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: abdominal pain major surgical or invasive procedure: 1.cardiac catheterization 2.cardiac catheterization repeated with lad stenting 3.ep study with ablation of lv scar region. 4. icd placement history of present illness: 49 y/o male with a h/o esrd on dialysis, hep c, stroke, pvd, htn, and cad s/p mi presented to dialysis today, but reported abdominal pain and was sent to the ed for evaluation. in the ed, he had vitals which showed a tachycardic hr. he was put on monitor and found to be in vt. tried diltiazem, and then synch cardioversion at 200 j. converted to sinus at that point. stable throughout, but was not mentating well pre-shock. he reports a recent history of intermittent palpitations for approx 3 weeks, including during today??????s episode. also has been having intermittent 10/10 chest pain for several weeks and has been using slntg more frequently than usual(3/day). also has doe on stairs. no le edema. no brbpr, melena, sob, pnd, orthopnea. recent chills, but no fever. abdominal pain present since friday, with several days of anorexia. had report of phone call several weeks ago where he reported his ??????stomach hurts real bad??????. some nausea/vomiting. vitals in ed: 94.7, bp=153/89, hr=84, 95% on 2lnc post-shock. guiac negative. he was then transferred to ccu. past medical history: 1.esrd on dialysis x18 years. 2.htn 3.hep c 4. cad s/p mi on 5. pvd s/p r fem- bypass 6. h/o gout 7. chronic pain social history: he lives alone on disability. he has family in the area. currently smokes ppd. has h/o past etoh abuse, but reports no use now. smokes marijuana as an appetite stimulant. family history: non-contributory physical exam: t=94.7, hr=84, bp=153/89, rr=16, o2 sat=95% on 2lnc. gen:a&o, pleasant, cachectic, nad heent:eomi, perrla, benign op cv:rrr, nl s1,s2 4/6 sem loudest at 2nd ics, diastolic murmur, and blowing systolic m to axilla. bilateral carotid bruits(may be radiated from heart murmur) neck: no jvd, r ej in place pulm:bilbasilar rales abd:nt/nd, nabs, no rebound/guarding. no organomegaly, guiac neg., + abd bruit. ext:r arm fistula with thrill, no le edema. dp pulses dopplerable bilat. skin:dry skin. no rash pertinent results: 10:23pm glucose-104 urea n-65* creat-8.8* sodium-130* potassium-7.8* chloride-91* total co2-25 anion gap-22* 10:23pm calcium-9.1 phosphate-7.7* magnesium-2.8* 08:44pm glucose-129* urea n-64* creat-8.6* sodium-126* potassium->10 chloride-86* total co2-26 08:44pm ck(cpk)-219* 08:44pm ck-mb-9 ctropnt-3.82* 08:44pm calcium-8.9 phosphate-7.3* magnesium-2.9* cholest-128 08:44pm vit b12-682 folate->20 08:44pm triglycer-118 hdl chol-73 chol/hdl-1.8 ldl(calc)-31 08:44pm wbc-6.3 rbc-3.48* hgb-11.1* hct-35.3* mcv-102* mch-31.9 mchc-31.4 rdw-15.4 08:44pm plt smr-low plt count-90* 04:03pm type-art o2 flow-1.5 po2-117* pco2-37 ph-7.45 total co2-27 base xs-2 intubated-not intuba 04:03pm lactate-3.6* 04:03pm o2 sat-97 12:42pm glucose-88 urea n-54* creat-8.6* sodium-136 potassium-5.3* chloride-89* total co2-24 anion gap-28* 12:42pm calcium-10.2 phosphate-7.2* magnesium-2.7* cholest-126 12:42pm triglycer-111 hdl chol-78 chol/hdl-1.6 ldl(calc)-26 12:42pm wbc-8.5 hct-36.1* 12:42pm pt-15.1* ptt-37.1* inr(pt)-1.5 11:31am type-art po2-88 pco2-36 ph-7.44 total co2-25 base xs-0 11:31am lactate-8.2* k+-5.5* 11:31am hgb-12.2* calchct-37 08:48am k+-5.2 08:25am glucose-59* urea n-51* creat-8.6*# sodium-138 potassium-5.3* chloride-85* total co2-15* anion gap-43* 08:25am alt(sgpt)-17 ast(sgot)-23 ck(cpk)-164 alk phos-113 amylase-160* tot bili-0.6 08:25am lipase-15 08:25am ctropnt-5.04* 08:25am ck-mb-10 mb indx-6.1* 08:25am calcium-10.9* phosphate-8.7*# magnesium-3.0* 08:25am wbc-7.6 rbc-3.94* hgb-12.9* hct-40.3 mcv-102*# mch-32.9* mchc-32.1 rdw-15.1 08:25am neuts-84.5* lymphs-11.8* monos-3.4 eos-0.1 basos-0.2 08:25am hypochrom-3+ macrocyt-3+ 08:25am plt count-104* 08:25am pt-15.6* ptt-38.1* inr(pt)-1.6 06:20am blood wbc-5.5 rbc-2.44* hgb-8.0* hct-25.1* mcv-103* mch-32.7* mchc-31.9 rdw-16.1* plt ct-83* 06:20am blood plt ct-83* 06:20am blood glucose-99 urean-36* creat-6.4*# na-134 k-4.2 cl-98 hco3-22 angap-18 06:20am blood calcium-7.9* phos-4.9* mg-1.9 12:30pm blood tsh-5.7* 06:00am blood free t4-0.7* brief hospital course: mr was admitted after cardioversion in stable condition. he was taken to catheterization 2 times and to the ep lab twice while an inpatient here. he had no further episodes of vt(other than ep lab induced) as an inpatient. the following problems were managed during this admission: 1.cad: he was having intermittent cp before being admitted. since admission, he did not complain of additional chest pain. he went to catheterization in advance of ep study to determine the state of his coronary arteries as he was having this angina at home and possibly having nstemi. his enzymes were cycled and had a peak ck of 219, with mb index of 6 and tropt of 5. this was likely a nstemi. the cath showed diffuse, severe 3v disease. he was then seen by ct surgery, but refused cabg. he went back to cath lab and had des placed in lad. a diagonal was jailed, but rescued with resulting timi 3 flow and no evidence of dissection. he remained cp free. he was started on asa, plavix, metoprolol, and slntg, and continued on his home ace-i. he was also started on a statin here. his cholesterol returned with a very low ldl, and a high hdl. due to likely non-compliance and a number of new meds, he was not sent out on the statin. 2.vt/ep: initial vt was likely triggered by ischemia. he did not re-enter vt while on tele in the ccu. after his second cath, he returned to the ep lab where he had vt induced 3 times. the first two, he became unstable with sbp into the 40s and was shocked out of the rhythm. he did have mapping and extensive ablation around his old mi scar. however, he was still able to be induced into vt (although it was faster and able to be overdrive paced). after discussion, he went for an icd several days later. 3. pump/valves: he had an echo which showed an ef of 40% with no evidence of chf. he did have + mr which is the likely source of his loud murmur on exam. as he is not a surgical candidate, this was treated with afterload reduction with an ace-i. he did have have any chf issues arise. 4.abdominal pain: this was his initial complaint, but it resolved quickly in house. we obtained a kub to rule out catastrophic bowel rupture, and no free air was seen. he also had an initial lactate of 8, which was worrisome for bowel ischemia in the setting of a recent vt episode and likely hypoperfusion. it came down to 3 on recheck and his pain did not worsen. he was guiac negative. this issue was then resolved for the remainder of his admission. 5.esrd: he was seen by renal and reestablished on his 3x/wk dialysis, with consideration given to his dye loads during cath and the timing of dialysis. on the night of admission, his k had increased to 6.4 and he was given kayexelate. in addition, he was started on renagel here. his dialysis continued without further issue. 6.thrombocytopenia: his baseline appears to be 80-100, and he is at his baseline. the cause of this is unknown, but may be result of his hep c? pt has a history of thrombocytopenia related to plavix. antiplatelet antibodies were sent. pt platelet count stabalized while in hospital. 7.htn: stable during admission. he did have some borderline bps, but they were held down with b-blocker and ace-i. 8.hep c: this is a chronic condition for him.lfts were wnl. no further issues. 9. chronic pain: he was treated with tylenol and percocet with this successfully. 10. follow-up: he will follow-up with ep per their usual recommendations. he also received a large amount of fluoro while here and will need to be aware of a possible radiation burn developing in the next few weeks. pt to follow up with pcp 1 week. medications on admission: 1.vasotec (either 10 or 20 qd, unclear) 2.percocet prn for chronic pain 3. ntg 4.asa 5.nephrocaps discharge medications: 1. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po qd (once a day). disp:*30 cap(s)* refills:*2* 2. aspirin 325 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 3. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain. disp:*30 tablet, sublingual(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 5. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 6. sevelamer hcl 400 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 7. lisinopril 10 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 8. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po qd (once a day). disp:*30 tablet sustained release 24hr(s)* refills:*2* 9. levothyroxine sodium 25 mcg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. vt arrhythmia 2. cad s/p stenting 3. esrd 4. chronic pain 5. severe mitral regurgitation discharge condition: pt was stable and cp free. he was without complaints.no additional vt as inpt. discharge instructions: please call your doctor or return to the hospital if you have any more chest pain or shortness of breath. also, if you feel your defibrillator discharge, you need to come to the ed. no driving for 6 months or until your doctor tells you it is okay to resume driving. please take all of your medicines, with the plavix medicine being the most important to keep your stents in your cardiac arteries from becoming blocked. followup instructions: provider: clinic where: cardiac services phone: date/time: 11:00 provider: , md where: phone: date/time: 1:30 provider: , e. follow-up appointment should be in 1 week md, procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters hemodialysis other electric countershock of heart excision or destruction of other lesion or tissue of heart, endovascular approach implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] cardiac mapping insertion of drug-eluting coronary artery stent(s) diagnoses: thrombocytopenia, unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified chronic hepatitis c without mention of hepatic coma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diastolic heart failure, unspecified paroxysmal supraventricular tachycardia 

Answer: The patient is high likely exposed to