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: history of present illness: the patient has a chronic nonhealing left toe ulceration and his admitted for prehydration for anticipated arteriogram. past medical history: 1. diabetes. 2. hypertension. 3. hyperlipidemia. 4. congestive heart failure. 5. lower extremity neuropathy secondary to diabetes. 6. coronary artery disease. 7. nephropathy. past surgical history: 1. coronary artery bypass graft in of this year with a left internal mammary coronary artery to the left anterior descending coronary artery and saphenous vein graft to obtuse marginal and diagonal branch. 2. status post icd placement secondary to high grade av block with left bundle branch block. 3. right toe amputation secondary to osteomyelitis. 4. right knee surgery secondary to infection. allergies: all opiates. benadryl causes disorientation. medications on admission: 1. metoprolol 25 mg b.i.d. 2. lasix 80 mg q.d. 3. plavix 75 mg q.d. 4. protonix 40 mg q.d. 5. lisinopril 5 mg q.d. 6. metformin 850 mg b.i.d. 7. k-dur 20 milliequivalents q.d. 8. lorazepam .25 mg at h.s. 9. nph insulin 20 units b.i.d. 10. regular insulin sliding scale. preoperative laboratories: white blood cell count 13.3, hematocrit 39.4, platelets 258. bun 38, creatinine 1.4, k 4.3. social history: the patient is married. physical examination: vital signs 96.5, 88, 20, 120/70. lungs are clear to auscultation, but diminished at bases. heart is irregular rhythm with a systolic murmur. abdominal examination is unremarkable. there are no bruits. pulse examination shows femoral pulses are palpable bilaterally without bruits. dorsalis pedis pulses are palpable bilaterally 1+ and the posterior tibial pulses are 1+ bilaterally. lower extremities are without edema with a left fifth toe nonhealing ulceration. hospital course: the patient underwent an arteriogram of the abdomen and bilateral extremity run off, which demonstrated mild disease of the aorta. the renal arteries were single without stenosis bilaterally. the right lower extremity run offs show common iliac and common femoral are normal. the superficial femoral artery has mild disease. the popliteal has mild disease. at is occluded proximally. posterior tibial pulse is occluded proximally. the peroneal is dominant vessel to the foot. reconstitutes the ap and pt at the level of the foot. the lower extremity shows the common iliac and common femoral are normal. there is mild superficial femoral artery disease. the popliteals are occluded in its distal segment. at occludes proximally. the vertebral peroneal trunk revealed and is severely diseased. the posterior tibial pulse is the principal run off vessel, but occludes at the level of the mid calf. there are large collaterals to the posterior tibial and this vessel then fills the posterior foot and arches. the patient tolerated his angiogram. he was hydrated overnight. he remained in the hospital for anticipated revascularization. the patient underwent on a left ak to pt with right greater saphenous vein. he tolerated the procedure well. he was transferred to the pacu in stable condition with a palpable graft pulse at the end of the procedure. immediately postoperatively he remained paced. he was hemodynamically stable. he was transferred to the vicu for continued monitoring and care. postoperative day one there were no overnight events. he was continued on perioperative kefzol. his postoperative bun was 24, creatinine 1.1, hematocrit 30.6. his examination was unremarkable. he was converted to oral pain medications and beta blockers were initiated. his diet was advanced as tolerated. his insulin nph was reinstituted. intravenous fluids were heplocked. he remained on bed rest in the vicu for continued monitoring. postoperative day two the patient had elevated glucoses. he continued on his rule out. ck total peaked at 114. there were no mb fractions. troponin levels were .02, .02, .03. the patient required intravenous lopresor for systolic hypertension. he required an increase in his beta blockade. he was gently diuresed with 80 of lasix on postoperative day two and he remained in the vicu. postoperative day three he required 1 unit of packed red blood cells overnight for a hematocrit of 25. post transfusion hematocrit was 29.1. he did have a temperature max of 38.8 defervesced to 37.3. he was pan cultured. chest x-ray was unremarkable. levaquin and flagyl were continued. was consulted. the patient remained in the vicu. postoperative day four the patient continued to run a low grade temperature. he continued to require diuresis. his hematocrit was 28, bun 21, creatinine 1.1. he was delined and transferred to the regular nursing floor. postoperative day five his hematocrit remained stable. he was afebrile. he was evaluated by physical therapy and they felt he would require rehab prior to being discharged to home. the remaining hospital course was unremarkable. discharge condition: stable. discharge medications: 1. aspirin 325 mg po q.d. 2. plavix 75 mg q.d. 3. metoprolol 25 mg b.i.d. 4. lasix 80 mg q.d. 5. protonix 40 mg q.d. 6. lisinopril 5 mg q.d. 7. metformin 850 mg b.i.d. 8. nph insulin 20 units q.a.m. and q.p.m. 9. regular insulin sliding scale before meals 2 to 10 units per sliding scale. 10. k-dur 20 milliequivalents q.d. 11. lorazepam 0.5 mg at h.s. prn. the patient should have bun and creatinine monitored on an outpatient basis. these results should be called to dr. at . discharge diagnoses: 1. ischemic left toe ulcerations status post left popliteal to at bypass with right greater saphenous vein. 2. diabetes controlled. 3. hypertension controlled. , m.d. dictated by: medquist36 procedure: arteriography of femoral and other lower extremity arteries other (peripheral) vascular shunt or bypass aortography transfusion of packed cells diagnoses: congestive heart failure, unspecified iron deficiency anemia secondary to blood loss (chronic) chronic airway obstruction, not elsewhere classified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes ulcer of other part of foot other specified complications of procedures not elsewhere classified atherosclerosis of native arteries of the extremities with ulceration 

Answer: The patient is high likely exposed to