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: iv dye, iodine containing contrast media attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with stent placement history of present illness: mr. is a 78 year-old male with pmhx of dm who presented to the ed with bilateral arm pain as well as anterior neck pain on activity. he initially noticed while walking on the treadmill. today, pain was severe . he stopped walking, went home and took a nap. he then went to visit his sister in the hospital and had recurrent symptoms prompting ed evaluation. he reports that the pain is exertional in nature, radiates to the neck and shoulders bilaterally, and ussually resolves with rest. he denies any shortness of breath nausea or diaphoresis associated with the chest pain. he reports that he has never had this pain before. he also denies any cough, fever or chills. . in the ed, initial vitals were 96.6 58 122/76 18 100% on ra. labs and imaging significant for troponin of 0.03, and an ekg with st depressions in v1-3 and sub-millimeter elevation in lead iii. . patient given heparin, asa, plavix 600 and taken to the cath lab. there he was found to have a large thrombus occulsion of the lcx that was treated and stented with resumption of normal flow. during the procedure he experienced flushing and itching and was thought to be having an allergic reaction, potentially to the contrast and was given solumedrol and benadryl. he was transfered to the ccu for monitoring following the procedure. vitals on transfer were 97.8, 61, 141/61, 17, 99% on ra. . on arrival to the floor, patient was stable and resting comfortable. he denied and difficulty breathing and was chest pain free. past medical history: 1. cardiac risk factors: (+)diabetes 2. cardiac history: -cabg: none -percutaneous coronary interventions: none -pacing/icd: none 3. other past medical history: bilateral cataracts s/p surgery history of prostate ca social history: -tobacco history: never -etoh: never -illicit drugs: never # accountant, still working. he lost his wife 9 months ago to prolonged illiness. he has 2 children. both live in the area family history: non-contributory physical exam: vs: t=97.8 bp=141/61 hr=61 rr=17 o2 sat= 99% ra general: wdwn male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp unable to determine as pt laying flat as per cath closure. cardiac: rr, normal s1, s2. soft 2/6 systolic ejection murmer. no r/g. no thrills, lifts. no s3 or s4. lungs: resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. no femoral bruits. right groin site c/d/i, soft, no hematoma. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ dp 2+ pt 2+ left: carotid 2+ dp 2+ pt 2+ pertinent results: 05:07pm blood wbc-6.0 rbc-4.64 hgb-14.5 hct-41.3 mcv-89 mch-31.3 mchc-35.2* rdw-13.6 plt ct-178 05:07pm blood glucose-134* urean-24* creat-1.3* na-141 k-4.5 cl-107 hco3-23 angap-16 12:51am blood ck-mb-5 ctropnt-0.08* . : cardiac cath: 1. selective coronary angiography of this co-dominant system demonstrated single vessel coronary artery disease. the lmca was without angiographically apparent flow-limiting stenosis. the lad had mild diffuse plaquing proximally and a 50% smooth tubular stenosis at the mid-vessel. the lcx was a large vessel with a 90% thrombotic lesion in the mid-segment prior to take off of om2. the lcx gives a reasonable sized l-pda, small om1 (takes off at the lesion), long 2.5mm om2 that reaches the apex and large bifurcating om3. the av groove lcs is a 2mm vessel. om2 has a 30% stenosis and om3 has a 40% lesion proximal to bifurcation. timi 2 flow noted distally. the rca was a smaller vessel that gives a small rpda with mild luminal irregularities throughout. there was a 20% proximal stenosis and diffusely diseased distal segment that tapers to 80% at the bifurcation. the rpda takes off at a ("mild z") angle. timi 2 flow noted distally. 2. limited resting hemodynamics revealed systemic arterial normotension. 3. notably, while taking initial images, patient complained of diffuse itching with an erythematous rash on his face. this was contributed to contrast allergy and he was given pepcid 20mg, solumedrol 125mg, and benadryl 50mg promptly with gradual symptom relief. 4. successful aspiration thrombectomy, ptca and stenting of the mid lcx with 3.0x18mm promus element drug-eluting stent post-dilated to 3.25mm (see ptca comments). 5. successful right femoral arteriotomy closure with 6f angioseal device. . echo : the left atrium is mildly dilated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). the estimated cardiac index is normal (>=2.5l/min/m2). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). the right ventricular cavity is dilated the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. impression: normal biventricular cavity sizes with preserved regional and global biventricular systolic function. mild aortic regurgitation with normal valve morphology. brief hospital course: 78 yo male with pmhx of dm who presented with 2 days of intermittent chest pain who on presentation was found to have a posterior stemi. he had pci with placement of a des to the lcx with restoration of flow. the procedure was complicated by itching during the procedure for which he received solu-medrol and benadryl. . active issues: # posterior stemi: he presented with 2 days of intermittent chest pain who on presentation to the ed was found to have a posterior stemi. he had pci with placement of a des to the lcx with restoration of flow. his course was complicated by the below mentioned contrast allergy. he was initially maintained on integrilin and subsequently started on plavix and aspirin. he did well post procedure. he had a cardiac echo that showed an ef of 55% and no wall motion abnormalities. low-dose metoprolol succinate was started on the day of discharge at 12.5mg daily and can be uptitrated as tolertaed. his blood pressures were 100s-120s systolic and so given normal ef, acei was not started. . # allergic reaction: during the procedure the patient experienced flushing and itching over his body. never any airway compromise. he received 125mg solu-medrol, benadryl and pepcid in the cath lab. on presentation to the floor he denied any difficulty breathing. he did well overnight with complete resolution of the symptoms without breathing issues. . chronic issues: # diabetes: he is a diabetic on only metformin at home. he reports that his diabetes is under good control having recent lost 14 lbs. his home metformin was held during the hospitalization and was placed on a low dose insulin sliding scale and his blood sugars were well controlled. at time of discharge he was placed back on his home dose metformin. medications on admission: preadmissions medications listed are incomplete and require futher investigation. information was obtained from patient. 1. metformin (glucophage) 1000 mg po bid 2. sertraline 50 mg po daily discharge medications: 1. sertraline 50 mg po daily 2. aspirin 325 mg po daily 3. atorvastatin 80 mg po daily 4. clopidogrel 75 mg po daily 5. metoprolol succinate xl 12.5 mg po daily hold for sbp<100, hr<60 6. metformin (glucophage) 1000 mg po bid discharge disposition: home discharge diagnosis: st elevated myocardial infarction (heart attack) with thrombus in left circumflex artery. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you at . you were admitted for arm pain and found to have a heart attack. you had a cardiac catheterization, and one of your coronary arteries was stented open. the ultrasound of your heart afterwards showed no obvious damage; you heart is still pumping very well! we started new medicines to prevent future heart attacks and a very important medicine called plavix (clopidogrel). do not stop taking plavix without talking to your cardiologist! we electronically sent prescriptions to your pharmacy () at your request. followup instructions: name: , j. address: , , phone: appt: at 1pm department: cardiac services when: wednesday at 10:20 am with: , md building: sc clinical ctr campus: east best parking: garage you are seeing dr. who did your cardiac cath procedure. if you would like, you can see dr. in the future. dr. does not have appointments for several weeks and we did not want you to wait that long to see a cardiologist. procedure: coronary arteriography using two catheters left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel transluminal coronary atherectomy diagnoses: coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of malignant neoplasm of prostate true posterior wall infarction, initial episode of care other drugs and medicinal substances causing adverse effects in therapeutic use other specified pruritic conditions 

Answer: The patient is high likely exposed to