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: service:neurosurgery history of present illness: this 76 -year-old man had problems of low back and lower extremity pain and more recently, increasing neck pain with radiation in the scapula, particularly on the right side and radiation to the right arm with pain and weakness in his upper extremities, and problems pain down the left leg more than the right. he could not stand upright, could not even sit upright because the sitting would force his head into a flexed position, a position that was increasing his neck pain. he had significant medical problems with renal failure and was on dialysis. his mri scan showed severe stenosis with c5-c6 and c6-c7. he had severe stenosis at l4-l5 with less degree of stenosis at l3-l4. the decision was made to carry out definitive surgery on the cervical cord compression at this point. past medical history: he had diabetes mellitus for 32 years, he has hypercholesterolemia. he has end stage renal failure, was on dialysis three times per week. he had right venous access subclavian line. he had glaucoma. social history: he did not use alcohol or tobacco. past surgical history: on , he had right toe amputation and a right femoral tibial bypass vascular surgery. he had cataract surgery in . he had a left femoral tibial bypass vascular surgery in . he had an inguinal hernia repair in and an appendectomy in . allergies: he had no known drug allergies. admitting medications: included 200 mg of neurontin twice per day, prandin 0.5 mg half tablet prn if his blood sugars went over 150, lipitor 5.0 mg per day, prozac 20 mg per day, phoslo 667 mg twice per day, and cosopt, alphagan 0.2%, xalatan 0.005% drops in both eyes twice per day for glaucoma. he also is taking phospholine iodide 0.125% drops twice per day. he was taking 325 mg aspirin tablet, last taken in . physical examination: his vital signs showed a blood pressure of 121/59, with a pulse of 60, a height of 5 foot, 8 inches, and weight 160 pounds. his head, eyes, ears, nose, and throat examination were normal. his neck was supple with no adenopathy, no thyromegaly, trachea is midline. his chest was clear to auscultation and percussion. his cardiac examination showed a regular rate and rhythm, normal s1, s2, no murmurs. his abdominal examination showed no organomegaly, no masses or tenderness, normal bowel sounds to be present. extremities showed no joint deformities, no peripheral edema and full pulses throughout. his neck examination showed 30 degrees of rotation to the right and 50 degrees rotation on the left. extension was quite limited, but flexion was full. his maneuvers were negative bilaterally. straight leg raising to 70 degrees bilaterally gave no pain. his motor examination showed a question of some weakness of the hands. there was a severe deficit of fine movement in both hands. in the lower extremities there was good strength, but a moderate deficit of fine movement in both feet. a sensory examination was normal. his deep tendon reflexes were hypoactive. laboratory data: his admission cbc, protime, ptt, and platelet count were all normal. his initial potassium was in the 6.0 range prior to dialysis. he had many intrahospital electrolytes, bun, potassium, and creatinine levels in the context of dialysis with abnormal levels prior to dialysis and normal levels following dialysis. hospital course: upon admission, the patient was immediately taken to the operating room where the c4-c5 disk excision and fusion with plate screws fixation was carried out without complications. postoperatively he did well on the initial evening after surgery. he was not put on steroids because of his diabetes. in the early morning hours he became increasingly somnolent and developed a low respiratory rate in the 9 to 10 range. his oxygen levels remained good, but his co2 rose to 66 on an arterial blood gas and he was quite obtunded and obstructing with stertorous breathing if his jaw was not held forward. at this point he was intubated and taken to the intensive care unit. he was placed on steroids for swelling. he underwent dialysis on that postoperative day one as planned. he woke and was quite cooperative despite his intubation during the following 24 hours after normalization of his co2. his incision was free of drainage. he had almost no neck pain and required almost no medication for pain. he was slowly able to mobilize. he was walking with a walker, but then assisted with physical therapy. he had two subsequent dialysis treatments prior to discharge. his blood chemistries also showed fingerstick blood glucose levels running in the 150 to 200 range with little need for extra regular insulin on a sliding scale. he remained anuric as he had been for a long time. discharge diagnoses: 1. cervical stenosis, disk protrusion of c4-c5. 2. myelopathy, radiculopathy secondary to diagnosis 1. 3. respiratory obstruction with co2 narcosis. 4. renal failure by history. 5. glaucoma by history. 6. diabetes mellitus. 7. hypercholesterolemia. 8. lumbar stenosis. 9. lumbar radiculopathy secondary to lumbar stenosis. discharge status: approved. disposition: discharged home with follow up appointments to be arranged. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours hemodialysis other cervical fusion of the anterior column, anterior technique excision of intervertebral disc diagnoses: unspecified glaucoma hypopotassemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease spinal stenosis in cervical region 

Answer: The patient is high likely exposed to