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: the patient is a 51-year-old male transfer from hospital. he was admitted there with wide variety of medical problems, most arising from longstanding insulin-dependent diabetes mellitus. his functional status was mediocre, but he managed independently with some help from his mother. is status post a renal transplant for diabetes-induced nephropathy. he had an attempted pancreatic transplant in for treatment of diabetes which was complicated by early acute rejection, with septic shock, with necrosis with the transplanted pancreas, a large abdominal would which took more than one year to heal, peripheral ischemia, and gangrene of his feet (ultimately requiring amputation). he had done well in terms of recovery from those problems with a baseline creatinine which ran into the vicinity of 2.5 to 2.8. he was followed by the clinic here at . he was doing reasonably well until about three weeks prior to admission when he became nauseated daily. about two weeks prior, he started having bouts of vomiting every other day which became more frequent and more severe. there did not seem to be any precipitating factors. the vomiting seemed to be consistent with what he had just eaten. no bile. no blood. he would have considerable retching. along with this, he had some loose stool, but no overt diarrhea. this persisted and he had eaten rather little in the past few days prior to admission. he had not been vomiting up his pills. he came to the emergency room when he became overtly dehydrated. he had not had significant headaches, confusion, loss of consciousness, shortness of breath, cough, sputum production, significant abdominal pain, dysuria, hematuria, skin rashes, fevers, or sweats. he had had some mild chills in the evening. past medical history: extensive - including longstanding insulin-dependent diabetes mellitus, diabetic nephropathy, with renal failure, renal transplant, hypertension, diabetic retinopathy, and attempted pancreatic transplant (as above). medications on admission: insulin, metoprolol, kayexalate, prednisone, bactrim, protonix, imuran, zinc, aspirin, percocet, rapamune, lipitor, paxil, and epogen. social history: he lives at home with his mother who helps him out. he has ongoing visiting nurse services. his functional status is mediocre. he is a former smoker. family history: noncontributory. physical examination on presentation: the patient appeared debilitated and chronically ill, but no different from baseline, in no distress. he was sitting comfortably in bed, breathing room air. mental status was completely normal. his baseline temperature was 97.2, his pulse was 80, his respirations were 20, his blood pressure was 205/94, and his oxygen saturation was 100 percent. his skin showed no rashes. head, eyes, ears, nose, and throat examination revealed pupils were reactive to light without icterus or photophobia. the oropharynx was dry and without lesions. the neck was supple and without lymphadenopathy. the lungs had some minimal bibasilar crackles. cardiac examination revealed a normal rate and rhythm without murmur, rub or gallop. the abdomen revealed a large midline wound which was healed completely but left a large defect. no tenderness over the transplanted kidney in the left lower quadrant. the abdomen was completely nontender. extremities showed below- the-knee amputation of the right leg and transmetatarsal amputation of the left foot; all of which had healed completely. no edema or cellulitis. pertinent radiology-imaging: an electrocardiogram showed a sinus rhythm at a rate of 74 and a right bundle branch block. no other significant abnormalities. a chest x-ray showed no acute cardiopulmonary pathology. pertinent laboratory values on presentation: sodium was 134, potassium was 5.2, blood urea nitrogen was increased from baseline at 55, creatinine was 3, and blood glucose was 143. white blood cell count was 6300 (with 76 polys and 12 bands), his hematocrit was 48 percent, and his platelets were normal. urinalysis was quite unremarkable with trace protein, no cells. liver function tests and lipase were completely normal. summary of hospital course: the patient was transferred to for further workup with a presumed small-bowel obstruction and was taken to the operating room on for a small-bowel resection with closed loop obstruction. postoperatively, the patient was afebrile and did very well. on postoperative day two, a peritoneal swab showed 2 plus polymorphonuclear neutrophils with no microorganisms. the patient-controlled analgesia was discontinued, and the patient was put on oral pain medications with diet furthered. on postoperative day three, the patient's levofloxacin and flagyl was continued. physical therapy continued to see the patient. the patient was slightly hypertensive on postoperative day four, and hydralazine was increased with the addition of clonidine to his regimen of cardiac drugs. the patient's diet was advanced on postoperative day four, and the patient was discharged home on postoperative day six without event and in no acute distress. discharge diagnoses: closed loop small-bowel obstruction, status post small-bowel resection, primary anastomosis. medications on discharge: 1. epogen 4000 units injected two times per week. 2. prednisone 5 mg one by mouth every day. 3. clonidine 0.2 mg one by mouth three times per day. 4. percocet 5/325-mg tablets one to two tablets by mouth q.4- 6h. 5. lopressor 50-mg tablets one tablet by mouth every day. 6. rapamycin 1-mg tablets three tablets by mouth once per day. 7. hydralazine 50-mg tablets one tablet by mouth q.6h. 8. protonix 40-mg tablets one tablet by mouth every day. 9. ativan 0.5-mg tablets one tablet by mouth q.4-6h. 10. flagyl 500-mg tablets one tablet by mouth three times per day. 11. levofloxacin 250-mg tablets one tablet by mouth every day. 12. imuran 50-mg tablets 1.5 tablets by mouth every day. discharge instructions-followup: the patient was instructed to call with any concerns, and a follow-up appointment was made with the clinic for followup. , md 2919 procedure: other partial resection of small intestine small-to-small intestinal anastomosis intra-abdominal manipulation of small intestine diagnoses: anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute vascular insufficiency of intestine volvulus kidney replaced by transplant unspecified peritonitis 

Answer: The patient is high likely exposed to