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: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: sepsis major surgical or invasive procedure: central line history of present illness: mr. is a yo male with pmh significant for cad, chf, and esrd on hd. per patient, he went to dialysis on friday morning. at dialysis he admits to feeling cold. on his drive home he admits to "shaking like a leaf". he turned up the heat in his car; but when he arrive home he felt so weak that he could not get out of the car on his own. he leaned against the and his neighbor called 911 and he was brought to . his vitals were t 103 bp 89/44 ar 69 rr 20 o2 sat 100% on 2l. at the osh he received vancomycin 1gm iv and gentamycin 150mg iv. he was then transferred to for further work-up. . in the ed his initial vitals were t 101 bp 71/34 ar 70 rr 16 o2 sat 93% on 2l. he received levaquiin 500mg iv, flagyl 500mg iv, and tylenol. he received 3l ns and a rij central line was placed and he was started on levophed. . of note, he was recently discharged from after he presented with an absent bruit/thrill in his dialysis access. he underwent a thrombectomy with patch graft revision of the venous anastomosis. . past medical history: 1) cad s/p cabg -cardiac catheterization w/l main and 3 vessel dz w/ patent lima to lad w/ 70% stenosis in distal lad, patent svg to diagnoal ramus w/ 50% stenosis in native diagonal branch, patent svg to om1/om2 but occluded om1 at touchdown. s/p unsuccessful ptca of lm, moderate right and left ventricular diastolic dysfunction -5-vessel cabg (lima-lad, svg-d1, svg-ri, svg-om1, svg-om2) 2) chf: echo () ef 30-35%, + mr, 2+ tr, moderate pulmonary artery systolic htn. reportedly small asd on a tee 3) s/p pacemaker placement tachy-brady syndrome , w/replacement 4) htn 5) hypercholesterolemia 6) esrd, on hd (since ) mwf evenings via left arm av graft (evening shift at , ) 7) chronic anemia associated w/ renal failure 8) renal cell carcinoma, s/p left nephrectomy 9) gout w/flairs 1-2x/mo 10) s/p turp for bph 11) bilateral cataracts 12) left hydrocele w/ hydrocelectomy #. multiple episodes of sob . pshx: #. right common femoral artery thrombus s/p cath in #. left cea (s/p tia) #. thrombectomy and revision of lue av graft w/multiple interventions to graft in the past. social history: he lives alone in . recently retired fully from selling furniture, pt had reduced from full time work to part time work over the past year. + tob: cigar/pipe smoking, daily x20-25 years w/cessation 20yrs prior - etoh - illicit/recreational drug use family history: daughter with mi in mid-40s, had type 1 dm, deceased 56y/o brother w/heart disease, ?mi. + hypertension, + diabetes mellitus, brother w/lymphoma, ? question liver ca physical exam: . vitals t 98.1 bp 106/60 ar 71 rr 16 o2 sat 98% on 2l gen: pleasant male, lying in bed heent: mmm heart: nl s1/s2, no s3/s4, +systolic murmur lungs: +crackles posteriorly @ lung bases abdomen: soft, nt/nd, +bs extremities: no edema, 2+ dp/pt pulses bilaterally . pertinent results: 12:55am wbc-12.6*# rbc-2.80* hgb-10.1* hct-30.2* mcv-108* mch-36.2* mchc-33.5 rdw-15.4 12:55am neuts-83.0* bands-0 lymphs-9.1* monos-6.8 eos-0.9 basos-0.1 12:55am glucose-116* urea n-17 creat-3.7*# sodium-139 potassium-4.5 chloride-97 total co2-30 anion gap-17 . relevant imaging: 1)cxray (): no infiltrate . av fistulogram - no abscess or hematoma identified within the left upper extremity. . 06:30am inr 1.6* brief hospital course: mr. is a yo male with cad, esrd who presented with fevers, hypotension, and leukocytosis. his hospital course is described by problems below: # fever - patient presented with fevers, hypotension, and leukocytosis. the source of underlying infection is unclear on admission. initially treated for presumed sepsis. given vanc/gent at osh, atbidmc central line placed and briefly placed on levophed. after more information about his baseline bp obtained, levophed discontinued. he remained afebrile. was treated with vanc/levo/flagyl. cultures remained negative for 48 hours. abx discontinued and patient discharged home after uneventful dialysis. . #) esrd on hd: followed by renal in house. dialysed monday before discharged. # hypertension: held all pressure medications secondary to hypotension initially, resumed atenelol on discharge. . # cad: continued asa, and resumed atenelol. # h/o thrmbosed av fistula - initially coumadin held for procedure and pt placed on heparin gtt. at discharge inr 1.6, advised to take 3 mg of coumadin and have a repeat inr checked on wednesday at dialysis. medications on admission: allergies: nkda . atenolol 25mg po daily cinacalcet 30mg po daily pravastatin 10mg po daily aspirin 81mg po daily b complex-vitamin c-folic acid 1mg po daily folic acid 1mg po daily pyridoxine 100mg po daily sevelamer 800mg po tid digoxin 50 mcg po daily docusate sodium 100mg po bid warfarin 2mg po qhs cyanocobalamin 500mcg po daily discharge medications: 1. pravastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. cinacalcet 30 mg tablet sig: one (1) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. sevelamer 800 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). 6. cyanocobalamin 500 mcg tablet sig: one (1) tablet po daily (daily). 7. digoxin 50 mcg/ml solution sig: one (1) po daily (daily). 8. warfarin 3 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 9. bacitracin-polymyxin b 500-10,000 unit/g ointment sig: one (1) appl topical q6h (every 6 hours) as needed. 10. pyridoxine 100 mg tablet sig: one (1) tablet po once a day. 11. atenolol 25 mg tablet sig: one (1) tablet po once a day. 12. vitamin b complex capsule sig: one (1) capsule po once a day. 13. outpatient lab work please check pt/ptt/inr at dialysis on wedensday . discharge disposition: home discharge diagnosis: primary: fever esrd on hemodialysis secondary: cad htn hypercholesterolemia chronic anemia associated w/ renal failure h/o renal cell carcinoma, s/p left nephrectomy discharge condition: good discharge instructions: you were admitted with fevers after dialysis and were treated with antibiotics and fluids. all the cultures showed no active infection. we incresed your coumadin dose to 3 mg, please have your inr checked at next dialysis as the dosing might need to be readjusted. if you have fevers, chills, nausea, vomiting, lightheadedness, dizziness or any bleeding please contact your pcp or return to the emergency room. weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: followup instructions: please call your pcp, . to setup a follow up appointment in weeks. you have a sheduled follow up appointment with surgery as below: provider: , md phone: date/time: 10:40 procedure: venous catheterization, not elsewhere classified hemodialysis diagnoses: anemia in chronic kidney disease end stage renal disease coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified gout, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cardiac pacemaker in situ personal history of malignant neoplasm of kidney leukocytosis, unspecified hypotension of hemodialysis 

Answer: The patient is high likely exposed to