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: nka pt admitted on to the floor for planned admission to switch pt over from pd to hd. pt was in chf on admission and pd was not being effective with fluid balance. hd catheter placed on (pd catheter removed ). pt started hd on (2l taken off) pt also placed on triple antibiotics for left heel wounds. seen by plastics and conservative management decided. overnight pt developed temp 101 and rigors. given demerol for rigors. bp dropped into 70's and pt required 100% nrb due to sob. wbc was 15. pt ransferred to micu for line placement and pressors. pt is full code. neuro: pt is alert and oriented times two. a little disoriented and bears watching for safety. follows commands. sat up on the edge of the bed for thoracentesis and was steady. cv: pt did not respond to small fluid boluses given initially. central line inserted, cvp 10-12. pt started on small dose of levophed to keep bp >90. monitor shows nsr with 1st degree avb rates 80-110. no vea. resp: pt with 100% nrb. pt has bilateral pleural effusions. tap of the right effusion performed without complications. 1400cc's taken out. sat 99%. rr 28-32. lungs with deminished sounds bilaterally at the bases. cxr post tap looking better. id: temp 102.8 on transfer. pt fully cultured and given tylenol. started on zosyn, gentamycin and has therapetic vanco level which needs to be checked tomorrow. will follow temp this afternoon. skin: left great toe and heel are black and necrotic. side of foot has quarter sized ulcer which is granulating slowly. pt says he has had this ulcer for three months. wet to dry dressing changes done. gi: pt is on renal diet. taking small mats po without complications. no stool. took pills well. endocrine: pt is on sliding scale coverage. blood sugar at noon was 74, no coverage required. gu: foley catheter inserted with some difficulty. initially drained puss-like urine. now draining dark yellow urine with puss sediment. 5-10cc/hr. no dialysis planned today. procedure: hemodialysis venous catheterization for renal dialysis thoracentesis peritoneal dialysis nonexcisional debridement of wound, infection or burn removal of peritoneal drainage device diagnoses: pneumonia, organism unspecified anemia in chronic kidney disease unspecified pleural effusion urinary tract infection, site not specified congestive heart failure, unspecified mechanical complication due to peritoneal dialysis catheter atherosclerosis of native arteries of the extremities with gangrene diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to