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: ischemic gangrenous right 3rd toe major surgical or invasive procedure: right fem-pt and right 3rd toe amputation history of present illness: patient was refered to dr. for nonhealing rt. toe ulceration evaluation and underwent a diagnostic angiogram on . returns for perioperative antibiotics and rt. leg vascular revascularzation. no interval changes since d/c . past medical history: history of dm2, uncontrolled, insulin-dependant with hyperglycemia requiring iv insulin gtt. on admission . history of ischemic heart disease, mi , s/p pci/stenting rca , s/p 4v cabg's w mitral annulus ring , occluded graftx3 w/patient lima/lad graft by cath (lima-lad,svg-dg,om,rca) history of chronic systolic and diastolic chf, compensated history of progressive aortic valve stenosis by tee history of hyperlipdemia-statins history of chronic obstructive pulmonary disease-inhalers history of bell's palsey history of tobacco use 30pk-yrs d/c'd history of hypertension history of tonsillectomy social history: habits smoking d/c since denies etoh family history: positive for cad father @ age 40 positive for mi mother @ age 64 w/b chf physical exam: vss nad rrr, systolic murmur ctab, no crackles abd soft, nt/nd, +bs r leg with staples in place, c/d/i r 3rd toe amputation site with sutures in place, c/d/i dp/pt bilaterally pertinent results: 03:55am blood wbc-6.2 rbc-3.51* hgb-10.1* hct-29.2* mcv-83 mch-28.9 mchc-34.8 rdw-13.9 plt ct-226 08:22pm blood hct-30.3* 04:50am blood wbc-8.3 rbc-3.20* hgb-9.4* hct-26.7* mcv-83 mch-29.2 mchc-35.1* rdw-13.9 plt ct-225 02:08pm blood hct-26.7* 04:36am blood wbc-9.4 rbc-3.15* hgb-9.1* hct-26.4* mcv-84 mch-28.9 mchc-34.4 rdw-14.0 plt ct-209 02:49pm blood hct-25.6* 04:07am blood wbc-7.2 rbc-2.99* hgb-8.5* hct-25.4* mcv-85 mch-28.5 mchc-33.6 rdw-13.8 plt ct-248 08:27pm blood wbc-7.2 rbc-3.14* hgb-9.1* hct-27.0* mcv-86 mch-28.8 mchc-33.6 rdw-13.8 plt ct-273 10:20am blood wbc-6.8 rbc-2.79* hgb-8.0* hct-23.6* mcv-85 mch-28.5 mchc-33.8 rdw-13.4 plt ct-291 08:27pm blood pt-14.6* ptt-29.7 inr(pt)-1.3* 10:20am blood pt-13.7* ptt-29.3 inr(pt)-1.2* 03:55am blood glucose-156* urean-31* creat-1.5* na-138 k-4.2 cl-102 hco3-27 angap-13 04:50am blood glucose-170* urean-32* creat-1.5* na-136 k-4.4 cl-102 hco3-26 angap-12 04:36am blood glucose-120* urean-31* creat-1.6* na-137 k-4.2 cl-103 hco3-28 angap-10 04:07am blood glucose-183* urean-38* creat-1.8* na-139 k-5.0 cl-106 hco3-26 angap-12 08:27pm blood glucose-158* urean-40* creat-1.8* na-139 k-4.9 cl-105 hco3-26 angap-13 10:20am blood glucose-104 urean-40* creat-1.7* na-140 k-4.7 cl-105 hco3-28 angap-12 04:36am blood ck(cpk)-301* 09:45pm blood ck(cpk)-206* 07:42am blood ck(cpk)-144 04:07am blood ck(cpk)-126 08:27pm blood alt-41* ast-56* ck(cpk)-66 04:36am blood ck-mb-2 ctropnt-0.05* 09:45pm blood ck-mb-2 ctropnt-0.06* 02:49pm blood ck-mb-2 ctropnt-0.06* 07:42am blood ck-mb-3 ctropnt-0.08* 03:55am blood calcium-8.8 phos-4.5 04:50am blood calcium-8.3* phos-3.4 mg-2.0 04:36am blood calcium-8.2* phos-3.3 mg-2.2 04:07am blood calcium-8.3* phos-3.3 mg-1.9 08:27pm blood calcium-8.4 phos-3.7 mg-2.1 10:20am blood calcium-8.6 phos-3.3 mg-2.2 brief hospital course: admitted. antibiotics began. preop'd for surgery right fem-pt . transferd to pacu iv ntg gtt for systolic htn and elevated pulmonary aryery pressures. stable and tansfered to vicu. pod #1 temperature max 100.6 vanco/zosyn continued. diet advanced. remain on bedrest. cardiac enzymes cycled. transfused 1 unit prbcs hct. 25.6. swan remains in place. remains in vicu pod#2 temperature 102, blood cultures and urine cultures obtained. post transfusion hct (2 units prbc) 26.5. iv ngtt continued. insulin adjusted. diuresed. pod#3 transfused for hct 26. ntg patch started and iv ntg weaned. swan converted to cvl. lasix, spirolactone and ace-i restarted. oob to chair. pt to evaluate. pod#4 stable. afebrile. pod#5 worked with pt with crutches and weight-bearing on right. removed arterial line. pod#6 removed central line. worked with pt with walking and stairs. rehab today. medications on admission: humalog 50-50 (35u), plavix 75', toprol xl 100 (1.5 tab daily), lisinopril 20', amlodipine 2.5', digoxin 50mcg ( cap daily), tramadol 50''', ibuprofen 800 (1 tab q6-8h prn), nitroquick 0.4 sl ( tab prn), niaspan 500'' qhs, crestor 20', spiriva w/handihaler 18mcg and inhalation cap', combivent 18mcg-103mcg (3 aerosols prn), spironolactone', loperamide 2mg', protonix 40', tricor 48'', gabapentin 100''', lantus (25 cartridge), amoxicillin 500' discharge medications: 1. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed). 2. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 6. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 7. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day). 8. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 9. amlodipine 2.5 mg tablet sig: one (1) tablet po daily (daily). 10. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 11. niacin 500 mg capsule, sustained release sig: one (1) capsule, sustained release po bid (2 times a day). 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 13. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q4h (every 4 hours) as needed. 14. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). 15. nitroglycerin 0.4 mg/hr patch 24 hr sig: one (1) patch 24 hr transdermal q24h (every 24 hours). 16. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 17. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 18. fenofibrate micronized 48 mg tablet sig: one (1) tablet po daily (). 19. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 20. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 21. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. 22. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). 23. insulin please see attached insulin sliding scale 24. tramadol 50 mg tablet sig: one (1) tablet po three times a day as needed for pain. discharge disposition: extended care facility: & rehab center - discharge diagnosis: s/p right fem-pt bypass graft and right 3rd toe amputation dm2 insulin dependant, uncontrolled history of ischemic heart diseases/p mi s/p ptci/stents , s/p 4v-cabg's, with occluded grafts x3 with patent lima-lad graft by cardiac cath history of hyperlipdemia history of chronic obstructive pulmonary disease history of depression and anxiety history of bell's palsey history of tobacco use,d/c x 1 yr prior 30pkyrs history of acute diastolic and systolic congestive heart failure-compensated history of tonsillectomy postoperative blood loss anemia, transfused postoperative chf excerbation, diuresed postop tee-progressive as history of mitral valve disease(mr) s/p mitral annulus ring placement w/cabg's discharge condition: stable discharge instructions: incision care: keep clean and dry. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. -your staples will be removed during at your follow up appointment. . please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5(f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. * continue to ambulate several times per day. * no heavy ( lbs) until your follow up appointment. * adhere to 2 gm sodium diet followup instructions: follow-up with your cardiologist after discharge. follow-up with your physician after discharge for any changes to your insulin regimen. follow-up with dr. in 2 weeks to have staples removed, call for an appointment . procedure: diagnostic ultrasound of heart amputation of toe other (peripheral) vascular shunt or bypass transfusion of packed cells diagnoses: acute kidney failure with lesion of tubular necrosis iron deficiency anemia secondary to blood loss (chronic) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified infection with microorganisms resistant to penicillins coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status polyneuropathy in diabetes personal history of tobacco use percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified rheumatic heart failure (congestive) ulcer of other part of foot dysthymic disorder other and unspecified hyperlipidemia long-term (current) use of insulin old myocardial infarction other emphysema mitral valve insufficiency and aortic valve stenosis atherosclerosis of native arteries of the extremities with gangrene diabetes with neurological manifestations, type ii or unspecified type, uncontrolled carrier or suspected carrier of other specified bacterial diseases diabetes with peripheral circulatory disorders, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to