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: nausea, vomiting, abd pain major surgical or invasive procedure: none history of present illness: this is a 39 yo m with dm1 c/b esrd and severe gastroparesis, htn, cad s/p stemi, and multiple line infections who presents with nausea, vomiting, abdominal pain, and hypertensive urgency. he was discharged from on for htn urgency which resolved after labetalol gtt and restarting his home bp meds. he was feeling well until this am when he awoke and had abdominal pain similar to his usual abdominal pain that subsequently progressed to nausea and multiple episodes of non-bloody emesis. he was unable to tolerate any of his medications and presented to the ed. past medical history: 1. diabetes mellitus type i - gastroparesis with chronic hospitalizations - esrd on hd since - autonomic dysfunction, frequent htn emergency & orthostatic hypotension - peripheral neuropathy 2. coronary artery disease - stemi in setting of cocaine, s/p bms to lad 3. aortic valve endocarditis () - in the context of coag neg staph bacteremia ( and ) and positive intravenous catheter tip had his hd catheter changed over a wire. known mrse bacteremia for which he completed a course of vancomycin for possible endocarditis on 4. hypertension 5. history of line sepsis with coag negative staph and priors with klebsiella and enterobacteremia 6. esophageal ulceration: h pylori neg, active esophagitis seen on egd , h/ - tear 7. history of substance abuse (cocaine, marijuana, alcohol) 9. history of thrombosed av fistula in lue , -tex in place 10. fungemia completed caspofungin iv on 11. gi bleed associated with hypotension-colonscopu showed friable and inflammed ascending and transverse colon,suggestive either of ischemia or infection social history: patient has a prior history of tobacco and marijauna use, but he does not currently smoke. he has a prior history of alcohol abuse and has been sober for 9 years. he has a past history of cocaine use. he currently denies illicit drugs. currently lives with his mother and brothers. family history: father deceased of esrd and dm. mother aged 50's with hypertension. two sisters, one with diabetes. six brothers, one with diabetes. there is no family history of premature coronary artery disease or sudden death. physical exam: vs: temp 97.3 bp 100/62 hr 86 rr 20 o2 sat 98% ra gen: nad heent: at, nc, perrla, eomi, no conjuctival injection, anicteric, op clear, slightly dry mm neck: supple, no lad, no carotid bruits, jvp approximately 10 cm above sternal notch chest: tunneled hd line over rsv, covered with bandage, nt to palpation cv: rrr, nl s1, s2, systolic murmur at rusb pulm: cta b/l abd: soft, diffusely slightly tender to palpation but more so over rlq, + bs, no hsm ext: warm, dry, +1 distal pulses bl, no femoral bruits, r femoral tlc in place neuro: alert & oriented x3 pertinent results: admission labs 02:10pm blood wbc-14.1*# rbc-3.95* hgb-9.9* hct-34.4* mcv-87 mch-25.0* mchc-28.7* rdw-19.2* plt ct-285 02:10pm blood neuts-84.2* lymphs-10.1* monos-2.1 eos-3.1 baso-0.5 02:10pm blood pt-11.6 ptt-27.2 inr(pt)-1.0 02:10pm blood glucose-292* urean-70* creat-10.8*# na-143 k-5.4* cl-100 hco3-27 angap-21* 06:46pm blood calcium-9.7 phos-5.8*# mg-2.1 02:10pm blood ck(cpk)-139 03:47am blood ck(cpk)-78 02:10pm blood ctropnt-0.28* 02:10pm blood ck-mb-7 03:47am blood ck-mb-notdone ctropnt-0.32* discharge labs 11:37am blood wbc-7.0 rbc-4.09* hgb-10.4* hct-35.0* mcv-85 mch-25.4* mchc-29.8* rdw-19.6* plt ct-213 11:37am blood plt ct-213 11:37am blood glucose-202* urean-52* creat-9.0*# na-135 k-5.1 cl-93* hco3-28 angap-19 03:47am blood calcium-9.6 phos-7.8*# mg-2.1 imaging cxr-interval improvement in pulmonary vascular congestion. brief hospital course: 39 year old man with hx of dm1 c/b gastroparesis, autonomic instability, esrd on hd, cad s/p mi presenting with hypertensive urgency in the setting of nausea, vomiting, and abdominal pain. . # htn urgency - presents with pt's usual pattern of abdominal pain, nausea, and vomiting which leads to hypertensive urgency. autonomic dysfunction also contributing. he had no focal neurologic complaints or deficits on exam. bp better controlled with labetolol gtt, now back on po antihypertensives. he was continued on his home dose labetolol po and clonidine patch. . # gastroparesis - his vomiting ceased and his nausea resolved. he was able to tolerate a po diet, had minimal abd pain. he was on standing metoclopramide po, antiemetics prn and hydromorphone prn. . # leukocytosis -he had no bands on differential, afebrile since presentation, denied fevers, chills, or any other localizing symptoms other than abd pain, n/v on ros. he is s/p treatment 2 weeks ago with vancomycin and caspofungin for coag negative staph bacteremia and fungemia (sp. trichosporon). had hd line resited and currently appears clean. blood cultues had no growth to date and his wbc decreased. . # dm1 with complications - he was continued on his home dose lantus with insulin sliding scale as well as his home regimen of gastroparesis meds: reglan, dilaudid, ativan . # cad s/p mi - with continued st elevations on ekg, elevations in v4-5 slightly more prominent than prior. no clinical symptoms of active ischemia. troponin elevated to 0.28 on presentation; however, at baseline. ck flat, no chest pain or shortness of breath. he was continued on , , statin. he was not on ace-i given recent admission for transverse and ascending colitis thought to be ischemia. . # esrd on hd: renal aware of pt's admission, no needs for urgent on admission he had hd as scheduled. . #access: hd line, r femoral tlc, no peripheral iv access #ppx - hep sq, ppi, bowel regimen prn given narcotics #code: full, confirmed with pt medications on admission: aspirin 325 mg daily clopidogrel 75 mg daily gabapentin 300 mg qtues, thurs, sat gabapentin 200 mg qsun, mon, wed, fri lanthanum 1000 mg tid with meals pantoprazole 40 mg q12h labetalol 200 mg po tid simvastatin 80 mg daily metoclopramide 10 mg qidachs dilaudid 4 mg q4h prn lorazepam 1 mg q6h prn clonidine 0.3 mg/24 hr patch qwed lantus 6 units sq qhs nephrocaps 1 cap daily hiss discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. gabapentin 300 mg capsule sig: one (1) capsule po qtuthsa (tu,th,sa). 4. gabapentin 400 mg capsule sig: one (1) capsule po 4x/week (,mo,we,fr). 5. lanthanum 500 mg tablet, chewable sig: two (2) tablet, chewable po tid w/meals (3 times a day with meals). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 7. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 8. clonidine 0.3 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qwed (every wednesday). 9. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 10. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea. 11. lorazepam 1 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 12. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 13. labetalol 200 mg tablet sig: one (1) tablet po tid (3 times a day). 14. insulin glargine 100 unit/ml solution sig: six (6) units subcutaneous at bedtime. 15. insulin regular human 300 unit/3 ml insulin pen sig: as per sliding scale units subcutaneous qachs. discharge disposition: home discharge diagnosis: hypertensive urgency diabetes mellitus type i - gastroparesis with chronic hospitalizations - esrd on hd since - autonomic dysfunction, frequent htn emergency & orthostatic hypotension - peripheral neuropathy -coronary artery disease - stemi in setting of cocaine, s/p bms to lad -aortic valve endocarditis () - in the context of coag neg staph bacteremia ( and ) and positive intravenous catheter tip had his hd catheter changed over a wire. known mrse bacteremia for which he completed a course of vancomycin for possible endocarditis on -history of line sepsis with coag negative staph and priors with klebsiella and enterobacteremia -esophageal ulceration: h pylori neg, active esophagitis seen on egd , h/ - tear -history of substance abuse (cocaine, marijuana, alcohol) -history of thrombosed av fistula in lue , -tex in place -fungemia completed caspofungin iv on -gi bleed associated with hypotension-colonscopu showed friable and inflammed ascending and transverse colon,suggestive either of ischemia or infection discharge condition: stable, afebrile, good po intake discharge instructions: you were admitted with abdominal pain, nausea, vomiting. your symptoms improved with blood pressure control. you were briefly treated in the micu (intensive care unit) then your care was transferred to a medical floor. you continued to do well and were able to tolerate food. please take your medications as prescribed. it is extremely important that you take your medications to control your blood pressure. please follow up as outlined below. if you have any headaches, dizzyness, nausea, vomiting, abdominal pain, chest pain, shortness of breath, bleeding from the rectum or any other concerning symptoms please call your doctor or go the emergency room followup instructions: please call your pcp . at for a follow up appointment within two weeks continue on your regularly scheduled hemodialysis appointments procedure: venous catheterization, not elsewhere classified hemodialysis diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease end stage renal disease coronary atherosclerosis of native coronary artery old myocardial infarction diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled gastroparesis peripheral autonomic neuropathy in disorders classified elsewhere 

Answer: The patient is high likely exposed to