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: past medical history: 1. insulin-dependent diabetes mellitus. 2. hypertension. 3. suicide attempt, executed elaborate plan in resulting in hospitalization; the plan involved lying in a bathtub full of water and dropping a hair dryer into water which was done but did not result in electrocution. the patient then called the suicide hotline and was admitted. 4. depression. admission medications: 1. amitriptyline 25-50 mg q.h.s. 2. bupropion 100 mg b.i.d. 3. verapamil 240 mg q.d. 4. insulin novolin 40 units b.i.d. 5. lisinopril 40 mg q.d. 6. ibuprofen 800 mg b.i.d. 7. gemfibrozil 600 mg b.i.d. 8. 60 mg b.i.d. allergies: the patient has no known drug allergies. social history: the patient denied ethanol. denied drug use. denied tobacco. the patient lives alone in a studio apartment. the patient reports being bisexual but monogamous with a partner for over one year. the patient has been tested multiple times for hiv as has his partner, always negative. the patient denied injection drug use. primary care physician: . at the va, telephone number . physical examination on admission: vital signs: in the emergency department, the patient had a temperature of 97.1, heart rate in the 40s, blood pressure 64/40, respiratory rate 15, 100% oxygen saturation. general: the patient was a well-developed, slightly obese, comfortable male. heent: perrl, eomi. ent/neck: no jugular venous distention. the neck was supple. chest/respiratory: clear to auscultation bilaterally. cardiovascular: bradycardia. gi: soft, nontender, no masses. extremities: no calf tenderness. no peripheral edema. skin: dry with no rash. neurologic: the patient was alert and oriented times three. speech was fluent. cranial nerves ii through xii were intact. the patient was moving all four extremities bilaterally. laboratory values: the laboratory values in the ed showed cbc with a white blood cell count of 8.4, hematocrit 35.5. sodium 131, potassium 6.1, chloride 105, c02 19, bun 26, creatinine 2.0, platelets 527,000, calcium 8.9, magnesium 1.4, phosphate 3.3. ck 69, troponin less than 0.3. hospital course: the patient was interviewed in the emergency department and found to be hypotensive and bradycardiac. an ekg was performed which showed sinus rhythm with a bigeminal pattern with intermittent complete left bundle branch block as well as an increased pr interval. the pattern was consistent with a 2:1 block in the his-purkinje system. somewhat prominent t waves were noted in leads v1 through v3, also raising the question of an acute anterior wall ischemia. the patient received fluid resuscitation totaling 7.5 liters. the patient experienced vomiting and was intubated. the patient then had a chest x-ray which showed that the endotracheal tube and the ng tube that had been place were in satisfactory position, no pneumothorax, possible aspiration, and asymmetrical pulmonary edema. the patient also had a ct angiogram of the chest and abdomen which showed no evidence for aortic dissection and aspiration pneumonia. after intubation in the emergency department, the patient's blood pressure was further maintained with dopamine (40 micrograms maximum) and levophed (2 micrograms maximum). blood cultures were drawn and the patient was given empiric levofloxacin and vancomycin. the patient was also given a stress dose of steroids and admitted to the icu. the patient was found to be hyperkalemic on repeat lab tests, nonhemolyzed showing a potassium of 5.9 and was given an insulin, bicarbonate, and calcium gluconate. the ekg abnormalities that had been seen then resolved. the vital signs upon admission to the icu showed an oral temperature of 94 degrees, blood pressure 125/68, heart rate 77 on dopamine and levophed, an a line and a right ij replaced. a bedside echocardiogram showed mild dilation of the left atrium, normal left ventricular cavity size, mild regional left ventricular systolic dysfunction with inferolateral hypokinesis. the right ventricular chamber size and free wall motion were normal. aortic valve leaflets appeared structurally normal with good leaflet excursion and no aortic regurgitation, moderate (2+) mitral regurgitation was seen which appeared to be due to chordal tethering associated with the wall motion abnormality. there was mild pulmonary artery systolic hypertension and no pericardial effusion. overnight, the patient ruled in for a myocardial infarction (troponin peak 17.6) and was found to require less and less pressor support in order to maintain an adequate blood pressure. the patient was extubated on hospital day number two without difficulty in the afternoon and was weaned off pressors in the morning. on hospital day number three, blood cultures from the day of admission became positive showing staphylococcus bacteremia which was coagulase-negative. the patient was transferred to the general medicine service on hospital day number five. a picc line was placed for continued iv antibiotics. during all this course, the patient had been maintained on vancomycin, levofloxacin pending susceptibilities. on hospital day number six, further discussion revealed the patient had a history of poor insulin injection hygiene. the patient reported that he had been doing his insulin injections intramuscularly in his groin area. the patient was not prepping the site in any sterile fashion, was not prepping the bottles in which he was drawing the insulin. furthermore, the patient was using the same needle repeatedly until it was dull. the patient estimated he used the same needle for one to two weeks or approximately 14-30 injections. the patient was, therefore, provided with teaching regarding proper insulin injections from the learning center. on hospital day number seven, blood culture susceptibilities from the day of admission blood cultures showed that the coagulase-negative staphylococcus was susceptible to vancomycin. recommendations for a total course of two weeks of levofloxacin and vancomycin for transient bacteremia secondary to poor insulin injection hygiene and pneumonia. the patient was set up with an outpatient infusion company in order to receive the intravenous vancomycin at home. the levofloxacin was changed to p.o. all further blood cultures after the day of admission were negative. urine culture was negative. the patient was told to follow-up with his primary care provider as well as with a cardiologist for evaluation of his mi in the setting of hypotension. the patient was discharged to home in stable condition with visiting outpatient antibiotic iv infusion. discharge diagnosis: 1. severe sepsis. 2. myocardial infarction (troponin peak 17.6). 3. picc line placement. disposition: the patient is discharged home with a visiting nurse. discharge medications: 1. vancomycin 1 gram iv b.i.d. times nine days. 2. levofloxacin 500 mg p.o. q.d. 3. lisinopril 40 mg p.o. q.d. 4. amitriptyline 25-50 mg q.h.s. 5. bupropion 100 mg b.i.d. 6. gemfibrozil 600 mg b.i.d. 7. zocor 10 mg p.o. q.d. 8. verapamil 240 mg p.o. q.d. 9. ibuprofen 800 mg t.i.d. as needed for pain. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization diagnoses: hyperpotassemia subendocardial infarction, initial episode of care mitral valve disorders severe sepsis other shock without mention of trauma primary pulmonary hypertension diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled other second degree atrioventricular block 

Answer: The patient is high likely exposed to