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: epigastric pain major surgical or invasive procedure: central line placement history of present illness: 66 year old hx of dm, ?compliance on oral meds, hx of depression/schizoaffective d/o presented w/ pancreatitis and dka. . patient reported starting to have epigastric pain on pta. he described the pain as constant sharp epigastric pain with no radiation. he has not experienced such pain before. this was associated with nausea and decreased appetite. he went to on monday and was subsequently transferred to for further management of pancreatitis. . his initial lipase was 1330. in the ed, he was afebrile and with stable vital sign. he was found to have a slightly widened anion gap w/ ketones in association with gluocose in 400s and was then transferred to for insulin drip. past medical history: dm2 depression-admit in dx prob schizoaffective dx. h/o major depression. hyperlipidemia gerd s/p ccy last egd 5 years ago esophageal ring w/ gastritis fatty liver on u/s social history: occasional alcohol, denies tobacco/ivdu family history: non-contributory physical exam: 99.4 98 143/76 17 100% 2l nad m dry, poor oral dentition, nc/ac, perrl neck supple, no lad rrr ctab abd soft, mildly tender to palpation over epigastrum, obese extr wwp, no edema, resolving sores over shins a+o x 3, cn ii-xii intact, motor + sensory intact over lower extremities; flat affect pertinent results: 02:55am plt count-252 02:55am plt count-252 02:55am wbc-18.3* rbc-4.24* hgb-13.0* hct-37.3* mcv-88 mch-30.7 mchc-34.9 rdw-12.9 02:55am albumin-4.1 calcium-8.5 phosphate-1.1* magnesium-2.0 02:55am lipase-1336* 02:55am alt(sgpt)-25 ast(sgot)-21 alk phos-60 amylase-786* tot bili-0.5 02:55am glucose-437* urea n-38* creat-1.2 sodium-134 potassium-4.1 chloride-105 total co2-16* anion gap-17 03:00am urine blood-neg nitrite-neg protein-neg glucose-1000 ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 03:00am urine color-straw appear-clear sp -1.029 03:00am pt-13.5* ptt-23.3 inr(pt)-1.2 03:15am glucose-424* lactate-4.0* k+-4.3 04:45am calcium-7.0* phosphate-1.2* magnesium-1.7 04:45am glucose-267* urea n-32* creat-0.9 sodium-138 potassium-3.7 chloride-112* total co2-15* anion gap-15 06:35am calcium-7.1* phosphate-1.2* magnesium-1.8 06:35am glucose-186* urea n-30* creat-0.9 sodium-138 potassium-3.3 chloride-112* total co2-17* anion gap-12 06:51am k+-3.0* 02:54pm plt count-225 02:54pm wbc-20.1* rbc-3.75* hgb-11.6* hct-31.6* mcv-84 mch-31.0 mchc-36.8* rdw-12.6 02:54pm calcium-7.4* phosphate-1.7* magnesium-2.3 02:54pm glucose-124* urea n-21* creat-0.7 sodium-137 potassium-3.1* chloride-107 total co2-18* anion gap-15 06:02pm ck-mb-5 ctropnt-<0.01 06:02pm ck(cpk)-329* 06:02pm glucose-57* urea n-15 creat-0.7 sodium-137 potassium-3.6 chloride-103 total co2-20* anion gap-18 06:02pm albumin-3.9 calcium-7.9* phosphate-1.3* magnesium-2.3 06:02pm wbc-22.9* rbc-3.84* hgb-11.7* hct-32.4* mcv-84 mch-30.5 mchc-36.2* rdw-12.6 06:02pm plt count-259 06:55am blood wbc-8.7 rbc-3.28* hgb-10.0* hct-29.3* mcv-89 mch-30.4 mchc-34.1 rdw-13.1 plt ct-171 06:55am blood plt ct-171 06:55am blood glucose-223* urean-10 creat-0.8 na-134 k-4.3 cl-102 hco3-22 angap-14 06:55am blood alt-25 ast-27 alkphos-116 amylase-56 totbili-0.7 06:55am blood calcium-8.0* phos-2.1* mg-1.9 . ct abd/pelvis: 1. pancreatitis, with non-enhancement of the pancreatic neck. this finding is concerning for necrosis of the pancreatic neck. the pancreatic body and tail enhance with contrast, however. less than one-third of the gland is affected. 2. distention of the stomach and prominence of the duodenum bowel wall, especially in the second portion near the pancreatic head. there is surrounding mesenteric stranding, which may be related to the pancreatitis. however, duodenitis is another diagnostic consideration. 3. small bilateral pleural effusions with associated atelectasis. 4. rounded lesion within the l4 vertebral body, of relative lucency. this probably represents a hemangioma, but if there is any clinical concern, further evaluation with bone scan could be performed. 5. air in the bladder, likely related to instrumentation. please correlate with urinalysis. cxr: right lower lobe atelectasis with elevated right hemidiaphragm. cxr: comparison is made to . the left subclavian central venous line tip is not definitely visualized due to technique. lung volumes are further reduced. there is unchanged pulmonary edema, allowing for the differences in volume. there is worsening right lower lobe atelectasis. patchy left lower lobe opacity could be additional atelectasis or possible aspiration. . echo: impression: normal biventricular cavity size and systolic function. no structural heart disease or pathologic flow identified. mildly dilated thoracic aorta. brief hospital course: # dka: the pt has a history of dm2 with poor medicine compliance related to difficulty with proper education, and financial troubles with buying insulin. he presented to the ed at hospital with a blood sugar of 976, and anion gap of 30. his blood gas was 7.31/26/121 at that time. his urine had glucose of 1000 and 50 ketones. he was started on an insulin drip and transferred to for an icu bed. on arrival at his blood sugar was 437 and his anion gap was 15. he was admitted to the icu on and insulin drip, and his blood sugars normalized, and the anion gap closed. he was taken off the insulin gtt, and transferred to the floor on the second hospital day. diabetes center was consulted, and provided recommendations for an insulin regimen for him while in the hospital, and initiated teaching for home insulin use. once he began eating, his metformin 1000 was restarted. . # pancreatitis: mr. ' pancreatitis is thought to be idiopathic, with a lipase of 1330 on admission. gallstones were an unlikely cause as he had normal lfts, ct and u/s. he has no significant etoh history and triglycerides within normal limits. ct showed < of the pancreas involved with a question of possible neck region necrosis, and a prominent duodenum wall. it was felt that there were no indications for antibiotic treatment. his wbc count and amylase & lipase steadily returned to normal and his hematocrit was stable. he was given percocet for pain control. after he came to the floor from the micu, where he had been npo, we advanced his diet as tolerated, and he was tolerating a full po diabetic diet on discharge with no problems. . # anemia:mr. was likely hemoconcentrated when admitted, and his hematocrit was stable throughout his hospitalization. . # trouble swallowing: mr. reported occasional difficulty with swallowing, and has a known history of an esophageal ring. . # hypoxemia: a cxr showed rll atelectasis w/ pleural effusion. mr. was diuresed (his fluid status had been very positive since admission due to his pancreatitis), and encouraged to use an incentive spirometer. his respiratory function steadily improved, and he was stable on room air for several days prior to discharge. . # sinus tachycardia: mr. was tachycardic throughotu his hospitalization. in discussion with him and his pcp we found that he is tachycardic at baseline. we had extremely low suspicion for pe, and he was clinically asymptomatic and throughotu his stay. . # id: mr. had bacteria in his ua and was treated with cipro until his urine culture returned as no growth. he had no clinical evidence of pancreatic necrosis, and was therefore not treated for that. his blood cultures showed no growth. . # psychiatric: mr has a history of depression, anxiety, and schizoaffective d/o. dr. is his outside psychiatrist. we continued his quetiapine, chlorpromazine and doxepine per his home regimen. . # prophylaxis: mr. was on subcutaneous heparin and a ppi. . # full code . # contacts: sister: pcp: . at psych md: dr. ( . dispo: we considered that mr. might need a snif given his psychiatric history and issues with insulin teaching and compliance in the apst. he was not willing to consider this, and his pcp felt it would be reasonable for him to be at home. his sister felt she would be available for some assistance, and he was set up with the vna. additionally, his pcp will get him into the diabetes program at hospital for closer follow up on his diabetic control and treatment plan. medications on admission: prilosec otc qhs glyburide 20mg metformin 1000mg seroquel 100 qhs thorazine 100 qhs doxepine 100 qhs lipitor 20mg daily discharge medications: 1. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. quetiapine fumarate 100 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 3. doxepin 50 mg capsule sig: two (2) capsule po hs (at bedtime). 4. chlorpromazine 50 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 5. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 6. insulin nph/reg 70-30 innolet 70-30 unit/ml insulin pen sig: fifty five (55) units subcutaneous qam: with breakfast. disp:*1 month supply* refills:*2* 7. insulin nph/reg 70-30 innolet 70-30 unit/ml insulin pen sig: thirty (30) units subcutaneous qpm: with dinner. disp:*1 month supply* refills:*2* 8. bd pen needle ultrafine ii 30g " use a fresh needle for each dose of insulin please dispense 1 month supply 2 refills 9. one touch ultra test strips use a new strip for each fingerstick dispense 1 month supply 2 refills 10. one touch ultra lancets please use a new lancet for each fingerstick dispense 1 month supply 2 refills discharge disposition: home with service facility: discharge diagnosis: principal: 1. acute pancreatitis. 2. diabetic ketoacidosis. 3. congestive heart failure. secondary: 1. diabetes mellitus type ii. 2. schizoaffective disorder. 3. abnormal ecg. 4. hyperlipidemia. 5. gerd. 6. esophageal ring. 7. hepatic steatosis. 8. s/p cholecystectomy. discharge condition: patient is fully recovered from his pancreatitis and dka, with stable blood sugars on a twice-a-day insulin regimen. discharge instructions: 1. please take your insulin as prescribed every day. 2. please check your blood sugars by fingerstick with glucometer twice a day - in the morning and at bedtime - and record the results. 3. if you are vomiting or not eating for some reason, decrease your insulin to 37 units in the morning and 20 units at night. 4. if you ever experience symptoms of shakiness, sweating, and dizziness, check your blood sugar and if it is < 90 drink juice. 5. don't hesitate to call your doctor with any questions regarding your medications. he is there to help you stay healthy. 6. please follow the diet recommendations provided to you. carbohydrates increase your blood sugar and need to be minimized. please return to the hospital or call your doctor if you have abdominal pain, nausea/vomiting, chest pain, shortness of breath or if there are any concerns at all. followup instructions: please follow up with ,shun-how tuesday at 10:30 am. . *dr. will get you an appointment to follow up in the diabetes clinic at hospital* procedure: venous catheterization, not elsewhere classified diagnoses: acidosis hyperpotassemia esophageal reflux congestive heart failure, unspecified acute kidney failure, unspecified other and unspecified hyperlipidemia acute pancreatitis schizoaffective disorder, unspecified diabetes with ketoacidosis, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to