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: mr. is a 77 year old male with a history of diabetes mellitus, coronary artery disease, congestive heart failure, peripheral vascular disease, status post left below the knee amputation and status post right first and second toe amputations, chronic kidney disease, history of methicillin resistant staphylococcus aureus and vancomycin resistant enterococcus, who presented with left lower extremity swelling, erythema and a "green drainage" from the right heel per vna, who had seen the patient on . the patient complains of right lower extremity pain extending from the knee down to the foot. he also noted increased fingersticks at home in the 400 to 500 range for two days prior to admission. review of systems at presentation was significant for no fevers, chills, nausea, vomiting, shortness of breath, chest pain, abdominal pain, diarrhea, constipation, dysuria or bright red blood per rectum. in the emergency room, the patient was given vicodin, morphine, ancef and oral levaquin. past medical history: 1. coronary artery disease: the patient had a recent cardiac catheterization in which demonstrated diffuse three vessel disease. the patient received stents to the left marginal for a 70% stenosis and the obtuse marginal one for a 90% stenosis. the patient has a known left bundle branch block. persantine thallium in demonstrated defects inferiorly (moderate partially reversible), apical (moderate to severe reversible) and anteroseptal (mild, fixed) walls. the left ventricular ejection fraction was noted to be 31% at that time with global hypokinesis and enlargement. 2. diabetes mellitus type 2 complicated by chronic kidney disease (several episodes of acute renal failure, receiving dialysis at that time), neuropathy and retinopathy. 3. intermittent left bundle branch block. 4. peripheral vascular disease. 5. recurrent right lower extremity cellulitis, last admission with piperacillin/tazobactam therapy. magnetic resonance imaging scan at that time was negative for osteomyelitis. 6. left renal artery stenosis, stented in . 7. anemia. 8. history of methicillin resistant staphylococcus aureus and vancomycin resistant enterococcus infections. 9. cataracts/blindness. past surgical history: 1. left thyroid lobectomy. 2. amputation of right first toe in . 3. amputation of right second toe in . 4. right popliteal-dorsalis pedis bypass in . 5. left below the knee amputation in . allergies: the patient has an unclear allergy to codeine. medications on admission: aspirin 325 mg p.o.q.d., lipitor 40 mg p.o.q.d., metoprolol 100 mg p.o.b.i.d., nph insulin 36 units q.a.m., isosorbide mononitrate 60 mg p.o.q.d., plavix 75 mg p.o.q.d., lasix 40 mg p.o.q.d., colace 100 mg p.o.b.i.d., neurontin. social history: the patient lives in . he has vna visits twice weekly and his children are actively involved in his care. he has not been ambulatory for the last year. physical examination: on physical examination on admission, the patient had a temperature of 97.9, blood pressure 132/66, heart rate 86, respiratory rate 20 and oxygen saturation 98% in room air. general: alert, in no acute distress. head, eyes, ears, nose and throat: left eye shut, extraocular movements full, oropharynx clear. neck: supple without lymphadenopathy, no jugular venous distention. lungs: clear to auscultation bilaterally. cardiovascular: regular rate and rhythm. abdomen: soft, nontender, nondistended, positive bowel sounds. extremities: left lower extremity below the knee amputation, no erythema or edema, right lower extremity with erythema and edema extending above the knee, status post right number one and number two toe amputations, heel ulcer healing with no drainage, beginning of skin breakdown on right shin and right foot but no drainage and no cuts/ulcers/lesions. laboratory data: admission sodium was 142, bun 73, creatinine 2.3, white blood cell count 5.9, hematocrit 30, platelet count 233,000, prothrombin time 12, partial thromboplastin time 29.8, and inr 1. on the day prior to discharge, bun 29, creatinine 1.2, white blood cell count 4.7, hematocrit 33.1, and platelet count 328,000. impression: mr. is a 77 year old male with vasculopathy, peripheral vascular disease, status post left below the knee amputation, coronary artery bypass grafting, who was admitted with right lower extremity cellulitis complicated by methicillin resistant staphylococcus aureus bacteremia and aspiration pneumonia. the patient had a non-st elevation myocardial infarction, likely in the setting of demand ischemia and acute renal failure, now improved. he has remained afebrile while on levofloxacin and clindamycin. hospital course: mr. presented to the emergency room on with methicillin resistant staphylococcus aureus right lower extremity cellulitis. a chest x-ray was clear and venous ultrasound was negative for thrombosis at that time. he received hydrocodone 5 mg orally, cefazolin 1 gram, levofloxacin 500 mg, and intravenous morphine 2 mg. the patient was admitted to the medicine service, where intravenous metronidazole was added, cefazolin was changed to vancomycin pending the mrsa screen. bun and creatinine were noted to be elevated and he received one liter of half normal saline. early in the morning on , the patient developed five out of ten chest pain. an electrocardiogram showed 1 mm inferior and lateral st depressions and his chest pain resolved with one sublingual nitroglycerin. that day, antibiotics were changed to intravenous ampicillin/sulbactam 3 grams every eight hours and intravenous vancomycin 1,000 mg every 24 hours. both of these antibiotics were continued through . he had received a total of three units of packed red blood cells for a hematocrit less than 30. his stool remained occult blood negative. mr. developed an episode of nonsustained ventricular tachycardia on and consideration of repeat vascularization may be undertaken after the acute process resolves. on , the patient developed a cough and shortness of breath with mild desaturation. secondary to increasing serum creatinine, captopril was also discontinued on that day. on , the patient was noted to be somnolent, with nausea and vomiting. narcotics were withheld and he did not respond to neurontin. the patient had received kayexalate per rectum for a potassium of 5.6. the patient became febrile and had a temperature that peaked at 102.9. the nephrology service was consulted for a rising creatinine (4.4) and oliguria. the renal service suspected acute tubular necrosis and lasix boluses and isosorbide mononitrate were discontinued. throughout the evening of , the patient continued to have rigors and soaking sweats. he experienced several episodes of transient hypotension to the 80s and 90s systolic. he rapidly became hypoxic around 2:00 p.m. and eventually required a 10 liter face mask. he was noted to have poor secretion management, with a weak cough and persistent rattle without frequent suctioning. he was noted to have cardiac enzymes that were positive and his metoprolol was decreased to 25 mg twice a day rather than discontinuing it altogether secondary to his hypotension. he was totally anuric at that time. the patient was transferred to the intensive care unit for suctioning and blood pressure monitoring. he was diagnosed with aspiration pneumonia at that time and was treated with renally dosed levofloxacin and clindamycin. he was continued on aspiration precautions with the head of bed greater than 45 degrees with frequent tracheal suctioning. a nasogastric tube was continued to low intermittent wall suction to minimize gastric aspiration, although this is of unclear benefit. the patient's repeat chest x-ray on was stable. his oxygenation continued to improve as well as the patient's blood pressure control. mr. was transferred to the medical floor in good condition on . his cardiac enzymes continued to trend down, his peak ck was 422 on and trended thereafter to 51 on . the cardiology service was contact and the patient was felt not to be a candidate for cardiac catheterization as his renal dysfunction was prohibitive. vascular surgery was re-consulted to assess the patient's right lower extremity for possible revascularization or amputation. they evaluated the patient and felt there was no indication for amputation or revascularization acutely. he will be followed in the vascular surgery clinic for continued evaluation. the patient's renal function continued to improve, with a creatinine of 1.2 on the day prior to discharge. as the renal function improved, cardiology was re-contact and they felt that medical management would be indicated at this time. he will be followed up by cardiology as an outpatient. condition on discharge: stable. discharge status: the patient is being discharged to in . discharge diagnoses: 1. non-st elevation myocardial infarction. 2. diabetes mellitus type 2. 3. chronic kidney disease with an episode of acute renal failure, which resolved. 4. peripheral vascular disease complicated by right lower extremity ulcers. 5. anemia. 6. cellulitis. 7. renal artery stenosis. 8. cataracts. 9. neuropathy. 10. retinopathy. 11. methicillin resistant staphylococcus aureus bacteremia. discharge medications: levaquin 500 mg p.o.q.d. until . amlodipine 5 mg p.o.q.d. lipitor 40 mg p.o.q.h.s. clindamycin 450 mg p.o.q.6h. until . isosorbide mononitrate 120 mg p.o.q.d. acetaminophen 650 mg p.o.q.4-6h.p.r.n. sarna lotion applied p.r.n. eucerin cream applied to right lower extremity b.i.d. ipratropium bromide meter dose inhaler two puffs q.i.d. risperidone 0.5 mg p.o.q.h.s. olanzapine (disintegrating tablets) 5 mg p.o.q.d.p.r.n. agitation. protonix 40 mg p.o.q.d. enteric coated aspirin 325 mg p.o.q.d. metoprolol 100 mg p.o.t.i.d. plavix 75 mg p.o.q.d. epogen 3,000 units s.c.q. friday. atrovent nebulizer q.6h.p.r.n. heparin 5,000 units s.c.q.12h. albuterol nebulizer q.6h. sublingual nitroglycerin 0.3 mg p.r.n. nph 20 units s.c.q. breakfast, nph 10 units s.c.q. dinner. sliding scale insulin. physician : 1. the patient will follow up with his primary care physician, . , at medical center ( on at 2:00 p.m. the address is , , . 2. mr. needs follow-up with cardiology, dr. , at on at 11:00 a.m., telephone number . 3. he has a follow-up appointment with vascular surgery, dr. , on at 2:00 p.m. at . discharge instructions: 1. fingersticks q.i.d. 2. wound care-right foot and leg, apply bacitracin ointment to ulcers on heel then wrap with dry kerlix, then wrap with an ace compression wrap; elevate the leg. 3. left stump, wrap and dry kerlix/gauze then wrap with an ace wrap. dr., 12-986 dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: subendocardial infarction, initial episode of care acute kidney failure with lesion of tubular necrosis chronic airway obstruction, not elsewhere classified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled systolic heart failure, unspecified pneumonitis due to inhalation of food or vomitus cellulitis and abscess of leg, except foot bacteremia ulcer of heel and midfoot 

Answer: The patient is high likely exposed to