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: zemplar / ampicillin attending: chief complaint: bacteremia major surgical or invasive procedure: transesophageal echocardiogram history of present illness: patient is a 43 yo thai speaking male with esrd on hd, htn presented to on after being notified that blood cultures drawn on returned positive for gpc in bottles. he arrived to hd on with rigors and chills, but was afebrile to 99.1, and had blood cx's drawn. on arrival to the ed, he was afebrile to 96.8, with bp 92/38, and was admitted to medicine for further work-up. he was given 1g vanco x1, 1 g ceftaz x1, which were continued on the floor. ros were negative for any fever, cough, sob, dysuria, odynophagia or any other localizing symptoms. it was felt that his tunneled hd line was likely the source, and it was planned to have that line removed. pt was dialyzed on through his still maturing avf in his l arm. on , pt became increasingly hypotensive, with bps at 80/40. he was otherwise afebrile to 97.8, but tmax 100.3, with hr 70s, rr 20s, and satting 100% on ra. he was given 1l ns bolus without improvement in his blood pressure. pt was transferred to the icu for closer monitoring. he was transferred to the floor after he was hemodynamically stable. past medical history: htn esrd ( htn) avf placed (awaiting maturation) anemia (baseline hct 30) chf ef 40% uric acid elevation social history: no smoking, no alcohol, no drug use. family history: father and mother died at age 40-50. brothers with htn. no family history of stroke or mi. physical exam: vs: t 98 bp80/34 hr72 rr o2sat: gen: lying on bed, does not appear toxic. able to speak in full sentences without difficulty. heent: perrl, eomi, anicteric, mm dry. neck: supple, no elev jvp. chest: ctab, no c/w/r. heart: rrr, nl s1 and s2, no m/r/g abd: soft, ntnd, nabs, no bruits, no hsm ext: warm, 2+ pulses bilaterally, 1+ pitting edema bilaterally neuro: a&o x 3, no focal neurologic signs. brief hospital course: patient is a 43 yo male with history of esrd htn presents with high-grade bacteremia with 2/2 bottles of pansensitive enterococcus and enterobacter and 4/4 bottles of gnr. 1. enterococcal/enterobacter bacteremia: patient with polymicrobial bacteremia secondary to infected tunneled hd line; no other localizing symptoms on admission. initially hypotensive with bps in 80/40's consistent with sepsis. he was transferred to the micu for closer management, no pressors were required. his tunneled hd line was pulled and he was started on vancomycin and levaquin, as per id. he also had been on ceftaz, meperidine, and linezolid, all of which were stopped in the micu. tte was done and did not suggest any vegetations or abcesses. tee was then done and showed a moderate sized aortic vegetation that was consistent with aortic regurgitation, which was auscultated on exam. patient was seen by ct surgery and felt that he would require avr after he had completed his 6 week course of antibiotics and suggested he undergo cardiac catheterization as part of the pre-op evaluation. patient was also seen by cardiology was consulted vancomycin was changed to ampicillin, as per id, who felt that enterococcus was more sensitive to this drug. two weeks later he became neutropenic, developed a diffuse erythematous rash, and started spiking temperatures. 2. esrd: patient on hemodialysis tthsat d/t esrd from htn. s/p hd yest on , not due for hd until tues. tunneled line pulled on , renal consulting, following, dialyzed through mature av fistula on . 3. htn - hold antihypertensives given sepsis, restart on floor once stable 4. anemia: at baseline hct ~30. continue epo 6000units qhd. medications on admission: meds at home: metoprolol 75mg po bid norvasc 10mg po qday tums 500mg po tid epo 6000 units qhd calajex 2mcg qhd discharge medications: 1. vancomycin hcl 1250 mg iv qhd please dose at hemodialysis 2. gentamicin 60 mg iv qhd 3. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 4. lanthanum 250 mg tablet, chewable sig: two (2) tablet, chewable po tid (3 times a day). disp:*180 tablet, chewable(s)* refills:*2* 5. levofloxacin 250 mg tablet sig: one (1) tablet po q48h (every 48 hours). disp:*15 tablet(s)* refills:*0* 6. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 8. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. endocarditis 2. end stage renal disease on hd 3. hypertension discharge condition: stable discharge instructions: 1. you are being treated for a bacterial infection with 3 antibiotics for 6 weeks (). two of the antibiotics will be given at hemodialysis. the third antibiotic is levaquin. you will take 1 tablet every 2 days until . 2. recommended follow-up as listed below 3. if you experience any fevers, chills, chest pain, sob or any other concerning symptoms please return to the er> followup instructions: 1. you will getting hemodialysis on tuesdays, thursdays, and saturdays at . you will be informed about the time and place. 2. please have labs done at hemodialysis. weekly cbc, lfts, vancomycin trough, and gentamycin peak/trough levels should be faxed to dr. at . 3. you are scheduled for an appointment with cardiothoracic surgery on at 2:30pm. 4. you are scheduled to have an echocardiogram on thursday, at 8am in the building, . phone number . 5. dr. will be contacting you regarding your appointment for tooth extraction. 6. you are scheduled for an appointment with infectious disease clinic, dr. phone: date/time: 11:00 procedure: venous catheterization, not elsewhere classified coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart hemodialysis diagnoses: anemia in chronic kidney disease end stage renal disease hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified cardiac dysrhythmias bacteremia dermatitis due to drugs and medicines taken internally acute and subacute bacterial endocarditis infection and inflammatory reaction due to other vascular device, implant, and graft streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms eosinophilia penicillins causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to