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: no known allergies / adverse drug reactions attending: chief complaint: dm i, admitted for pancreas transplant major surgical or invasive procedure: implantation of pancreatic allograft exploratory laparotomy, explantation of pancreatic allograft right common iliac artery thrombectomy endarterectomy and bovine patch angioplasty. history of present illness: 44 y/o man with dm i with h/o esrd who underwent a lrrt from his father on . done well since that time. creatinine usually runs 1.7-2.2. he has been well. glucoses have been in 2-300s. does experience hypoglycemic unawareness at times. did fall last saturday while carrying packages and scraped left tibial area. applied bacitracin to area. now scabbed. denies infections, fever,chills, nausea, vomiting, chest pain, sob, abd pain, dysuria, constipation, diarrhea. last bm today. npo since 11am. past medical history: diabetes, retinopathy, vitrectomy, hypertension, and hypercholesterolemia. history of anxiety history of pertoneal dialysis s/p cath placement, repostioning and removal social history: lives with by himself. his mother and father help. a 4 y.o. dtr. currently not working smoking history, no other current substance abuse noted family history: parents in their 60s: alive and well, father with hypertension sister with hepatitis (hepc?) physical exam: 98.4 hr 78 123/81 18 98%ra wt 70 kg a&o, nad ent: normal pharynx, dentition good neck no lad lungs clear cor rrr, no murmur abd well healed llq kidney transplant incision, non-tender, non-distended, normal bowel sounds ext no edema. 2 + dps, skin l tibial area with scabbed areas and slight erythema at border of scabs. no drainage labs: k 6.1 (not hemolyzed), creatinine 1.8, gluc 364 ekg : nsr (unchanged from previous) cxr pending hla spec sent to stress test normal, ef 66% pertinent results: 04:45am blood wbc-8.6 rbc-3.41* hgb-10.0* hct-29.6* mcv-87 mch-29.3 mchc-33.9 rdw-13.7 plt ct-636* 04:00am blood pt-12.4 ptt-22.5 inr(pt)-1.0 05:00am blood glucose-259* urean-19 creat-1.3* na-134 k-4.0 cl-98 hco3-26 angap-14 04:40am blood glucose-58* urean-22* creat-2.4* na-138 k-3.9 cl-97 hco3-28 angap-17 04:45am blood glucose-101* urean-18 creat-2.1* na-141 k-4.2 cl-102 hco3-30 angap-13 04:45am blood calcium-8.6 phos-3.4 mg-2.2 04:45am blood tacrofk-8.4 brief hospital course: he was admitted to the transplant service and underwent pancreas transplant on . a drain was left in place. surgeon was dr. . postop, his foot became cool and pulseless over a few hours and he was taken emergently back to the or. surgeon was . the iliac artery was found to have thrombosed as well as the pancreatic allograft. transplant pancreatectomy with jejuno-jejunostomy was performed then the case was turned over to dr. who performed right common iliac artery thrombectomy endarterectomy and bovine patch angioplasty of rcia for cold right leg in setting of rci dissection. please refer to operative notes for complete details. postop, he was sent to the sicu for management. a heparin drip was started, but stopped for hct drop (35 to 23). he was transfused with prbc. serial hct then remained stable and heparin drip was resumed on . right leg dorsalis pedis was dopplerable, and pt/ pulses were palpable. rle nias -demonstrated mod art outflow dx at sfa, mild to mod outflow dx on lt at angiography was considered, but then deferred as this was felt to not be indicated. he was extubated with stable o2 sats on nasal cannula. ck was elevated due to ischemia and muscle necrosis. hydration continued and cks were trended until peaks declined. ngt was left to low to continuous suction and he was kept npo. protonix was given for stress ulcer prophylaxis. ng tube remained until . insulin gtt was required until diet was advanced then sq insulin was resume with recommendations. diet was slowly advanced. he did pass stool, but then became distended again with nausea and vomiting on . kub showed nonspecific bowel gas pattern, no obstruction. reglan was started and he was able to tolerate diet advancement on . he passed stool on . foley remained in place and urine output was adequate. foley was removed, but had to be replaced for urinary retention. he failed to void after foley was removed a 2nd time. foley was replaced and flomax was started. creatinine increased on postop day 2 then improved, but again increased to 2.4 on from 1.8. this was felt to be from elevated prograf level of 16.6. prograf dose was decreased. creatinine then decreased to 2.1 on . foley care teaching was done with the patient. usual immunosuppession continued consisting of mycophenolate, prednisone and tacrolimus doses for h/o renal transplant. home meds were resumed. physical therapy worked with him and declared him safe for discharge to home. he was ambulating independently. vital signs remained stable. of note, on , he experienced left eye floater. ophthalmology was consulted and found a pre-retinal hemorrhage. recommendation was to have patient use two pillows when in bed. he was to avoid lying flat on back or stomach. f/u with dr. on . heparin drip was stopped and home dose of 81 was started. he was discharged to home on in stable condition. abdominal incision remained intact without redness/bleeding/drainage. . medications on admission: prograf 1.5 , cellcept 500mg , prednisone 5mg qd, bactrim ss qd, fenofibrate 54mg qd, simvastatin 40mg qd, levemir 30 units hs (took half), humalog ss, omeprazole 20mg qd (sometimes 40mg qd if indigestion), metoprolol 50mg qam/75mg hs, citalopram 20mg , 81' discharge medications: 1. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po daily (daily). disp:*30 capsule, ext release 24 hr(s)* refills:*0* 2. humalog 100 unit/ml solution sig: per sliding scale units subcutaneous four times a day. disp:*qs 1 month* refills:*0* 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 5. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po bid (2 times a day). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. sulfamethoxazole-trimethoprim 400-80 mg tablet sig: one (1) tablet po daily (daily). 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 9. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po hs (at bedtime). 10. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 11. acetaminophen 325 mg tablet sig: two (2) tablet po every six (6) hours as needed for pain. 12. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for reflux. 13. tacrolimus 0.5 mg capsule sig: three (3) capsule po q12h (every 12 hours). 14. reglan 5 mg tablet sig: one (1) tablet po four times a day: take 1/2 hr prior to meals. disp:*120 tablet(s)* refills:*2* 15. levemir 100 unit/ml solution sig: fifteen (15) units subcutaneous at bedtime: adjust as needed. 16. fenofibrate 54 mg tablet sig: one (1) tablet po once a day. 17. simvastatin 40 mg tablet sig: one (1) tablet po once a day. 18. citalopram 20 mg tablet sig: one (1) tablet po once a day. 19. outpatient physical therapy please evaluate and treat; using cane at time of discharge for unsteadiness. patient not to lie flat on back or stomach must have head up at least on 2 pillows given recent retinal bleed (s/p pancreas trasplant then explant. r iliac artery dissesction requiring endarterectomy, patch angioplasty and rcia discharge disposition: home discharge diagnosis: type 1 diabetes, failed pancrease transplant, peripheral artery disease right iliac artery dissection left eye pre retinal hemorrhage arf, resolving urinary retention ileus discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call the transplant surgery office at if you experience any of the following symptoms: fever (temperature of 101 or greater), chills, nausea, vomiting, increased abdominal distension/pain, decreased urine output, right leg swelling/discoloration/numbness/cold sensation empty foley bag and record outputs. change bag to leg bag for convenience no heavy lifting/straining avoid sitting for longer than 1 hour to avoid flexion at right groin followup instructions: department: transplant center when: at 8:30 am with: , md building: lm campus: west best parking: garage dept: ophthalmology when: , at 4:00 pm with: dr. , md ( building: department: vascular surgery when: wednesday at 9:30 am with: , md building: ; suite 5c department: transplant center when: thursday at 10:00 am with: , md building: lm campus: west best parking: garage procedure: homotransplant of pancreas total pancreatectomy incision of vessel, abdominal arteries endarterectomy, abdominal arteries other operations on lacrimal gland transplant from cadaver procedure on single vessel diagnoses: hyperpotassemia pure hypercholesterolemia unspecified essential hypertension acute kidney failure, unspecified peripheral vascular disease, unspecified other and unspecified hyperlipidemia anxiety state, unspecified long-term (current) use of insulin paralytic ileus unspecified accident injury to bladder and urethra, without mention of open wound into cavity surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation tachycardia, unspecified precipitous drop in hematocrit hematuria, unspecified embolism and thrombosis of iliac artery diabetes with peripheral circulatory disorders, type i [juvenile type], not stated as uncontrolled background diabetic retinopathy kidney replaced by transplant diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled complications of transplanted pancreas retinal hemorrhage other specified retention of urine peripheral angiopathy in diseases classified elsewhere vascular complications of other vessels dissection of iliac artery 

Answer: The patient is high likely exposed to