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: new onset diabetes, confusion major surgical or invasive procedure: none history of present illness: pt is a 72 yo m with htn, hyperlipidemia, who presents with altered mental status. according to his son, he has not been feeling very well over the last week; he later recalled that his father had been polyuric, polydipsic. there were no no obvious fever, chills, ha, cardiopulmonary symptoms, or abd pain n/v. he had not traveled anywhere recently. he works in and lives with his family. . on the day of admission, he was taking the bus when he was found to be mumbling and not making sense, repeatedly stating his wife's name and telephone number. he was found to be 220/110 with hr 80s and blood sugar 575. on arrival to the , pts bp improved to the 140s-150s. pt spiked a temp to 101. he was pan cultured. ct head neg. lp neg (elevated protein). pt given 2g ctx and labetolol and started on insulin gtt for fsbg ibn 500s. pt also with hyponatremia and renal failure. despite a translator, he continued to repeat his name and wife's phone number. . in the unit, insulin drip was continued. mri of the head was done with no findings on preliminary report. past medical history: htn hyperlipidemia social history: married with 2 children. from originally. works at garage. no smoking, etoh, or recreational drugs family history: non-contributory physical exam: vs: 99.0, 59, 121/76, 17, 96%ra gen: awake and alert, creole speaking. states his name heent: eomi, perrl, anicteric sclera, mmm, op clear. poor dentition neck: supple, no lad heart: rrr no m/r/g lungs: ctab no wheezes, rales, or crackles abd: soft, nt/nd +bs no rebound or guarding ext: warm, well perfused, no pitting edema skin: no obvious rashes neuro: awake and alert. speaks in creole. states name. fully responsive. cnii-xii intact. strength preserved in all extremities. gross sensation intact. no nystagmus ================================ not significantly changed at time of discharge pertinent results: admission: . 05:43pm blood wbc-5.4 rbc-5.76 hgb-16.2 hct-50.0 mcv-87 mch-28.1 mchc-32.4 rdw-13.8 plt ct-230 05:43pm blood pt-13.9* ptt-24.0 inr(pt)-1.2* 05:43pm blood fibrino-448* 08:00pm blood glucose-549* urean-20 creat-1.6* na-127* k-4.3 cl-89* hco3-23 angap-19 04:03am blood alt-20 ast-21 ld(ldh)-254* ck(cpk)-331* alkphos-121* totbili-0.5 04:03am blood ck-mb-7 ctropnt-<0.01 03:12pm blood ck-mb-6 ctropnt-<0.01 04:03am blood calcium-10.1 phos-3.9 mg-1.9 05:43pm blood lipase-29 04:03am blood vitb12-510 folate-7.6 09:29am blood %hba1c-14.7* 04:03am blood tsh-0.56 07:05am blood cortsol-2.8 05:53pm blood glucose-greater th lactate-2.3* na-130* k-4.3 cl-87* calhco3-24 . mri/mra: no significant abnormalities on mra of the head . nchct: chronic small vessel ischemic changes without intracranial hemorrhage or edema. . discharge: 06:35am blood wbc-5.2 rbc-5.16 hgb-14.7 hct-43.7 mcv-85 mch-28.4 mchc-33.6 rdw-13.9 plt ct-241 06:35am blood glucose-100 urean-23* creat-1.3* na-138 k-4.2 cl-101 hco3-29 angap-12 brief hospital course: 72 yo m with htn, hyperlipidemia, who presents with altered mental status, hyperglycemia, and hyponatremia. initially managed with insulin drip in the micu. presentation c/w new-onset dm. discharged on lantus 20mg qam and a qid sliding scale with close follow-up scheduled at the clinic. . new onset dmii: presentation c/w new-onset dmii. good bs control on the day of discharge with a weight-based regimen (50% long acting, 50% ssi). we have had difficulty with insulin teaching language barrier & poor vision. pt's daughter was also taught and was provided for further teaching. - lantus 20 daily + ssi ( with meals & qhs) - consider initiating oral hypoglycemics in outpt setting - follow-up arranged within 2 days of discharge at - lisinopril 5mg daily started - a1c= 14 . altered mental status: unclear etiology. pt fully alert and oriented now, but was initially confused while in the micu. no focal signs to suggest stroke, and head ct/mri/mra unremarkable. he did have a low-grade fever in ed. lp unremarkable. no growth on urine or blood cultures. cxr unremarkable. have been hhs vs/ dka given high glucose and initial ketones. was very htnive initially, raising concern for hypertensive encephalopathy. hyponatremia mostly pseudohyponatremia which soon resolved. initial tox screen negative. no obvious offenders on home medication list. - tsh, b12, folate all normal; rpr negative - at the time of d/c, family said he was at his baseline mental status . htn: came in extremely htnive, but this largely resolved and bp in the 140-150/80 range. cont hctz, metoprolol. added lisinopril. . renal failure nos: unclear baseline. u/a negative for protein. no obvious infection. cr= 1.3 at the time of d/c. . --follow up: appointments made for pt at w/in two days of d/c. message left for pcp, . at hospital. medications on admission: hctz 25mg daily atenolol 25mg daily simvatatin 40mg daily discharge medications: 1. atenolol 25 mg tablet sig: one (1) tablet po once a day. 2. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. 3. simvastatin 40 mg tablet sig: one (1) tablet po once a day. 4. freestyle lite strips strip sig: one (1) strip in four times a day. disp:*1 month supply* refills:*3* 5. insulin syringe 1 ml 28 x 1 syringe sig: one (1) syringe miscellaneous four times a day. disp:*1 month supply* refills:*2* 6. lantus 100 unit/ml solution sig: twenty (20) units subcutaneous once a day: at breakfast. disp:*1 month supply* refills:*2* 7. humalog 100 unit/ml solution sig: 8-20 units subcutaneous four times a day: as per sliding scale. disp:*1 month supply* refills:*2* 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: new onset diabetes mellitus ============= hypertension hyperlipidemia discharge condition: medically stable for discharge. discharge instructions: dear mr. , you were admitted directly to the intensive care unit at for confusion. you were diagnosed with diabetes. we have started you on insulin and you and your family members have been taught how to administer it. it is very important that you take all of the insulin which you prescribe because you will become very ill if you do not do this. you will be provided with instructions for your insulin. none of your previous medications have been changed. you should continue to take them as you did previously. the only new medications you should take are insulin and lisinopril. appointments have been made for you at the clinic (listed below). please keep these appointments and try to attend with an english-speaking family member. followup instructions: the following appointment have been made for you at the clinic: , 3pm with a clinical educator at the clinic () . you will then have an appointment immediately after with dr. . please call and make an appointment with your pcp within one week. procedure: spinal tap incision of lung diagnoses: acute kidney failure, unspecified hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other and unspecified hyperlipidemia diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled other alteration of consciousness chronic kidney disease, stage ii (mild) 

Answer: The patient is high likely exposed to