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: past medical history: 1. hypertension. 2. insulin-dependent diabetes mellitus with retinopathy. 3. multiple sclerosis times nine years with limited movement of his right side. 4. peripheral vascular disease with left third toe gangrene. 5. hypercholesterolemia. 6. status post cataract surgery in . 7. status post right retinal surgery years ago. 8. cardiomyopathy. allergies: the patient has no known drug allergies. social history: positive tobacco, one pack per day times 40 years, rare alcohol. the patient lives with his wife in , . admission medications: 1. humalog insulin 4 units q.a.m. 2. nph insulin 3 units q.a.m. 3. avonex 10 cc intramuscularly q. week for ms . family history: the patient's father died at 75 of a stroke. mother died at 70 of pancreatic cancer. all but one sibling, a total of seven, have diabetes. review of systems: general: the patient was feeling mildly anxious, pain-free from a cardiac standpoint with complaints of pain in his left foot. heent: positive right eye cataract surgery. positive right eye retinal surgery. positive diabetic neuropathy. negative dentures. positive glasses. respiratory: negative cough. negative hemoptysis. negative shortness of breath. negative dyspnea on exertion. negative pnd. negative recent uri. cardiac: negative chest pain. negative palpitations. negative mi history. gi: negative ulcers. negative gerd. mild constipation with decreased appetite over the past few weeks, negative melena. gu: positive increased length of urination. decreased urinary flow strength. negative prostate disease. vascular: positive peripheral vascular disease with gangrenous left third toe, negative varicose veins. positive occasional claudication recently. endocrine/hematology: positive iddm. negative thyroid. negative anemia and bleeding disorders. neurologic: negative stroke or tia. negative headache. no lightheadedness. physical examination on admission: vital signs: the patient was afebrile. the vital signs were stable on admission. general: the patient was a well-dressed, well-nourished male in no acute distress, appearing stated age. heent: the pupils were equal, round, and reactive to light and accommodation. extraocular muscles were intact. negative dentures. normal buccal mucosa and dentition. neck: supple without jvd, without lymphadenopathy, without thyromegaly. chest: clear to auscultation bilaterally. negative wheezing, rhonchi, or rales. cardiac: regular rate and rhythm without murmurs, rubs, or gallops. positive s1 and s2. abdomen: soft, nontender, nondistended, normoactive bowel sounds, negative guarding, rebound, or rigidity. extremities: cold left foot with gangrenous left third toe. negative edema. negative varicosities. carotid pulses, right and left, were 2+ without bruits. radial were 2+. femorals 2+ bilaterally. dp and pt were nonpalpable bilaterally. neurologic: cranial nerves ii through xii were grossly intact. positive left tender foot which made ambulation difficult, uses a walker at home. the right side of the body was limited motion due to ms. laboratory/radiologic data: on admission, white count 14.1, hematocrit 42.7, platelets 560,000 with pt of 12.5, ptt 30.8, inr 1.0. the u/a was negative. chemistries were 135, 4.1, 95, 29.6, and 270 for sodium, potassium, bicarbonate, bun, creatinine, and glucose respectively. alt 11, ast 11, alkaline phosphatase 102, amylase 7, total bilirubin 0.5, albumin 4. cardiac catheterization showed lmca 50%, proximal lad 80%, left circumflex moderate distal rca with 80% right pda, ef 70%, negative mr. echocardiogram showed marked concentric left ventricular hypertrophy with markedly thickened walls suggestive of amyloid involvement without regular wall motion abnormalities without as. chest x-ray on showed no active lung disease, biapical fibronodular opacities. lungs were clear. without heart or mediastinal abnormalities. hospital course: the patient was taken to the operating room on with the diagnosis of coronary artery disease and coronary artery bypass graft times five was performed by dr. and first assistant , m.d. lima grafts were lima to lad, saphenous vein graft to pda, saphenous vein graft to d3, saphenous vein graft to om with sequential to d1. mediastinal and left pleural tube were placed postoperatively. the patient was transferred to the unit on a neo-synephrine, insulin, and propofol drip. vascular surgery followed the patient throughout the hospital course to discharge. the patient did well postoperatively. on postoperative day number one, the patient was started on lopressor 25 mg b.i.d. and drips were weaned off. by postoperative day number two, the patient's left foot had worsened with gangrene of toes two to four. the patient was continued on antibiotics of levofloxacin and flagyl and tma with left fem- was noted to require a salvage procedure. on postoperative day number two, the patient was on the floor and continued to do well. by postoperative day number three, the patient had slight increases in lopressor dosages to 75 b.i.d. secondary to increased heart rate but the patient was in sinus rhythm. the patient had vein mapping of upper extremities on postoperative day number three showing patent right and left basilic and cephalic vein and was discharged on postoperative day number five in good condition. follow-up: the patient is to follow-up with dr. in clinic in one to two weeks. the patient is to return for vascular procedure. the patient was also instructed to follow-up with primary care physician in one to two weeks, a cardiologist in two to three weeks and dr. in three to four weeks for further follow-up. discharge medications: 1. flagyl 500 mg p.o. t.i.d. times one week. 2. lasix 40 mg p.o. b.i.d. times one week. 3. lopressor 75 mg p.o. b.i.d. 4. levofloxacin 500 mg p.o. q.d. times one week. 5. potassium chloride 20 mg p.o. b.i.d. times one week. 6. colace 100 mg p.o. b.i.d. 7. percocet one to two tablets p.o. q. four hours for pain. 8. aspirin 325 mg p.o. q.d. condition on discharge: good. discharge status: to home. discharge diagnosis: 1. coronary artery disease. 2. hypertension. 3. hypercholesterolemia. 4. status post coronary artery bypass graft. 5. peripheral vascular disease with left foot gangrene. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries other electric countershock of heart other (peripheral) vascular shunt or bypass monitoring of cardiac output by other technique diagnoses: coronary atherosclerosis of native coronary artery polyneuropathy in diabetes multiple sclerosis atherosclerosis of native arteries of the extremities with gangrene background diabetic retinopathy diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled nutritional and metabolic cardiomyopathy 

Answer: The patient is high likely exposed to