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: penicillins / pollen / pineapple attending: chief complaint: arf major surgical or invasive procedure: none history of present illness: 60 yo m with pmh of insulin dependent dm and chronic kidney disease. patient underwent to peritoneal catheter placement on , surgical procedure was uneventfully, there were no complications. according with patient and patient's wife, he did well the first couple of days after his surgery, pain was well managed with oxycodone. then patient started having fever, chills and rigors, alterated mental status with somnolence and lethargica and decreased urinary output. patient was taken to the medical center, at the emergency room he was found to be hypotensive and lethargic. sbp in the 60's. s/p ivf resuscitation, hydrocortisone, 2u rbc, 1 amp hco3. patient was started levophed gtt. on arrival to the ed on osh his labs were as followed: 124 86 133 ------------< 151 10 > 7.2 < 170k ptt 41 / inr 1.4 5.9 9 12 phosphorus 17 mag 3.7 cal 5.6 lft's alt 13 ast 14 aphos tbili 1.1 ct scan showed bilateral pleural effusion and atelectasis. gallbladder wall edema and trace of pericholecystic fluid. ruq us no cholelithiasis, mod gall bladder wall thickening and small amount of pericholecystic fluid. equivocal for cholecystitis. in settings of severe metabolic acidosis and arf double lumen rij was placed hd was started. pressors were weaned off. patient was found to have new onset afib, hr under control with iv metoprolol. past medical history: dm ii c/b neuropathy, retinopathy (followed by outside endocrinologist) htn chf (tte ef > 55%, lvh) asthma osa on cpap (unknown settings) gout (last flare in 's) pd catheter placement thrombocytopenia social history: denies tobacco. reports drinking 3-4 times per year for holidays. + mj, last use last pm. no ivda. family history: father and mother with htn. denies family h/o cad, diabetes, cancers. physical exam: patient alert and oriented vitals: 97.9 hr: 83 bp 188/78 rr 20 o2sat 99% 3 l nc gen: a&o, nad heent: no scleral icterus, mucus membranes moist cv: afib pulm: bilateral wheezing. decreased respiratory sounds at the bases bilaterally abd: prominent, soft, nondistended, nontender, no rebound or guarding. peritoneal catheter in place. no erythema or purulent discharge ext: no le edema, le warm and well perfused labs: ph 7.36 pco2 42 po2 70 hco3 25 basexs -1 type:art lactate:0.9 source: catheter color yellow appear hazy specgr 1.009 ph 5.5 urobil neg bili neg leuk lg bld lg nitr neg prot 100 glu 100 ket 40 rbc >182 wbc >182 bact many yeast none epi 3 other urine counts mucous: occ ucx : pending 135 91 48 -----------<165 agap=28 3.6 20 5.1 estgfr: ca: 6.3 mg: 2.2 p: 6.0 &#8710; alt: 22 ap: 155 tbili: 0.4 alb: 3.4 ast: 24 lip: 17 8.9 7.4 >--< 18 &#8710; 26.5 n:89.5 l:4.9 m:4.6 e:0.8 bas:0.2 pt: 14.7 ptt: 30.6 inr: 1.4 imaging: ekg : afib hr under control 99 bpm cxr: rll opacities / vascular congestion micro: ucx : p blood cx: p pertinent results: 05:55am blood wbc-10.3 rbc-3.28* hgb-9.2* hct-29.2* mcv-89 mch-28.2 mchc-31.6 rdw-14.8 plt ct-17* 07:14pm blood plt smr-rare plt ct-18*# 03:20pm blood plt ct-23*# 06:00am blood plt ct-27* 05:45am blood plt ct-16* 05:55am blood plt ct-17* 07:14pm blood glucose-165* urean-48* creat-5.1* na-135 k-3.6 cl-91* hco3-20* angap-28* 05:55am blood glucose-152* urean-74* creat-5.7* na-135 k-3.1* cl-92* hco3-27 angap-19 07:14pm blood alt-22 ast-24 alkphos-155* totbili-0.4 01:55am blood alt-18 ast-21 ld(ldh)-314* alkphos-134* totbili-0.3 05:55am blood calcium-6.7* phos-4.1 mg-1.9 21:02 heparin dependent antibodies test result ---- ------ heparin dependent antibodies negative comment: negative for heparin pf4 antibody test by complete report on file in the laboratory. brief hospital course: 60 yo m with pmh of dm and ckd p/w septic shock for unknown origin, likely sources were pneumonia, peritoneal cath infection, acute cholecystitis, uti. arf requiring dialysis, now stable off pressures. he was transferred from hospital directly to sicu. he was alert and oriented upon admission. new onset afib was treated initially with iv metoprolol for rate control. ceftriaxone and zithromax were continued for rll pneumonia and positive ua. ruq us was done to evaluate for cholecystitis. sludge in the gallbladder without son evidence for acute cholecystitis was noted. creatinine increased indicating acute on chronic renal failure likely from hypotension. hd was performed via temporary hd line for volume overload for a couple treatments. nephrology recommended continuing lasix and increasing dose to 80mg . foley was initially placed. urine culture was negative. urine output averaged liter per day. daily serum potassium was low in the 2.8-3.1 range. once stable, he was transferred out of the sicu. the pd catheter was hand flushed noting bloody effluent. catheter was then flushed with 500 ml of dialysate with bloody effluent. no leaking occurred. repeat flushing was done with one liter dwell and drainage. fluid was clearer. cell count and culture were negative for peritonitis. dry gauze dressing was applied to catheter insertion site that appeared dry and without redness. ua and blood cultures were negative to date. he was also noted to have thrombocytopenia on admission with level of 18. hematology was consulted and w/u ensued. hit was negative and it was felt that thrombocytopenia was most likely due to sepsis and exposure to new drugs including vancomycin, aztreonam, levaquin, famotidine, heparin and new hd. levaquin was likely drug culpert. platelet count increased to 27, however this level decreased to 17 again. he was hemodynamically stable. notation was made of bloody effluent from pd rapid exchange to assess pd catheter on and . hct remained stable during admission (26 on admit/29 on day of discharge). temporary hd line was removed without incident. hematology recommended f/u plt count as an outpatient on . recommendations were to f/u with hematology if plt count remained less than 20,000. amlodipine was added to toprol for sbp that was elevated in the 161/79 range. bp responded with sbp decreasing to 140s. pt was consulted as he was unsteady and required a walker. after a couple pt sessions of 2 days, he was declared safe for home with vna/pt. vna services were arranged. the plan was to discharge to home with f/u at dialysis unit with , rn. pcp . was contact to review hospital course and discuss management/follow up of plt count and pd. labs will be drawn on at with fax to dr. . medications on admission: allopurinol 100 mg ' - calcium acetate 667 mg ''' - darbepoetin alfa in polysorbat 60 mcg/0.3 ml sc 1x month - doxazosin 2 mg '' - fluticasone-salmeterol 100 mcg-50 mcg 2 pf' - furosemide 80' am / 40' pm - lantus 12 units in am, 4-10 units in pm - quinapril 40 mg'' - simvastatin - zafirlukast 20 mg tablet' - cholecalciferol (vitamin d3) 1,000' - ferrous sulfate 325 mg 65mg' - multivitamin - omega-3 fatty acids-vitamin e 1,000 mg discharge medications: 1. allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). 2. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). 3. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 4. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 5. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). 6. doxazosin 1 mg tablet sig: two (2) tablet po bid (2 times a day). 7. furosemide 80 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 8. amlodipine 2.5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 9. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 10. metoprolol succinate 100 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). disp:*30 tablet extended release 24 hr(s)* refills:*2* 11. zafirlukast 20 mg tablet sig: one (1) tablet po daily (). 12. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day. disp:*28 tablet extended release(s)* refills:*0* 13. outpatient lab work stat labs: cbc, chem 10 fax to pcp . 14. medications on hold quinapril 15. cholecalciferol (vitamin d3) 1,000 unit capsule sig: one (1) capsule po once a day. 16. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation: stool softner to avoid straining. stop if diarrhea. 17. lantus 100 unit/ml solution sig: twelve (12) units subcutaneous once a day. disp:*1 bottle* refills:*2* 18. lantus 100 unit/ml solution sig: 4-10 units subcutaneous at bedtime. discharge disposition: home with service facility: vna discharge diagnosis: esrd pd catheter obstruction thrombocytopenia htn discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: please call dr. office if you experience any of the following: temperature of 101 or greater, shaking chills, nausea, vomiting, abdominal pain, malfunctioning pd catheter. -call your pcp if you have any dizziness/easy bruising or any bleeding ie., blood in urine/stool or any vomiting -you need to have blood drawn on monday for platelet monitoring. these labs can be drawn at in dialysis unit. -visiting nurse services have been arranged with vna to include physical therapy -be extra careful with anything that is sharp. do not use a razor. use an electric razor. -if you fall or bump yourself, you need to go to emergency room to get checked for any bleeding. followup instructions: -please schedule follow up appointment as soon as possible with your pcp, . . -provider: , md phone: date/time: 10:30 -follow up with at dialysis tomorrow procedure: hemodialysis venous catheterization for renal dialysis non-invasive mechanical ventilation diagnoses: pneumonia, organism unspecified acidosis hyperpotassemia end stage renal disease obstructive sleep apnea (adult)(pediatric) renal dialysis status congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia severe sepsis gout, unspecified atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease long-term (current) use of insulin septic shock mechanical complication due to peritoneal dialysis catheter obesity, unspecified other specified disorders resulting from impaired renal function diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled other drugs and medicinal substances causing adverse effects in therapeutic use other secondary thrombocytopenia personal history of allergy to penicillin body mass index 34.0-34.9, adult allergy to other foods 

Answer: The patient is high likely exposed to