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 72 year old man with a history of coronary artery disease, status post coronary artery bypass graft, diabetes mellitus type 2, and end-stage renal disease secondary to diabetes mellitus, who presents with 24 to 36 hour history of chest pain, similar to that which he has had in his past myocardial infarction. on two days prior to admission, the pain began in his chest associated with nausea but no shortness of breath or diaphoresis. the pain continued until the next morning when it was relieved by nitroglycerin. the patient went to dialysis and was pain free during dialysis. the patient was transferred to for evaluation after hemodialysis. prior cardiac catheterization on , had revealed 100% stenosis of the proximal right coronary artery, 60% stenosis of the left main, 100% stenosis of the proximal left anterior descending, 100% stenosis of the mid left anterior descending, 70% stenosis of the first diagonal; 100% stenosis of the proximal left circumflex; 40% stenosis of the left internal mammary artery to left anterior descending, obtuse marginal 1 to left anterior descending. all discrete lesions. the d1 and left main coronary artery received percutaneous transluminal coronary angioplasty with stents. the saphenous vein grafts were known to be totally occluded. since then, the patient denies regular anginal chest pain at home or shortness of breath. the patient does have severe peripheral neuropathy secondary to his diabetes mellitus as well. past medical history: 1. end-stage renal disease on hemodialysis tuesday, thursday and saturday. 2, diabetes mellitus type 2. 3. peripheral neuropathy. 4. status post myocardial infarction three years ago. 5. status post coronary artery bypass graft in with saphenous vein graft to the left circumflex marginal, saphenous vein graft to the pda and left internal mammary artery to left anterior descending. 6. status post cholecystectomy in . 7. status post spinal surgery with postoperative meningitis. 8. history of cholesterol emboli. 9. history of hemorrhoidal bleeding. physical examination: on admission, temperature 100.1 f.; 130/60; 85; 18; 98% on room air. the patient was in no acute distress, appears comfortable, speaks easily. neck revealed no jugular venous distention, no carotid bruits and the neck was supple. lungs were clear to auscultation bilaterally. heart is regular rate and rhythm. iii/vi systolic murmur at the right upper sternal border. abdomen distended but soft and nontender. positive bowel sounds. extremities without edema. right foot with ulceration, gangrenous between the first and second digits. the left foot has a charcot deformity. pulses were doppler-able bilaterally. laboratory: white blood cell count of 8.9, hematocrit of 38.9, platelet count of 143, potassium 3.9, chloride 97, bicarbonate 28, bun 28, creatinine 4.6 and glucose 164. pt 13.3, ptt 28.0, inr 1.2. ck 116, mb 11, index 9.5, troponin 26.8. psa 20.2. later ck were 89 and 98, troponin 23.6 and 38.9. liver function tests showed alt 12, ast 25, ld 272, alkaline phosphatase 216, total bilirubin 0.9, albumin 3.9, calcium 8.9, phosphorus 5.0, magnesium 1.8. hospital course: 1. coronary artery disease: the patient had no elevation in his ck although climbing troponin. he was taken to catheterization on , and received stents to his d1 and left circumflex. after catheterization, the patient did well until about 12:30 a.m. on , when he was found to be dyspneic, diaphoretic and in junctional bradycardia in the 50s, with elevation in the inferior leads, with st depressions in v5, v6, i and avl. his blood pressure fell and shortness of breath increased. the patient was intubated and dopamine started. the patient was taken to the catheterization laboratory for a relook at which time the re-look revealed left anterior descending and left circumflex 100% occluded, and left main without evidence of reocclusion. the left internal mammary artery to left anterior descending was patent but distal left anterior descending had diminished flow and it was stented at that time in order to fill the right coronary artery through collaterals. an intra-aortic balloon pump and pacemaker were placed at that time and he was transferred to the cardiac care unit for hemodynamic monitoring. the following day, the balloon pump as well as the pacemaker were removed. the patient was extubated on and the patient was returned to the floor on that day in stable condition. the patient had no more chest pain throughout the hospital admission. pump: the patient had no signs of congestive heart failure throughout this admission. electrophysiology service: the temporary pacer placed during the second trip to the catheterization laboratory was removed and the patient remained event free on telemetry. 2. renal: the patient was continued on hemodialysis on tuesday, thursday and saturday. 3. infectious disease: the patient developed borderline low grade fevers and actually did develop a temperature of 102.0 f., while in cardiac care unit. blood cultures and urine cultures were taken, all of which revealed no growth. the culture of his infected toe revealed group b strep, moderate growth, probable enterococcus moderate growth and diphtheroids heavy growth. an infectious disease consultation was called which recommended that the patient be placed on flagyl 500 mg p.o. q. eight hours and levaquin 250 mg p.o., four times a day. as for his toe infection, podiatry and vascular were both consulted. vascular felt that the patient was not a candidate for any invasive treatments at this time including amputation. podiatry suggested x-ray of his toes to determine if there was any possibility of osteomyelitis in the toe. the dressings were changed and podiatry followed the patient throughout his admission. 4. hematologic: the patient's hematocrit hovered around 28 the entire admission, however, fell slightly to 26 at one point. the patient may receive blood in dialysis for falling hematocrit. there was no evidence of any bleed. 5. neurologic: on , the patient complained of extreme lower extremity weakness on the right side. prior to admission, he has been able to ambulate with a walker and on that day he stated that he could not move his leg. a neurologic consultation was called and since the patient also had an episode of bowel incontinence that morning, there was a concern for cauda equina syndrome or sciatic nerve compression, or some l5-s1 lesion. neurology suggested and mri without contrast which was ordered for . the patient did regain some movement of his right lower extremity and now is able to lift it and move against gravity. 6. diabetes mellitus: the patient was maintained on lentis 26 units q. h.s. as well as covering sliding scale during the day. the patient was discharged in stable condition to in . discharge medications: 1. neurontin 1500 mg q. day divided as follows: 300 mg p.o. at breakfast; 600 mg p.o. at 16:00; 600 mg p.o. at 21:00 each day. 2. flagyl 500 mg p.o. q. eight hours. 3. levaquin 250 mg p.o. q.o.d. 4. compazine 25 mg p.r. q. 12 hours. 5. lantus 26 units q. h.s. 6. tums one tablet p.o. three times a day. 7. aspirin 81 mg p.o. q. day. 8. protonix 40 mg p.o. q. day. 9. nephrocaps one capsule p.o. q. day. 10. lisinopril 5 mg p.o. q. day. 11. plavix 75 mg p.o. q. day times 30 days. 12. heparin 5000 units subcutaneously q. 12 hours. 13. zoloft 50 mg p.o. q. day. 14. ambien 5 mg p.o. q. h.s. 15. imdur 30 mg p.o. q. day. discharge instructions: 1. the patient is to follow-up with dr. . 2. he may possibly get an mri in the future of his toe in order to determine the depth of infection, if infection is worsening. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of endotracheal tube implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes acute myocardial infarction of other inferior wall, initial episode of care ulcer of heel and midfoot diabetes with peripheral circulatory disorders, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to