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: this is a 51-year-old man presenting with a left heel ulcer and left lower extremity cellulitis for three days. the heel ulcer had been present for about six months. in that time, the patient has had numerous bouts of cellulitis treated with elevation and antibiotics. of note, this patient had a kidney/pancreas transplant on , by dr. , which was complicated by delayed graft function. the patient denied any recent fever, chills, nausea, vomiting, change in bowel habits, flu-like symptoms. he is a poor historian. as per the daughter, there have been some recent mental changes. past medical history: end-stage renal disease secondary to diabetes mellitus. diabetic retinopathy and diabetic neuropathy. peripheral vascular disease. coronary artery disease. hypertension. history of cellulitis. past surgical history: as mentioned kidney/pancreas transplant of . coronary artery disease status post cardiac catheterization in . he has had a right femoral anterior tibial bypass in . left femoral anterior tibialis bypass in . he had both first digit finger amputations, first and second toe amputations. latissimus pedicle. left arm fistula. allergies: no known drug allergies. medications on admission: prograf 3 twice a day, prednisone 10 once a day, azathioprine 100 mg once a day, ms contin 15 twice a day, percocet p.r.n. pain. social history: he has heavy alcohol use. review of systems: he is short of breath. he denied any chest pain or changes in appetite. he did notice a 25 lb weight loss however in the last month. physical examination: vital signs: he was afebrile, pulse 83, blood pressure 110/90, respirations 20, oxygen saturation 99% on room air. general: he was slightly agitated with a slight tremor. he was mildly confused. he was alert and oriented times two. head and neck: normocephalic, atraumatic. heart: regular, rate and rhythm. chest: lungs showed basilar crackles, right greater than left. abdomen: obese, soft, nontender, nondistended, with decreased bowel sounds. he had a midline scar. extremities: he had 2+ edema of the left lower extremity with erythema and warm to touch below the knee. he had a 1 cm ulcer on the left heel with a serous discharge but no frank pus, and did not probe all the way to the bone. he does have amputated first and second left foot toes. he has a left forearm scar from an occluded radiocephalic av fistula. he has bilateral amputated first digits. pulse exam: palpable dorsalis pedis pulses bilaterally. neurological: cranial nerves intact with no obvious deficits. rectal: deferred. hospital course: the patient was admitted to transplant surgery. a vascular consult was obtained for his peripheral vascular disease. a podiatry consult was obtained for the osteomyelitis on his foot. he had blood cultures and ulcer swab sent. he was started on intravenous fluids and given intravenous antibiotics of vancomycin, levofloxacin and flagyl. on , later that evening, the podiatry team saw him. they scheduled him for operative intervention on the 27th to debride his left foot, and he was adequately prepped preoperatively for this procedure. on the 27th, however, the patient was found to be somnolent and reactive only to pain. he was noticed to have a systolic blood pressure of about 80, and he was transferred to the sicu and given significant fluid resuscitation. while in the sicu, the patient's condition stabilized significantly to the point where on , the patient was able to be brought to the operating room for debridement and partial calcanectomy on the left side for a left foot osteomyelitis. please refer to the previously dictated operative note for the details of this procedure. over the next few days, the patient's cellulitis gradually improved. he tolerated an oral diet and generally was doing well. on , on postoperative day #3, the patient was brought back to the operating room by podiatry for another debridement and closure of the wound left from the initial surgery. the patient tolerated the procedure well and was brought back to his room without complication. finally on , the patient had a picc line placed for long-term antibiotic treatment as an outpatient. on the day of discharge, , the patient is afebrile, tolerating a regular diet without any significant complaints. he is making good urine. his physical exam is benign with the left lower extremity without any infection whatsoever. the gauze about his left foot has been clean, dry, and intact for several days now. he is going to be discharged to a rehabilitation facility of his choice on intravenous vancomycin and zosyn for a total course of six weeks. discharge laboratory data: white count 4.6, hematocrit 27.6, platelet count 302; coagulation factors within normal limits; sodium 140, potassium 3.9, chloride 107, bicarb 23, bun 18, creatinine 1.7, glucose 97; lfts within normal limits; he has a pending esr to monitor long-term osteomyelitis treatment. discharge diagnosis: 1. left foot osteomyelitis status post debridement and secondary closure. 2. status post pancreatic transplant, status post kidney transplant. 3. insulin-dependent diabetes mellitus 4. diabetic nephropathy. 5. diabetic neuropathy. 6. diabetic retinopathy. 7. peripheral edema. 8. coronary artery disease. 9. peripheral vascular disease. 10. hypertension. 11. cellulitis. 12. status post cardiac catheterization. 13. status post bilateral femoral anterior tibial bypass. 14. acute renal failure. 15. hyperkalemia. 16. metabolic acidosis. 17. ciwa protocol for alcohol withdraw. 18. sepsis. 19. central venous line placement. 20. picc line placement. follow-up: he is recommended to have follow-up with dr. in one week; he should contact him at , to arrange an appointment. he should also follow-up with dr. on , 1:20 p.m. he should also contact the podiatry department and follow-up with them as needed. discharge medications: protonix 40 mg p.o. q.d., lopressor 25 mg p.o. b.i.d., colace 100 mg p.o. b.i.d., morphine ms contin 15 mg q.12, azathioprine 100 mg p.o. q.d., prograf 1 mg p.o. b.i.d., thiamin 100 mg p.o. q.d., folate 1 mg p.o. q.d., percocet tab p.o. q.4-6 hours as needed for pain, prednisone 5 mg p.o. q.d., zosyn 4.5 g iv q.8 hours for 4 weeks, vancomycin 1 g iv q.12 x 4 weeks, ativan 1 mg p.o. q.i.d. p.r.n. anxiety, insulin sliding scale as per the discharge work sheet. discharge instructions: he should have twice weekly lab work of cbc, chem10, lfts and fk506. these results should be forwarded to transplant surgery and to infectious disease. , m.d. dictated by: medquist36 d: 13:09 t: 13:11 job#: procedure: venous catheterization, not elsewhere classified other partial ostectomy, tarsals and metatarsals other partial ostectomy, tarsals and metatarsals local excision of lesion or tissue of bone, tarsals and metatarsals diagnoses: hyperpotassemia acute kidney failure, unspecified unspecified septicemia complications of transplanted kidney diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled cellulitis and abscess of foot, except toes ulcer of heel and midfoot complications of transplanted pancreas acute osteomyelitis, ankle and foot 

Answer: The patient is high likely exposed to