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: penicillins / iodine; iodine containing / carbamazepine attending: chief complaint: seizure, vomiting, inability to protect airways, intubation major surgical or invasive procedure: mechanical intubation and ventilation hemodialysis exchange of catheter of line history of present illness: 61-year-old man with esrd on mwf, liver disease, seizure disorder presented from facility with 2-3 days of diarrhea, nausea, vomiting. norovirus has been affected his co-residents. . in the ed, initial vs: t 98.8, hr 97, bp 218/127, rr 16, 98%ra. patient initially "did not communicate much," raising concerns for hypertensive encephalopathy or active seizure. he then seized x 30 seconds, became alert again, but then vomited profusely and was intubated for airway protection. his head ct was unremarkable. cxr was unremarkable. he then spiked to 100.6f. had a few more loose stools in ed. was briefly on nicardipine gtt, but once on propofol for the intubation, his bp dropped and nicardipine was d/c'ed. cxr negative. was given ceftriaxone 1 gm x 2, vanco 1 gm x 1, acyclovir 800 mg iv x 1. by the time of transfer to micu, t 98.0, hr 95, bp 180/91. . : not obtained due to patient being intubated past medical history: - multiple pulm infiltrates on ct scan concerning for malignancy. - esrd on hd idiopathic glomerulonephritis - liver failure secondary to hepatitis c - epilepsy - this began in childhood with generalized tonic-clonic seizures. his usual seizure is nonconvulsive and characterized by confusion, disorientation. he was admitted in and for a seizure that presented with confusion. he is followed closely by neurologist dr. , for seizure prevention takes lamictal 250 mg , keppra 375 mg plus an additional 250 mg after each hemodialysis session, dilantin 200 mg . - coagulase negative staph bacteremia secondary to hd line sepsis - history of chf now with transesophogeal in showing normal left ventricular function. - hypertension - vre - septic arthritis of left shoulder - avnrt s/p ablation psh: - s/p two failed renal transplants - s/p arthroscopic debridement of l shoulder - synovectomy and tenotomy l shoulder, social history: lives at facility on mission called at ; the facility, per his son does not help him take medications or provide any other care besides ensuring that the patient has 3 meals per day and that he is accounted for on a daily basis. he is on disability, has two sons. smokes 1ppd x 40 yrs, no etoh, no drugs. family history: mother died of breast cancer. father has coronary artery disease and congestive heart failure, alive at yo. two sons are healthy. physical exam: lungs: ctab cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, mildly distended, bowel sounds present ext: warm, well perfused, 2+ pulses, no edema. right and l sided fistula with palpable pulses, l subclavian tunnelled line c/d/i pertinent results: imaging head ct : no acute intracranial process. . cxr : an endotracheal tube tip terminates 4.5 cm from the carina. ng tube extends into the stomach. a catheter tip lies within the proximal right atrium. the lung volumes are low, with accentuation of the cardiomediastinal and hilar contours. the heart is normal in size, with a mildly unfolded aorta. there is a right hilar opacity, which appears new from the prior study. known right lower lobe pulmonary nodule is better appreciated on prior cts. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. impression: 1. endotracheal tube tip 4.5 cm above the carina. 2. right hilar opacity, may reflect adenopathy. 3. known pulmonary nodules are better assessed on recent ct. . mr findings: there is no evidence for acute ischemia. extensive supra- and infratentorial volume loss is seen with presumed small vessel ischemic changes in the subcortical white matter. appearance is stable compared to the previous mri. bilateral mastoid opacification is noted. intracranial flow voids are maintained. there is a stable small slit-like encephalomalacia in the left inferior basal ganglion which likely represents an old small slit hypertensive hemorrhage. there are unchanged susceptibility focii in the left temporal and right occipetal lobe which may represent remote microhemorrhage or amyloid angiopathy. impression: no acute ischemia. stable supra- and infratentorial volume loss and presumed small vessel ischemic changes. . laboratory data 02:40pm blood wbc-3.8* rbc-5.05# hgb-13.1*# hct-41.5# mcv-82 mch-25.9* mchc-31.5 rdw-20.3* plt ct-161 04:18am blood wbc-2.6* rbc-3.83* hgb-10.0*# hct-31.0*# mcv-81* mch-26.2* mchc-32.4 rdw-20.5* plt ct-137* 03:41pm blood hct-30.3* 05:19am blood wbc-3.5* rbc-3.83* hgb-10.1* hct-31.2* mcv-81* mch-26.2* mchc-32.3 rdw-21.1* plt ct-146* 06:42am blood wbc-4.1 rbc-3.69* hgb-9.5* hct-29.7* mcv-80* mch-25.8* mchc-32.1 rdw-20.9* plt ct-124* 05:48am blood wbc-3.5* rbc-3.48* hgb-9.3* hct-28.0* mcv-80* mch-26.7* mchc-33.2 rdw-21.3* plt ct-131* 02:40pm blood pt-13.4 ptt-30.9 inr(pt)-1.1 04:18am blood pt-13.5* ptt-30.0 inr(pt)-1.2* 05:19am blood pt-14.2* ptt-30.2 inr(pt)-1.2* 02:40pm blood glucose-95 urean-33* creat-6.0*# na-141 k-6.9* cl-95* hco3-28 angap-25* 04:18am blood glucose-81 urean-39* creat-7.1*# na-142 k-4.8 cl-98 hco3-27 angap-22* 05:19am blood glucose-93 urean-27* creat-4.9*# na-141 k-4.4 cl-100 hco3-26 angap-19 06:42am blood glucose-82 urean-36* creat-5.7* na-139 k-4.6 cl-97 hco3-26 angap-21* 05:48am blood glucose-89 urean-16 creat-3.6*# na-138 k-3.8 cl-97 hco3-29 angap-16 04:18am blood alt-13 ast-36 alkphos-152* totbili-0.4 05:19am blood alt-14 ast-67* alkphos-158* totbili-0.6 02:40pm blood phenyto-5.8* 11:36am blood phenyto-4.8* 05:19am blood phenyto-6.5* 06:42am blood phenyto-7.8* 05:48am blood phenyto-8.3* 06:40am blood phenyto-9.8* brief hospital course: mr. is a 61-year-old man with esrd on , liver disease, and seizure disorder who presented from facility with 2-3 days of diarrhea, nausea, vomiting. . airway protection: following the seizure he had several episodes of emesis and was unable to protect his airway. he was intubated. he was extubated the following day. . # seizures: mr. had a seizure while in the ed. following the seizure he had several episodes of emesis and was unable to protect his airway. he was intubated. in the micu neurology was consulted and recommended continuing him on his home dose of lamotrigine, phenytoin, and levetiracetam. an mri of the head was done per neurology which showed no acute ischemia and stable supra- and infratentorial volume loss. he remains on the same dose of keppra and dilantin, and will follow up with dr. , his neurologist. . # acute diarrhea, nausea, vomiting: likely norovirus given an outbreak at his living facility. his diarrhea stopped during his micu stay. he had no more episodes of emesis. he was able to tolerate a regular diet. . # hypertension: sbp was over 200 in ed. he required a nicardipine gtt for a period of time. he was continued on a clonidine patch, lisinopril, and an increased dose of nifedipine. . # esrd: cr. 6.0 on admission. he had his scheduled sessions. he had an exchange of his line on . he will continue on his mwf schedule. . # lung nodules: he has known pulmonary nodules which are concerning for malignancy. he deferred inpatient workup. thoracic surgery was consulted for a potential biopsy, but recommended ct guided biopsy. this will be arranged as an outpatient by his pulmonologist, dr. . . # liver disease: continued on rifaximin. . # code: full medications on admission: 1. b complex-vitamin c-folic acid 1 mg capsule : one (1) cap po daily (daily). 2. clonidine 0.2 mg/24 hr patch weekly : one (1) patch weekly transdermal qsat (every saturday). 3. lamotrigine 100 mg tablet : 2.5 tablets po bid (2 times a day). 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. levetiracetam 250 mg tablet : 1.5 tablets po bid (2 times a day). 6. lisinopril 20 mg tablet : one (1) tablet po bid (2 times a day). 7. levetiracetam 250 mg tablet : one (1) tablet po after (). 8. calcium carbonate 500 mg tablet, chewable : two (2) tablet, chewable po qid (4 times a day). 9. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 10. nifedipine 30 mg tablet sustained release : two (2) tablet sustained release po tid (3 times a day). 11. phenytoin sodium extended 100 mg capsule : two (2) capsule po bid (2 times a day). 12. rifaximin 200 mg tablet : one (1) tablet po tid (3 times a day). discharge medications: 1. clonidine 0.2 mg/24 hr patch weekly : one (1) patch weekly transdermal qsat (every saturday). 2. lamotrigine 100 mg tablet : 2.5 tablets po bid (2 times a day). 3. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 4. rifaximin 200 mg tablet : one (1) tablet po tid (3 times a day). 5. levetiracetam 250 mg tablet : 1.5 tablets po bid (2 times a day). 6. levetiracetam 250 mg tablet : one (1) tablet po after each (). 7. phenytoin sodium extended 100 mg capsule : two (2) capsule po bid (2 times a day). 8. lisinopril 20 mg tablet : one (1) tablet po bid (2 times a day). 9. nifedipine 90 mg tablet sustained release : one (1) tablet sustained release po bid (2 times a day). disp:*30 tablet sustained release(s)* refills:*2* 10. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr once a day. 11. calcium 500 mg tablet : two (2) tablet po four times a day. 12. b complex-vitamin c-folic acid 1 mg capsule : one (1) capsule po once a day. discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnosis: viral gastroenteritis secondary diagnosis: hypertension seizure disorder lung nodules hepatitis c end stage renal disease discharge condition: mental status: confused - sometimes level of consciousness: alert and interactive discharge instructions: thank you for allowing us to take part in your care. you were admitted to the hospital with vomiting and diarrhea. this was most likely related to a virus. your diarrhea and vomiting resolved. when you were admitted, you had a seizure and required a assistance to help you breathe. we adjusted the dose of your blood pressure medications because your blood pressure was elevated. please take your nifedipine twice a day. your new dose is 90 mg. please weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: your lung doctor would like for you to have a biopsy of one of the lesions in your lungs. dr. office will call you with an appointment for a follow up of your hospitalization. if you do not hear from the office within 2 business days please call to book appointment () please follow up with your neurologist, dr. . you were scheduled for an appointment on at 9:00am. please call with any questions. please follow up with your primary care physician, . at . please call on monday to let her know you were discharged from the hospital. your left foot was found to be a little cold and there was difficulty finding one of the arterial pulses. you were given an appointment with surgery to further evaluate. please follow up with dr. on at 9:30am. his office is located at , ma. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis diagnoses: end stage renal disease anemia, unspecified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified protein-calorie malnutrition unspecified viral hepatitis c without hepatic coma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure chronic systolic heart failure calculus of gallbladder without mention of cholecystitis, without mention of obstruction accidents occurring in other specified places other diseases of lung, not elsewhere classified kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution complications of transplanted kidney mechanical complication of other vascular device, implant, and graft intestinal infection due to other organism, not elsewhere classified other diseases of spleen nephritis and nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney generalized nonconvulsive epilepsy, without mention of intractable epilepsy 

Answer: The patient is high likely exposed to