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 patient, with known peripheral vascular disease, who has had carotid endarterectomy in on the right, who presents with left first and second toe pain x3 months with onset of an ulceration on the foot x1 week. the patient now is admitted for iv antibiotics and vascular evaluation. review of systems: negative for fever, chills, chest pain, shortness of breath, nausea, vomiting. allergies: no known drug allergies. medications on admission: included methadone, 70/30 insulin, lasix 20 mg daily, aspirin 325 mg daily, sertraline 100 mg daily, gabapentin 900 mg t.i.d., buspirone 50 mg t.i.d., dorzolamide 2%/timolol 0.5% ophthalmic drops ou b.i.d., artificial tears ou p.r.n., lopressor 12.5 mg b.i.d. past medical history: type 2 diabetes--insulin dependent with neuropathy, history of glaucoma on eye drops, history of hypertension, history of depression on medication. past surgical history: include right carotid endarterectomy in , cholecystectomy in , cataract surgery on the right, radiation therapy for skin cancer. hospital course: the patient was admitted to the vascular service. triple-therapy of vancomycin, levofloxacin and flagyl was instituted. patient was continued on his methadone for pain. he was prepared for arteriogram and underwent a diagnostic arteriogram on of the abdominal and pelvic vessels and left leg runoff via the right common femoral artery. the patient tolerated the procedure well. there were no complications. the patient had vein mapping done, and he had greater and lesser saphenous conduit available. he was seen by respiratory therapy for his bedtime cpap. he underwent on a left sfa to bk with nonreversed saphenous vein graft and left second toe amputation. patient tolerated the procedure well. vancomycin was continued. levofloxacin and flagyl were discontinued. the patient was stable and was transferred to the pacu for continued care. the patient did well in the pacu, remained hemodynamically stable and was transferred to the vicu for continued monitoring. the patient's postoperative hematocrit was 26. he was transfused 1 unit of packed cells. postoperative day 1, there were no overnight events. his diet was advanced. his fluids were hep-locked. he remained on bedrest. his analgesic control was adequate, and he was diuresed with 20 of lasix. on the evening of postoperative day 1, , respiratory therapy was called to see the patient secondary to increased somnolence. abgs were drawn. ph was 7.11, o2 was 129, pco2 was 76 on an fio2 of 6 liters per face mask. patient was placed on cpap. repeat blood gases were obtained which were 7.27, 80, 96 and 38. ekg was obtained. there were no changes. his o2 sat was 95%. he was more alert. patient was transferred to the vicu for closer monitoring. cardiac enzymes were obtained. total cks were 133, 162 and 311. ck-mbs were 6, 5 and 6. troponins were 0.10. patient continued to improve and was transferred back to the vicu on . patient was delined, and his jp drain was removed. his diet was advanced as tolerated, although he had some mild abdominal distention, but he had normoactive bowel sounds and was tolerating p.o.'s. physical therapy was requested to evaluate the patient to determine whether her will need to go to rehab, or whether he will be able to be discharged to home. the remaining hospitalization was unremarkable, and patient was discharged in stable condition to follow-up with dr. in 2 weeks time from the date of discharge. patient will be discharged when medically stable, and an addendum to discharge instruction and medications will be dictated at the time of discharge. discharge diagnoses: ischemic left first and second toes with rest pain, ischemic left toe ulceration x3 months, history of diabetes with neuropathy, history of glaucoma, history of carotid disease status post right carotid endarterectomy in , history of gallbladder disease status post cholecystectomy, history of cataracts status post lens implant, right eye, hyperkalemia treated with intravenous dextrose and insulin in , postoperative blood loss anemia--transfused, postoperative hypercarbia, treated, resolved. patient should follow-up with dr. in 2 weeks from the date of discharge. he should call for an appointment at (. major diagnostic/interventional procedures: diagnostic arteriogram of the abdomen and pelvic vessels with left leg runoff via the right common femoral artery access on , and a left femoral below-knee popliteal bypass with nonreversed saphenous vein, and second toe amputation on . discharge medications: lasix 20 mg daily, aspirin 325 mg daily, sertraline 100 mg daily, gabapentin 900 mg t.i.d., buspirone 15 mg t.i.d., methadone 10 mg q.i.d. as needed for pain, dorzolamide/timolol ophthalmic drops 1 ou b.i.d., artificial tears p.r.n., protonix 40 mg daily, metoprolol 12.5 mg daily. patient is on an insulin fixed and sliding scale dose. an addendum to the discharge dictation will be done at the time of discharge when discharge insulin regime is decided. , procedure: arteriography of femoral and other lower extremity arteries amputation of toe other (peripheral) vascular shunt or bypass non-invasive mechanical ventilation aortography transfusion of packed cells diagnoses: hyperpotassemia obstructive sleep apnea (adult)(pediatric) anemia, unspecified unspecified essential hypertension diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes ulcer of other part of foot long-term (current) use of insulin atherosclerosis of native arteries of the extremities with ulceration other respiratory abnormalities chronic pain syndrome 

Answer: The patient is high likely exposed to