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: penicillins / watermelon / almond oil / hydralazine attending: chief complaint: nausea, vomiting, diarrhea major surgical or invasive procedure: none history of present illness: mr. is a 32 year old male with history of poorly controlled dm1 c/b esrd on dialysis and hypertension who was recently admitted to the for dka ()who presents to the ed with diarrhea since last night and nausea/vomiting since 4 pm today. patient was in usual state of health until day prior to presentation when he developed diarrhea which he states was non-bloody, non-black, watery and had about 5 episodes. when he woke up this morning he felt slow and lazy, and went back to sleep. he then woke up around 4 pm with sudden onset n/v, had emesis ~15 times, small amounts (as he had not eaten all day) and denies them being bloody and did not see "coffee grounds". he denies having fevers, chills, cough or dysuria. . in the ed, initial vs were: t 101.5 hr 115 bp 207/114 rr 18 sat 100% initial labs showed hyperkalemia and an anion gap of 25, bicarbonate of 21 and glucose of 715. he was given 2l ns, ondansetron 8mg, 10 units of iv insulin, one amp of d50, 2g calcium gluconate and 1g vancomycin and transferred to the icu for further monitoring. . on the floor, patient states he is feeling much better and is able to tolerate ice chips. repeat fs was 497. . review of systems: (+) per hpi (-) denies night sweats, headache or congestion. denies shortness of breath, or wheezing. denies chest pain or palpitations. denies frequency, or urgency. denies rashes or skin changes. past medical history: - htn - dm i since age 19, seen at . complicated by nephropathy, gastroparesis, and possibly retinopathy. - esrd/ckd: htn and dm1; hemodialysis t/th/sat. on kidney/pancreas transplant wait list since 4/. - anemia on epo with dialysis - depression - s/p appendectomy social history: states that he previously drank heavily (30-40 drinks/week) but has not used alcohol since . +h/o tobacco use, quit in , relapsed, quit last year and denies tobacco currently. denies other drugs. neg ppd . lives with girlfriend. family history: no fh of pancreatitis. diabetes and heart trouble in grandfather. physical exam: vitals: t: 99.2 bp: 173/91 p: 97 r: 16 o2: 100% ra general: alert, oriented, no acute distress heent: sclera anicteric, dry mucous membranes, oropharynx clear with no erythema or exudate, nasal mucosa without obvious lesion neck: supple, jvp not elevated, no lad or carotid bruit. lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: tachycardic, regular rhythm, normal s1 + s2, ii/vi sem rusb that radiates to carotids, no rubs, gallops abdomen: soft, mildly ttp, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: alert, oriented x 3, spontaneously moves all 4 extremities, no facial asymmetry or droop. pertinent results: labs on admission: . 09:25pm lactate-3.4* k+-5.9* 09:00pm glucose-715* urea n-57* creat-12.3*# sodium-133 potassium-6.0* chloride-87* total co2-21* anion gap-31* 09:00pm estgfr-using this 09:00pm calcium-10.3 phosphate-3.6 magnesium-1.9 09:00pm wbc-9.5# rbc-4.45*# hgb-13.0*# hct-39.4*# mcv-89 mch-29.1 mchc-32.9 rdw-16.6* 09:00pm neuts-92.8* lymphs-4.0* monos-2.5 eos-0.2 basos-0.4 09:00pm plt count-250# 09:00pm pt-11.7 ptt-22.9 inr(pt)-1.0 . labs on discharge: 01:00am blood wbc-10.0 rbc-3.70* hgb-11.1* hct-32.5* mcv-88 mch-29.9 mchc-34.0 rdw-16.7* plt ct-228 01:00am blood plt ct-228 01:00am blood pt-12.0 ptt-23.7 inr(pt)-1.0 06:14am blood glucose-184* urean-54* creat-12.8* na-139 k-3.7 cl-96 hco3-26 angap-21* 03:26am blood glucose-323* urean-56* creat-12.7* na-138 k-4.0 cl-97 hco3-26 angap-19 06:14am blood calcium-9.6 phos-5.0* mg-1.8 03:26am blood ck-mb-2 ctropnt-0.12* 01:04am blood lactate-1.8 k-4.6 brief hospital course: # dka: insulin drip was titrated to normalize glucose until gap acidosis closed, and ketones were absent in the blood. aggressive volume resuscitation with ns followed by d5 1/2ns was carried out in conjunction with aggressive potassium repletion as well as ca, mg, and phos. consult was called and insulin sliding scale adjusted per discharge instructions to patient. he has a follow-up appoint . # htn: hemodialysis # nausea: admitted with moderate nausea and abdominal pain thought to be due to viral gastroenteritis and underlying diabetic gastroparesis. started on reglan 5mg q meals prn. discharged with short course of prn compazine. # ckd: underwent hd per nephrology protocol. cr returned to the patient's baseline ~6 from 12 on admission. medications on admission: amlodipine 10 mg qday lasix 80 mg po qday glargine 15 units daily lisinopril 30 mg qday metoprolol succinate 200 mg sevelamer 800 mg tid humalog ss discharge medications: 1. insulin glargine 100 unit/ml solution : fifteen (15) u subcutaneous qam. 2. lisinopril 40 mg tablet : one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 3. amlodipine 10 mg tablet : one (1) tablet po once a day. 4. metoprolol succinate 200 mg tablet sustained release 24 hr : one (1) tablet sustained release 24 hr po once a day. 5. sevelamer carbonate 800 mg tablet : one (1) tablet po three times a day. 6. metoclopramide 5 mg tablet : one (1) tablet po three times a day: take with meals. disp:*90 tablet(s)* refills:*2* 7. prochlorperazine maleate 5 mg tablet : one (1) tablet po every six (6) hours as needed for nausea for 7 days. disp:*28 tablet(s)* refills:*0* 8. insulin lispro 100 unit/ml solution : one (1) injection subcutaneous four times a day: per sliding scale. discharge disposition: home discharge diagnosis: primary diagnosis - diabetic ketoacidosis secondary diagnoses - htn - dm i - esrd/ckd discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. , you were admitted to the icu because you had been having diarrhea, nausea and vomiting, and went to the emergency room, where it was discovered that your blood sugar was dangerously high. while in the icu, we gave you many liters of fluid as you were dehydrated, and started you on an insulin drip. as your stay in the icu progressed, we transitioned you to subcutaneous insulin, and started you on a regimen recommended by the physicians over at for when you go home. these are the changes to your medicine: - start: metoclopramide 5 mg by mouth three times a day with meals prochlorperazine 5 mg by mouth every 6 hours as needed for nausea - stopped: lasix 80 mg daily (talk to your kidney doctor about when to restart this medicine) - changed: increased lisinopril to 40 mg daily by mouth sliding scale insulin to the follow table: b l d hs glucose level humalog humalog humalog humalog lantus < 50 0 15 51 100 0 0 0 0 15 101 150 0 0 0 0 15 151 200 1 1 1 0 15 201 51 300 5 5 5 2 15 301 350 7 7 7 4 15 351 400 9 9 9 6 15 > 15 followup instructions: *please follow up with your primary care physician by making an appointment with dr. by calling within the next week *you have an appointment on at 1:30 pm with ms. , one of the nurse educators at the clinic by calling *you have an appointment on at 4:00 pm with zrebiec, a psychologist who is part of our mental health team at the procedure: hemodialysis diagnoses: hyperpotassemia anemia in chronic kidney disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere renal dialysis status acute kidney failure, unspecified depressive disorder, not elsewhere classified hypopotassemia long-term (current) use of insulin hypovolemia 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 diabetes with ketoacidosis, type i [juvenile type], uncontrolled background diabetic retinopathy intestinal infection due to other organism, not elsewhere classified gastroparesis 

Answer: The patient is high likely exposed to