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 is a 76 year-old male with end stage renal disease and a left av graft status post thrombectoy in . after hemodialysis on the friday prior to admission he developed fever to 102 degrees fahrenheit and left shoulder pain with a decrease in range of motion. pain improved slightly with tylenol. the pain was worse on the morning of admission with pus exuding from the av graft site. the patient is febrile, but denies chills, nausea, vomiting or respiratory symptoms. appetite is baseline. the patient also reported some diarrhea on the saturday prior to admission. the patient was also started on levaquin for a right lateral heel ulcer prior to hospital admission. past medical history: coronary artery disease, end stage renal disease on hemodialysis monday, wednesday and friday, hypertension, congestive heart failure with an ejection fraction of 20%, total knee replacement, total hip replacement, carotid stenosis and gout, arthritis, av fistula with a history of thrombectomy. medications prior to admission: 1. aspirin 325 mg po q day. 2. vioxx .5 mg po q day. 3. lisinopril 20 mg po q day. 4. isosorbide 30 mg po b.i.d. 5. digoxin .125 mg q.o.d. 6. phos-lo 667 mg after meals. 7. nephrocaps one po q day. 8. allopurinol 100 mg po q day. 9. colchicine 0.6 mg po q day. 10. quinine 325 mg monday, wednesday and friday. allergies: codeine and morphine. physical examination: the patient was afebrile. vital signs were stable. o2 sat 98% on room air. the patient was alert and oriented times three and in no acute distress. cranial nerves ii through xii were intact. no focal deficits. regular rate and rhythm. clear to auscultation bilaterally. abdomen was soft, nontender, nondistended. radial pulses were palpable bilaterally. left upper extremity on the upper arms was open sore with questionable exposed graft, positive warmth over the graft. no erythema and no pus expressed. pain was extension of the shoulder and manipulation of the sore. pedal pulses were not palpable bilaterally. healing right lateral malleolar ulcer. feet were warm and well perfused. hospital course: the patient was admitted to the transplant surgery service and the plan was to revise an exposed av graft and establish access for the patient for hemodialysis. prior to going to the operating room the patient was seen by cardiology for an electrocardiogram, which showed some new changes including st segment changes in multiple leads as well as an isolated troponin of 1.5. the patient was taken to the cardiac catheterization laboratory on where he was found to have two vessel coronary artery disease, the right coronary artery had a 100% proximal lesion with left to right collaterals to the distal vessel, left circumflex had 90% mid vessel lesion. a stent was placed in the left circumflex artery. the patient was then discharged to the cardiac floor for close monitoring post catheterization with a reopro drip and plavix and aspirin q day. the patient did well post catheterization procedure with no hematoma and distal pulses all intact. the patient was started on plavix 75 mg q day and aspirin 325 mg po q.d. to be continued for at least nine months per cardiology. the patient was taken to the operating room on for revision of exposed av graft and right perm-a-cath placement. the procedure was unremarkable. for more details please see operative report. postoperatively, the patient experienced increase in left shoulder pain as well as a white count that was elevated to 17. the patient was also noted to have severely decreased range of motion in the left arm. on orthopedics was consulted and they performed a joint tap aspirating fluid fro the left subacromial space as well as from the left anterior shoulder. previous to this a ct scan showed a fluid collection in that area. tap results were fluid with approximately 13,000 white blood cells and no crystals. the orthopedic attending deemed that this was not a septic joint considering that the white blood cell count was below their threshold of 50,000 and determined that the patient was not in need for a wash out in the operating room. the patient's pain improved post tap with dilaudid prn as well as tylenol. the patient was seen by physical therapy and occupational therapy and their evaluation was that the patient should go to a short term rehabilitation center prior to going home. the patient is in good condition and ready to go to short term rehab stay prior to going home. condition on discharge: good. discharge status: to short term rehabilitation center. discharge diagnoses: 1. infected av graft. 2. end stage renal disease. 3. coronary artery disease. 4. congestive heart failure. 5. hypertension. 6. arthritis. discharge medications: 1. aspirin 325 mg po q day. 2. lisinopril 20 mg po q day. 3. carvedilol 12.5 mg po b.i.d. 4. digoxin 125 micrograms one po q.o.d. 5. isosorbide mononitrate 30 mg po q day. 6. atorvastatin 10 mg po q day. 7. protonix 40 mg po q day. 8. allopurinol 100 mg po q day. 9. folic acid 1 mg po q day. 10. calcium acetate 667 mg po t.i.d. 11. nitro 0.3 mg sublingually prn. 12. plavix 75 mg po q day. 13. dilaudid 2 mg po prn. 14. colchicine 0.6 mg po q day. 15. nephrocaps one po q day. 16. vancomycin 1000 mg intravenous q hemodialysis times one week for a total of three doses. follow up plans: the patient is to follow up with dr. in the transplant center on at 10:40 a.m. also follow up with dr. from orthopedics on at 2:15. , m.d. dictated by: medquist36 procedure: coronary arteriography using two catheters left heart cardiac catheterization hemodialysis venous catheterization for renal dialysis revision of arteriovenous shunt for renal dialysis insertion of drug-eluting coronary artery stent(s) arthroscopy, shoulder other local excision or destruction of lesion of joint, shoulder diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease infection and inflammatory reaction due to other vascular device, implant, and graft pyogenic arthritis, shoulder region 

Answer: The patient is high likely exposed to