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: history of present illness: the patient is a 33-year-old man last discharged from the micu on , after a 6-day stay for the same complaints. he has had approximately six admissions over the last six months with similar complaints. he presented on the day of admission with complaints of two days of nausea and vomiting and light-headedness. he also stated he was shivering, but has had no fevers, headache, photophobia, dysuria or diarrhea. in the emergency department, he was found to have a systolic of blood pressure of 230 mmhg and a glucose of 369 mg/dl, as well as laboratory values that were consistent with prerenal azotemia. in the emergency department, he received 4 l normal saline, regular insulin intravenously, and was then switched to d5 normal saline with 125 ml/hr and continuation of the insulin drip until the fingerstick was less than 200. he also received zofran 4 mg iv once, labetalol 40 mg iv once, 2 in of nitroglycerin paste, baby aspirin, 2 mg of ativan, 20 mg of hydralazine intravenously, 325 mg of aspirin, and was then started on a nitroprusside drip. during the evaluation by the micu team in the emergency department, he had a bout of emesis producing 50-75 ml of occult blood positive coffee-grounds. no nasogastric lavage was performed after the case was discussed with the gastroenterology. the patient has known gastritis. past medical history: 1. diabetes mellitus type 1 for 12 years with triopathy. 2. autonomic dysfunction. 3. gastroparesis awaiting elective gastric pacer. 4. coronary artery disease with catheterization in showing a 50% d1 disease. echocardiogram in showed an ejection fraction of 50-55%, left atrial abnormality, and left ventricular hypertrophy. 5. status post jejunostomy placement and then subsequent removal secondary to infection in (this was a penultimate admission). he has completed a course of antibiotics for the infection. 6. depression diagnosed last admission. family history: significant for diabetes mellitus type 2. social history: he is engaged to be married. he is currently unemployed. he was a truck driver. he does not smoke tobacco or consume alcohol. allergies: no known drug allergies. medications: clonidine 0.2 mg transdermal q.weekly, ................... 10 mg t.i.d. and in the evening, insulin glargine 18 u in the evening, insulin .............. scale, amlodipine 5 mg daily, labetalol 200 mg twice daily, hydrochlorothiazide 25 mg daily, pantoprazole 40 mg daily, citalopram 10 mg daily, lisinopril 20 mg daily. physical examination: vital signs: the patient was afebrile. his heart rate was 95-112, with a blood pressure range after initiation of nitroprusside with 115-137 over 65/71. respirations 20. oxygen saturation 99% on room air. heent: normocephalic, atraumatic. pupils equal, round and reactive to light from 4 mm to 2 mm. extraocular movements intact without nystagmus. sharp disks. occasional hemorrhages with a preserved v-a ratio of . oropharynx clear. neck: supple. full range of motion. trachea midline. no carotid bruits. thyroid not palpable. no cervical supraclavicular or axillary adenopathy. heart: regular to slightly tachycardiac. normal s1 and s2. there was a 3 out of 6 systolic murmur, point of ............. impulse noted in the anterior axillary line of the fifth intercostal space. lungs: clear to auscultation bilaterally. abdomen: thin. normal bowel sounds. soft, not distended. slightly tender to deep palpation diffusely. extremities: there was no cyanosis or edema. all four extremities were warm. vascular: radial, carotid, femoral, and dorsalis pedis pulses +2 bilaterally. neurological: alert, tired-appearing, speaking word sentences. motor: 5 out of 5 in upper extremities, proximal and distal strength. normal wrist extension, finger abduction, and thumb apposition. sensory exam significant for decreased vibration in his feet, as well as decreased to point discrimination. cerebellar exam with normal rapid hand movements. deep tendon reflexes brisk and symmetric. biceps, brachial, radialis and quadriceps with .............. deep tendon reflexes bilaterally. cranial nerves ii, iii, iv, vi normal as above; v and vii symmetric with intact sensation; ix, x and xii tongue midline, normal .............. clear formation, cranial nerve normal shoulder shrug. laboratory data: white blood cell count 8.7, hematocrit 28.8, platelet count 181; chemistries with a sodium of 142, potassium 4.7, chloride 106, bicarbonate 21, blood urea nitrogen 28, creatinine 1.4, glucose 174; inr 0.9; alt 16, ast 19, amylase 64, lipase 114, alkaline phosphatase 116, total bilirubin 0.6, albumin 4.5; serial ck, ckmb, cardiac troponin i excluded myocardial infarction. electrocardiogram sinus tachycardia, pr interval was less than 200 msec, qrs interval less than 120 msec, qt interval was 415 seconds, axis 30-60 with early r-wave progression. he has unchanged right bundle branch block and st elevations in v2-v4 (compared to electrocardiogram obtained on . hospital course: central venous access was established with a right femoral venous artery catheter. after a brief course of nitroprusside, the patient's blood pressure was successfully controlled with his regimen of labetalol and intravenous .................. his medications were switched to p.o. labetalol, lisinopril and amlodipine once the patient was able to tolerate food. the clonidine patch was also resumed. endocrine/hyperglycemia: there was no evidence of diabetic ketoacidosis upon presentation, and the patient had unremarkable restoration of euglycemia with intravenous insulin, fluids and electrolyte repletion. the patient was switched back to his normal glargine and ................ once tolerating food. the patient's nausea and vomiting was best controlled with lorazepam. he stated that zofran does not help him very much. once the patient resumed eating, metoclopramide reinitiated. serial hematocrits did not reveal acute blood loss. the patient received intravenous pantoprazole until he was able to tolerate medications by mouth. on the day following presentation, a small ventral hernia was identified. surgical consultation was requested, and elective repair shall be performed after discharge. following stabilization of the patient's blood pressure and advancement of his diet, the patient was transferred to the medical . the remainder of this discharge summary shall be dictated separately. the attending physician for the remainder of his hospital course is , m.d. dictating physician is . dr., 12-986 dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere unspecified essential hypertension acute kidney failure, unspecified diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with renal manifestations, type i [juvenile type], uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], uncontrolled background diabetic retinopathy gastroparesis peripheral autonomic neuropathy in disorders classified elsewhere 

Answer: The patient is high likely exposed to