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: atorvastatin / imdur attending: chief complaint: epigastric pain, diarrhea major surgical or invasive procedure: cardiac catheterization history of present illness: 61m w/ cad, dm2, htn, presented to with epigastric pain, nausea, vomiting, and diarrhea. this am, he ate bacon and eggs at a restaurant. two hours later, he had profuse diarrhea, nausea, dry heaving. he noted his stools were dark brown but denies black tarry stools or brbpr. he has also had a cough x 3 days, nonproductive. denies fever/chills. no sore throat, travel, sick contacts. came to the this afternoon. his bp was noted to be 76/56 with hr 94. he was given 3l ns, zofran, reglan, and was started on dopamine. he was sent for ct to r/o mesenteric ischemia. in the ct scanner, he developed chest pain. repeat ecg showed inferior st elevations. he was started on heparin, and was given morphine, plavix 600mg po, and zofran, and transferred to for cath. . in the cath, he had patent lad and lcx stents, and unchanged chronic total occlusion of rca. he was given 400cc ns and weaned off dopamine. he was admitted to the service. on arrival to the floor, a trigger was called for bp 70/40 with hr 118. he was given 1l ns bolus with no response. he was started on dopamine. he was taken for a ct to r/o rp bleed, which was negative. he was transferred to the ccu. . on arrival to the ccu, he complained of mild chest pressure. his dopamine was switched to levophed, and his chest pain resolved. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis. all of the other review of systems were negative. . cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, palpitations, syncope or presyncope. in the ccu, he was aggressively volume repleted with a total of 18l, on 2 l o2. he was subsequently given lasix 20 iv and diuresed well. insulin gtt switched to lantus; was on metformin when he was admitted. being tx for sepsis of unknown source with cipro/flagyl, no further fevers. ct abdomen and u/s negative, c.diff negative, covering for uti/gi coverage. bp 150s, restarted bp meds, lfts elevated, increased statin, ace holding. b/l cr 1.1, currently 1.5, cardiac enzymes trop and ck elevated from demand ischemia. past medical history: past medical history: 1. cad: imi , s/p pci to rca 2. hypertension 3. hyperlipidemia 4. type 2 diabetes 5. obstructive sleep apnea- nasal cpap 16cm at home 6. gerd 7. depression 8. gout 9. s/p bilateral knee arthroscopy 10. s/p remote hernia repair 11. erectile dysfunction cardiac risk factors: diabetes, dyslipidemia, hypertension . percutaneous coronary intervention, in anatomy as follows: chronic total occlusion of rca at mid vessel with long occluded area in the stents and 80% stenosis in the acute marginal social history: social history is significant for history of tobacco use, 1 pack a day x 19y, quit in . there is no history of alcohol abuse. family history: brother with an mi in his late 50's and another in his 60??????s. physical exam: vs: t 100.0, bp 118/48, hr 129, rr 21, o2 91% on gen: obese man lying flat in bed, nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclerae anicteric. conjunctivae pink, no pallor or cyanosis of the oral mucosa. neck: supple. unable to assess jvp due to large diameter of neck. cv: unable to palpate pmi. tachycardic but regular, normal s1/s2. no murmur. chest: resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: obese, soft, mild diffuse discomfort to deep palpation, ?worse in ruq. ext: feet warm and well-perfused. trace le edema bilaterally. r cath site with dressing c/d/i. pulses: right: carotid 2+; femoral 2+ without bruit; dp dopplerable left: carotid 2+; femoral 2+ without bruit; dp dopplerable . pertinent results: ruq ultrasound:impression: cholelithiasis without evidence for acute cholecystitis. ct abdomen: impression: 1. trace amount of free fluid in the pelvis, measuring approximately 1.1 x 1.9 x 2.6 cm, likely a sequela of recent procedure, but not large enough to explain hypotension. no retroperitoneal or groin hematoma. 2. small bilateral pleural effusions with associated atelectasis. 3. gallstones without evidence of cholecystitis. 4. somewhat atrophic left kidney. 5. extensive degenerative disease of the lumbar and lower thoracic spine. c. cath comments: 1. coronary angiography in this right-dominant system revealed: --the lmca had no angiographically apparent disease. --the lad had mild luminal irregularities, with widely patent stent --the lcx had mild luminal irregularities, with widely patent stent --the rca had a chronic distal occlusion unchanged from prior. 2. limited resting hemodynamics revealed normal systemic arterial systolic pressures, with sbp 109 mmhg. 3. successful closure of right femoral arteriotomy site with 6-french angioseal device. final diagnosis: 1. one-vessel coronary artery disease with occluded rca unchanged from 2. demand collateral insufficiency in setting of hypotension and tachycardia brief hospital course: 61m w/ cad s/p imi, dm2, with epigastric pain, hypotension, fever, concerning for sepsis. initially transferred to ccu for cardiac cath in setting of developing chest pain in the ct scanner at osh. . # cad: pt had st elevation at osh while on dopamine and was transferred here for cardiac catheterization. the cath report showed widely patent lad and lcx stents, chronic distal occlusion of rca unchanged from prior. it was felt his st elevations were most likely secondary to collateral insufficiency in setting of hypotension, tachycardia, and dopamine. repeat ekg's unchanged from baseline once off the dopamine. continued asa, statin, metoprolol was titrated up and sent home on 75mg po tid. lisinopril was restarted and increased to 20mg at time of discharge. . # hypotension the patient presented with hypotension and had been on dopamine while undergoing a cardiac catheterization. however, post procedure, the pt remained persistently hypotensive and was thus transferred to the ccu for ongoing care. initially there was concern that his hypotension may be secondary to an rp bleed and a ct abdomen was done which showed no pathology or rp bleed. he was suspected to have sepsis as the cause given his subsequently noted leukocytosis (wbc 28), anion gap acidosis, low-grade fever 100. he was bolused with ongoing ivf and placed on levophed. it was felt that the most likely source was intraabdominal given localizing symptoms on presentation including nausea and diarrhea. there was also a possibility of cholecystitis given known gallstones, however ruq ultrasound did not show evidence of this. a cxr without evidence of infiltrate. u/a mildly positive. cortisol wnl. he was initially covered with broad spectrum antibiotics including vancomycin, zosyn and flagyl for possible gi source. he was resuscitated with 20 liters of ivf and weaned of levophed. it was felt that ultimately his hypotension was multifactorial including acute gastroenteritis on top of what was likely chronic diarrhea with dehydration and some dka/osmotic diuresis from poorly controlled sugars. given he remained afebrile and wbc improved to 6.0, his antibiotics were change to ciprofloxacin to complete a 7 day course for a presumed uti. . # pump: pt had echo showing ef 55% with symmetric lvh. after fluid resuscitation pt with some increased sob and mild volume overload. he was subsequently diuresed with iv lasix given he was 18 liters positive when transferred out of ccu. he diuresed extremely well and was discharged on 60mg of oral lasix with close pcp follow up, his prior dose had been 40mg. he was off oxygen and cleared by pt for discharge home once he was diuresed appropriately. . # arf: likely poor forward flow in setting of hypotension. his creatinine decreased to 0.9 with aggressive diuresis indicating he was off the starling curve and overloaded. . # metabolic acidosis: initially a gap acidosis, subsequently closed after aggressive ivf, insulin and antibiotics. likely multifactorial from infection/sepsis + dka + normal saline. . # dm2: blood sugars elevated in 300s on admission; was on insulin gtt and now titrating off gtt and starting lantus 25u which was increased to 40 units daily at the time of discharge. home metformin was held. he will need sugars monitored closely, he has appointment with his pcp early next week. . # htn: discharge regimen of lisinopril 20mg, metoprolol 75mg tid . # osa:continued on home cpap medications on admission: asa 325mg daily metoprolol 50mg daily (?) metformin 1000mg lisinopril 10mg daily sertraline 50mg daily protonix 40mg daily allopurinol 300mg daily simvastatin 80mg daily lasix 40mg daily glimepiride 4mg daily mvi ferrous sulfate 325mg daily discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po three times a day: 75 mg 3 times a day. disp:*135 tablet(s)* refills:*0* 3. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. sertraline 50 mg tablet sig: one (1) tablet po once a day. 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 6. allopurinol 300 mg tablet sig: one (1) tablet po once a day. 7. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 8. furosemide 40 mg tablet sig: 1.5 tablets po daily (daily). disp:*60 tablet(s)* refills:*9* 9. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 10. insulin glargine 100 unit/ml solution sig: forty (40) units subcutaneous once a day. disp:*1500 units* refills:*0* 11. multivitamins tablet, chewable sig: one (1) tablet, chewable po once a day. 12. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: bayada nurses inc discharge diagnosis: cad with acute coronary syndrome acute renal failure uti diabetes mellitus, type ii, uncontrolled with complications obstructive sleep apnea discharge condition: stable, on room air oxygen, cleared by pt for discharge home discharge instructions: you were admitted with chest pain, heart cath showed no new blockages in your heart. you also had low blood pressure which is likely due to a urine infection. you were given plenty of intravenous fluids and need to urinate off a lot of that fluid. your blood pressure medication was increased as well, your metformin and glimepiride were stopped and you were placed on glargine 40 units daily (insulin), your primary care doctor will decide whether or not to restart your metformin when you see him early next week. you will need to see your outpatient doctor early next week to check your blood work and adjust your lasix (water pill), diabetes medications and your blood pressure medications. if you develop any chest pain, shortness of breath, fever or any worrisome symptoms call his office or present to the emeregency room to be evaluated. followup instructions: , a. early next week follow up with your cardiologist within the next 4 weeks md procedure: coronary arteriography using two catheters left heart cardiac catheterization non-invasive mechanical ventilation diagnoses: acidosis other and unspecified noninfectious gastroenteritis and colitis obstructive sleep apnea (adult)(pediatric) subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified acute on chronic diastolic heart failure percutaneous transluminal coronary angioplasty status diarrhea dehydration chronic total occlusion of coronary artery diabetes with ketoacidosis, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to