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 41 year old diabetic with multiple risk factors and known coronary artery disease referred for peripheral vascular angiography due to severe bilateral leg claudication. he complains that his calf and thighs "ache 24 hours a day" over the past six months. he has had progression in his symptoms. he describes bilateral severe cramping behind both knees extending down to the feet. this occurred after walking only 20 feet. the patient does not admit to rest pain. the patient underwent pvrs which demonstrated distal superficial femoral artery, proximal popliteal disease with bilateral tibial disease. the patient is admitted for elective diagnostic angiography. past medical history: hypertension , hypercholesterolemia, diabetes, hypothyroidism, left shoulder bursitis and peripheral vascular disease. past surgical history: coronary artery bypass graft in , laser surgery on both eyes. allergies: vancomycin. negative to shellfish and dye. medications on admission: 1. aspirin 325 mg daily 2. lipitor 80 mg daily 3. tricor 67 mg daily 4. toprol xl 250 mg daily 5. plavix 75 mg daily 6. levoxyl .15 mg daily 7. zestril 40 mg daily 8. norvasc 20 mg daily 9. prevacid 30 mg daily 10. imdur 60 mg q.d. 11. lente insulin 17 units q am and 8 units at supper 12. regular insulin sliding scale before meals 13. mirapex .125 mg at h.s. social history: he is divorced, former smoker, 1.5 packs per day times 28 years. laboratory data: complete blood count revealed white count 8.2, hematocrit 38.7, platelets 227. bun 49, creatinine 2.1, potassium 5.0, inr normal. electrocardiogram showed a sinus rhythm with a normal axis with inferolateral ischemic appearing st segment depressions. physical examination: the patient is a 41 year old male in no acute distress. his vital signs are stable. his head, eyes, ears, nose and throat examination is unremarkable except for a right carotid bruit probably secondary to murmur radiation. there is no jugulovenous distension. heart is regular rate and rhythm with a systolic murmur. lungs were clear to auscultation. abdomen is soft, nontender, nondistended. there are no bruits. bowel sounds are present. pulse examination as follows: femoral on the right 1+ with a bruit, left femoral 1+ with a bruit, dorsalis pedis and posterior tibial are dopplerable. hospital course: the patient was admitted to the hospital after undergoing an arteriogram which demonstrated mild infrarenal abdominal aortic disease. the renals were bilaterally single with right stenosis of 60% and left stenosis of 40%. right lower extremity showed mild ostial disease in the right common iliac of 40 to 50%. the right superficial femoral artery had moderate segmental lesions of 50%. the popliteal was patent. anterior tibial had mild diffuse disease to the foot. the tpt with moderate diffuse disease. the posterior tibial was occluded and reconstituted from peroneal collaterals. the left lower extremity showed iliac artery was patent but the left common femoral was normal. the proximal left superficial femoral artery was 70% stenosed the popliteal was patent, anterior tibial was proximally occluded, the posterior tibial and peroneal were patent to the foot. the proximal vessels had moderate severe diffuse disease. after these findings dr. was consulted. the patient was cleared by his cardiologist and did serial cks and electrocardiograms postoperatively. endocrinology was consulted perioperatively for diabetic management. the patient underwent on , a left femoral distal popliteal tibia with in situ saphenous vein and venovenostomy. he tolerated the procedure well and was transferred to the post anesthesia care unit with a dopplerable posterior tibial and faint dopplerable dorsalis pedis. he was transferred to the surgical intensive care unit for continued monitored care. he required an additional unit of packed red blood cells, infusion for his hematocrit of 26.5. he will receive 6 units of packed red blood cells intraoperatively. the patient required neo for pressor support. serial cks, mbs and troponins were drawn. his initial troponin level was less than .3, the second level was 9.3 with a peak ck of 261 and mb of 6. the patient's diet was advanced as tolerated and he was transferred to the vascular intensive care unit for continued monitoring and care. his creatinine bumped to 3.8 with oliguria. he was transfused for a hematocrit of 30. neo was weaned for maintaining blood pressure greater than 160. cardiology was requested to evaluate the patient with recommendations during the perioperative management. recommendations were to reinstitute his nitrates, norvasc and beta blockers. most of this increased creatinine was probably secondary to his diload. the patient was finally transferred to the floor on postoperative day #2. on postoperative day #3 the patient continued to show improvement showing a temperature maximum of 101.5. hematocrit was 27.1. bun was 27 and creatinine 2.4, down from a peak of 4.0. the cardiac medications were continued and lopressor was increased and he required diuresis. the patient was pancultured of blood and urine. he was continued on levofloxacin and flagyl. the patient went into pulmonary edema and was re-intubated and transferred back to the surgical intensive care unit on . tube feeds were begun on postoperative day #4 and the rate was advanced as the patient tolerated. he required two units of packed cells on postoperative day #5 for hematocrit of 24. cardiology continued to follow the patient during this period of time. cultures on urine were negative and sputum were negative. chest x-ray showed some lateral infiltrates. the patient's platelets continued to remain low even post transfusion, platelets intraoperatively and hit was sent which was negative, so impression was that it was related to a drug reaction. blood cultures remained negative. central venous pressure tip catheter remained negative but sputum did grow out gram positive cocci. the patient was continued on his levofloxacin. tricor was discontinued as considered a possible reason for the thrombocytopenia. post transfusion hematocrit remained stable at 30.3. bun and creatinine continued to show a downward trend of 22 and 1.7. oxygen was finally weaned off on , which was postoperative day #7 and the patient was extubated. the patient again was transferred to the vascular intensive care unit. the tube feels were discontinued on and he began p.o. intakes. his insulin regime was adjusted as necessary. the patient continued to see improvement and he was discharged from the vascular intensive care unit on postoperative day #9 in stable condition. wounds were clean, dry and intact. he had dopplerable distal pulses. the patient was discharged on one five day course of levofloxacin. he should follow up with dr. regarding anticoagulation. he should follow up with dr. in two weeks. discharge medications: 1. lente insulin 20 units q. am and 16 units at h.s. with sliding scales at breakfast, lunch, dinner and h.s. as follows, glucose less than 70 no insulin, 71-100 1 unit, 101-150 2 units, 151-200 4 units, 201-250 6 units, 251-300 8 units, 301-350 10 units, greater than 351 call. dinner sliding scale is the same as breakfast. lunch sliding scale, glucose less than 150 no insulin, 151-200 2 units, 201-250 3 units, 251-300 4 units, 301-350 5 units, greater than 351 6 units, h.s. insulin glucose less than 200, no insulin, 201-250 2 units, 251-300 4 units, 301-350 6 units, 351 or greater 8 units. 2. metoprolol 50 mg b.i.d. 3. imdur 60 mg q. day 4. levaquin 500 mg q. day times five days 5. aspirin 81 mg q. day 6. levoxyl 0.5 mg q.d. 7. lisinopril 40 mg q.d. discharge diagnosis: 1. ischemic left foot secondary to artery occlusion, status post femoral distal posterior tibial bypass with in situ saphenous vein and venovenotomy 2. hypertension, controlled 3. congestive heart failure 4. compensated blood loss anemia, corrected 5. pneumonia, treated , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries other (peripheral) vascular shunt or bypass aortography diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified acute posthemorrhagic anemia atherosclerosis of native arteries of the extremities with intermittent claudication cardiac complications, not elsewhere classified peripheral vascular complications, not elsewhere classified diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled arterial embolism and thrombosis of lower extremity 

Answer: The patient is high likely exposed to