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: mr. is an 82 year old caucasian male with a past medical history significant for coronary artery disease confirmed by stress test in showing inferior ischemia. past medical history also includes chronic renal insufficiency, hypertension, hyperlipidemia and peripheral vascular disease. he presents with congestive heart failure, most likely secondary to recent myocardial infarction. the patient was admitted on for right second toe open amputation, status post surgical procedure. on , the patient was found diaphoretic, unresponsive, heartrate rhythm was in the 120s, hypertensive, with blood pressure of 220/110, hypoxic and electrocardiogram showing st elevations, consistent with acute myocardial infarction. at that time the patient was given oxygen, aspirin, nitroglycerin, and lopressor. a catheterization was delayed because of resolution of st changes with treatment. the patient was then scheduled for catheterization on , but spiked a 101.4 temperature. he was also found to be experiencing congestive heart failure which lead to transfer to the ccu for management. the patient was transferred to ccu at approximately 1500 hours. earlier that morning he had received 160 mg of lasix intravenously and found to have already emptied one liter of fluid. he states that he has not had any history of chest pain, palpitations or shortness of breath. no history of paroxysmal nocturnal dyspnea, no nausea, no vomiting. he did have a history of cough with clear sputum. physical examination: on physical examination it was found that mr. was moderately dehydrated evidenced by a mottled tongue, both pupils were equally round and reactive to light and accommodation. there was no lymphadenopathy noted. his heartsounds were muffled, notable s3 noted, no murmur, he did have a hepatojugular reflex, jugular vein measuring 7 cm above the right atrium. in his lungs there were positive bibasilar crackles, no rhonchi and no wheezing. his abdomen was soft, nontender with no palpable masses. he, however, did have sacral edema. extremities, his right leg showed mild erythema, positive swelling, positive tenderness. his right foot showed evidence of a second right toe amputation, no purulent discharge noted at that time. both heels showed minor ulcerations. laboratory data: pertinent laboratory data revealed the patient had a white blood cell count of 12.4, hematocrit of 35.2 and platelet count of 121. his creatinine kinase was 342 mb 4, troponin i of .20. his echocardiogram was found to have an ejection fraction of 35 to 40%, left atrium and left ventricle were normal, left ventricle wall motion mid anteroseptal hypokinesis, basal inferior hypokinesis, aorta normal, mitral valve normal, trivial mitral regurgitation, no pericardial effusions. his electrocardiogram was found to have sinus bradycardia at the old inferior infarct, anterolateral st-t wave changes. chest x-ray was shown to have cardiac enlargement, moderate to severe congestive heart failure with pulmonary vascular engorgement, interstitial edema, small bilateral pleural effusion, left greater than right. hospital course: stents were placed in the right coronary artery and the patient was placed on post-catheterization protocol medications. he was continued on aspirin, atorvastatin, oxygen saturation, heparin at 1500 units/hour and nitroglycerin drip. he received three more doses of 80 mg of intravenous lasix and was found to have diuresed 5 liters over the whole course. he was given his lasix and lipitor 10 mg per post catheterization protocol. he was also placed on low dose lopressor at approximately 25 mg b.i.d. pulmonary - the patient's pulmonary status initially showed pleural effusion, first in the right and then later in the left. the patient was placed on flagyl for aspiration pneumonia during unresponsive episode post surgery, and the patient's oxygen saturation was maintained above 94%. most recent chest x-ray showed no heart failure, no signs of pneumonia. infectious disease - the patient was empirically treated for fever spike, most likely secondary to skin infection. he was continued on vancomycin and levaquin which was renally dosed at 150 mg. finally, we are awaiting vascular surgery to let us know how long he is supposed to stay on vancomycin and levaquin. he is currently on day #14 of both. the patient was also placed on flagyl for aspiration pneumonia coverage. renal - the patient has a history of renal insufficiency, creatinine initially went up to 2.0 post aggressive diuresis. currently, after aggressive fluids were given, approximately 2 liters, the patient's creatinine is currently at baseline. endocrine - the patient has a history of insulin dependent diabetes mellitus. the patient was placed on insulin sliding scale. the patient currently is at one-half dose due to npo status. neurology - the patient during setting of catheterization had an embolic cerebrovascular accident. the patient was placed on plavix, aspirin, lipitor which basically he was already on these medications, and they were just continued, per neurology consult. the patient's blood pressure was also maintained between 140 and 160 for two days. he was then allowed to get out of bed. physical therapy was consulted regarding getting out of bed and exercising his right side, initially thrombolytic therapy was opted, however, it was determined that the patient was improving without intervention. gastrointestinal - the patient is currently npo due to cerebrovascular accident incident. the patient was found to have lost cough reflex. this is per a speech and swallow study that was done on . fluids, electrolytes and nutrition - the patient is currently fluid-restricted. he is npo secondary to delayed aspiration per speech and swallow study done on . nutrition consult has been placed regarding tube feeds. condition on discharge: good. discharge diagnosis: acute inferior myocardial infarction medications on discharge: 1. finasteride 5 mg p.o. q.d. 2. tamsulosin hcl 0.4 mg p.o. h.s. 3. collaginase ointment one application tp q.d. over left heel ulcer 4. atorvastatin 10 mg p.o. q.d. 5. aspirin 325 mg p.o. q.d. 6. .................. 75 mg p.o. q.d. 7. vancomycin hcl 1000 mg intravenously q. 24 hours 8. heparin 5000 units sc q. 12 hours 9. metoprolol 12.5 mg p.o. b.i.d., hold for systolic blood pressure less than 110, heartrate less than 55 10. metronidazole 500 mg intravenously q. 8 hours 11. famotidine 20 mg intravenously q. 12 hours 12. insulin sliding scale 13. levofloxacin 500 mg intravenously q. 24 hours follow up: he is to follow up with his primary care physician at the end of the month of . he is to follow up with neurology 1 pm, operating room with dr. , building, phone . vascular neurology follow up to be determined. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization amputation of toe percutaneous [endoscopic] gastrostomy [peg] insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery unspecified pleural effusion congestive heart failure, unspecified cardiac complications, not elsewhere classified pneumonitis due to inhalation of food or vomitus acute myocardial infarction of other inferior wall, initial episode of care atherosclerosis of native arteries of the extremities with gangrene iatrogenic cerebrovascular infarction or hemorrhage acute osteomyelitis, ankle and foot 

Answer: The patient is high likely exposed to