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: morphine / iodine; iodine containing / lipitor / phenothiazines attending: chief complaint: 77-yo-woman with dm2, cri, htn, chf, cad called out of micu to floor, awaiting permacath placement for dialysis. had been admitted to micu for mgmt of acidosis in the setting of arf. major surgical or invasive procedure: placement of right inferior jugular tunneled catheter for hemodialysis history of present illness: presented to ed w/ tremor for 3 days, decreased appetite, also urinary frequency x 1 week. see original micu admission h&p for full history and review of systems. in the , pt was found to have arf w/ creatinine 6.1, k 4.8, and bicarb 10. abg was 7.1/36/99 on room air. pt was admitted to the micu for management of acidosis/uremia. past medical history: primary: bronchitis anemia of chronic renal disease possible mastitis secondary: cad/chf s/p cabgx3 -- multiple caths, 3 stents , , htn iddm cri (cr 2.4-2.7) hypothyroid oa wheelchair bound left knee removal right thr, left tkr polycythemia d/t erythropoetin, d/c'd social history: no etoh, no tobacco, no drugs. husband and children present and supportive. family history: non-contributory physical exam: 131/43 61 15 100% on 2.5l gen: morbidly obese woman, nad, a+ox3 conversing fluently heent: anicteric, eomi, mmm, no jvd cv: rrr, +s3, +systolic murmur loudest at apex pulm: ctab abd: obese, +bs, soft, nt, nd ext: warm, palpable dp pulses b, + non-pitting edema to mid-leg, venous stasis skin changes; ecchymosis over forearms bilaterally neuro: a+o x 3. + asterixis bilaterally guaiac negative pertinent results: 07:48pm glucose-164* urea n-110* creat-5.8* sodium-143 potassium-4.6 chloride-113* total co2-12* anion gap-23* 07:48pm ck(cpk)-28 07:48pm ctropnt-0.05* 04:15pm abg po2-99 pco2-36 ph-7.10* total co2-12* base xs--17 04:15pm lactate-0.7 na+-142 k+-4.3 cl--115* 04:15pm hgb-11.6* calchct-35 04:15pm freeca-1.23 03:48pm wbc-6.2 rbc-4.01*# hgb-12.8# hct-42.8# mcv-107*# mch-31.9 mchc-29.9*# rdw-16.6* 03:48pm neuts-75.3* bands-0 lymphs-16.8* monos-3.8 eos-3.0 basos-1.2 03:48pm plt count-132* 01:55pm urine color-straw appear-cloudy sp -1.014 01:55pm urine blood-lg nitrite-neg protein-500 glucose-tr ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 01:55pm urine rbc-* wbc->1000 bacteria-many yeast-none epi-0 01:25pm glucose-111* urea n-113* creat-6.1*# sodium-142 potassium-4.5 chloride-112* total co2-10* anion gap-25* 01:25pm ck(cpk)-32 01:25pm ck-mb-notdone ctropnt-0.06* 01:25pm asa-neg ethanol-neg acetmnphn-6.6 bnzodzpn-neg barbitrt-neg tricyclic-neg brief hospital course: 77-yo-woman w/ dm2, cad, htn, cri and arf, chf presenting w/ improving tremor, improving acidemia secondary to uremia, also w/ uti and anemia. . 1. non-oliguric arf on crf, uremia/acidemia: arf with cr increase from 3 to 6.1 was likely secondary to prerenal azotemia from hypovolemia, given decreased po intake over past 2 weeks, though fena of 4% supports intrinsic renal etiology. uti is another possible exacerbating factor, though unlikely as no signs of pyelonephritis. the pt had evidence of uremia with decreasing appetite, asterixis, and acidosis, no hyperkalemia. the patient was admitted to the micu on presentation for management of uremia and acidosis. a bicarbonate gtt was initiated , and discontinued , after repeat abg was 7.24/47/133/21. asterixis/tremor subsequently diminished. the patient was transferred from the micu to the medicine floor service on . the patient was followed by the nephrology team during the course of her admission. renal u/s performed showed no obstruction or hydronephrosis. given the pt's diabetes and worsening renal status, the nephrology team recommended initiation of hemodialysis. the pt received a tunneled right ij catheter placed by ir on , and started hemodialysis . she received daily hemodialysis on . during her admission, the patient had weight, fluid status, and electrolytes monitored daily. she also was started on lisinopril by the nephrology team. she was also seen by transplant surgery, to discuss eventual need for av fistula placement for hemodialysis. the patient was subsequently set up for outpatient dialysis, and had her first appointment at 11:15am. . 2. uti: the pt was found to have a uti on ua on admission, but no fever or other signs of systemic infection. her acute urinary infection may have contributed to her arf. ucx >100,000 enterococcus, initially treated empirically w/ levofloxacin; the patient received a full 3 day course which finished ; however, urine culture/sensitivities subsequently came back as levo resistant, and the pt's foley was removed, and she was started on vancomycin . the pt was renally dosed, based on trough levels; vanc trough was 6.8, and the patient received an additional dose that day. trough on was 17.7, and no further doses of vancomycin were given. the pt remained afebrile, with no elevation in white count. . 3. cad: the patient had a h/o cabg, stents, severe 3vd, w/ some partially reversible defects on last pmibi. no cardiac symptoms or ekg changes on admission. on admssion, troponin was elevated at 0.06, however ck/mb were normal, and tropinin levels remained constant; therefore, elevated troponin therefore most likely due to renal failure. on during her first hemodialysis session, the pt developed 5/10 chest pain which lasted 5 minutes, and spontaneously resolved, no associated symptoms. ekg showed new left bundle (previously had ivcd) and peaked t waves. the patient never had any further chest pain, shortness of breath or palpitations. she remained on her home regimen of asa, plavix, metoprolol, nitropatch, and statin. 4 hypercarbia: the patient's abgs showed respiratory acidosis along with metabolic acidosis. the patient is a very obese woman who reportedly snores at night, thus calling into question possibility of pickwickean syndrome vs. sleep apnea. pulm consult was requested, who stated that the patient has a physiologically abnormal response to hypercarbia, and recommmended obtaining a sleep study as outpatient. during the course of her admission, the team also attempted to limit administration of narcotics, in order to minimize respiratory depression. abg's were checked daily until ; post-dialysis abg was attempted by multiple providers but failed, and pt refused further attempts. renal team subsequently followed bicarbonate levels on chem-10 during daily dialysis. . 5. dm2: controlled w/ home regimen of nph 25units qam, humalog ss . 5. htn: metoprolol, clonidine, nitro patch, lisinopril 2.5 mg qd was started . . 6. anemia: secondary to chronic renal disease, hct decreased from 42 to 32.8 . guaiac negative. possibly was hemoconcentrated on admission, then hydrated resulting in dilution. erythropoietin was given at at each dialysis session. iron was discontinued, and the pt was started on nephrocaps. . 7. hypothyroid: controlled w/ home regimen of levoxyl. . 8. fen: cardiac/ diet . 9. proph: heparin sc, ppi, bowel regimen . 10. access: peripheral iv - picc attempted by rn but failed. . 12. code status: pt was initially dnr/dni, however, pt subseuqently discussed code status with dr. on , when she stated that she wished to be full code, and would accept intubation, shock, pharmacotherapy - however, that she did not wish to have prolonged measures. the patient was discharged on , after receiving her 3rd in-house course of hemodialysis; she was scheduled for her first outpatient dialysis session for . discharge medications: 1. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 3. calcium acetate 667 mg tablet sig: three (3) tablet po tid w/meals (3 times a day with meals). disp:*90 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* discharge disposition: home discharge diagnosis: chronic renal failure/acute renal failure, dmtypeii, coronary artery disease, hypertension, urinary tract infection discharge condition: stable discharge instructions: outpatient hemodialysis as instructed. call your primary care provider with any shortness of breath, chest pain, edema/swelling, fever/chills, confusion, tremor, any other worrisome symptoms followup instructions: - you have an appointment for dialysis at , wednesday 11:15am, then on tues/thurs/saturday - please call dr. office for follow-up appointment in weeks - please call to schedule a sleep study to evaluate for sleep apnea procedure: hemodialysis venous catheterization for renal dialysis diagnoses: acidosis anemia in chronic kidney disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified unspecified acquired hypothyroidism coronary atherosclerosis of autologous vein bypass graft percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hypovolemia diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to