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: hypotension major surgical or invasive procedure: none history of present illness: ms. is a 72f with a pmh s/f esrd on hd mwf, cva's, seizure disorder with a declined mental status (a+ox1), who is presenting to the micu with hypotension after dialysis. today during dialysis the patient became unresponsive 45 minutes into the session with a systolic blood pressure in the 60s. she was given 2.5l of fluids and bp responded immediately as did her mental status. she was sent to the ed for further work-up. . in the ed, the patients initial vitals were 97.7, 145/59, 66, 100% on 2l nc. a finger stick blood glucose was 133. she did not have any fevers, leukocytosis, or elevated lactate. a cxr showed a right pleural effusion. she has a history of traumatic cardiac tamonade during a dialysis line placement in , so a bedside echo was performed, which did not show any signs of tamponade. she continued to have episodes of hypotension with systolic bp's in the 70s, which would resolve spontaneously without fluids. past medical history: 1. esrd on hd since 2. diabetes mellitus ii: a1c of 5.2% 3. hypertension 4. hyperlipidemia: ldl of 49 5. peripheral disease 6. diastolic chf, ef 70% 7. chronic upper extremities dvts 8. cva x2 9. seizure d/o s/p cva . h/o mrsa line sepsis/klebsiella bacteremia, coag neg staph bacteremia 11. h/o osteomyletis (l3-l4 vertabrae) ' 12. h/o pelvic fx 13. h/o psoas abscess past surgical history: 1. s/p right bka social history: lives at home in , ma. daughter is next of : . no tobacco, etoh, drug use. family history: non-contributory physical exam: t=97.2... bp=132/54... hr=70... rr=15... o2=100% 2l . . physical exam general: elderly african american female, lying on her right side, refusing to be examined, un-cooperative with history or physical. heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. small reactive pupils bilaterally. neck supple. cardiac: rrr, no murmurs, will not allow me to auscultate or take a blood pressure lungs: refusing exam, only able to listen over left lung, no abnormalities abdomen: nabs. soft, nt, nd. extremities: r bka, left aka, stump c/d/i skin: ~5cm superficial sacral decubitus ulcer neuro: unable to tell me her name, place or year. follows simple commands intermittently. moving all four extremities. not cooperative with neuro exam. pertinent results: admission labs 02:25pm blood wbc-5.2 rbc-3.65* hgb-12.3 hct-38.4 mcv-105* mch-33.6* mchc-31.9 rdw-19.0* plt ct-259 02:25pm blood neuts-62 bands-0 lymphs-24 monos-10 eos-4 baso-0 atyps-0 metas-0 myelos-0 12:50pm blood pt-23.0* inr(pt)-2.2* 02:25pm blood glucose-110* urean-30* creat-4.6* na-137 k-5.0 cl-102 hco3-25 angap-15 02:25pm blood ctropnt-0.07* 02:25pm blood albumin-3.2* calcium-7.9* phos-3.6 mg-2.3 02:31pm blood glucose-102 lactate-1.3 k-6.1* chest x-ray () ap bedside chest. the heart is upper limits of normal. there is central congestion and interstitial edema. small right and probably left effusions layering in semi-erect position with possible superimposed right pleural thickening. sternal wire sutures. left subclavian line with tip in mid svc. allowing for technical differences there is no change from similar exam two days ago (). impression: no short interval change. chf and/or fluid overload. brief hospital course: ms. is a 72f with a pmh s/f esrd on hd, cva with seizure disorder and declining mental status who presented with hypotension. . #. hypotension: occured transiently after dialysis, and immediately responded to fluids. no fevers, leukocytosis, lactate, tamponade physiology on echo, or signs of bleeding. likely a result of hypovolemia after dialysis combined with autonomic dysreflexia. all antihypertensives were held and midodrine was started with good response. patient has remained normotensive and will be discharged with this regimen. she will need close follow up with primary renal team per d/c instructions . #. right pleural effusion: appears chronic based on past cxrs. patient remained afebrile and without supplementa oxygen requirement. . #. pericardial effusion: although prior history of this, currently there is no tamponade physiology on bedside echocardiogram done in the ed. no further intervention is required. . #. sacral decubitus ulcer: chronic, noted at admission. wound care consult was called. . #. mental status: based on prior neuro notes, this appears to be her baseline. recent head ct with old strokes, and nothing acute on . . #. esrd: patient tolerated hd on above regimen, defer further management to outpatient renal team. . #. dm: continue home insulin regimen . #. cva: continue coumadin per outpatient regimen. . #. htn: not active as above . #. seizures: continue home regimen of keppra medications on admission: iss remeron 15mg daily bisacodyl ngt transdermal ointment 1" q6h prn sbp>150 dilaudid prn aluberol prn cinacalcet 30mg every other day ranitidine 150mg daily 81mg daily lactulose coumadin: unclear dose, was not discharged on this metoprolol tartrate 37.5mg tid keppra 500mg daily, give after dialysis if possible discharge medications: 1. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 2. cinacalcet 30 mg tablet sig: one (1) tablet po every other day (every other day). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. levetiracetam 500 mg tablet sig: one (1) tablet po daily (daily). 6. midodrine 5 mg tablet sig: two (2) tablet po tid (3 times a day): hold for sbp >130. 7. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 8. warfarin 1 mg tablet sig: three (3) tablet po once daily at 4 pm. 9. insulin regular human 100 unit/ml solution sig: as directed per insulin sliding scale units injection asdir (as directed). discharge disposition: extended care facility: nursing home discharge diagnosis: hypotension discharge condition: stable alert and oriented to self only intermittently responds to questions bp 130-160/50-60 hr in the 60s satting well on room air discharge instructions: you were admitted with low blood pressure, which we think is due to autonomic dysreflexia. we started a new medication called midrodine to help keep your blood pressure normal, and stopped your antihypertensives. . please take all of your medications as directed . please return to the emergency room if you experience any loss of consciouness or abnormally elevated blood pressures. followup instructions: provider: , md phone: date/time: 2:00 procedure: hemodialysis diagnoses: end stage renal disease congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled peripheral vascular disease, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease unspecified disease of pericardium pressure ulcer, lower back epilepsy, unspecified, without mention of intractable epilepsy kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hypovolemia unspecified late effects of cerebrovascular disease diastolic heart failure, unspecified hypotension of hemodialysis above knee amputation status autonomic dysreflexia 

Answer: The patient is high likely exposed to