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: the patient is a 58-year-old male with a history significant for hypertension, type 2 diabetes, hypercholesterolemia, coronary artery disease, and an aortic aneurysm status post endovascular repair in , who presents with left groin swelling. the patient had been in his usual state of health until two weeks prior to admission when he complained of this left groin swelling. he denied any fever or chills, nausea or vomiting, or any other complaints. patient presented to hospital, where the left groin swelling, where the abscess was was spontaneously drained. he was then transferred to the emergency room at , where he was started empirically on vancomycin, levofloxacin, and clindamycin for probable groin abscess. he is also treated for his hyperkalemia as his potassium on admission was 6.2. he was also transfused 1 unit of packed red blood cells for his hematocrit of 25 and fluid resuscitated. past medical history: 1. aortic aneurysm status post endovascular repair with an infrarenal vena cava reconstruction in . 2. hypertension. 3. type 2 diabetes x15 years. 4. peripheral vascular disease. 5. hypercholesterolemia. 6. coronary artery disease status post catheterization and stress test in . 7. congestive heart failure with an ejection fraction of 20-30%. 8. chronic renal insufficiency with a baseline creatinine of 2.0. 9. history of supraventricular tachycardia status post radiofrequency ablation. 10. hemorrhoids. past surgical history: 1. endovascular graft repair of triple aortic aneurysm with infrarenal vena cava reconstruction. 2. status post open reduction, internal fixation of left leg. 3. multiple toe amputations. medications on admission: 1. humalog 24/54/24. 2. humulin 56 q.h.s. 3. zestril 10 mg p.o. q.d. 4. zocor 20 mg p.o. q.d. 5. percocet 1-2 tablets p.o. q.4-6h. prn pain. 6. oxycontin. 7. levofloxacin 500 mg p.o. q.d. 8. synthroid 50 mcg p.o. q.d. allergies: no known drug allergies. family history: noncontributory. social history: the patient is married and lives with his wife in . he reports occasional alcohol and occasional cigar use. he is a retired bricklayer, but now is out on disability. physical exam on admission: temperature 98.2, heart rate 89, blood pressure 164/98, oxygen saturation 98% on room air, respiratory rate 22. general: the patient is alert and oriented, lying flat on the stretcher. heent: anicteric. mucous membranes moist. extraocular muscles are intact. cardiovascular: regular, rate, and rhythm, positive s1 and s2, grade 2/6 systolic ejection murmur at the left upper sternal border without radiation. abdomen: soft, nontender, positive bowel sounds. extremities: left greater than right groin swelling, 1+ bilateral lower extremity edema, no asterixis, 1+ pedal pulses. neurologic: alert and oriented times three, cranial nerves ii through xii are grossly intact. laboratory values on admission: white blood cell count 5.8 with 76% neutrophils and 10% lymphocytes, hematocrit 22.2, platelets 206. sodium 139, potassium 6.5, chloride 112, bicarb 17, creatinine 5.1, glucose 224. pt 14.2, ptt 29.2, inr 1.3. patient had urinalysis, which revealed 100+ protein, but no ketones or urobilinogen. chest x-ray: no congestive heart failure. ct scan of the pelvis: no bleed, bilateral groin fluid collection, graft present below the renal arteries. impression: the patient is a 58-year-old caucasian male with underlying renal disease likely secondary to hypertension, diabetes, who presents with left groin abscess. hospitalization course by systems: 1. infectious disease: patient had incision and drainage performed of his left groin. he was found to have staphylococcus aureus that was sensitive to vancomycin, and thus he was started on vancomycin 1 gram iv q.12. he was also initially on levofloxacin and clindamycin, which were discontinued, and zosyn was begun on . in addition, a debridement was performed by podiatry of the left foot ulcer. this also grew out staphylococcus aureus, which is sensitive to vancomycin, this is likely the source of his left groin abscess. a mri was performed of the foot, which was negative for osteomyelitis, and thus the zosyn was discontinued, and the vancomycin was continued. the patient remained afebrile and his white blood cell count was within normal limits. local wound care was performed for his left foot ulcer and left groin abscess. blood cultures and urine cultures were negative for any signs of infection. patient was also continued on oral pain medication for his pain associated with the abscess and ulcer. 2. vascular: vascular surgery followed the patient while he was in-house. pulse volume recordings were obtained on , which revealed significant left tibial disease. however, the pvrs were 14 and 10. the patient should follow up with vascular surgery as an outpatient. 3. fluids, electrolytes, and nutrition: the patient was followed closely for his hyperkalemia. during his stay, he was given one dose of kayexalate with improvement in his potassium from 5.6 to 4.3. he was maintained on a low potassium, renal prudent diet. he was also started on sodium bicarbonate 650 mg p.o. b.i.d. for correction of his hyperkalemia. 4. cardiovascular: the patient was continued on metoprolol, hydralazine, and isordil. norvasc was added on for long-term blood pressure control. he was continued on his simvastatin at his current dose for hypercholesterolemia. 5. gu: patient has chronic renal insufficiency. he improved nearly to his baseline creatinine with hydration. he will follow up with nephrology in as an outpatient. 6. endocrine: the patient was continued on sliding scale insulin with adequate control of his blood sugars. 7. pulmonary: patient did well with incentive spirometry after his left groin abscess was incised and drained. an interval chest x-ray showed improvement in atelectasis. 8. podiatry: as above. the patient was fitted with a felted foam pad to allow ambulation upon discharge. condition on discharge: good. discharge status: rehab facility. discharge medications: 1. humalog 24/54/24 units. 2. humulin 56 units q.h.s. 3. zocor 20 mg p.o. q.d. 4. percocet 1-2 tablets p.o. q.4-6h. prn. 5. metoprolol 50 mg p.o. b.i.d. 6. protonix 40 mg p.o. q.d. 7. hydralazine 20 mg p.o. q.6. 8. norvasc 5 mg p.o. q.d. 9. isordil 10 mg p.o. t.i.d. 10. synthroid 50 mcg p.o. q.d. 11. vancomycin 750 mg iv q.12h. 12. bicarbonate 650 mg p.o. b.i.d. 13. ferrous sulfate 325 mg p.o. q.d. 14. epogen 5000 units per week. discharge diagnoses: 1. left groin abscess. 2. left foot ulcer. 3. type 2 diabetes. 4. hypertension. 5. hyperkalemia. followup: the patient was instructed to followup with his nephrologist as an outpatient in . he is also instructed to call his primary care physician for an appointment within 1-2 weeks. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart excisional debridement of wound, infection, or burn other incision with drainage of skin and subcutaneous tissue transfusion of packed cells diagnoses: hyperpotassemia other postoperative infection cellulitis and abscess of trunk congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified pulmonary collapse hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease ulcer of heel and midfoot 

Answer: The patient is high likely exposed to