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: altered mental status major surgical or invasive procedure: hemodialysis history of present illness: mr. is a 58 year old gentlemen with a pmh significant for htn, esrd on mwf hd, seizure disorder, hepatitis b, and chf admitted for altered mental status and fever. the patient was brought in to by ems after complaining of bilateral leg pain, ha, nbnb emesis x1, and rue weakness. upon initial presentation to the ed, vs 102.4 120 16 175/100 100%ra. the patient was complaining of left-sided arm and leg weakness as well as a diffuse ha. exam was notable for left facial droop, cxr with bibasilar atelectasis, and ecg was notable for peaked t waves with a potassium of 6.8. the patient was treated with bicarb, 10 units regular insulin, 1 amp d50, and kayexalate with improvement in potassium to 4.8. the patient received gentle ivf, vancomycin, pip/tazo, and ceftriaxone. an lp was attempted but the patient refused periprocedurally. of note, the patient has a history of dialysis line infections, most recently in by tip culture and by swab. following insulin administration, the patient became persistently hypoglycemic requiring 3 amps d50 and then continuous infusion for d10 at 100 cc/hr. the patient was then transferred to the micu for further management. currently, the patient denies ha, weakness, cp/sob, f/c/s, n/v/d, abd pain, ha. the patient further denies any history of recent ha. . review of systems: as per hpi. patient states that he has a history of past cva. patient is anuri past medical history: - seizure disorder, onset of seizures in mid after starting dialysis. he seems to have seizures quite frequently at dialysis, per neurology this seems to be attributed to both non-compliance with the medications, as well as taking his medications later on those days. - end stage renal disease on hemodialysis due to hypertensive nephropathy. right thigh hd graft placed. removed from transplant list . history of mssa tdc line infections, most recently in (tip culture) and (swab). - non-ischemic cardiomyopathy, ef 25-30% per echo in - av fistula, status post thrombectomy - hungry bone syndrome status post parathyroidectomy - hepatitis b - pituitary mass - lue avg thrombectomy - anemia - recent l arm fistula repair (declotting) at social history: the patient has a ph.d. in history and had a successful academic career until , when he went on disability for unclear reasons. the patient currently lives alone. he is an organist and choir director at a local church. he denies tobacco, etoh, and illicit drugs. family history: f - dm. m - deceased age 41 of renal failure. one son - healthy. physical exam: gen: nad, angry heent: perrl, eomi, sclerae anicteric. mmm, poor dentition. neck supple pulm: ctab cv: distant heart sounds. nl s1+s2. abd: s/nt/nd +bs skin: dialysis line insertion site without erythema or induration. ext: stasis dermatitis neuro: aox3, mild left facial droop. negative kernig's and brudzinski's signs. pertinent results: admission labs 03:07pm pt-13.5* ptt-24.5 inr(pt)-1.2* plt count-282 neuts-96.4* lymphs-1.9* monos-0.6* eos-0.8 basos-0.3 wbc-11.7* rbc-4.79 hgb-13.0* hct-40.9 mcv-85 mch-27.1 mchc-31.7 rdw-17.5* glucose-83 lactate-1.3 k+-6.1* digoxin-0.4* calcium-8.5 phosphate-6.4* magnesium-2.0 ck-mb-4 ctropnt-0.06* lipase-92* alt(sgpt)-14 ast(sgot)-21 ck(cpk)-210* alk phos-90 tot bili-0.3 glucose-88 urea n-79* creat-12.8*# sodium-135 potassium-6.8* chloride-100 total co2-15* anion gap-27* 07:23pm glucose-41* k+-4.8 chest (portable ap) study date of 2:59 pm impression: 1. no evidence of pneumonia. 2. low lung volumes, with likely bibasilar atelectasis and increased volume status. ct head w/o contrast study date of 3:20 pm impression: no acute intracranial process, and no significant change since nect. 3:07 pm blood culture **final report ** blood culture, routine (final ): beta streptococcus group c. sensitivities performed on request.. staphylococcus, coagulase negative. isolated from one set only. sensitivities performed on request.. aerobic bottle gram stain (final ): gram positive cocci in chains. reported by phone to 09:50am. anaerobic bottle gram stain (final ): gram positive cocci in chains. brief hospital course: mr. is a 58 year old gentleman with a pmh significant for esrd on mwf hd, htn, seizure disorder, and chf admitted for fever, altered mental status, and iatrogenic hypoglycemia. # altered mental status/bacteremia: the patient presented with altered mental status concerning for infectious delirium, meningoencephalitis or post-ictal state. his chest x-ray was without evidence of infiltrate. because of the patient's headache, inattentitiveness, and fever, the patient was treated empirically for meningitis, recieving one dose of ceftriaxone, vancomycin, acyclovir, and ampicillin. lp was unable to be obtained and additional attempts were declined by the patient. the patient's mental status rapidly improved and full meningeal antibiotic coverage was discontinued. the patient was continued on vancomycin for concern of an infected hemodialysis line (pt has a history of repeated hd line infections). he was continued on leviteracetam and oxcarbazepine and he remained alert and oriented times 3 the remainder of his hospitalization. on the am of , the patient requested to leave the hospital against medical advice. at that same time, it was noted that his blood cultures from admission were positive for gram positive cocci (eventually beta strep and staph). the importance of continued iv antibiotics was explained to the patient who refused to stay in the hospital. in conjunction with the renal fellow, it was arranged that the patient would continue to receive iv antibiotics at dialysis. # hyperkalemia: the patient had missed a scheduled dialysis session and presented with a potassium of 6.8. ekg was concerning for peaked twaves. the patient was treated with calcium carbonate, insulin and glucose and repeat ecg with resolution of ecg changes. his potassium was corrected and he then underwent hemodialysis with stable post hd potassium. # seizure disorder: the patient had a seizure during dialysis, which is apparently not uncommon for him. on further discussion with the patient and neurology, it appears the patient does not take any of his anti-epileptic drugs as an outpatient. while hospitalized, he was kept on leviteracetam and oxcarbazepine. # chf: the patient had no current signs or symptoms of volume overload. he was continued on asa 81 mg daily and digoxin. # htn: not currently treated with anti-hypertensives. # discharge: the patient left ama on hospital day 2. medications on admission: allopurinol 100 mg daily calcium acetate 667 mg tab, 4 tabs with each meal digoxin 125 mcg daily folate 1 mg daily levetiracetam 1000 mg daily oxcarbazepine 600 mg daily sevelamer 1600 mg tid with meals. asa 81 mg daily sarna lotion discharge disposition: home discharge diagnosis: fever, altered mental status discharge condition: the patient left ama procedure: spinal tap incision of lung hemodialysis diagnoses: other primary cardiomyopathies hyperpotassemia end stage renal disease congestive heart failure, unspecified pulmonary collapse hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease bacteremia insulins and antidiabetic agents causing adverse effects in therapeutic use epilepsy, unspecified, without mention of intractable epilepsy personal history of noncompliance with medical treatment, presenting hazards to health kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure headache other and unspecified infection due to central venous catheter other specified hypoglycemia staphylococcus infection in conditions classified elsewhere and of unspecified site, staphylococcus, unspecified streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group b other specified disorders of parathyroid gland 

Answer: The patient is high likely exposed to