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: allergies: no known allergies / adverse drug reactions attending: chief complaint: non healing right hallux amputation site major surgical or invasive procedure: : right femoral-to-below-knee popliteal bypass graft with nonreversed saphenous vein graft. : debridement of right foot with vac placement history of present illness: this is a 63m who presents with non-healing r hallux amputation site. pt. states he had a bad infection in his right foot about 1 month ago and subsequently had a right big toe amputation soon thereafter. pt. states since then it has not healed. pt is recently s/p dx angiogram and presents for pre admission for fem-bk bpg. past medical history: pmh: iddm on hd, gerd, depression, hl, anemia, afib, oa, hep c psh: av fistula creation, multiple foot debridements/amputations, r hallux amputation 1 month ago, social history: pt. relates previous 1ppd h/o tobacco use, denies etoh or illicts. pt. lives alone, divorced, has 2 children. family history: nc physical exam: neuro/psych: oriented x3, affect normal, nad. neck: no masses, trachea midline, thyroid normal size, non-tender, no masses or nodules, no right carotid bruit, no left carotid bruit. nodes: no clavicular/cervical adenopathy, no inguinal adenopathy. skin: large ulceration noted to right hallux amputation site. mild surrounding erythema/edema. no active drainage, no purulence appreciated. no palpable pain. heart: regular rate and rhythm. lungs: clear, normal respiratory effort. gastrointestinal: non distended, no masses, guarding or rebound, no hepatosplenomegally, no hernia, no aaa. extremities: no popiteal aneurysm, no femoral bruit/thrill, no rle edema, no lle edema, no varicosities. pulse exam (p=palpation, d=dopplerable, n=none) rle femoral: p. popiteal: d. dp: d. pt: d. lle femoral: p. popiteal: d. dp: d. pt: d on discharge: gen: nad, aox3 cv: rrr, nl s1 and s2 pulm: cta abd: soft, nt, nd ext: right foot warm to touch. wound vac in place. pertinent results: 06:23am blood wbc-5.1 rbc-3.03* hgb-8.9* hct-28.6* mcv-94 mch-29.3 mchc-31.0 rdw-16.8* plt ct-274 07:30am blood wbc-7.0 rbc-3.32* hgb-9.7* hct-31.4* mcv-95 mch-29.0 mchc-30.7* rdw-17.0* plt ct-256 08:20am blood wbc-6.5 rbc-3.24* hgb-9.5* hct-29.9* mcv-92 mch-29.5 mchc-31.9 rdw-16.8* plt ct-233 05:00am blood wbc-6.1 rbc-2.85* hgb-8.2* hct-26.9* mcv-95 mch-28.8 mchc-30.4* rdw-16.8* plt ct-230 07:38am blood wbc-7.1 rbc-3.41* hgb-10.2* hct-30.8* mcv-90 mch-29.8 mchc-33.0 rdw-16.8* plt ct-245 05:20pm blood wbc-6.9 rbc-3.59* hgb-10.4* hct-33.1* mcv-92 mch-29.0 mchc-31.5 rdw-16.7* plt ct-273 06:23am blood glucose-75 urean-56* creat-8.9*# na-134 k-5.2* cl-92* hco3-30 angap-17 07:30am blood glucose-120* urean-42* creat-7.3*# na-134 k-5.3* cl-92* hco3-31 angap-16 08:20am blood glucose-83 urean-64* creat-10.2*# na-132* k-5.2* cl-91* hco3-24 angap-22* 07:38am blood glucose-137* urean-54* creat-8.9*# na-138 k-5.3* cl-94* hco3-29 angap-20 05:20pm blood glucose-120* urean-44* creat-7.6*# na-138 k-5.2* cl-95* hco3-29 angap-19 08:20am blood ck(cpk)-32* 05:00am blood ck(cpk)-28* 10:00pm blood ck(cpk)-34* 05:42pm blood alt-12 ast-22 alkphos-79 08:20am blood ck-mb-3 ctropnt-0.12* 05:00am blood ck-mb-3 ctropnt-0.11* 10:00pm blood ck-mb-3 ctropnt-0.12* 03:33am blood ck-mb-4 ctropnt-0.12* 05:42pm blood ck-mb-4 ctropnt-0.14* 06:23am blood calcium-9.4 phos-8.4* mg-2.1 07:30am blood calcium-8.8 phos-8.3* mg-2.1 03:33am blood calcium-8.6 phos-7.1*# mg-2.0 05:42pm blood calcium-8.5 phos-4.5# mg-1.9 05:20pm blood calcium-9.2 phos-6.1*# mg-2.4 07:30am blood vanco-16.7 08:20am blood vanco-8.9* 07:38am blood vanco-<1.7* 04:44pm blood type-art po2-134* pco2-41 ph-7.48* caltco2-31* base xs-7 intubat-intubated vent-controlled 03:30pm blood type-art po2-112* pco2-41 ph-7.49* caltco2-32* base xs-7 intubat-intubated vent-controlled 04:44pm blood glucose-109* lactate-0.8 na-136 k-4.0 cl-96 03:30pm blood glucose-110* lactate-0.9 na-135 k-4.2 cl-95* 04:44pm blood freeca-1.08* 03:30pm blood freeca-1.08* brief hospital course: briefly, this is a 63m who was admitted pre-operatively for a femoral below knee popliteal bypass. pt. remained on the floor and hemodynamically stable upon arrival. pt. was taken for his normal dialysis schedule on friday am pre-operatively. pt. was taken to the or on for fem-bk bpg with nrsvg, right. pt. had no intraoperative complications and tolerated the procedure well (reader referred to the operative report for further details). pt. was transferred to the pacu with vss. pt. was then transferred to the vicu with vss for close monitoring and serial pulse exams. pt. remained stable overnight with no events. neuro: the patient received iv dilaudid with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. diet was advanced when appropriate, which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. patient remained on his pre-hopsital m/w/f dialysis schedule. electrolytes were routinely followed, and repleted when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. the right hallux amputation site was non-healing after 2 months and the decision was made after the bypass to perform sharp debridement of the area and the application of a wound vac on . there was no surrounding necrosis and site showed good blood flow after debridement. wound vac was changed on . patient was started on vancomycin, ciprofloxacin, and flagyl for his non-healing foot. he was transitioned to po bactrim before discharge. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; patient was transfused 1 unit of prbc for a hct of 26.9 due to his comorbities and end organ ischemia. prophylaxis: the patient received subcutaneous heparin, protonix, and a waffle boot to cover his right foot; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, voiding without assistance, and pain was well controlled. the patient was screened and accepted to a rehabilitation facility to continue his post operative recovery. medications on admission: ferrous sulfate 325', renagel 800', calcium acetate 667', simvastatin 10', asa 81', insulin, oxycodone, bactrim discharge medications: 1. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). disp:*30 capsule(s)* refills:*2* 2. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 5. bactrim ds 800-160 mg tablet sig: one (1) tablet po twice a day for 2 weeks. disp:*28 tablet(s)* refills:*0* 6. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*2* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 9. sevelamer carbonate 800 mg tablet sig: four (4) tablet po tid w/meals (3 times a day with meals). disp:*30 tablet(s)* refills:*0* 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) inj injection tid (3 times a day). discharge disposition: extended care facility: livingcenter - wedgemere - discharge diagnosis: peripheral vascular disease right foot ulceration discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: mr is was a pleasure to take care of you during your stay at . you were admitted to the vascular surgery service for a non-healing right hallux amputation site. you underwent right femoral-to-below-knee popliteal bypass graft with nonreversed saphenous vein graft. additionally, you underwent debridement of the amputation site with a placement of a wound vac. please resume all regular home medications, unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *keep right foot clean and dry. keep wound vac on right foot - change every 3 days. activity: - activity as tolerated: heel touch-down on the right lower extremity, full weight bearing on your left lower extremity - ??????t drive until you are no longer taking narcotic pain medication. - ??????t do any strenuous physical activities, heavy lifting (nothing heavier than 10 pounds) 6 weeks after surgery. diet: eat your normal diet. incisional care: - right leg: gently wash the skin around your incision daily with mild soap and water. - right foot: keep wound vac on right foot - have it changed every 3 days. - ??????t sit in a bathtub, swimming pool, or hot tub until the incision is closed and cleared by your doctor. followup instructions: please call dr. office to schedule a follow-up in 2 weeks. office phone: ( procedure: hemodialysis other (peripheral) vascular shunt or bypass nonexcisional debridement of wound, infection or burn total ostectomy, tarsals and metatarsals diagnoses: end stage renal disease renal dialysis status esophageal reflux chronic hepatitis c without mention of hepatic coma atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled long-term (current) use of insulin obesity, unspecified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled atherosclerosis of native arteries of the extremities with ulceration other bone involvement in diseases classified elsewhere unspecified osteomyelitis, ankle and foot other amputation stump complication amputation of limb(s) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to