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: information was obtained from the patient. the patient is a nondiabetic 64-year-old white gentleman with known coronary artery disease and a history of angina. the patient has undergone multiple percutaneous coronary angioplasties and underwent a coronary artery bypass graft times five in . the patient also has a past medical history significant for hypertension, chronic renal insufficiency, and depression. the patient was found to have an abdominal aortic aneurysm on abdominal computed tomography three years ago when this was done for a workup of his renal insufficiency. he has been followed by ultrasounds and computed tomography scans since then. a local vascular surgeon has advised the patient to have an open abdominal repair. the patient was seen by dr. to evaluate for the possibility of endovascular abdominal aortic repair. the patient is now admitted for aneurysm repair. the patient denies any onset of abdominal pain symptoms, back pain, or claudication. past medical history: 1. coronary artery disease with a history of angina. (a) status post angioplasty and coronary artery bypass graft. (b) status post pacemaker for bradycardic arrhythmias in . (c) history of ventricular fibrillation. (d) history of tachycardic arrhythmias with ablation and cardioversion. 2. history of hypertension. 3. history of depression. 4. history of chronic renal insufficiency (with a baseline creatinine of 2.8). 5. marked obesity; status post gastric bypass. 6. history of gastroesophageal reflux disease. 7. history of upper gastrointestinal bleed with helicobacter pylori infection; treated. 8. pseudomonal sepsis in . 9. vancomycin-resistant enterococcus urinary tract infection in . past surgical history: 1. coronary artery bypass graft times five with right leg vein in (this was done at center). 2. gastric bypass in (this was done at center) with wound dehiscence. 3. tracheostomy in . 4. intravenous filter placement for pulmonary emboli and recurrent deep venous thromboses. 5. revision of gastric bypass in . 6. right ankle triple arthrodesis in . 7. right ankle arthrodesis hardware removal in . 8. removal of abdominal mass in . 9. a right subtalar fusion; post removal of infected hardware in . medications on admission: (medications on admission included) 1. diovan 150 mg by mouth once per day. 2. norvasc 2.5 mg by mouth once per day. 3. nexium 20 mg by mouth once per day. 4. quinine sulfate 325 mg by mouth twice per day. 5. trazodone 50 mg by mouth at hour of sleep. 6. effexor-xr 75 mg by mouth every day. 7. multivitamin two tablets by mouth once per day. 8. atarax 2.5 mg by mouth at hour of sleep. allergies: 1. intravenous contrast (causes anaphylaxis). 2. penicillin, sulfa, and ciprofloxacin (cause hives and shortness of breath). 3. shell fish (causes hives and shortness of breath). social history: the patient is married and lives with his wife. ambulates independently. he is a former smoker. he has not smoked since . he drinks on a social basis. physical examination on presentation: physical examination revealed vital signs with a temperature of 97.3 degrees fahrenheit, his heart rate was 68, his respiratory rate was 18, his blood pressure was 180/100, and his oxygen saturation was 99% on room air. general appearance revealed the patient was an alert and cooperative white gentleman in no acute distress. head, eyes, ears, nose, and throat examination was unremarkable. the tongue was midline. there were no carotid bruits. there was no lymphadenopathy or thyromegaly. carotid pulses were 2+ bilaterally. radial pulses were 2+ bilaterally. abdominal aorta was nonprominent. femoral pulses were 2+ bilaterally. the popliteal pulses were nonpalpable. the dorsalis pedis pulses were palpable and 2+ bilaterally. the posterior tibialis on the right was 2+ and palpable. the posterior tibialis was nonpalpable on the left. the lungs were clear to auscultation. cardiovascular examination revealed a regular rate and rhythm. no murmurs. abdominal examination was benign. extremity examination revealed the feet were equally warm with no lesions. there were venous stasis changes on the right leg with bilateral toe deformities. neurologic examination was unremarkable. pertinent laboratory values on presentation: preoperative laboratory work included a white blood cell count of 8.2, his hematocrit was 34.1, and his platelets were 184. the patient's blood urea nitrogen was 41, creatinine was 2.2, and his potassium was 3.6. prothrombin time, partial thromboplastin time, and inr were normal. pertinent radiology/imaging: the patient underwent a stress test by protocol which was negative for chest pain or st changes. electrocardiogram revealed atrial pacing with a prolonged q-t interval of 460/460, inferior st changes, intraventricular conduction delay, and atrial premature contractions. concise summary of hospital course: the patient was admitted to the preoperative holding area on . the patient underwent a retroperitoneal abdominal aortic repair with a tube graft. the patient tolerated the procedure well. he was transferred to the postanesthesia care unit in stable condition with palpable dorsalis pedis and posterior tibialis pulses on the right and a palpable dorsalis pedis pulse on the left. immediately postoperatively, the patient was noted to be in metabolic and respiratory acidosis with low urine output. blood gases were 7.13/59/142/27/1.2. the patient's postoperative hematocrit was 33.4. electrocardiogram was without acute changes. the patient had a paced rhythm. the patient was given fluids for low urine output. urine electrolytes were monitored. the low urine output was felt to be prerenal, and the patient's fluids were adjusted accordingly. the patient was transferred to the surgical intensive care unit for continued monitoring and care. he remained afebrile. he received 2 units of packed red blood cells for his hematocrit of 28.6. blood urea nitrogen was 32 and his creatinine was 2.4. his calcium and magnesium were repleted. the patient's inr levels were normal. the patient continued to be monitored and remained in the surgical intensive care unit. low-dose ativan was begun for alcohol prophylaxis. the patient has a history of withdrawal episodes and disorientation postoperatively. he continued to be monitored. on postoperative day two, his post transfusion hematocrit was 30.9. his blood urea nitrogen was 41. his creatinine was 3. his blood gas revealed 7.33/43/163/24/-3. his lactate was 1.2. the patient continued to remain confused. his abdominal examination was unremarkable. his trazodone and effexor were reinstituted. the patient was transferred to the vascular intensive care unit for continued monitoring and care. on postoperative day three, the patient require aggressive diuresis for an elevated pulmonary artery pressure of 65. blood gases were 7.37/39/125/23/-2. his hematocrit was 30 with a platelet count of 76. his blood urea nitrogen was 43. his creatinine was 3.1. his lactate was 1. the patient was continued on haldol and ativan. the patient continued to be diuresed secondary to his elevated systolic pulmonary artery pressures. incentive spirometry and aggressive pulmonary care were continued. the patient was sent for heparin antibody which was negative. the patient remained in the vascular intensive care unit. fluids were kvo, and nitroglycerin was turned off. on postoperative day four, the patient continued to require diuresis. his hematocrit was 28.6 (down from 30). his blood urea nitrogen was 43. his creatinine was 2.8. the patient weight continued to show improvement; although he was up almost 10 kilograms from his preoperative weight. abdominal examination was unremarkable. the incision was clean, dry, and intact with some serosanguineous drainage. the pulse examination remained unchanged. he remained mildly confused but improved. amlodipine and valsartan were instituted. his fluids were kvo. he required continued hemodynamic monitoring and remained in the vascular intensive care unit. on postoperative day five, there were no overnight events. his systolic blood pressure was running in the 100s. his diastolic blood pressure was running in the 60s. his weight dropped from 98 kilograms to 94 kilograms. his hematocrit went from 28 to 26.6. his white blood cell count remained stable at 6.2. his blood urea nitrogen was 47. his creatinine was 2.7. d his central venous pressure continued to be monitored. his diet was advanced as tolerated. he was transfused one unit or packed red blood cells. his lines were discontinued and remained in the vascular intensive care unit. on postoperative day six, his post transfusion hematocrit was 31.6. the patient's mental status continued to improve. he was tolerating a regular diet. his foley catheter was discontinued. his lines were discontinued, and he was placed on a peripheral intravenous line and was transferred to the regular nursing floor. the patient did have a temperature maximum of 101 degrees fahrenheit and defervesced to 98 degrees fahrenheit. the patient did not mount a white blood cell count with the temperature elevation. blood cultures were obtained which were negative. a urine culture was obtained which was growing greater than 100,000 gram-negative rods. this had not been speciated at the time of this dictation. antibiotics were instituted for his urinary tract infection. the patient was placed on levofloxacin 250 mg by mouth q.24h. for a total dose of three days. by postoperative day eight, the patient was evaluated by physical therapy and they felt that he could be discharged to home with services. they felt that the patient should do well. condition at discharge: the patient's condition on discharge was stable on . medications on discharge: (discharge medications included) 1. venlafaxine 75 mg by mouth q.24h. 2. valsartan 80-mg tablets two tablets by mouth every day. 3. oxycodone/acetaminophen 5/325-mg tablets one to two tablets by mouth q.4-6h. as needed (for pain). 4. nexium 20 mg by mouth once per day. 5. quinine sulfate 325 mg by mouth once per day. 6. trazodone 50 mg by mouth at hour of sleep. 7. ativan 0.5-mg tablets one tablet q.8h. as needed (for a total of 10 days). 8. hydralazine 50 mg by mouth q.6h. 9. amlodipine 5 mg by mouth once per day. 10. metoprolol tartrate 50 mg by mouth twice per day. 11. levofloxacin 250 mg by mouth every day (for a total of three days); this was started on and should continue until . discharge diagnoses: 1. infrarenal abdominal aortic aneurysm. 2. status post retroperitoneal open repair with tube graft. 3. coronary artery disease; stable. 4. hypertension; controlled. 5. chronic renal insufficiency with exacerbation of acute tubular necrosis; resolved. 6. depression; stable. 7. anxiety; stable. discharge instructions/followup: 1. the patient was instructed he could shower. no tub baths. 2. the patient was instructed not to lift anything greater than two pounds. 3. the patient was instructed to follow up with dr. in 7 to 14 days. the patient was to call for an appointment at telephone number . 4. the patient was also instructed to follow up with his primary care physician (dr. regarding his anxiety and blood pressure medications status post discharge. , m.d. dictated by: medquist36 procedure: resection of vessel with replacement, aorta, abdominal diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified dysthymic disorder cardiac pacemaker in situ abdominal aneurysm without mention of rupture staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus mixed acid-base balance disorder 

Answer: The patient is high likely exposed to