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: shortness of breath major surgical or invasive procedure: cardiac catheterization and angioplasty to svg to lad history of present illness: 80m with cad s/p cabg, pvd, dm, htn, hyperlipidemia, cri, gerd who presented to ed with ~6 days of diarrhea. pt was in his usual state of good health & on vacation in when the diarrhea began on . describes diarrhea as loose, watery, brown, no brbpr, 3-5x/day. +sweats (sometimes soaking through clothes), subjective fevers, and "shakes" (lasting ~30 minutes) occurring a few times per day since the diarrhea began. does remember eating lobsters, oysters, & other seafood at a buffet the night before the diarrhea began, so he attributed it to possibly eating undercooked or contaminated food. unaware of anyone else at restaurant or other friends/family becoming sick. tried immodium without any change in his diarrhea. denies any recent abx use. denies any nausea, vomiting, or abdominal pain. pt reports poor po intake since diarrhea began but was able to take flight back to 3 days ago. tonight, patient's family was concerned about his continued symptoms, lightheadedness, and dehydration so brought him to ed. in the ed, initial vs hr 88, bp 82/48 -> 70/37, sat 96% ra so started on ivf (rec'd total 6l in ed) with some improvement in sbp to 85-100. central line placed and cvp ~. lactate 2.1. wbc 8.8 w/65n, 13bands. also in the ed, the patient developed epigastric burning and then, separately, sudden-onset severe substernal chest pain with radiation to his l-arm. pt stated that the sscp was similar to his previous angina. pt was lying in stretcher at that time and receiving ivf for sbp in 80s. ecg was a-v paced and unchanged from prior. chest pain resolved after 1 mg morphine. rec'd 325 mg asa in ed. on ros, patient denies doe, orthopnea, or urinary sx. reports good excercise tolerance including walking many blocks and biking 20 minutes per day at the gym. denies any swimming while in . past medical history: -cad s/p mi, s/p 5-vessel cabg in . most recent cath w/ptca of the pda ostium and drug-eluting stenting of the distal rca into the plb & des to prox svg-rca, patent svg->d1/lad and svg->om. severe svg->drca disease in proximal graft and distal to graft. moderate diastolic left ventricular dysfunction. -pvd, s/p bilat femoral endarterectomy -dm on insulin -s/p pacemaker placement () in for 2:1 av block -hypercholesterolemia -hypertension -cri, baseline ~1.0-1.2 -history of gerd, gastritis -anemia, baseline hct 30-34 -dyspnea: w/u by dr. , pulmonary, smoking h/o vs. asbestos exposure; last ct scan : 3-mm diameter noncalcified peripheral right lower lobe lung nodule f/u -s/p bilateral carotid endarterectomy -s/p multiple colonoscopies with polyp removal -multiple orthopedic procedures on back and knees social history: lives with wife (she has h/o cvas & he is her primary caregiver). >80 pack-yr hx, quit >40 yrs ago. occasional etoh when cooking. retired but previously worked in navy & as a police officer. family history: strongly positive for premature heart disease. physical exam: vs: t 98.8, hr 90, bp 95/50, sat 99-100% on 2l nc -gen: pleasant elderly m in nad -skin: c/d/i, old surgical scars sternum, les; no rashes apprec -heent: op clear, dry mm, -neck: no jvd -heart: distant heart sounds, s1s2, no m appreciated -lungs: cta b, no crackles appreciated, good air movement -abdom: soft, obese, nt, somewhat distended, hyperactive bs -rectal: dark brown, green stool, guaiac + in ed -extrem: 1+ pitting edema, l>r ankle; trace dp pulses -neuro/psych: a&ox3, conversant, appropriate, cn2-12 intact, strength throughout pertinent results: 10:20pm glucose-175* urea n-40* creat-1.9* sodium-134 potassium-3.2* chloride-104 total co2-15* anion gap-18 glucose urean creat na k cl hco3 06:08am 134* 13 0.9 137 4.5 104 26 . 10:20pm wbc-8.8# rbc-3.77* hgb-12.6* hct-35.0* mcv-93 mch-33.3* mchc-35.9* rdw-15.5 hct 26.9, repeat 27.6 hct 25.3 hct 29.2 (after 2 units prbcs), repeat in pm 35.9 hct 28.8 (after 1 unit prbc) hct 30.7, repeat 32.1 hct 33 06:08am wbc 7.2 hct 33.0* plt 166 . 10:20pm ctropnt-<0.01 03:51am ctropnt-<0.01 05:50am ctropnt-0.02* 03:22pm ck-mb-17* mb indx-10.9* ctropnt-0.28* 03:33am ctropnt-0.46* 02:06pm ctropnt-0.25* 06:26am ctropnt-0.35* 12:50pm ctropnt-0.04* 07:50pm ctropnt-0.39* 05:35am ctropnt-0.40* 05:48am ctropnt-0.49* 06:08am ctropnt-0.37* . 03:51am blood ck(cpk)-37* 05:50am blood ck(cpk)-53 03:22pm blood ck(cpk)-156 03:33am blood ck(cpk)-96 02:06pm blood ck(cpk)-60 06:26am blood ck(cpk)-46 12:50pm blood ck(cpk)-56 05:35am blood ck(cpk)-40 09:05pm blood ck(cpk)-47 05:48am blood ck(cpk)-37* 06:08am blood ck(cpk)-51 . ecg: atrial sensed ventricular paced rhythm at 88 beats per minute, unchanged compared to the previous tracing of . . ecg: atrial sensed ventricular paced rhythm at 80 beats per minute. compared to the previous tracing of no diagnostic interval change . ecg: atrial sensed ventricular paced rhythm. compared to the previous tracing of no significant change . ecg: baseline artifact makes interpretation difficult. probable atrial sensed and ventricular paced rhythm. compared to the previous tracing of no significant change, except for artifact. . ecg:ventricular pacing. pacemaker rhythm - no further analysis. compared to the previous tracing of no significant change. . 8:43 am stool consistency: loose source: stool. fecal culture (final ): no salmonella or shigella found. campylobacter culture (final ): no campylobacter found. fecal culture - r/o vibrio (final ): no vibrio found. fecal culture - r/o yersinia (final ): no yersinia found. fecal culture - r/o e.coli 0157:h7 (final ): no e.coli 0157:h7 found. clostridium difficile toxin assay (final ): feces negative for c. difficile toxin by eia. reference range: negative. . tte: the left atrium is mildly dilated. the right atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with preserved global biventricular systolic function. mild-moderate mitral regurgitation. pulmonary artery systolic hypertension. dilated ascending aorta. . cardiac cath: 1. selective coronary angiography revealed native three vessel disease, patent svg to pda and svg to om and 70% stenosis of the svg to lad. the lmca was occluded proximally. the native lad was backfilled by the svg but the distal native lad was also occluded (similar to prior cath). the svg to lad and d1 had a 70% stenosis in an extremely tortuous segment just prior to the anastomosis. this was balloon angioplastied (see below). the native lcx was occluded proximally. a svg to large om2 was patent. the native rca was occluded proximally, the distal rca was supplied by a widely patent svg with patent stents in the svg and the plv branch. 2. limited hemodynamics revealed elevated central aortic blood pressures. 3. left ventriculography was not performed. 4 . the svg touch down to the lad was angioplastied with a 2.0 x 15mm voyager and a 2.5 x 15mm maverick balloon with lesion reduction from 70% to 30%. the final angiogram showed no dissection and no embolisation.(see ptca comments) final diagnosis: 1. severe native three vessel cad 2. patent svg to pda, patent svg to om. 3. 70% stenosis of svg to lad/d1 4 successful angioplasty of the touch down lesion of the svg to the lad. . u/s of r groin: grayscale and doppler son of the right groin including right external iliac artery and vein as well as right common femoral artery and vein demonstrate normal flow and waveforms in these vessels and no evidence of pseudoaneurysm, hematoma or thrombus. impression: no evidence of pseudoaneurysm in the right groin. . brief hospital course: 80m with cad s/p cabg, pvd, dm, htn, hyperlipidemia, cri, gerd a/w diarrhea, hypotension and poor pos x 1 wk. . # hypotension: was from dehydration diarrhea and poor intake. all his antihypertensives were held initially. after receiving ivf (6l ns) in the micu, hypotension resolved. . # diarrhea: this began after seafood buffet. the patient had guaiac + stools but the stool cultures were negative. the patient was on levofloxacin briefly while in the micu but was discontinued on the floor. the patient's diarrhea improved gradually then resolved. the patient did have guaiac positive stools during this hospitaliziation (h/o hyperplastic polyps and last colonoscopy in ) and recommended outpatient f/u colonoscopy in 6 weeks. . # coronary artery disease/non-st elevation myocardial infarction: was concerning for cardiac origin with ecg changes and troponin rise. initially thought to be secondary to demand ischemia hypotension and was given ivf and continued on asa, plavix, statin, and restarted bb and acei as bp tolerated. the patient was also transfused to keep his hct >30. the patient remained asymptomatic until the night of when he developed chest pain in the setting of emotional distress with the unchanged ecg and troponin rise, then the patient was taken to the cath lab on and found to have a 70% stenosis of svg to lad/d1 and angioplasty of the touch down lesion of the svg to the lad was performed. the patient did not receive any heparin before or after cath due to guaiac positive stools. the patient tolerated the cath well and did not have any complications. right fem u/s at cath site was obtained because of a new bruit but was negative for pseudoaneurysm, hematoma or thrombus. . # diastolic dysfunction: was volume-overloaded after ivf resuscitation in the micu and on the floor, pt was restarted on lasix home dose once bp normalized/stablized and also received iv lasix after blood transfusion. his lower extremity edema improve with lasix and the patient did not require any supplement o2 on the floor. the patient was advised to monitor his daily weights and continue lasix as outpatient and call his primary care physician if weight gain of 3 lbs or more occurs. . # anemia: the patient had guaiac positive stools but never gross blood in stools during the hospitalization. given his nstemi, the patient was transfused with a total of 3 units of prbcs to keep his hct above 30. the patient was advised to get a repeat colonoscopy in 6 weeks after cardiac catheterization as has a hx of hyperplastic polyps. . # dm ii on insulin: the patient was restarted on lower dose nph (8 am/8 pm)than at home dose (14 am and 13 nph and humalog 13 at dinner) due to poor intake and nausea which eventually resolved. the patient has a follow-up pcp appointment with to titrate up his insulin regimen. his fs was in 100s-200s at the time of discharge. . # acute renal insufficiency: creat normalized after fluid resuscitation. . # restrictive lung dz/smoking/wheezes: ws stable and continued nebs. the patient has outpatient ct chest follow-up in as an outpatient. . # fen: received ivf and advanced to regular, cardiac, diabetic diet as tolerated. the patient tolerated po without problem at the time of discharge. the mag and k were repleted/prn to keep mag at 2 and k at 4. - nongap metabolic acidosis: bicarb 15 initially from diarrhea. resolved with resolution of diarreha. . # prophyl: ppi, sc heparin medications on admission: aspirin 325 mg daily, clopidogrel 75 mg daily, plendil 10 mg daily; insulin, nph 14 units qam, 13 units at dinner; humalog 13 units at dinner; metoprolol 100 mg tablet , fosinopril 60 mg daily, isosorbide dinitrate sr 60 mg q12h; furosemide 80 mg daily, atorvastatin 80 mg daily, ezetimibe 10 mg daily, spiriva 1 puff daily, prilosec 20 mg daily, albuterol 1-2 puffs q4h as needed, discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 4. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 5. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 6. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. fosinopril 10 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*0* 9. furosemide 80 mg tablet sig: one (1) tablet po daily (daily). 10. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation every four (4) hours as needed for shortness of breath or wheezing. 11. insulin nph human recomb 100 unit/ml cartridge sig: eight (8) units subcutaneous in am and at dinner. discharge disposition: home discharge diagnosis: primary diagnoses: diarrhea- resolved dehydration- resolved coronary artery disease s/p cardiac catheterization and angioplasty secondary diagnoses: diabetes mellitus type 2 on insulin peripheral vascular disease anemia congestive heart failure discharge condition: stable, chest pain free. discharge instructions: return to the emergency department if you develop chest pain, shortness of breath, sweating, nausea, vomiting, abdominal pain, jaw pain, bleeding from catheterization site, bright red blood in your stools, lightheadedness, palpitations, or any other concerning symptoms. . please, take medications as instructed. we stopped amlodipine because of your low blood pressure and decreased fosinopril and metoprolol. we also decreased your insulin because of your poor intake while in the hospital. follow-up with your primary care physician and increase your insulin and blood pressure medications as needed. please check your blood sugar as you have been doing and record blood sugars and take the log to your primary care physician. , discuss with your primary care physician about occult blood in your stools and you need a repeat colonoscopy in 6 weeks. . please monitor your weight daily and if weight increases 3lbs or more, call your primary care physician to see if lasix needs to be increased. . please keep all your follow-up appointments as shown below. . followup instructions: please follow-up with dr. at (dr. left the practice and referred you to dr. as your new primary care physician) within 1-2 weeks. phone number . the office will call you with the earliest date. provider: , md phone: date/time: 12:30 provider: , m.d. phone: date/time: 10:30 provider: breathing tests phone: date/time: 10:10 provider: scan phone: date/time: 9:15 procedure: injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures transfusion of packed cells excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: acidosis subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute on chronic diastolic heart failure peripheral vascular disease, unspecified chronic kidney disease, unspecified long-term (current) use of insulin other complications due to other cardiac device, implant, and graft diarrhea dehydration 

Answer: The patient is high likely exposed to