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: the patient is a 75 year-old white male with coronary artery disease, congestive heart failure, pacemaker, diabetes, peripheral vascular disease, abdominal aortic aneurysm repair, left lower extremity bypass graft, developed swelling and redness of the right first mtp joint following sharp debridement of a callus. he had a fever at home and some mild nausea. he presented to the clinic on and was admitted for further evaluation and treatment. past medical history: coronary artery disease, coronary artery bypass graft . congestive heart failure. type 2 diabetes times 25 years, insulin times 11 years. recurrent urinary tract infections. nephrolithiasis. osteoarthritis. peripheral vascular disease. past surgical history: coronary artery bypass graft times four in . abdominal aortic aneurysm resection in . left popliteal to pedal bypass graft with right arm vein. arterectomy right distal popliteal and peroneal arteries on . inguinal hernia repair. bcc excision nose. cataract extraction iol. family history: noncontributory. social history: the patient is a retired carpenter. he lives with his wife. quit smoking 25 years ago. he occasionally has an alcoholic drink. he uses a cane to ambulate. allergies: tetanus toxoid causes severe swelling. diptheria toxoid. medications on admission: 1. plavix 75 mg po q.d. 2. aspirin 325 mg po q.d. 3. valsartan 80 mg po q.d. 4. lopressor 37.5 po b.i.d. 5. lasix 80 mg po b.i.d. 6. lipitor 10 mg po q.d. 7. nexium 40 mg po q.d. 8. neurontin 300 mg po q.h.s. 9. combivent inhaler prn. 10. nph insulin 40 units subq q.a.m. 11. nph insulin 40 units subq q.h.s. 12. regular insulin sliding scale. physical examination: vital signs temperature 98.2. pulse 74. respirations 18. blood pressure 136/64. o2 saturation equals 95 percent on room air. height 5'". weight 100.3 kilograms. general, alert, cooperative white male in no acute distress. chest heart regular rate and rhythm without murmur. lungs clear bilaterally. abdomen soft, nontender. extremities right first toe ulcer with cellulitis lateral to the first mp joint. pulse examination femoral pulses 2 plus bilaterally. right popliteal pulse palpable. left popliteal pulse not examined. right pedal pulses are dopplerable. left dorsalis pedis pulse is palpable. no doppler signal from the left posterior tibial pulse. left graft pulse is palpable. neurological examination nonfocal, alert and oriented times three. laboratories on admission: white blood cell 10.3, hemoglobin 10.2, hematocrit 29.3, platelets 310,000, pt 12.8, ptt 26.5, inr 1.1, sodium 138, potassium 4.2, chloride 101, bicarb 27, bun 26, creatinine 1.2, glucose 199. urinalysis was positive for nitrite, 0 to 2 red blood cells, no white blood cells, rare bacteria, no yeast, no epithelial cells. chest x-ray showed no acute pulmonary disease. electrocardiogram showed a normal sinus rhythm at a rate of 77. first degree left ventricular block. left ventricular hypertrophy. inferior infarct, age undetermined. echocardiogram from showed an ejection fraction of 60 percent. hospital course: the patient was admitted to the podiatry service dr. . his wound was excisionally debrided at the bed side. cultures were sent. the patient was started on intravenous oxacillin. cultures grew mrsa. oxacillin was stopped. vancomycin, levofloxacin and flagyl were ordered. a vac dressing was placed over the wound. vascular surgery was consulted. pvr of the right metatarsal showed a 9 mm deflection. the patient was taken to the operating room by podiatry for excisional debridement of the right first mtp joint on . the vac dressing was continued. the consult service was asked to manage the patient's diabetes. they made adjustments to his insulin dose. cardiology was consulted for preoperative clearance. they reviewed his echocardiogram from , which showed an ejection fraction of 60 percent. his cardiac catheterization in showed patent graft. the patient had a troponin leak of 2.2 during admission in with urosepsis, hypertension and renal insufficiency. however, cardiology felt that the patient either had a very small non st elevation myocardial infarction versus troponin leak secondary to renal insufficiency during urosepsis. they felt no further tests were necessary and cleared the patient for bypass graft. on the patient had a right lower extremity angiogram in the cardiac catheterization laboratory by dr. . this study showed an occluded anterior tibial and posterior tibial arteries with peroneal collaterals. vein mapping was done. on the patient underwent a right superficial artery to dorsalis pedis in situ saphenous vein graft. at the end of surgery the patient had a warm right foot with a palpable graft pulse. postoperatively, the patient had a five beat run of ventricular tachycardia, which was asymptomatic. cardiology evaluated the patient. he ruled out for myocardial infarction by enzymes. postoperatively, the patient's creatinine peaked at 2.0. it slowly was decreasing at the time of dictation was 1.5. his creatinine in was 1.0. the patient was diuresed slowly with lasix keeping his chronic renal insufficiency in mind. on hospital day five the patient was noted to have a hematocrit of 24.7. he was transfused 2 units of packed red blood cells. postoperatively, the patient ;received one unit of packed red blood cells and again on postoperative day number five. the patient had a history of anemia, but no known workup. on the patient underwent a debridement of his right foot of his first mpj resection and rotational flap by dr. , podiatry. the patient will remain nonweight bearing times one month. he will have a bivalve short leg cast placed. his right leg will remain elevated as much as possible. at the time of discharge his vancomycin will be stopped and he will continue on two weeks of linezolid 600 mg po b.i.d. he will follow up with drs. and in approximately seven to ten days after discharge. at the time of dictation the patient's right leg incision is clean, dry and intact. he has staples along his thigh incisions and sutures from the knee down to the foot. his foot is warm and he has a palpable graft pulse. his foot is warm with intact sutures along the medial and plantar surface. medications on discharge: 1. linezolid 600 mg po b.i.d. times two weeks. 2. lopressor 50 mg po b.i.d., hold for sbp less then 110, hr less then 60. 3. hydralazine 25 mg po q 6 hours for systolic blood pressure greater then 160. 4. lasix 80 mg po b.i.d. 5. atorvastatin 10 mg po q.d. 6. neurontin 300 mg po q.h.s. 7. protonix 40 mg po q.d. 8. combivent one to two puffs q 6 hours prn. 9. colace 100 mg po b.i.d. 10. heparin 5000 units subq q 8 hours. 11. maalox 15 to 30 cc po q.i.d. prn. 12. dulcolax 10 mg po/pr q.d. prn. 13. ambien 5 mg po q.h.s. prn. 14. artificial tears one to two drops ou prn. 15. tylenol 1000 mg po q 4 to 6 hours prn. 16. percocet one to two tabs po q 4 to 6 hours prn pain. 17. nph insulin 45 units subq q.a.m. 18. nph insulin 45 units subq q.h.s. 19. humalog insulin sliding scale q.i.d. 20. ecotrin 325 mg po q.d. 21. plavix 75 mg po q.d., stopped per cardiology. condition on discharge: satisfactory. disposition: short term rehabilitation stay. primary discharge diagnosis: ischemic right foot ulcer. debridement of the right first mtp joint by dr. , podiatry on . right superficial femoral artery to dorsalis pedis issvg by dr. on . right mpj resection and rotational flap by dr. on . secondary diagnoses: new mrsa right foot. renal insufficiency. anemia, status post transfusions. asymptomatic ventricular tachycardia on . non st elevation myocardial infarction in . pacemaker. type 2 diabetes. hypercholesterolemia. peripheral vascular disease, abdominal aortic aneurysm resection in , left fem bypass graft. , procedure: arteriography of femoral and other lower extremity arteries other (peripheral) vascular shunt or bypass attachment of pedicle or flap graft to other sites excisional debridement of wound, infection, or burn transfusion of packed cells excision of inguinal lymph node other partial ostectomy, tarsals and metatarsals diagnoses: anemia, unspecified congestive heart failure, unspecified cardiac complications, not elsewhere classified infection with microorganisms resistant to penicillins paroxysmal ventricular tachycardia ulcer of other part of foot atherosclerosis of native arteries of the extremities with gangrene cellulitis and abscess of foot, except toes lymphadenitis, unspecified, except mesenteric 

Answer: The patient is high likely exposed to