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: patient recorded as having no known allergies to drugs attending: chief complaint: perirectal abscess/ pain x 7 days. major surgical or invasive procedure: i and d of abscess history of present illness: 55 year old cantonese speaking male , pmh of esrd on tri weekly dialysis, dm, htn, who presents with perirectal pain and perirectal mass x 7 days. past medical history: -- htn: difficult to control, multiple agents used -- dm: with retinopathy, nephropathy -- esrd due to iga nephropathy/dm -- diabetic retinopathy- blindness -- r subclavian thrombus - stopped anticoagulation in -- anemia of chronic disease -- hyperlipidemia -- cad - not an intervetional or cabg candidate. cardiac catheterization from showed 3vd with a 30% left main, a diffusely diseased lad with 80% mid stenosis, 90% diagonal, 60% second diagonal, and 90% om1. none suitable for pci or cabg. ef 60-70% tte social history: cantonese/mandarin speaking, limited english, immigrated to the us 10 yrs ago, currently lives with wife and 3 children, has been blind for approx 3 years, has not worked recently; no history of tobacco use, alcohol, or illicit drug use. wife injects insulin. family history: no family history of dm, cad, stroke, htn, or renal disease physical exam: per surgery team vs gen: drowsy, hard to keep awake ( per wife is baseline state ). chest: left dialysis catheter in left subclavian vein. cvs: rrr ii/vi harsh systolic murmur at lsb and l 5th intercostal space midclavicualr. no carotid bruits. pulm: ctab no w/r/r abd: soft nt/ nd + bs ext: no c/e bl . per icu team a day later: vs: t 96.2; hr 68; bp 205/68; rr 22; spo2 100% 3l nc gen: nad, dyskinesia of mouth (lip smacking, tongue thrusting) heent: mmm, poor dentition, small lesion on l side tongue, no lad, neck supple, no masses, blind, l eye: cloudy bloody cornea no discernible pupil, r eye: small fixed pupil, injected conjunctiva cv: rrr, no m/r/g lungs: cta b, 100% 3l nc, episodes of panting abd: decreased bs, soft, ntnd ext: warm, dry, 2+ pedal and radial pulses, no edema or cyanosis perirectal area: packing is saturated with blood, edema surrounding i/d site, very tender pertinent results: 138 96 19 -------------< 79 3.4 29 6.0 ca: 8.6 mg: 1.6 p: 2.4 d . wbc: 11.4 hct: 36.2 plt: 198 . pt: 14.3 ptt: 33.9 inr: 1.2 . cxr: findings: in comparison with the study of , there is again enlargement of the cardiac silhouette, although less prominent than on the previous study. there is again engorgement of the pulmonary vessels consistent with substantial elevation of pulmonary venous pressure. the costophrenic angles have cleared, consistent with decreased pleural effusion brief hospital course: mr. is a 55 year old man with a pmh significant for esrd on mwf hd, cad, dm, anemia, poorly controlled htn, and anemia transferred from the surgical service for monitoring s/p perirectal i/d. 1. perirectal abscess: the patient was admitted for a perirectal abscess status post i/d on . mr. was initially treated with ciprofloxacin and flagyl. after wound culture speciated out as mrsa, vancomycin was added to the patient's antibiotic therapy. per dr. of surgery, antibiotic therapy will need to be continued for 14 days (stop on ). the patient was treated with oxycodone prn for pain control, which he did not require in the 48 hours prior to discharge. a follow-up appointment was scheduled for the patient with dr. in outpatient clinic in 2 weeks. 2. htn: after the patient's i/d procedure, he became hypertensive with sbp >200 and was transferred to the icu for closer monitoring. his home medications were continued and he was also placed on a nitroglycerin drip which was continued until his hemodialysis on , at which point he became hypotensive and the nitroglycerin was discontinued. upon transfer to the medicine floor, his blood pressure remained stable. at discharge, patient was continued on his home regimen of labetolol, minoxidil, clonidine, imdur, and amlodipine. 3. cad: patient's asa and plavix was held for the i/d procedure. at discharge, patient was resumed on all home medications including asa, plavix, losartan, labetolol, lisinopril. 4. dm 2: patient continued on 70/30 and riss q6h during his hospital course. 5. hyperlipidemia: patient continued on home statin therapy. 6. esrd: patient on mwf hemodialysis, which was continued during his hospital course. last hd was on day of discharge (). nephrocaps continued during hospital course. the patient will need vancomycin dosed per hd protocol. 7. anemia of chronic disease: on discharge, patient's hct stable and at baseline. medications on admission: allergies: nkda home meds (per omr): atorvastatin 40mg po daily aspirin 325mg po daily clonidine patch epogen (2xper wk) hydralazine 50mg po daily insulin (nph 10 units ) lisinopril 40mg daily losartan 100mg daily metoprolol tartrate 150mg po bid minoxidil 2.5mb po bid amlodipine 10mg daily nephrocaps calcium 500mg po tid plavix 75mg po daily protonix 40mg po daily reglan 5mg q8h iv fluticasone 2 puffs ih discharge medications: 1. lactulose 10 gram/15 ml syrup sig: fifteen (15) ml po daily (daily) as needed for constipation. 2. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 3. clonidine 0.2 mg tablet sig: one (1) tablet po bid (2 times a day). 4. clopidogrel 75 mg tablet sig: one (1) tablet po once a day. 5. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. labetalol 200 mg tablet sig: four (4) tablet po tid (3 times a day). 7. minoxidil 2.5 mg tablet sig: one (1) tablet po daily (daily). 8. isosorbide dinitrate 10 mg tablet sig: three (3) tablet po tid (3 times a day). 9. aspirin 325 mg tablet sig: one (1) tablet po once a day. 10. metoclopramide 10 mg tablet sig: 0.5 tablet po before every meal. 11. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 12. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 13. fluticasone 50 mcg/actuation disk with device sig: two (2) puffs inhalation twice a day. 14. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po tid (3 times a day) as needed. 15. insulin nph & regular human 100 unit/ml (70-30) cartridge sig: 8 units in the morning and 6 units at night . subcutaneous daily. 16. losartan 100 mg tablet sig: one (1) tablet po once a day. 17. metronidazole 250 mg tablet sig: one (1) tablet po tid (3 times a day) for 12 days: stop on . disp:*36 tablet(s)* refills:*0* 18. ciprofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 12 days: stop on . disp:*12 tablet(s)* refills:*0* 19. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) gram intravenous hd protocol (hd protochol) for 12 days: stop on . gram 20. insulin nph & regular human 100 unit/ml (70-30) cartridge sig: 8 units in the am and 6 units in the pm subcutaneous twice a day. 21. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po tid (3 times a day). 22. outpatient lab work vancomycin trough to be drawn on friday () prior to hemodialysis. discharge disposition: home with service facility: , discharge diagnosis: primary 1. perirectal abscess 2. hypertension secondary diabetes esrd qmwf due to iga nephropathy/dm diabetic retinopathy r subclavian thrombus - stopped anticoagulation in anemia of chronic disease hyperlipidemia cad discharge condition: patient was discharged in stable condition. discharge instructions: 1. you were admitted for a perirectal abscess, which was surgically drained. you will need to take antibiotics for a total of 14 days (stop on ). your antibiotic regimen is: vancomycin 1000mg per hd protocol flagyl 250mg po tid (to be given after hemodialysis) ciprofloxacin 500 mg by mouth every 24 hours (to be given after hemodialysis) 2. you will need to have a blood test (vancomycin trough) drawn on friday (8/285) prior to hemodialysis. 3. you should resume all of your home medications as prior to admission. it is important that you take all of your medications as prescribed. 4. you have a follow-up appointment with the surgeon as listed below. it is very important that you make all of your doctors . 5. if you develop a fever, chest pain, shortness of breath, or other concerning symptoms, you should contact your pcp or go to the local emergency department immediately. followup instructions: you are scheduled for a follow-up appointment with dr. of surgery on at 4pm at in , ma. please follow-up with your pcp, . in weeks. you can an appointment by calling (. provider: , md phone: date/time: 10:30 provider: , .d. phone: date/time: 11:20 procedure: hemodialysis incision of perirectal tissue diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease anemia in chronic kidney disease end stage renal disease 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 abscess of anal and rectal regions 

Answer: The patient is high likely exposed to