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: nsaids - pt states he becomes "jittery" precautions: universal neuro: alert and oriented x3. denies any discomfort. perrl. able to mae x4, turns in the bed with minimal assist. afebrile. resp: lung sounds are clear throughout. denies sob, however per report pt was sob at times in the - pt stated it was no change from how he is at times at home. rr in the teens, spo2 initially >95% on 2l nc. when turned to his left side to sleep, sats began dipping to 89-91% so nc increased to 3l. sats have remained >95% since. cv: upon arrival from the , the pt's hr was 30's-40's. sbp continued to be stable in the 130's. an ekg was obtained which revealed a junctional rhythm. cardiology consulted and in to evaluate pt. decision was made to tx pt's symptomatic bradycardia with placement of temporary venous pacing wire to increase hr. pacing wire inserted through rij line placed by cardiology at the bedside under fluoroscopy, pt remained stable throughout the procedure. pacer settings are 70 bpm with ventricular setting at 7 ma. pt is now with hr 70-71, no ectopy noted. sbp has remained stable throughout the shift in the 120's-140's. cxr following procedure negative for pneumo. denies any cp. palpable radials, dp pulses audible with doppler. left wrist with av fistula, +thrill, +bruit. pt has patent #20 piv in the r wrist. received po kayexelate for k 5.5. sets of cardiac enzymes cycled, next set due at 0600. pacer pads on and atropine at the bedside as ordered. gi/gu: abdomen soft, bowel sounds present, no stool this shift. tolerating po's without difficulty. pt has not voided since admission to micu. urine sample to be sent once pt voids. refused foley catheter. musculoskeletal: r knee appears to be slightly larger than left. pt to have knee immobilizer placed on r leg per ortho when available. distribution called for immobilizer, however will need to see if available on the . procedure: initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle insertion of temporary transvenous pacemaker system transfusion of packed cells diagnoses: anemia in chronic kidney disease congestive heart failure, unspecified chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified atrial fibrillation chronic kidney disease, unspecified other specified cardiac dysrhythmias ostium secundum type atrial septal defect surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted kidney chronic diastolic heart failure personal history of malignant neoplasm of thyroid hypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage i through stage iv, or unspecified 

Answer: The patient is high likely exposed to