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: radioactive diagnostics, general classif attending: chief complaint: anaphalaxis, chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: this is a 41 year old man with an iv contrast dye reaction. he presented to for an outpatient ct scan, but shortly after receiving the dye infusion he had itching and a feeling of throat tightness. he received benadryl, oxygen, and epinephrine 0.2 mg iv, at which point he became bradycardic to the 50's and hypotensive despite fluid bolus. he was brought to the ed and was started on dopamine, and a bipap mask at 100% o2. an ekg in the ed showed st elevations in multiple leads, including i,ii,iii, avf, v5 and v6 onsistent with ischemia. an echo showed global hypokinesis. the patient was admitted to the ccu team for management. past medical history: h. pylori gastritis gerd chronic abdominal pain social history: he works as a chef, is married. he smokes about 5 cigarettes a day. physical exam: v: p65 r15 bp 92/47 o2 99% bipap 10/5 gen: alert, on bipap heent: perrl resp: rales l base more than r cv: regular rate, nl s1s2, no murmurs. palpable carotid, dp pulses bilaterally abd: soft, ntnd +bs skin: no rash neuro: a+ox3 pertinent results: 07:40pm wbc-10.9# rbc-4.64 hgb-14.1 hct-41.3 mcv-89 mch-30.4 mchc-34.2 rdw-12.2 07:40pm neuts-67.1 lymphs-23.0 monos-4.0 eos-5.5* basos-0.4 07:40pm plt count-278 07:40pm glucose-101 urea n-11 creat-0.8 sodium-140 potassium-4.0 chloride-106 total co2-25 anion gap-13 07:40pm ck-mb-6 07:40pm ctropnt-0.42* 03:40am blood alt-29 ast-66* ck(cpk)-422* alkphos-66 totbili-0.5 01:25pm blood alt-35 ast-79* ld(ldh)-212 ck(cpk)-414* alkphos-64 totbili-0.6 09:52pm blood ck(cpk)-269* 07:40pm blood ctropnt-0.42* 03:40am blood ck-mb-42* mb indx-10.0* ctropnt-2.09* 01:25pm blood ck-mb-41* mb indx-9.9* ctropnt-1.39* 09:52pm blood ck-mb-26* mb indx-9.7* ctropnt-0.86* echo midventricular segmental hypokinesis (somewhat atypical for contractile dysfunction caused by epicardial coronary artery occlusive disease) echo the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef 60%). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the findings of the prior study (tape reviewed) of , contractile function of the left ventricle has normalized. cardiac catheterization comments: 1. selective coronary angiography revealed a right dominant system. the coronary arteries were angiographically normal. 2. the patient was premedicated with steroids, benadryl and pepcid beacause of the history of prior anaphylactic reaction to contrast dye. 3. at the end of the procedure the arteriotomy site was successfully closed with a perclose device. brief hospital course: 1) anaphalaxis - the patient was treated with epinephrine iv and benadryl. he was given multiple ns boluses and put on 7.5 mcg/kg of dopamine for hypotension. he was put on bipap face mask for hypoxia. he was given solumedrol, benadryl, and iv pepcid to prevent further histaminergic reaction. he was weaned from the dopamine and bipap by hd#1, and did not have further reaction. 2) cardiac - the pateint developed st elevations by ekg and a cardiac enzyme leak following injection with iv epinephrine. however, he was still given aspirin, statin, and b-blocker. an echo showed stunned myocardium but a further echo was normal. he was injected with mibi for an exercise stress test but refused to complete the exam. therefore, a cardiac catheterization was done with premedication with prednisone, pepcid, and benadyl to prevent iv contrast reaction. he had no reaction to the contrast from this procedure, and his coronary arteries were patent. since the cardiac enzyme leak was therefore likely due to vasospasm of his coronary arteries, rather than formation of a coronary thrombus, he was discharged on only his previous home medications plus 5 mg amylodipine qd. he will follow up with his cardiologist. 3) gi - the patient's abdominal pain was minimally present during hospitalization. the ct scan he had received was unremarkable. he was continued on a ppi and further workup of his pain was deferred to the outpatient setting. medications on admission: protonix 40 mg poqd celexa 5 mg poqd discharge medications: 1. amlodipine besylate 5 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 2. prednisone 20 mg tablet sig: three (3) tablet po once (once) for 1 doses: take in the morning of . disp:*3 tablet(s)* refills:*0* 3. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 4. celexa 5 mg tablet oral daily discharge disposition: home discharge diagnosis: iv contrast anaphalaxis coronary artery vasospasm discharge condition: pt was in good condition, eating, ambulating, and ready to go home. he had no complaints of shortness of breath, dizziness, rash or itching 6 hours post catheterization, and his groin site was clean and intact without hematoma, bruit, or bleed. discharge instructions: please start your new medication norvasc and take one dose of prednisone in the morning. please leave your catheterization bandage in place for 24 hours. you can remove it tomorrow around noon. please do not shower until then. if you have a rash, shortness of breath, itching, dizziness, bleeding from your groin, back pain or other concerns tonight, please consider taking benadryl 50 mg by mouth and go to the ed. if you have these problems in the future, please call dr. or return to the ed. followup instructions: please follow up with dr. : (, in weeks for further workup of your abdominal pain and management of your bp medications. you also have these appointments already scheduled: provider: where: date/time: 2:00 provider: , surgery where: surgery date/time: 3:00 procedure: coronary arteriography using two catheters diagnoses: other pulmonary insufficiency, not elsewhere classified other and unspecified angina pectoris other drugs and medicinal substances causing adverse effects in therapeutic use other anaphylactic reaction 

Answer: The patient is high likely exposed to