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: penicillins attending: chief complaint: right great toe ulcer. major surgical or invasive procedure: right below-knee popliteal-to-dorsalis pedis artery bypass with non-reversed saphenous vein graft. angioscopy. history of present illness: pt is a 76f admitted s/p right -dp bpg w/ chronic left heel ulcer and right hallux gangrene. pt is followed by dr. and was last seen in clinic at which point the left heel ulcer was debrided and pt instructed to continue daily dressing changes. no evidence of infection was noted at that time. she denies any recent h/o fevers, chills, nausea, vomitting. she is c/o significant pain to bl le. ros: pt denies, cp, sob, uri symptoms. remaining ros per hpi above past medical history: - dm2 - insulin dependent x30y, c/b neuropathy. - pvd - gerd - paroxysmal atrial fibrillation - h/o gastritis - h/o pancreatitis\ - h/o stress incontinence, urinary retention - h/o cva (left occipital infarct) - s/p cervical fusion, lumbar disc surgery - glaucoma - r eye blindness . social history: pt lives at presently, denies tobbacco, alcohol, ivdu. previously lived with daughter, . was walking with walker and performing her adls fairly independently prior to recent hospitalization. family history: noncontributary physical exam: physical exam . tmax:99.0 tc:99.0 rate:74 bp:133/58 rr:20 p02:94% on ra gen: nad heent: perrla, eomi, no carotid brui cv: rrr chest: cta abd: sof, nt, nd, act bs ext: + pedal edema bilaterally, right and left great toes with dry gangrene. foul smelling. small ulcers relatively c/d/i around lateral toes. pulses: fem dp pt p d d p d d vascular pedal pulses: palpable non-palpable. monophasic sig on l sub-papillary vft: < 3 sec. > 3 sec. immediate extremities: pitting edema non-pitting edema anasarca neurological sensation: intact absent proprioception: intact absent integument: ulceration(s): full thickness partial thickness pre/post-ulcerative absent location: l heel midfoot r hallux drainage: serous sanguineous purulent base: granular fibrous eschar tendon/capsule/bone margins: regular irregular hyperkeratotic macerated thin/atrophic qualities: undermines tracks probes to bone dressing and splints multipodus boots: intact absent dressing(s): clean intact dry serous sanguineous purulent pertinent results: 10:18am blood wbc-11.9* rbc-3.63* hgb-9.6*# hct-30.2*# mcv-83 mch-26.5* mchc-31.9 rdw-15.3 plt ct-270 10:18am blood glucose-213* urean-12 creat-0.7 na-137 k-4.6 cl-100 hco3-28 angap-14 10:18am blood calcium-8.4 phos-3.3 mg-1.9 brief hospital course: mrs. , was admitted on with a right great toe ulcer. she agreed to have an elective surgery. pre-operatively, she was consented. a cxr, ekg, ua, cbc, electrolytes, t/s - were obtained, all other preperations were made. it was decided that she would undergo a procedure: 1. right below-knee popliteal-to-dorsalis pedis artery bypass with non-reversed saphenous vein graft. 2. angioscopy. . she was prepped, and brought down to the operating room for surgery. intra-operatively, she was closely monitored and remained hemodynamically stable. she tolerated the procedure well without any difficulty or complication. post-operatively, she was extubated and transferred to the pacu for further stabilization and monitoring. she was then transferred to the vicu for further recovery. while in the vicu she recieved monitered care. when stable she was delined. her diet was advanced. a pt consult was obtained. when she was stabalized from the acute setting of post operative care, she was transfered to floor status on the floor, she remained hemodynamically stable with his pain controlled. she progressed with physical therapy to improve her strength and mobility. she continues to make steady progress without any incidents. she was discharged to a rehabilitation facility in stable condition. to note podiatry was consulted. pt on bactrim for her toe ulcer. medications on admission: clopidogrel 75 mg' gabapentin 500 mg' gabapentin 600 qhs4. metoprolol succinate 50 mg sr'simvastatin 20' pantoprazole 40'tolterodine 1 mg' aspirin 81 mg' calcium carbonate 500 mg'' docusate sodium 100'' ferrous gluconate 325' senna 8.6'' prn 1 cyanocobalamin 500'' dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic brimonidine 0.15 % drops sig: one q8h lisinopril 10' humalog mix 75-25 100 unit/ml (75-25) suspension sig: 30 units q am, 20 units qhs subcutaneous q am, and q pm. acetaminophen 325 mg q6 prn discharge medications: 1. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 7. gabapentin 300 mg capsule sig: two (2) capsule po hs (at bedtime). 8. brimonidine 0.15 % drops sig: one (1) drop ophthalmic q8h (every 8 hours). 9. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 10. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 11. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day). 12. quetiapine 25 mg tablet sig: 0.25 tablet po hs (at bedtime) as needed for agitation, delusion. 13. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 14. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for mild pain. 15. insulin fingerstick qachs sc fixed dose orders breakfast bedtime humalog 75/25 15 units humalog 75/2510 units insulin sc sliding scale breakfast lunch dinner bedtime humalog humalog humalog humalog glucose insulin dose insulin dose insulin dose insulin dose 0-60 mg/dl amp d50 amp d50 amp d50 amp d50 61-150 mg/dl 0 units 0 units 0 units 0 units 151-200 mg/dl 2 units 2 units 2 units 2 units 201-250 mg/dl 4 units 4 units 4 units 4 units 251-300 mg/dl 6 units 6 units 6 units 6 units 301-350 mg/dl 8 units 8 units 8 units 8 units > 350 mg/dl notify m.d. 16. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 17. cyanocobalamin 500 mcg tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: center discharge diagnosis: pvd w/ non-healing right great toe ulcer history of: carotid stenosis dementia diabetes urinary retention gerd discharge condition: stable discharge instructions: what to expect when you go home: 1. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? unless you were told not to bear any weight on operative foot: you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have swelling of the leg you were operated on: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? unless you were told not to bear any weight on operative foot: ?????? you should get up every day, get dressed and walk ?????? you should gradually increase your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (unless you have stitches or foot incisions) no direct spray on incision, let the soapy water run over incision, rinse and pat dry ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 100.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: provider: , md phone: date/time: 9:45 provider: , md phone: date/time: 3:00 provider: , dpm phone: date/time: 2:15 procedure: other (peripheral) vascular shunt or bypass excisional debridement of wound, infection, or burn percutaneous angioscopy diagnoses: anemia of other chronic disease esophageal reflux urinary tract infection, site not specified unspecified essential hypertension atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes unspecified glaucoma other b-complex deficiencies ulcer of other part of foot diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled long-term (current) use of insulin other constipation personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits atherosclerosis of native arteries of the extremities with gangrene drug-induced delirium arthrodesis status chronic total occlusion of artery of the extremities personal history of methicillin resistant staphylococcus aureus other and unspecified general anesthetics causing adverse effects in therapeutic use stress incontinence, female 

Answer: The patient is high likely exposed to