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: lisinopril / nsaids / nesiritide attending: chief complaint: shortness of breath major surgical or invasive procedure: hd history of present illness: ms. is a 86f with h/o colon cancer, esrd on hemodialysis, diastolic chf, pulmonary hypertension, and prior cephalic vein thrombosis who presented to the ed on with dyspnea. the patient's dialysis catheter became dislodged . consequently she missed her normal dialysis session . on she had a new tunneled catheter placed, but was not dialyzed. the afternoon of her daughter noticed that the patient seemed increasingly dyspneic and was hypertensive to 200's. she was given hydralazine and clonidine and the bp improved to 160's. she called her daughter ~3am on due to worsening dyspnea. the patient denies any accompanying headache, vision changes, chest discomfort, palpitations, nausea, vomiting, cough, weakness or loss of sensation. ems was called, and she was given cpap with some relief of her dyspnea. per her daughter, similar symptoms have occurred 3 times in the past. in the ed her vitals were bp 258/61 rr 28 o2 100% on cpap, 89% on room air (temperature was not recorded). she was started on a nitroglycerin drip, and given calcium and bicarbonate for a potassium of 7.1. she was weaned off nippv, with o2 saturation of 97% on 3l nc. she was subsequently transferred to the icu for further monitoring and dialysis. past medical history: 1) hypertension 2) stage v chronic kidney disease, followed by dr. . 3) diastolic chf (ef 60% on tte in ), likely volume related in the setting of her renal disease. 4) rheumatic fever, with the following valvular abnormalities: mild aortic stenosis, moderate aortic regurgitation, mild mitral stenosis, mild to moderate mr, mild tr. 5) severe pa systolic hypertension 6) renal artery stenosis: mri atrophic r kidney, moderate stenosis of r renal artery, l renal artery normal. 7) peripheral vascular disease: has claudication. 8) right cephalic vein dvt in 9) colon cancer in , status post resection. 10) hyperlipidemia 11) right bundle branch block 12) anemia of renal failure 13) osteoarthritis 14) osteopenia 15) glaucoma social history: lives at home, usually alone, but recently the daughter has moved in with her. she does not smoke, drink alcohol, or use iv drugs. family history: mother- htn physical exam: t 98.2 p 50 bp 196/76 o2 97% on 2l rr 24 general: pleasant elderly woman in no acute distress cv: regular rate s1 s2 ii/vi sem at rusb with i/vi diastolic decrescendo murmur as well at rusb pulm: lungs with crackles at bases bilaterally, no wheezes or rhonchi. r chest with tunneled catheter. abd: soft, nontender, +bs extrem: warm and well perfused, no edema neuro: alert and answering questions appropriately, moving all extremities pertinent results: 07:45am blood wbc-8.1 rbc-3.86* hgb-11.7* hct-34.8* mcv-90 mch-30.3 mchc-33.6 rdw-18.6* plt ct-180 05:00am blood neuts-91.0* bands-0 lymphs-5.1* monos-2.7 eos-1.0 baso-0.2 07:45am blood pt-11.5 inr(pt)-1.0 07:45am blood glucose-106* urean-82* creat-6.2*# na-141 k-5.8* cl-106 hco3-23 angap-18 05:00am blood ctropnt-0.09* 05:13am blood type-art po2-440* pco2-35 ph-7.38 caltco2-22 base xs--3 05:00am urine color-yellow appear-clear sp -1.009 05:00am urine blood-neg nitrite-neg protein-100 glucose-tr ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 05:00am urine rbc-0-2 wbc-0-2 bacteria-occ yeast-none epi-0-2 cxr findings: ap view of the chest on upright position. the cardiac silhouette cannot be evaluated on this ap view. the right-sided central venous catheter is unchanged. the left costophrenic angle is blunted consistent with pleural effusions. left lung base atelectasis are noted. there is no evidence of pneumothorax. there is a right lung base opacity obscuring the right-side cardiac border which may represent right middle lobe atelectasis vs. pneumonia. pprominence of the pulmonary vasculature is noted, consistent with mild chf. the osseous structures are unchanged. impression: 1. right middle lobe atelectasis vs. pneumonia. 2. mild chf with small left- sided pleural effusion. ekg sinus bradycardia at 56bpm, left axis, old rbbb, peaked t's that are new compared to ekg. inverted t in v3 on ekg has flipped to positive. no signs of acute ischemia. brief hospital course: 1. dyspnea - the patient's dyspnea was thought to be secondary from volume overload, occuring in the context of esrd and a missed hemodialysis session, as well as hypertension leading to flash pulmonary edema. her dyspnea following hemodialysis. 2. hypertension - the patient's hypertension is also likely related to volume overload. her blood pressures improved following dialysis and resumption of her home course of toprol, clonidine, amlodipine, and hydralazine. 3. hyperkalemia - the patient's potassium normalized following dialysis. 4. esrd - renal following, on dialysis mwf. 5. fen - continue sevelemer, nephrocaps. medications on admission: 1. hydralazine 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. sevelamer 800 mg tablet sig: two (2) tablet po tid (3 times a day). 4. calcium acetate 667 mg capsule sig: three (3) capsule po tid w/meals (3 times a day with meals). 5. clonidine 0.1 mg tablet sig: three (3) tablet po tid (3 times a day). 6. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 7. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 8. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 9. hydralazine 50 mg tablet sig: two (2) tablet po tid (3 times a day). 10. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). discharge medications: 1. hydralazine 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. sevelamer 800 mg tablet sig: two (2) tablet po tid (3 times a day). 4. calcium acetate 667 mg capsule sig: three (3) capsule po tid w/meals (3 times a day with meals). 5. clonidine 0.1 mg tablet sig: three (3) tablet po tid (3 times a day). 6. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 7. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 8. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 9. hydralazine 50 mg tablet sig: two (2) tablet po tid (3 times a day). 10. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). discharge disposition: home with service facility: caretenders discharge diagnosis: primary: hyptertensive emergency secondary: diastolic chf esrd discharge condition: stable, shortness of breath relieved discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: followup instructions: provider: , m.d. date/time: 8:30 -cont hd on mwf md, procedure: hemodialysis diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease end stage renal disease congestive heart failure, unspecified primary pulmonary hypertension personal history of malignant neoplasm of large intestine diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to