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: significant for diabetes, hypertension, coronary artery disease, congestive heart failure, end stage renal disease, neuropathy, paget's disease, hospital course: mr. is an 83-year-old gentleman who was admitted on , with right foot ischemia and right toe ulcer as well as left third toe ulcer. he was started on iv antibiotics including cipro and flagyl and vancomycin preoperatively. on , he had an angio which showed an occluded right fem and left fem , but pda was patent, as well as stenosis in his left pt. on he got a ct angiogram that showed bilateral pleural effusions however no signs of pe. on he had vein mapping as well as pvrs as part of his preoperative work up. he also had a cardiology evaluation. he was taken to the operating room on , for a right double below knee popliteal to dp bypass graft with a left vein patch angioplasty. postoperatively he did well. on postoperative day 1, he underwent dialysis. he was in the vascular intensive care unit for monitoring. after dialysis he was noted to be somewhat hypotensive. the health officer was called to evaluate him and noted that he had some mental status changes as well as hypotension. he was immediately transferred to the intensive care unit where upon evaluation of the blood gases and mental status changes, he was electively intubated and started on neo-synephrine and levophed for his blood pressure. at this point a cardiology evaluation was obtained in order to help evaluate the etiology for his hypotension. he was empirically started on a heparin drip and per cardiology there are no plans for catheterization. his pressures stabilized on neo-synephrine and levophed. he self extubated himself that evening and was stable on nasal cannula. his mental status improved and he was alert, oriented and following commands. on , he got an echocardiogram which showed dilated left atrium, low to normal left ventricular function and elevated right ventricular pressure with systolic hypertension. cardiology continued to follow him during this time. he continued to have increased pressor requirement without any clear etiology. he had a full set of blood cultures which were all negative. he was empirically started on broad spectrum antibiotics. there was some concern because of his right ventricular increased filling pressure of pulmonary embolus. he had a ct of the chest on that confirmed no sign of any sort of pulmonary embolus. at this point his heparin drip was stopped. he continued to be sort of stable on pressors, however we were unable to wean his pressors. we were treating him as if he was having a septic physiology as well as possible congestive heart failure. he remained stable on pressors and alert and oriented, however on the evening of he complained of some back pain and discomfort and some increased shortness of breath. at that morning he was intubated for increased work of breathing. he had cta of his chest and abdomen. ct of his chest showed new pulmonary infiltrate and ct of his abdomen showed some abdominal ascites, however there were no signs of any intraabdominal process that would be concerning. he had a repeat echocardiogram on that did not show any significant change since his previous echo on , however he did continue over the course of next few days to have increasing pressor requirement and was intermittently started on a vasopressor, maxing on his levophed and neo-synephrine. on the morning of , he was maxed out on both neo-synephrine, vasopressor and levophed with hypotension, systolic pressures in the 70s. no secrecy concern that he had not been improving without any clear etiology. it was determined to repeat his accuracy with some changes in his cardiac function however at this time. it was noted the enzymes had not been continuously cycled and his troponins remained stable, however elevated likely secondary to his renal failure. a repeat echo that afternoon showed significant left ventricular dysfunction consistent with possible myocardial infarction. cardiology was consulted and felt that he was not a candidate for a balloon pump, or catheterization, or sort of intervention at this time, and recommended medical management. we switched his pressors over to milrinone and attempted the without success. he continued to do poorly with pressures in the 70s. we had a lengthy discussion with the family and went over his echocardiogram with the family and cardiology to explain this new finding in that his overall condition had continued to deteriorate over this period. the family at this point wished to continue with full medical support. he started to have worsening metabolic acidosis and we attempted to try some cvas, however his pressures would not tolerate this, so he received bicarbonate for his acidosis. we continued to increase milrinone while he was maxed out on neo-synephrine, vasopressor and levophed. his pressures remained in the 70s but stable. on the evening of , his pressures started to decrease below 70s, and then systolic pressures in the 60s. he was maxed out on all of his pressors. at this point the family was concerned and felt that if situation got worse they did not want to resuscitate him or proceed with any cardioversion or chest compressions. he was made dnr on , at 11:30 p.m. at this point his pressures maxed out on 4 pressors and continued to dwindle into the 50s. family again called at at 1 a.m. with concern that he was not getting better and wished to make him cmo and felt that he would not wish to have any further intervention and that it would be within his wishes to make him cmo. at 1 a.m. to , he was made cmo and his pressors were all weaned off. he expired at 1:36 a.m. on . it was discussed with family for postmortem and the family declined and they also declined for any autopsy. they felt that they were happy with his overall care and felt that the intensive care unit was quite supportive during his entire course. dr. and dr. were informed of both his dnr and cmo status when they occurred. , m.d. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other revision of vascular procedure insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis arteriography of femoral and other lower extremity arteries thoracentesis other (peripheral) vascular shunt or bypass transfusion of packed cells diagnoses: pneumonia, organism unspecified end stage renal disease subendocardial infarction, initial episode of care congestive heart failure, unspecified unspecified septicemia hyposmolality and/or hyponatremia cardiac complications, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of prostate aortocoronary bypass status sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease encounter for palliative care diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled hypotension of hemodialysis atherosclerosis of native arteries of the extremities with ulceration atherosclerosis of autologous vein bypass graft of the extremities 

Answer: The patient is high likely exposed to