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: sevoflurane attending: chief complaint: ruptured arteriovenous fistula aneurysm major surgical or invasive procedure: repair of ruptured arteriovenous fistula aneurysm. debridement of necrotic skin. graft ligation placement of tunneled dialysis catheter history of present illness: 45 year-old male with esrd on hd, iddm, and htn who moved abruptly from ny about 2 weeks ago, now presents with erosion / bleeding over fistula. bleeding began evening prior to admission. he denies pain. no fevers, +chills. no nausea or vomiting. approximately 3weeks prior to admission, he underwent surgery on fistula for infection. sensation in hand intact. last hd 1 day prior to admission. past medical history: end stage renal disease (due to diabetes type i), on dialysis hypertension glaucoma, legally blind l eye s/p surgical debridement of l arm fistula social history: originally from . separated, with five healthy children. not currently working, but has worked for a security guard in the past. he just moved from to permanently stay in with his brother. denies current tobacco use (quit several years ago). he denies etoh or illicit drug use. family history: multiple siblings with htn and diabetes. two sisters with a " problem." no known early coronary disease or kidney disease. physical exam: gen: thin young male, nad, walks with cane heent: blind in l eye, oral mucosa pink/moist card: rrr, no m/r/g noted lungs: cta bilaterally ext: left arm with 3 dressings, 2 from hemodialysis today and 1 covering area of concern on fistula. scabbed over, not bleeding but old blood on dressing. + bruit/thrill. no edema noted pertinent results: 07:55am potassium-4.8 05:05am blood wbc-5.9 rbc-4.41* hgb-13.0* hct-39.7* mcv-90 mch-29.5 mchc-32.7 rdw-15.7* plt ct-240 on discharge: 05:05am blood wbc-5.9 rbc-4.41* hgb-13.0* hct-39.7* mcv-90 mch-29.5 mchc-32.7 rdw-15.7* plt ct-240 05:05am blood glucose-151* urean-47* creat-10.0*# na-136 k-4.9 cl-95* hco3-26 angap-20 06:00am blood calcium-9.5 phos-7.2* mg-2.4 brief hospital course: admitted on , received dialysis on , and underwent repair of ruptured arteriovenous fistula aneurysm on in the late evening. after anesthesia induction with fentanyl and propofol, he had an episode starting at 21:40 of hypotension and bradycardia. vitals were bp 70/40 and hr in the 50's. per anesthesia attending's note, the patient then suffered a pulseless electrical activity event. cpr was immediately initiated, and patient was intubated. cpr was given for 8 minutes. he was given epinephrine, atropine and bicarbonate. by 21:55, his bp was 250/120 and hr was 120-140. it was determined to be reasonable to continue with the fistula revision. the patient tolerated the procedure well and was taken to the sicu post-operatively. he was sedated with propofol. during the night, a nurse found that his arms were posturing to noxious stimuli. his propofol was weaned off during the night and at 8am, a sicu nurse noted that he did not move his extremities to noxious stimuli. however, he did spontaneously lift both arms. he did not spontaneously move his arms. he was extubated at 9:30am. after extubation, he opened his eyes but was non-verbal and was not responding to commands. his head was twisted to the right, and he had a left lower facial droop. he moved both arms spontaneously. patient was given vecuronium and propofol and was re-intubated. the stroke team was called to evaluate the patient. he received an mri and mra of the brain and mra of the neck which revealed: an area of hyperintensity signal with linear extension adjacent to the left superior ependymal region with no other areas of abnormal signal noted in the brain parenchyma, the posterior aspect of the left orbital globe demonstrated heterogeneous signal, likely representing retinal hemorrhage of uncertain chronicity, normal mra of the circle of and neck vessels. cxr revealed moderate-to-severe cardiomegaly (longstanding and unchanged), with no pneumothorax or appreciable pleural effusion. ct head revealed a punctate area of hyperdensity in the left corona radiata, with no surrounding edema, most likely representing punctate calcification, retinal hemorrhage in the left eye, and no definite intracranial hemorrhage, mass effect, or edema. in addition to the aforementioned studies, the stroke team recommended 81mg aspirin daily. following these studies, the patient was weaned to extubate and successfully extubated on , which he tolerated well. he received neuro checks q1hour. his mental status was noted to improve following extubation. he received dialysis on and was transferred to the floor. he was tolerating a regular diet, ambulated independently, and able to answer questions adequately in spanish. in the ensuing days the patient was found to have some confusion and was placed on a 1:1 sitter. he was evaluated by psych who recommended ruling out organic causes. seen by the neuro service in followup, they did not feel this was neurological in origin, although an eeg was obtained which was read as within normal limits. on the patient had spontaneous bleeding from the left arm dialysis access, which was deemed unsalvageable at that time and required ligation. a tunneled dialysis catheter was placed which has been functioning well. the sitter was discontinued, he was cleared by physical therapy. he will be discharged to halfway house, and will receive hemodialysis 3x per week (tuthurssat)at . first hd there scheduled for thursday . medications on admission: losartan 50 mg daily ca acetate 667 mg 1 q meal folic acid 1 mg daily metoprolol 100 mg furosemide 80 mg daily pantoprazole 40 mg daily amlodipine 5 mg daily discharge medications: 1. losartan 25 mg tablet sig: two (2) tablet po daily (daily). 2. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. furosemide 40 mg tablet sig: two (2) tablet po daily (daily). 5. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 6. insulin regular human 100 unit/ml solution sig: see sliding scale injection asdir (as directed). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 9. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) intravenous hd protocol (hd protochol). 13. cipro 500 mg tablet sig: one (1) tablet po once a day for 21 days. 14. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) intravenous hd protocol (hd protochol) for 3 weeks: through . 15. insulin glargine 100 unit/ml solution sig: five (5) units subcutaneous at bedtime: continue humalog sliding scale also. discharge disposition: extended care facility: house discharge diagnosis: ruptured arteriovenous aneurysm access ligation with tunneled line placement discharge condition: stable discharge instructions: please call dr. office if fevers, chills, nausea, vomiting, incision site with increased drainage/redness/bleeding or any concerns. change dressing once daily followup instructions: , md phone: date/time: 8:45 opthamology followup procedure: hemodialysis venous catheterization for renal dialysis revision of arteriovenous shunt for renal dialysis removal of arteriovenous shunt for renal dialysis diagnoses: end stage renal disease cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cardiac arrest long-term (current) use of insulin surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation infection and inflammatory reaction due to other vascular device, implant, and graft diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled other complications due to renal dialysis device, implant, and graft central nervous system complication 

Answer: The patient is high likely exposed to