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: this is a 53-year-old man with a severe three-vessel coronary artery disease based on a catheterization, hypertension, diabetes mellitus, status post kidney-pancreas transplant in with a recent admission for cholangeitis, who reported mild exertional angina which was relieved by nitroglycerin. he also reported left foot pain which was decreased with oxycodone. he denied any shortness of breath or abdominal pain. his blood sugars remained stable since . past medical history: diabetes mellitus. status post pancreas transplant in . cadaveric renal transplant times two in and . left foot charcot deformity. polycythemia. status post appendectomy. status post cholecystectomy. status post parathyroidectomy. status post multiple av grafts. status post right retinal detachment and right eye blindness. social history: he has a 20 pack-year smoking history. he currently smokes one pack per week. he no alcohol use. no illicit drugs. he is married. he lives in with his daughter in an apartment. allergies: no known drug allergies. medications on admission: lopressor 50 twice a day, aspirin 325 mg once a day, prednisone 5 mg once a day, cellcept mg twice a day, prograf 5 mg twice a day, tums, colace, oxycodone p.r.n., nitroglycerin p.r.n. physical examination: vital signs: the patient was afebrile, pulse 55, oxygen saturation 100% on room air. general: oriented times three. the patient was in no apparent distress. head and neck: right eye blindness. moist mucous membranes. he had an old parathyroidectomy wound. no carotid bruit. cardiovascular: regular, rate and rhythm. there was a 2 out of 6 systolic ejection murmur. lungs: clear to auscultation bilaterally. abdomen: soft, nontender, nondistended with multiple well-healed surgical scars. extremities: there were multiple upper extremity grafts and fistula scars. his left antecubital scar has a fistula underlying it with a palpable thrill. his left side has gauze where his charcot foot deformity is. laboratory data: catheterization showed two-vessel disease status post systolic and diastolic dysfunction, ejection fraction of 50%, apical and hypokinesis. his lvedp is 18. all of his preoperative labs were within normal limits and notable for a hematocrit of 50.1 and creatinine of 1.1. hospital course: once the patient was consented, the patient was taken to the operating room for a coronary artery bypass grafting procedure. please refer to the operative note dictated by dr. detailing the specifics of this surgery. the patient tolerated the procedure well and was transferred to the csru in good condition on neo-synephrine and propofol drips. both of these drips were discontinued on the night of surgery. the patient was extubated soon after. on postoperative day #2, the patient was transferred to the floor where he stayed until his discharge on , when he was discharged home with vna care. neurological: the patient presented with a blind right eye and continued throughout the hospital course with a blind right eye. the patient's pain was controlled well with oxycodone; however, the patient did begin complaining of some hallucinations on postoperative day #8, which seemed to improve once the patient was taken off oxycodone and other opiates. from the point the opiates were discontinued until his discharge, the patient did not really complain of any pain and seemed to be stable with just taking tylenol. a psychiatric consult was obtained, and they diagnosed the patient with improving postoperative delirium, as well as schizo-type/paranoid personality disorder; however, no pharmacologic interventions were recommended. cardiovascular: the patient presented with coronary artery disease, and he underwent a coronary artery bypass grafting procedure. the surgery went well, and he did very well postoperatively. postoperatively the patient did have some atrial fibrillation which was converted with amiodarone. the patient continued on amiodarone and should continue this as an outpatient. the patient's chest and mediastinal tubes were pulled on postoperative day #5. of note, the patient was orthostatic and somewhat dehydrated and had some orthostatics and also had a bump in his creatinine. the patient was given boluses to resuscitate him which allowed his renal numbers to improve. pulmonary: the patient was intubated postoperatively until postoperative day #1. he had no further pulmonary complaints. gastrointestinal: the patient tolerated a regular diet soon after his surgery. heme: there were no heme issues. endocrine: the patient did have an increased insulin requirement after surgery and actually required baseline insulin dosing prior to discharge, which was recommended to be continued after surgery. his glycated hemoglobin level however was normal, indicating that the patient did not have high sugars prior to surgery. in addition, the patient was noted to have increased tsh and normal free t4 levels, possibly indicating a subclinical hypothyroidism. the patient was started on synthroid and will be followed as an outpatient. gu: the patient was diagnosed with a urinary tract infection on postoperative day #2. his foley catheter was discontinued, and he was started on levaquin which was continued through the rest of his admission for a total of 14 days. in addition, the patient did have some signs of acute renal failure with an increasing creatinine which reached its peak of 1.7 on postoperative day #8 and dropped back down to 1.3 which was very close to his baseline of 1.1 by the time of discharge. transplant: due to the dose of the amiodarone and levofloxacin, the patient's prograf requirement decreased, and his outgoing dose of prograf was 4 mg twice a day rather than the 5 mg twice a day on admission. in addition with respect to his pancreas, he did an increasing insulin requirement. with his kidney, he did have a slight peak in his creatinine level which resolved itself with hydration. moreover, the renal transplant ultrasound on did not show any abnormalities. on , the patient was discharged home with vna care to assist with adls, medication administration, evaluation for home health aide, assist with blood glucose monitoring and wound care and inspection. discharge diagnosis: 1. pancreatic transplant. 2. diabetes, type 1. 3. diabetic retinopathy. 4. diabetic nephropathy. 5. status post left upper extremity av fistula, now with pseudoaneurysm. 6. status post cadaveric renal transplant times two in and . 7. venous stasis. 8. charcot foot. 9. hypertension. 10. angina pectoris. 11. polycythemia. 12. coronary artery disease status post coronary cardiac catheterization. 13. status post coronary artery bypass grafting. 14. urinary tract infection. 15. atrial fibrillation. 16. hypothyroidism. 17. ................ hypertension. 18. postoperative delirium. 19. schizo-type personality. 20. hypocalcemia. follow-up: he is recommended to have follow-up appointments with dr. ............, his primary care physician, weeks to discuss his blood sugars, as well as his thyroid function. he is also recommended to have follow-up with dr. ................... in weeks and with dr. in one month. he also has follow-up appointments with dr. of hematology and with dr. of transplant surgery. discharge medications: cellcept mg twice a day, prednisone 5 mg once a day, prograf 4 mg twice a day, amiodarone 200 mg twice a day for 10 days, then 200 mg p.o. once a day, metoprolol 12.5 mg twice a day, aspirin 325 once a day, levofloxacin 500 mg once a day for 5 days, plavix 75 mg p.o. q.d., tums 5000 mg p.o. b.i.d., colace 100 mg p.o. b.i.d., hold for loose stools, zoloft 25 mg p.o. once a day, synthroid 15 mcg p.o. q.d., insulin sliding scale during which she gets 12 u q.a.m. and 5 u q.p.m., and then a regular insulin sliding scale. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery double internal mammary-coronary artery bypass diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome urinary tract infection, site not specified atrial fibrillation diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled kidney replaced by transplant diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled pancreas replaced by transplant drug-induced psychotic disorder with hallucinations 

Answer: The patient is high likely exposed to