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 55-year-old gentleman status post pancreas and kidney in that was resected in and cadaveric renal transplant in 12/99, who had a hartmann pouch, transverse colostomy for diverticulitis in , who now presents for preoperative evaluation and bowel prep for colostomy takedown tomorrow by dr. . no fevers or chills. no shortness of breath, no abdominal pain. no other problems with ostomy. past medical history: diabetes type 1, coronary artery disease, status post mi, status post ptca, multiple coronary artery stents, congestive heart failure with an ejection fraction of 50 to 55 percent, cardiomyopathy, hepatitis b virus, hepatitis c virus, hypothyroidism, hypercholesterolemia, benign prostatic hypertrophy, peripheral vascular disease, cerebrovascular accident in with residual left-sided weakness. past surgical history: status post simultaneous pancreas and kidney and cadaveric renal transplant as above, status post left femoropopliteal bypass; status post left toe amputations 1 and 2, status post multiple digit amputations, left 2, 3, and 4 and right 5; status post transurethral resection of prostate, status post left olecranon open reduction and fixation, status post open cholecystectomy, and status post hartmann pouch. allergies: codeine and gentamicin. outpatient medications: 1. isosorbide 30 mg p.o. q.d. 2. prednisone 5 mg p.o. q.d. 3. protonix 40 mg p.o. q.d. 4. lasix 80 mg p.o. q.d. 5. rapamune 1 mg p.o. q.d. 6. toprol xl 25 mg p.o. q.d. 7. phos-lo. 8. bactrim ss 1 tablet q.d. 9. hydralazine 10 mg q.8 h. 10. lantus 15 units and sliding scale insulin. social history: lives with wife in . no cigarettes, no etoh. physical examination: on admission, his temperature was 97.8 degrees, pulse of 60, bp of 150/70, respiratory rate of 18, saturation 100 percent on room air. he was alert and oriented x 3, in no apparent distress. cardiovascular: regular rate and rhythm without murmurs. no jvd. pulmonary: clear to auscultation bilaterally. abdomen: soft, positive bowel sounds, the left lower quadrant ostomy was pink. laboratory data: his hematocrit on admission was 38.9, white count of 3.6, potassium 4.1; creatinine 2.0, baseline 1.5 to 1.8. radiographic studies: chest x-ray showed no infiltrates or effusions. hospital course: status post hartmann take-down, the patient was transferred to icu because the patient required fluid resuscitation and pressors, levophed and vasopressin. the patient did enjoy this slow but steady recovery over his hospital stay, complicated by gram-negative rods in his urine differentiated as pseudomonas. the patient was started on zosyn. when tested these were specific, it was sensitive to meropenem, and he was switched to meropenem. the patient also grew out yeast from urine on and is currently on fluconazole 200 mg q.d. because of its ability to concentrate in the urine. the hospital course also was complicated by a slow healing surgical wound that measured approximately 12 x 4 x 2 cm and it had multiple debridements and wet-to-dry dressings. vac dressings have been applied and will continue after discharge. the patient also has received dialysis while an inpatient. at times insulin management has been difficult. he has received lasix. when his creatinine peaked at 4.1, he was transferred to the for nesiritide drip for a short period of time, which did not seem to benefit him much, so he was restarted on dialysis and brought back to the tenth floor. consultations: consults include who has helped manage his diabetes, renal with dr. who helped manage his renal failure, occupational therapy and physical therapy, dr. from cardiology who helped with his nesiritide drip and his history of arrhythmias with the management of amiodarone, and his endocrinologist for the management of his hypothyroidism. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis other and unspecified partial excision of large intestine systemic arterial pressure monitoring other lysis of peritoneal adhesions pulmonary artery wedge monitoring central venous pressure monitoring transfusion of packed cells repair of other hernia of anterior abdominal wall closure of stoma of large intestine transfusion of platelets injection or infusion of nesiritide diagnoses: cardiac complications, not elsewhere classified atrial fibrillation accidental puncture or laceration during a procedure, not elsewhere classified paralytic ileus complications of transplanted kidney complications of transplanted pancreas attention to colostomy non-healing surgical wound 

Answer: The patient is high likely exposed to