily 3. furosemide 80 mg twice daily 4. lisinopril 10 mg once daily 5. metolazone 2.5 mg every friday 6. nph 15 units twice daily 7. potassium chloride 40 meq once daily 8. glyburide 10 mg daily 9. aspirin 81 mg once daily 10. levothyroxine 11. colchicine 0.6 mg twice daily 12. gabapentin 800 mg twice daily discharge disposition: home discharge diagnosis: 1. non-ischemic dilated cardiomyopathy 2. systolic congestive heart failure 3. acute renal failure 4. sinusitis 5. diabetes mellitus type ii 6. hypothyroidism 7. hypertension 8. obesity 9. chronic renal failure discharge condition: pt appears to be at his dry weight, symptom-free with no lower extremity edema. discharge instructions: 1. take all medications as prescribed. 2. remember to weigh yourself daily and call dr. office with any weight gain. 3. continue to abide by a low-sodium (less than two grams daily) diet. 4. continue your fluid restriction at less than 1500 ml daily. followup instructions: 1. call dr. () on monday to arrange for a follow-up appointment with her at her discretion. 2. follow-up with your primary care physician as previously arranged.` md procedure: right heart cardiac catheterization injection or infusion of nesiritide diagnoses: other primary cardiomyopathies congestive heart failure, unspecified acute kidney failure, unspecified gout, unspecified other chronic pulmonary heart diseases diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes systolic heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia long-term (current) use of insulin unspecified sleep apnea retention of urine, unspecified obesity, unspecified unspecified sinusitis (chronic) personal history of malignant neoplasm of thyroid other postablative hypothyroidism 

Answer: The patient is high likely exposed to