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 patient was hospitalized from to , for his nonhealing ulceration. he underwent a diagnostic lower extremity angiogram. patient was determined to be a surgical candidate. he now returns for elective revascularization. past medical history: type 2 diabetes with triopathy, end- stage renal disease, hemodialysis monday, wednesday, friday, history of coronary artery disease with cardiomyopathy, history of systolic congestive heart failure, pulmonary edema compensated, status post coronary artery bypasses x2 with vein complicated by respiratory failure requiring a tracheostomy, history of pneumonia, history of catheter sepsis, mrsa; history of atrial fibrillation, history of bilateral dvts with pulmonary embolus anticoagulated, history of depression, history of hypertension, history of gerd, history of gastroparesis, history of morbid obesity. social history: patient lives at rehab. he does not smoke or drink. physical exam: patient was in no acute distress, oriented x3. he had an irregularly, irregular rhythm without murmur, gallop, or rub. lungs were clear to auscultation bilaterally. abdominal exam was unremarkable except for obese, protuberant, soft, nontender belly. the left ankle had a 2.5- cm nonhealing ulceration with purulence. there was dry eschar with an erythematous rim. the pulse exam showed palpable dp and pts bilaterally. medications on admission: bupropion 100 mg daily, donepezil 5 mg at bedtime, lactulose 10 grams in 15 cc, 30 cc tuesdays, sundays, and thursdays, reglan 5 mg b.i.d., calcium acetate tablets, atorvastatin 20 mg at bedtime, nephrocaps daily, mirtazapine 45 mg at bedtime, niacin 500 mg at bedtime, levothyroxine 50 mcg daily, prozac 20 mg daily, fluconazole 110 mcg inhaler puffs 2 b.i.d., sublingual nitroglycerin 0.04 p.r.n. hospital course: patient was admitted to the vascular service. vancomycin, ciprofloxacin, and flagyl were instituted. the patient was prepared for surgery and prior to surgery, underwent dialysis. patient proceeded to surgery on . he had a redo left mid sfa to bk- bypass with nonreverse saphenous vein left, angioscopy and valve lysis. urology was consulted intraoperatively to place a foley. the patient underwent a cystoscopy which showed slight narrowing at the bulbar urethra. patient was dilated, and a foley catheter was placed. this remained in for 7 days postoperatively. patient was transferred to the pacu in stable condition. postoperative day 1, there were no acute events. postoperative day 2, patient's t. max was 101. blood cultures were obtained which were no growth. the patient remained in the vicu. on physical exam, he had a left dopplerable dp and pt. potassium was 7.2. patient went to dialysis. wound care service was requested to see the patient for a type stage i pressure ulceration on the sacrum. recommendations were turn frequently. keep heels off of bed surface at all times and apply protective ointment to the area after cleaning the area carefully. postoperative day 3, patient's t. max was 98.0. his potassium improved postdialysis. he was sent to the regular nursing floor for continued care. patient had very poor venous access, and a picc was recommended. it was determined at this time that his antibiotics will be converted to oral agents, and the vancomycin would be dosed at dialysis. postoperative day 5, patient continued to progress. he remained afebrile and ambulation to chair was begun. postoperative day 6, the patient was afebrile. he complained of mild dyspnea with desaturation which responded to face mask. the chest x-ray demonstrated near white of the left chest. the ct was considered. ct scan was done which showed collapse of the left lung. patient was transferred to the icu, where he underwent a bronchoscopy. was intubated and ventilator support overnight. postoperative day 7, patient remained in the unit, intubated, and bronchoscopy was repeated with improvement in left lung aeration. at this point, they felt the patient, from pulmonary standpoint, had improved enough to be extubated and transferred back to the regular nursing floor. patient did require transfusion for a hematocrit of 23.7. pulmonary was consulted on postoperative day 9 for continued left lower lobe changes, concerns for pneumonia and appropriate treatment. their recommendations were to continue aggressive pulmonary pt. discontinue the mucomyst as this can increase secretion thickness. discontinue the tylenol since it may be hiding a fever. recommend fluid removal at dialysis if blood pressure will tolerate. will avoid sedating medications. begin albuterol nebulizers q.4 hours standing and q.2 hours p.r.n. with atrovent nebulizers q.6 hours. felt he did not need to be rebronched at this time to consider starting cpap for possible osa at night. continue his antibiotics, vancomycin and levofloxacin. add cefepime for concerns for hospital-acquired pneumonia. maintain saturations greater than 91%. keep patient on right side as much as possible for postural drainage. continue to monitor pulmonary status by daily x-rays. sputum culture was obtained which showed no microorganisms on gram stain and it was finalized of rare growth of oropharyngeal flora. this cefepime was discontinued. the patient will be continued on vancomycin and levofloxacin for total of 7 more days. the vancomycin will be given at hemodialysis when the level is less than 15. vancomycin will be orally. patient was made n.p.o. for potential rebronch on . patient will return to his nursing home once patient is medically stable. discharge instructions: patient may ambulate essential distances. please elevate the leg when patient is sitting in a chair. please call us if he develops a fever greater than 101.5 or the leg wounds become erythematous, drain, or he has groin swelling. the patient may shower, but no tub baths. please continue all medications as ordered. random levels on a daily basis to determine when to dose at dialysis of vancomycin. sacral decubitus care should be continued with adequate cleansing and protective ointment to the skin. discharge medications: miconazole powder to effected area p.r.n., senna tablets 8.6 mg tablets 1 b.i.d., fluconazole 110 mcg actuation aerosol +2 b.i.d., paroxetine 20 mg daily, niacin 500 mg daily, levothyroxine 50 mcg daily, mirtazapine 15 mg tablets 3 at bedtime, calcium acetate 667 mg capsules 1 t.i.d. with meals, donepezil 5 mg at bedtime, b complex, vitamin c, folic acid, capsule 1 mg daily, lactulose 30 cc daily, atorvastatin 20 mg daily, reglan 5 mg a.c. and at bedtime, bupropion 100 mg sustained release q.a.m., amiodarone 200 mg daily, lansoprazole 30 mg daily, colace 50 mg in 5 cc b.i.d., metoprolol 25 mg b.i.d., albuterol sulfate 0.083% solution inhalation q.2 hours, ipratropium bromide 0.02% solution inhalation q.6 hours, levofloxacin 500 mg q.48 hours for a total of 7 days, acetaminophen 325 mg tablets q.4-6 hours p.r.n., vancomycin 1 gram at dialysis when random level is less than 15 for a total of 7 days, glargine u100 eight units subcutaneously daily at breakfast. humalog sliding scale before meals: glucoses less than 150: no insulin, 151-200: 1 unit, 201-250: 2 units, 251-300: 3 units, 301-350: 4 units, 351-400: 5 units, greater than 400: notify physician. bedtime sliding scale glucoses less than 250: no insulin, 251-300: 2 units; 351-400: 3 units; glucoses greater than 400: notify physician. discharge diagnoses: ischemic left foot ulceration, nonhealing; peripheral vascular disease status post diagnostic arteriogram on , history of type 2 diabetes with triopathy, controlled; history of end-stage renal disease on hemodialysis monday, wednesday, friday, history of coronary artery disease with cardiomyopathy, status post coronary artery bypass graft x2 complicated by congestive heart failure, systolic; respiratory failure, pneumonia, status post tracheostomy, history of methicillin- resistant staphylococcus aureus catheter sepsis, history of pneumonia, history of atrial fibrillation, history of pulmonary embolus secondary to deep venous thrombosis, anticoagulated, history of depression, history of hypertension, history of gastroparesis, history of gastric reflux, history of morbid obesity, urethral stenosis status post cystoscopy with dilatation and foley placement on , postoperative blood loss anemia, transfused; postoperative left lower lobe collapse secondary to bronchial mucus plugging, status post bronchoscopy x2. major surgical procedures: cystoscopy with urethral dilatation and foley placement on , redo left mid sfa bk- with nonreverse saphenous vein, left angioscopy and valve lysis, , status post bronchoscopy x2 and . follow up: patient should follow up with dr. in 2 weeks' time. he should call for an appointment at (. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube fiber-optic bronchoscopy hemodialysis other (peripheral) vascular shunt or bypass other lavage of bronchus and trachea other cystoscopy diagnoses: pneumonia, organism unspecified other primary cardiomyopathies anemia in chronic kidney disease end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere congestive heart failure, unspecified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes depressive disorder, not elsewhere classified pulmonary collapse hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic systolic heart failure pressure ulcer, lower back accidents occurring in residential institution diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy atherosclerosis of native arteries of the extremities with ulceration other specified causes of urethral stricture ulcer of ankle 

Answer: The patient is high likely exposed to