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: no known allergies / adverse drug reactions attending: chief complaint: s/p arrest major surgical or invasive procedure: intubated with endotracheal tube history of present illness: m with history of afib on coumadin, pvd, hypothyroidism admitted to s/p arrest found to have small intraventricular hemorrage, unclear etiology of arrest. per sister, who lives in apt below, patient has been in usual state of health. she found him this am in bathtub with water running - reported to be breating. ems arrived, aed with vt, had cpr, no shock given. loaded with amiodorone in the field, transferred to lawsrence . at , febrile to 100.8, recieved avalox for possible pna and rocephin for uti. ct with left intraventricular hemorrhage. recieved vitamin k for elevated inr and fosphenytoin for seizure prophylaxis. transferred on propofol for comfort. of note, no written report of pea arrest at osh that was verbally reported in sign-out. . on arrival to , patient arrived hypotensive 60-70/30 with hr 56. propofol was discontinued, levophed started. he went into pea arrest at 1244, recieved epi 1 mg (?2 mg), levophed titrated up, right femoral cvl placed. large incontinence of stool. neurosurgery consulted and recommended no intervention at this time with serial ct head and managment of coagulopathy. neuro felt seizure unlikely the cause of shock. due to acidosis, started on bicarb gtt. placed on fentanyl/versed for sedation. also recieved 18 units of factor 9 to reverse coagulopathy and 4l ivf. after rosc, he was moving all 4 extremities. not cooled due to ich. . most recent set of vitals prior to transfer: 127 143/69 100% on vent 98.6f rectally. past medical history: atrial fibrillation hypertension niddm - diet controlled pvd hypothyroidism chf diagnosed in , no known ischemic disease social history: lives above sister, who is hcp. : none family history: non-contributory physical exam: vitals: afebrile, 97 134/67 100% on vent ac 500/18 (breathing at 26)/50%/5 general: intubated/sedated, opens eyes intermittently, does not respond to commands, withdrawal to pain heent: sclera anicteric, mmm neck: supple, no lad cv: rrr, normal s1 + s2, no murmurs, rubs, gallops lungs: ctab, no wheezes, rales, ronchi abdomen: soft, nt/nd gu: foley ext: warm, well perfused, 2+ pulses, no edema pertinent results: 05:22am blood wbc-19.2* rbc-3.94* hgb-12.2* hct-35.7* mcv-91 mch-31.0 mchc-34.2 rdw-15.6* plt ct-84* 04:21am blood wbc-15.4* rbc-3.83* hgb-11.9* hct-36.4* mcv-95 mch-31.0 mchc-32.6 rdw-15.1 plt ct-99* 04:21am blood neuts-80* bands-12* lymphs-5* monos-3 eos-0 baso-0 atyps-0 metas-0 myelos-0 05:22am blood plt ct-84* 05:22am blood pt-21.6* ptt-42.0* inr(pt)-2.0* 12:30pm blood fibrino-350 05:22am blood glucose-174* urean-86* creat-4.3* na-138 k-6.1* cl-106 hco3-12* angap-26* 04:01pm blood glucose-200* urean-76* creat-3.7* na-137 k-5.6* cl-105 hco3-14* angap-24* 05:22am blood alt-1881* ast-1045* ck(cpk)-1113* alkphos-40 amylase-47 totbili-2.9* 05:50am blood ck-mb-60* ctropnt-1.95* probnp-* 06:30am blood tsh-0.31 05:22am blood vanco-7.6* 01:13pm blood type- po2-34* pco2-41 ph-7.21* caltco2-17* base xs--12 01:13pm blood lactate-3.1* 08:26pm blood freeca-1.02* brief hospital course: m admitted to s/p pea arrest. he was found in his bathrub with water running. had cpr in the field with no shock given, amiodarone given. at hosp, he was treated with avalox and rocephin for possible pneumonia and uti respectively. ct showed left intraventricular hemorrhage. transferred to hypotensive. started on levophed. again went into pea arrest with epinephrine given, levophed titrated up, bicarb given due to acidosis. he was placed on fentanyl/versed for sedation, given 18 u factor 9 to reverse coagulopathy. not cooled due to ich. decision was made to make patient cmo. he was extubated and transferred to the medicine service for futher care. # cardiac arrest: he achieved return of spontaneous circulation in the ed. he was transferred to the icu intubated on pressure support with levophed for a map >60. attempts were made to determine the etiology of the arrest. he had an echocardiogram which showed an "ejection fraction of 25%, mildly dilated la, mild symmetric lvh, mid-distal anteroseptal and apical akinesis and hypokinesis elsewhere, rv cavity dilated with moderate global free wall hypokinesis, mild ar, mild mr, no pericardial effusion." cardiac enzymes did not suggest massive new mi. bilateral lenis did not show any dvts. cardiac arrhythmia possible given hx of a-fib. a family meeting was held in which the patient's code status was changed to dnr (no shocks or chest compressions). it was determined that we would not further escalate care or pursue more invasive measures such as a-line placement or hd at this time. on he passed sbt with a rsbi of 23 and he was switched to pressure support. upon further discussion with the family, it was decided to palliatively extubate. the palliative care team was made aware and will help make patient as comfortable as possible. pt was extubated on and made comfort measures only. . # hypotension: unclear etiology of hypotension; echo showed depressed ejection fraction so maybe cardiogenic in origin. unlikely to be hypovolemia given lack of bleeding source and lack of response to aggressive fluid resucitation. attempts were made to place radial and femoral a-lines but were unsuccessful due to peripheral arterial disease. ivf and levophed were used to keep urine output >30cc/hr and a map >60. acei and bb were held throughout. . # chf/a-fib: acuity of his chf is unclear as discussed above. his supratherapeutic inr was reversed in the setting of ivh and his anti-coagulation was held. his acei and bb were held in the setting of hypotension. . # ivh: likely secondary to fall in the setting of supratherapeutic inr. bleed is not large enough to precipitate pea arrest. a ct head showed no interval change in intraventricular hemorrhage in the temporal and occipital horns of the left lateral ventricle. he received frequent neuro checks. the neurosurgery team felt no need for intervention at this time. . # ag metabolic acidosis and appropriate compensatory respiratory alkalosis: ag likely due to lactic acidosis. no evidence of dka or other toxin exposures. he was given aggressive fluid resuscitation and his lactate trended down throughout his micu stay. . # : was likely to be pre-renal or atn in the setting of shock. we do not know the baseline status of his renal function. his lisinopril and hctz were held throughout his stay. he was given adequate fluid resucitation. on he had a potassium of 5.7. an ekg did not demonstrate peaked t-waves. he was given 30mg of kayexalate. . # dm - diet controlled with fingersticks qachs, start gentle insulin ss . # hypothydroidism - thyroid medication dosage not confirmed prior to his status as being made cmo. . # lung nodules - a ct demonstrate ground glass opacities and a nodules that should be followed up in months. . # comfort measures only the decision was made to make the patient cmo. he was extubated and transferred to the medicine service. palliative care was consulted. patient was made comfortable with morphine and scopolamine and other comfort measures. he was admitted to hospice care and expired on . medications on admission: hctz lisinopril 2.5 coumadin 4mg 6xweek/5mg 1xweek pravastatin 80 mg daily nifedipine (dose unknown) equate vision multivitamins trental 500 tid asa 81 mg daily synthroid - dose unknown discharge medications: patient expired discharge disposition: expired discharge diagnosis: patient expired discharge condition: patient expired discharge instructions: patient expired followup instructions: patient expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified diagnoses: acidosis hyperpotassemia abnormal coagulation profile acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver unspecified acquired hypothyroidism atrial fibrillation unspecified fall peripheral vascular disease, unspecified other and unspecified hyperlipidemia acute respiratory failure cardiac arrest alkalosis encounter for palliative care acute systolic heart failure do not resuscitate status other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre-existing conscious level shock, unspecified other nonspecific abnormal finding of lung field 

Answer: The patient is high likely exposed to