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 67 year old man who is status post living related kidney transplant performed in , admitted for post cabg sternotomy wound infection. the patient underwent cabg times four on and was subsequently discharged on the 15th. however, over the next couple of days the patient noted increasing discharge from the chest wound incision site and returned to the hospital on for evaluation. at that time the patient denied fever, chills, nausea, vomiting, abdominal pain. he denied pain over the transplant site. he denied diarrhea or urinary complications. the patient's weight was also increased from his baseline, so he was also felt to be slightly volume overloaded. past medical history: includes living related kidney transplant on , for end stage renal disease secondary to diabetes. osteoarthritis of the neck. coronary artery disease. type 1 diabetes. non-q wave mi in . status post episode of aortic regurgitation in . past surgical history: status post transplant. status post cabg times four. allergies: no known drug allergies. medications on admission: include cellcept mg p.o. q.i.d., rapamune 6 mg p.o. q.d., reglan, bactrim single strength one p.o. q.d., atenolol 25 mg p.o. q.d., nph insulin. physical examination: on physical examination the patient was afebrile with temperature of 98.8, blood pressure 150/52, heart rate 70, respiratory rate 16. he was in no acute distress. chest sternotomy scar had drainage of serosanguineous fluid. cardiovascular exam was regular rate and rhythm. abdomen had normal bowel sounds, soft, nontender over the right lower quadrant renal graft site. extremities showed 2+ edema. laboratory data: on admission white count was 6.8, hematocrit 29, platelets 255. chem-7 was significant for bun of 25, creatinine 1.3, glucose 250. bilirubin at the time was 0.3. rapamune level was also checked. hospital course: the patient was admitted for intravenous antibiotics, management of volume overload and further treatment of his sternal wound infection. he was placed on vancomycin and a renal consult was requested given his kidney transplant. the patient was maintained on iv antibiotics, however, he had persistent low grade fever and persistent discharge from his incisional site. cultures from the site grew coag negative staph. given the fact that he was a transplant patient with a sternal wound infection and persistent low grade fever, he was taken back to the operating room on for sternal rewiring. during this procedure there was avulsion of the right graft followed by revision of the vein graft to the pda. postoperatively the patient did very well. his sternum was stable. there was a small amount of bloody drainage from the sternal incision. his rate remained regular. the patient had cipro added to his antibiotic regimen. he did have a bump in his creatinine that was felt to be some acute renal failure which had resolved by the time of discharge. on discharge on the patient was doing well. he had a normal white count most recently of 10.8. he remained afebrile. his incision was healing well. bun and creatinine renal function were good with bun of 32 and creatinine of 1.3. the patient was discharged with the following diagnoses. discharge diagnoses: 1. coronary artery disease status post cabg. 2. sternal wound infection status post rewiring. 3. revision of pda graft. 4. status post living related kidney transplant for chronic renal failure. discharge medications: 1. vancomycin 1 gm iv q.d. 2. ciprofloxacin 500 mg p.o. q.d. 3. tums two capsules p.o. q.d. 4. neutra-phos one capsule p.o. q.d. 5. lopressor 50 mg p.o. b.i.d. 6. cellcept mg p.o. q.i.d. 7. nph 18 units q.a.m. subcu, 4 units q.p.m. subcu. 8. rocaltrol 0.25 mg p.o. q.d. 9. vitamin e 500 mg q.d. 10. rapamune 6 mg p.o. q.d. 11. prilosec 20 mg p.o. q.d. 12. reglan 5 mg p.o. q.d. 13. lipitor 20 mg p.o. q.d. 14. bactrim single strength one p.o. q.d. 15. epogen 3000 units subcu q.monday through friday. 16. prednisone 10 mg p.o. q.d. 17. multivitamin one p.o. q.d. 18. potassium chloride 20 meq p.o. q.d. 19. colace 100 mg p.o. q.d. 20. aspirin 81 mg p.o. q.d. 21. lasix 60 mg p.o. b.i.d. followup: the patient has a picc line for iv antibiotics. he is tolerating a regular diet and is in good condition. the patient is to have daily wound checks for a week, continue iv antibiotics for a week and follow up in one week with dr. . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of one coronary artery other repair of chest wall local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] diagnoses: coronary atherosclerosis of native coronary artery other postoperative infection diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortic valve disorders accidental puncture or laceration during a procedure, not elsewhere classified old myocardial infarction kidney replaced by transplant 

Answer: The patient is high likely exposed to