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: ethylene glycol intoxication major surgical or invasive procedure: hd right femoral dialysis catheter intubation history of present illness: 43 yo m w/ a history of depression, htn, cad(s/p mi w/ icd placement), asthma p/w presumed ethylene glycol intoxication. pt has been under recent stress. mother recently passed away and father has multiple cancers and is terminal. he has been very depressed qand talking about committing suicide. last night he apparantly ingested ounces of anti-freeze and then took another dose of ounces this am. he was then found by his brother on the ground after falling down a flight of stairs. at that point he was acting as if he was severely intoxicated. . he was taken by ems to hosp were he was intubated and started on bicarb and alcohol drip. his initial abg was 7.03/6/127/2. he was then transferred to for emergent dialysis. . here he was urgently seen by both toxicology and renal. his alcohol drip was stopped and he was started on fomepizole. bicarb gtt was continued. initial abg here was 7.06/31/80. a dialysis catheter was placed in the right femoral artery. he also had multiple ct scans including ct head, spine, abd. thiamine, folate, pyridoxine in ed. past medical history: depression w/ suicidal ideations htn cad- s/p mi months ago, ? angioplasty; s/p icd asthma former etoh abuse, psa- cocaine in past hyperlipidemia social history: lives with his father. mother recently passed away. has not left his house in several months. smokes pack per day for many years. former heavy alcohol use. per brother has only drank a few times over the last few months. former cocaine use. no ivdu. family history: nc physical exam: t 96.0 bp 144/72 hr 89 rr 20 o2sats 100% on ps 5/5 fio2 100% gen: intubated and sedated heent: perrl, mmm, anicteric neck: hard cervical collar in place lungs: ctab, good air movement heart: tachy, no m/r/g abd: soft, thin, nd, + bs ext: no edema, warm, 2+ dp/pt bilaterally neuro: sedated unable to perform/follow exam, but moving all 4 extremities. pertinent results: 01:26pm urine rbc-0-2 wbc-0-2 bacteria-few yeast-none epi-0-2 01:26pm urine blood-tr nitrite-neg protein-neg glucose-250 ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 01:26pm urine color-straw appear-clear sp -1.008 01:26pm pt-12.6 ptt-25.1 inr(pt)-1.1 01:26pm plt smr-normal plt count-273 01:26pm hypochrom-1+ anisocyt-normal poikilocy-normal macrocyt-2+ microcyt-normal polychrom-normal 01:26pm neuts-92.9* bands-0 lymphs-3.3* monos-3.3 eos-0.3 basos-0.1 01:26pm wbc-18.8* rbc-4.33* hgb-13.8* hct-45.0 mcv-104* mch-31.8 mchc-30.7* rdw-14.8 01:26pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 01:26pm urine gr hold-hold 01:26pm urine osmolal-497 01:26pm urine hours-random 01:26pm urine hours-random urea n-47 creat-7 sodium-107 01:26pm asa-neg ethanol-108* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 01:26pm osmolal-445* 01:26pm albumin-4.3 calcium-8.7 phosphate-3.5 magnesium-2.4 01:26pm ck-mb-6 01:26pm ctropnt-<0.01 01:26pm lipase-45 01:26pm alt(sgpt)-26 ast(sgot)-37 ld(ldh)-372* ck(cpk)-130 alk phos-60 amylase-53 tot bili-0.2 01:26pm estgfr-using this 01:26pm glucose-351* urea n-9 creat-1.1 sodium-148* potassium-4.4 chloride-106 total co2-8* anion gap-38* 01:45pm type- rates-/16 tidal vol-500 o2-100 po2-80* pco2-31* ph-7.06* total co2-9* base xs--20 aado2-618 req o2-98 intubated-intubated 03:57pm freeca-1.11* 03:57pm glucose-203* lactate-5.4* na+-151* k+-4.3 cl--118* 03:57pm type-art rates-/20 tidal vol-600 peep-5 o2-100 po2-588* pco2-19* ph-7.22* total co2-8* base xs--17 aado2-122 req o2-30 -assist/con 05:39pm hct-40.3 05:39pm osmolal-366* 05:39pm calcium-8.8 phosphate-1.2*# magnesium-1.8 05:39pm glucose-158* urea n-6 creat-0.7 sodium-149* potassium-3.8 chloride-105 total co2-19* anion gap-29* 05:52pm freeca-1.01* 05:52pm lactate-4.6* 05:52pm type-art po2-206* pco2-24* ph-7.51* total co2-20* base xs--1 07:27pm hct-42.3 07:27pm ethanol-neg 07:27pm osmolal-318* 07:27pm calcium-9.5 phosphate-1.7* magnesium-1.4* 07:27pm glucose-132* urea n-4* creat-0.7 sodium-145 potassium-3.5 chloride-101 total co2-27 anion gap-21* 08:37pm freeca-1.03* 08:37pm lactate-2.7* 08:37pm type-art temp-37.3 rates-/18 peep-5 po2-197* pco2-36 ph-7.51* total co2-30 base xs-6 intubated-intubated vent-spontaneou 10:00pm ethanol-neg 10:00pm osmolal-309 10:01pm freeca-1.08* 10:01pm lactate-2.0 10:01pm type-art temp-38.9 rates-/16 tidal vol-500 peep-5 o2-40 po2-206* pco2-45 ph-7.43 total co2-31* base xs-5 intubated-intubated vent-spontaneou 10:08pm urine ca oxal-few ca phos-few 10:08pm urine hyaline-0-2 10:08pm urine rbc-21-50* wbc- bacteria-mod yeast-none epi- 10:08pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 10:08pm urine color-yellow appear-hazy sp -1.035 . cxr (): no acute pulmonary process. . ct abdomen/pelvis (): minimal fluid around the right kidney with possible grade 1 laceration. although unliklely, collecting system injury cannot be excluded. the patient was recalled for delayed imaging through the kidneys but had to be urgently dialyzed for ethylene glycol toxicity. low tolerance for repeat imaging is recommended. this was discussed with the micu resident prior to final review of the transcribed report. . ct c spine (): no ct evidence of fracture or dislocation. . ct head (): no evidence of intracranial hemorrhage or edema. . echo (): the left atrium is elongated. left ventricular wall thicknesses and cavity size are normal. there is mild to moderate regional left ventricular systolic dysfunction with hypokinesis of the anterior wall, mid to distal septum, distal inferior wall, and apex (ef~40%) . right ventricular chamber size and free wall motion are normal. the aortic valve leaflets appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is a trivial/physiologic pericardial effusion. impression: regional left ventricular systolic dysfunction consistent with coronary artery disease. pacemaker/catheter in right atrium and right ventricle. brief hospital course: 43 yo male with history of depression who presented with ethylene glycol intoxication as a suicide attempt in response to recent life stressors. the following issues were investigated during this hospitalization. . # ethylene glycol intoxication. the patient presented with an ethylene glycol level of 581 pre dialysis. he had severe acidemia with an abg of 7.06/31/80 and an osmole gap of 126 and crystals in his urine. the patient received dialysis and and was placed on fomepizole. after dialysis his osmolar gap resolved. . # respiratory failure. the patient was intubated due to inability to protect his airway. he was successfully extubated on with no further respiratory issues. . # r femoral hemorrhage and av fistula formation. the patient's femoral dialysis line was d/c'd in the setting of fevers and resolution of his osmolar gap (and therefore need for dialysis). the patient develop arterial bleeding after dialysis catheter removed. hemostasis was achieved after >4 hours of direct pressure (in the setting of elevated ptt). the patient developed a stable groin hematoma and stable anemia. the patient had palpable distal pulses over that extremity and the limb remained warm and well-perfused with intact strength and sensation. the patient had 2 femoral vascular ultrasounds both revealing hematoma without fistula, anuerysm or other abnormality. vascular surgery was consulted and no intervention was recommended. the patient had a persistent bruit from the time of dialysis catheter removal onward. on the patient developed a new thrill at the site. vascular ultrasound #3 at that time revealed a small av fistula. vascular surgery was reconsulted and recommended outpatient follow-up with repeat ultrasound in weeks. . # anemia. the patient had approximately a 20 point hct drop in the setting of his right femoral hemorrhage and an episode of coffee-ground emesis. the patient also was known to have a likely low-grade laceration of the kidney seen on ct abdomen/pelvis on presentaion. the patient's hct remained stable in the range of 25 (down from low 40's on admission). the patient was transfused on with an appropriate hct response. the patient was felt to have no signs of ongoing bleeding. . # coagulopathy. the patient was found to have a profound coagulopathy possibly related to either sc heparin or heparin received during dialysis. this may also represent a rare effect of ethylene glycol. the patient received 2 u ffp with complete resolution of his coagulopathy. . #cad. the patient has a known h/o cad and mi. he reported cp throughout his admission. in the setting of his hct drop and complaints of chest pain, the patient had repeat ekg's without signs of acute ischemia though he was found to have cardiac enzyme elevations. his tnt peaked at 0.46. cardiology consultation felt this likely represented demand ischemia. the patient's cardiac enzymes trended downward throughout the remainder of his admission. he was noted to have some deepening of t waves in the precordial leads. he was started on an asa, bb and imdur. statin was continued. . # renal. the patient was dialyzed x2 for ethylene glycol administration. his renal failure was felt consistent with atn secondary to crystal formation from ethylene glycol intoxication. his cr improved to 1.6 at the time of discharge. he will establish new outpatient renal care as scheduled. . #?renal laceration. the patient was found on ct abd/pelvis to have possible grade 1 laceration. his inital u/a had >50 rbcs in urine. the patient's hct stabilized and his ua cleared of rbc's. . # fever. the patient was febrile to 101.3 while in the icu. a single bottle (1 out of 7) blood cultures grew strep viridans. all other cultures were without growth. urine culture and dialysis catheter tip were withotu growth. the patient received a short course of cipro for a ua with moderate bacteria, though this was discontinued without culture growth. the patient's tte revealed no signs of endocarditis. . # coffee ground emesis. the patient had a small amount of coffee ground emesis likely related to caustic ingestion. gi was notified. the patient had serial stable hct's with and appropriate response to transfusion. he was started on twice daily ppi. . # depression, suicidality. the patient has a history of depression w/ suicidal ideation. he was followed by psychiatry. the patient was maintained on 1:1 sitter with suicide precautions. . # htn. the patient was started on beta blocker and imdur with good blood pressure response. . # hyperlipidemia. the patient was restarted on statin therapy prior to discharge. . # thrombocytopenia. the patient developed a transient thrombocytopenia, likely consumptive in the setting of active bleeding. this resolved with stabilization of his hematocrit. . # chronic back and leg pain. the patient was continued on oxycodone and morphine for chronic pain. medications on admission: atenolol 25mg daily lisinopril 10mg daily lipitor 40mg daily prilosec 20mg daily cadian 50mg twice daily nitroglycerin sublingual prn discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. isosorbide mononitrate 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 3. metoprolol succinate 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po once a day. disp:*90 tablet sustained release 24 hr(s)* refills:*2* 4. atorvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 6. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain. disp:*20 tablet, sublingual(s)* refills:*0* 9. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 12. oxycodone 5 mg tablet sig: 1-2 tablets po q8h (every 8 hours) as needed for back and leg pain. 13. lorazepam 0.5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for anxiety. discharge disposition: extended care discharge diagnosis: depression ethylene glycol intoxication renal failure right groin av fistula . coronary artery disease hypertension discharge condition: stable discharge instructions: you were admitted because of ethylene glycol intoxication. you must continue to receive counselling and support at a psychiatric facility. . you were successfully treated for the ethylene glycol intoxication though there are several complications that require follow-up. . you must be seen by a nephrologist for your ongoing kidney disease. . you must also be seen by vascular surgery as you developed an av fistula (an abnormal connection between the arteries and the veins) at the site of your dialysis catheter in the right groin. at your follow-up appointment you must have a repeat ultrasound of your right groin. . you must follow-up with your cardiologist as you had signs of low-grade cardiac injury during this hospitalization. . take all medications as prescribed. . attend all follow-up appointments. . call your doctor or return to the hospital for any new or worsening chest pain, nausea, vomiting, thoughts or plans to hurt yourself or any other concerning symptoms. followup instructions: dr. () 2:00pm . dr. () of vascular surgery for repeat ultrasound of your right groin and consideration of surgical closure of your av fistula: 9:45am. . nephrology follow-up () with dr. , wednesday 1:00pm center . . follow-up with dr. of cardiology at for further care. if you continue to have chest pain despite your cardiac medications, please discuss the need for stress testing or cardiac catheterization. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours hemodialysis venous catheterization for renal dialysis arterial catheterization transfusion of packed cells transfusion of other serum diagnoses: acidosis other chronic pain tobacco use disorder acute kidney failure with lesion of tubular necrosis unspecified essential hypertension asthma, unspecified type, unspecified other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia acute respiratory failure arteriovenous fistula, acquired old myocardial infarction other complications due to other vascular device, implant, and graft automatic implantable cardiac defibrillator in situ kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hematemesis other and unspecified coagulation defects toxic effect of other nonpetroleum-based solvents suicide and self-inflicted poisoning by other and unspecified solid and liquid substances injury to kidney without mention of open wound into cavity, laceration 

Answer: The patient is high likely exposed to