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: unresponsiveness major surgical or invasive procedure: intraosseous access removal hd line placement cvvh history of present illness: mr. is a 79 yo m w/hx of cad s/p mi x 2, dm, chf ef 35-40%, afib, stage iv diabetic nephropathy (cr 3.0) who presented to the ed after a witness unresponsive episode. per the family, he was walking down the street and had a wittness loss of consciousness. ems was called and he was taken to hospital. on arrival (11:20am) he was in asystole. he was given epi x 3 and atropine x 1. he then went into vfib and shocked (200 joules). he then went into afib and became bradycardic. dopamine was started. he regained a perfusing rhythm at 11:35am. he was given calcium chloride, magnesium, amiodarone 300mg iv x 1 and bicarb during the resuscitation at . he later had another episode of vt at 12:40 and an amiodarone gtt was started. he was transferred to the ed. . per ed report, he had presented to hospital in vfib, then became asystolic. after the initial resuscitation he had 2 additional asystolic arrests in the er. . in the ed, initial vitals were t98.2 hr75, bp149/106, rr32 100% on the vent. the post-arrest consult team was called and recommended cooling him to 33-34 degrees and weaning his propofol to fentanyl/versed. a r femoral line was placed, he was given 1l ivf and had a head, chest, abdomen ct done without contrast. he was kept on dopamine, propofol and amiodarone. he was given 1mg atropine for bradycardia to 35during transfer to the floor, he became bradycardic. external pacer pad were placed and his dopamine was increased from 15mcg/kg to 20mcg/kg. he was briefly externally paced and given additional an additional 1mg of atropine. on arrival to the ccu he was not being paced and his dopamine was back down to 15mcg/min. ct scan showed a sternal fracture and mediastinal hematoma. . ros unable to be obtained as the patient is intubated and sedated. past medical history: 1. coronary artery disease, -s/p mi , cath showing occluded om1 -s/p ami with stent to proximal lad 80% lesion, 70% d1, 70% om1 with circ occluded after om1 2. systolic left ventricular heart failure, ef 35-40% (echo ) 3. hypertension 4. diabetes mellitus type 2 5. diabetic nephropathy - chronic kidney disease stage iv, baseline creatinine 3.0 6. atrial fibrillation - on coumadin 7. gout 8. prostate cancer - t1c, nx, score 5+5, s/p xrt social history: unable to obtain as patient is intubated and sedated. per omr, no tobacco, alcohol or drug use. confirmed with family. family history: unable to obtain. per omr, there is no family history of premature coronary artery disease or sudden death. physical exam: vs: t=36.4 bp 134/83 hr 90 rr 20 99% on ac 550x20 100% fio2, peep 5 general: intubated and sedated. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple, jvp unable to be assessed due to cervical collar. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. extremities: 2+ peripheral edema. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral dopplerable dp dopplerable left: carotid 2+ femoral dopplerable popliteal dopplerable pertinent results: admission labs: 03:40pm blood wbc-13.3* rbc-5.40 hgb-15.7 hct-49.7 mcv-92 mch-29.0 mchc-31.6 rdw-16.8* plt ct-216 03:40pm blood neuts-86.1* lymphs-5.9* monos-7.8 eos-0.1 baso-0.2 03:40pm blood pt-30.1* ptt-44.2* inr(pt)-3.0* 09:35pm blood glucose-276* urean-69* creat-3.3* na-134 k-4.6 cl-104 hco3-21* angap-14 03:40pm blood alt-465* ast-572* ck(cpk)-881* alkphos-141* totbili-1.4 09:35pm blood alt-385* ast-493* ck(cpk)-1141* alkphos-123 totbili-1.9* 03:29am blood alt-317* ast-304* ck(cpk)-870* alkphos-106 totbili-1.2 01:41pm blood ck(cpk)-936* 03:40pm blood ctropnt-0.64* 03:40pm blood ck-mb-35* mb indx-4.0 09:35pm blood ck-mb-45* mb indx-3.9 ctropnt-1.34* 03:29am blood ck-mb-41* mb indx-4.7 ctropnt-1.19* 01:41pm blood ck-mb-38* mb indx-4.1 ctropnt-1.25* 03:40pm blood albumin-3.5 calcium-9.0 phos-5.5* mg-3.0* 03:29am blood triglyc-103 hdl-21 chol/hd-3.1 ldlcalc-24 microbiology: . respiratory culture ( and ) moraxella catarrhalis. 5:14 pm blood culture source: line-aline. staphylococcus, coagulase negative | erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s oxacillin------------- =>4 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s vancomycin------------ 2 s . 11:25 pm blood culture source: line-mlc. staphylococcus, coagulase negative | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin-------------<=0.25 s tetracycline---------- <=1 s vancomycin------------ 2 s studies: . cxr (): cardiomegaly with mild congestive heart failure. endotracheal tube and nasogastric tube in standard positions. . ct spine (): 1. no acute fracture or malalignment of the cervical spine. 2. pulmonary edema and right pleural effusion, partially imaged. 3. multilevel degenerative changes, worst at c4-c5, which predisposes the patient to cord injury. consider mri for further evaluation if clinically indicated. . non-contrast head ct (): non-contrast head ct: there is no intracranial hemorrhage, mass effect, or -white matter differentiation abnormality. the ventricles and extra-axial spaces are appropriate for age. intracranial carotid artery atherosclerotic calcifications are moderate-to-severe. mucosal secretions within the nasal passages, nasopharynx, and opacification of the ethmoid sinus air cells are noted, at least partially related to recent intubation. there is mucosal thickening in bilateral maxillary, frontal, and sphenoid sinuses, mild in degree. imaged mastoid air cells are clear. there is no fracture. mild prominence of the ventricles and cerebral sulci is likely related to age-appropriate atrophy. impression: no acute intracranial abnormality. sinus disease, as noted above. . ct chest, abdomen, pelvis (): impression: 1. mildly displaced transversefracture of the mid sternum likely involves the medial aspect of the anterior left third rib with associated substernal anterior mediastinal hematoma. 2. mild pulmonary edema with bilateral small pleural effusions with associated atelectasis. 3. 1.9 cm right renal hypodense lesion, likely a complex cyst. a renal ultrasound is recommended further evaluation. 4. gallbladder wall edema and trace perihepatic ascites, likely related to heart failure. . echo the left atrium is mildly dilated. left ventricular wall thicknesses and cavity size are normal. there is mild to moderate regional left ventricular systolic dysfunction with severe hypokinesis of the inferior and inferolateral walls, distal anterior wall and distal lateral wall. there is an apical left ventricular aneurysm. the remaining walls contract well (lvef 30-35%). no masses or thrombi are seen in the left ventricle. the right ventricular cavity is moderately dilated with moderate global free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. significant pulmonic regurgitation is seen. the pulmonary artery systolic pressure could not be quantified (but pulmonary artery systolic hypertension is suggested). there is a trivial/physiologic pericardial effusion. impression: suboptimal image quality. moderate regional left ventricular systolic dysfunction consistent with multivessel cad. right ventricular cavity enlargement with free wall hypokinesis. mild mitral regurgitation. compared with the findings of the prior study (images reviewed) of , left ventricular function has further deteriorated and the right ventricular cavity is more dilated with new free wall hypokinesis. is there a history to suggest a primary pulmonary process (e.g., pulmonary embolism, bronchospasm, etc. brief hospital course: 79yo m w/hx of cad s/p mi x 2, chf, dm, stage iv ckd who presents s/p cardiac arrest. . # cardiac arrest: there was little information about the events of the hours that preceded his admission. we know that he had a witnessed syncopal episode; he may have been in asystole at an osh. the etiology of the cardiac arrest was likely hyperkalemia. he underwent artic sun cooling protocol at , which was complicated by persistent bradycardia to the 20's. therefore, arctic sun was terminated after 6 hours. he was placed on epinephrine, isoproteronol & dopamine and his hr eventually rebounded. his pressors were slowly weaned. neurology was consulted regarding his neurological prognosis. based on his eeg result, non-arousal, and lack of brainstem reflexes except for overbreathing on the ventilator, neurology suggested that meaningful recovery from the neurological standpoint is very unlikely. serial family meetings were held, and the family decided to withdraw care on at 10am. following extubation, patient expired 40 minutes later at 10:40am on . . # anoxic brain injury: neurology was consulted on admission and patient was placed on a 48 hour eeg per protocol. p er examination, the patient demonstrated no brainstem function, save for a respiratory rate that exceeded the ventilator settings. over the next few days, he did demonstrate the presence of a gag reflex as well as a questionable r-sided pupillary constriction and corneal reflex, but despite being off pressors and sedation, he did not exhibit further cortical function. eeg's demonstrated some e/o encephalopathy. serial family meetings were held, and the family decided to withdraw care on at 10am. following extubation, patient expired 40 minutes later at 10:40am on . . # respiratory failure: patient was placed on a ventilator s/p cardiac arrest. his chest ct demonstrated mild pulmonary edema. sputum culture from and grew out moraxella for which he was covered with ceftriaxone. he remained intubated with stepwise decrements in his degree of pressure support. following extubation, patient expired 40 minutes later at 10:40am on . . # anuric renal failure: patient with known ckd, baseline cr 3.0. on admission, patient was anuric, likely due to atn s/p shock and poor perfusion despite receiving several liters of ivf's at the osh and in the ed. his electrolytes and acid/base status was stabilized after he was placed on cvvh. his cvvh filter was clotted off on . given that his his uop improved and his electrolytes were stable off cvvh, and because of his poor prognosis, cvvh was discontinued. his electrolytes were stable during the rest of the hospitalization. . # congestive heart failure: ef of 35-40% in , down to 30-35% on repeat tte on , likely further impaired by the cardiac arrest. patient with mild pulmonary edema on chest ct, but intubated since admission. his ace was held given renal insufficiency and his fluid status was managed as above. . # leukocytosis: patient presented with leukocytosis & grossly positive u/a, but elevated wbc may also be due to stress response to cardiac arrest. he was started on ceftriaxone 1g iv q24h on . sputum cx was positive for moraxella & blood cultures demonstrated coag negative staph. vancomycin was added on . . # dmii: patient was continued on lantus with regular insulin sliding scale. medications on admission: allopurinol 300 mg tablet atorvastatin 80 mg tablet calcitriol 0.25mg po qday carvedilol 12.5mg po bid lasix 80mg po bid humalog dose unknown hydralazine 10mg po bid lantus 33 units in the am imdur 30mg po q24h warfarin 2mg daily except wednesday, 1 mg on wednesday aspirin 81mg po qday colace 100mg po qday prn constipation mvi senna 2 tabs daily prn constipation discharge medications: expired discharge disposition: expired discharge diagnosis: cardiac arrest discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more hemodialysis diagnoses: hyperpotassemia nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery congestive heart failure, unspecified chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation personal history of malignant neoplasm of prostate other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure closed fracture of sternum cardiac arrest anoxic brain damage old myocardial infarction chronic systolic heart failure long-term (current) use of anticoagulants diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled polycythemia vera 

Answer: The patient is high likely exposed to