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 46-year-old man with an extensive medical history, including coronary artery disease, diabetes mellitus type 1, peripheral vascular disease, and end stage renal disease status post living related donor renal transplant, who was admitted on , to the medical intensive care unit after presenting with a headache, right leg pain, and confusion. these symptoms began on the morning of presentation. upon arrival to the emergency department, the patient's blood pressure readings were noted to be erratic, with systolic blood pressures ranging from the 50s to the 140s over a five minute period. his temperature was noted to be 105 degrees farenheit. past medical history: 1. diabetes mellitus type 1 2. coronary artery disease status post myocardial infarction x 3, status post coronary artery bypass graft in 3. peripheral vascular disease status post femoral-popliteal bypass x 2 and numerous amputations 4. peripheral neuropathy 5. retinopathy 6. end stage renal disease status post second living related renal transplant in 7. pseudomonal wound infections 8. left femoral artery injury, status post iabp placement in 9. hypertension 10. gout allergies: erythromycin and protamine. outpatient medications: 1. enteric-coated aspirin 2. allopurinol 3. lopressor 50 mg twice a day 4. cellcept mg twice a day 5. lasix 80 mg once daily 6. darvocet/percocet as needed 7. insulin 8. rapamune 9. diovan 80 mg once daily 10. advicor (?) 500 mg once daily 11. colchicine 12. univasc 7.5 mg once daily 13. zantac 14. prednisone 5 mg once daily 15. neurontin 16. zaroxolyn 2.5 mg as needed social history: the patient is married. he quit tobacco. he denies alcohol use. physical examination: on presentation (per admitting intensive care unit resident), vitals: temperature 105 degrees, blood pressure 55 to 148 systolic/18 to 110 diastolic, heart rate 110, oxygen saturation 98%. general: man who appears older than stated age, able to answer questions, alert and oriented x 3. head, eyes, ears, nose and throat: extraocular movements intact, pupils equal, round and reactive to light and accommodation, mouth clear, poor dentition, sclerae anicteric, no conjunctival petechiae. neck: supple. cardiac: heart sounds regular rhythm, with no s3 or s4, ii/vi systolic ejection murmur radiating to the axilla. lungs: bilateral rales at the bases. abdomen: soft, nontender, positive bowel sounds. extremities: numerous amputations of digits. right hand with necrotic fingertips. several full and partial finger amputations bilaterally. right leg with erythema and tenderness to distal one-third, especially over the heel. left foot with tma. laboratory data: on presentation, cbc revealed a white count of 7.4, hematocrit 36.9, platelets 265. coag studies revealed an inr of 1.3, pt 13.7, ptt 33.1. chem 7 revealed a sodium of 141, potassium 4.7, chloride 101, bicarbonate 16, bun 7.4, creatinine 3.8, glucose 131. urinalysis revealed white blood cells and bacteria. albumin was 3.6, calcium 10.0, magnesium 1.7. arterial blood gas revealed a ph of 7.57, pco2 20, po2 192, lactate 6.3. electrocardiogram obtained upon admission revealed sinus rhythm at a rate of 143 beats per minute, left atrial enlargement, left axis deviation, q waves in leads ii, iii, avf, question marked st elevations at leads i, avl, poor r wave progression. subsequent electrocardiogram (also obtained on ) revealed sinus rhythm at a rate of 97 beats per minute, some resolution of st elevations at lower heart rate. chest x-ray obtained upon admission revealed the pulmonary vasculature to be normal. there was no evidence of overt cardiac failure or pneumonia. there were no effusions. hospital course: the patient, as noted above, was initially admitted to the medical intensive care unit. the first two weeks of the patient's approximately hospital stay were spent in the intensive care unit. the patient was admitted to the medical intensive care unit on pressor support and started on ceftriaxone for presumed sepsis. the ensuing workup of the patient's fever included blood cultures that would later grow out methicillin-sensitive staphylococcus aureus, as would tissue samples from the patient's right lower extremity. cerebrospinal fluid and joint fluid from the patient's right knee did not yield any cultured organisms. the vascular surgery and infectious disease services were consulted and followed the patient throughout the remainder of his hospital course. the patient's antibiotic regimen underwent several iterations following admission. the medical intensive care unit course was notable for the following events: : the patient ruled in for a myocardial infarction, with a maximum ck of 1284, and a maximum troponin of greater than 50. he was intubated for respiratory failure. the patient's creatinine also reached its zenith at 3.3. the patient underwent right lower extremity biopsy of his fascia, which was ultimately deemed to be necrotizing fascitis per pathology report. : the patient went into diabetic ketoacidosis. he was also taken to the operating room for emergent debridement and exploration of his right lower extremity. per report from the vascular surgery service, there was no significant evidence of necrotizing fascitis in the operating room. : the patient developed perioral hsv-like lesions. these were later confirmed to be herpes simplex virus type i by monoclonal fluorescent antibody tests. consequently, the patient was started on acyclovir, in addition to his other antibacterial medications. : the patient was extubated. he was transfused two units of packed red blood cells. following extubation, the patient continued to have occasional fevers, with vancomycin being restarted and discontinued on several occasions. ultimately, the patient's antibiotic regimen upon discharge from the medical intensive care unit consisted of oxacillin, levofloxacin, and acyclovir. the patient's renal function improved following admission, with a creatinine of 1.1 noted on . following extubation, the patient exhibited good oxygen saturation on room air. the patient's diet was advanced, and he tolerated this well. the patient was called out to the medicine floor on . following transfer to the medicine floor, plain films and ct scans of the patient's right lower extremity were obtained. these revealed evidence of osteomyelitis in the third metatarsal. because of the patient's poor vascular status, the surgery service opted not to pursue any surgical intervention at that time. lower extremity arterial doppler examination on , revealed significant and widespread vascular disease, especially at the superficial femoral artery and popliteals bilaterally. as no operative intervention could be pursued, the patient was maintained on intravenous oxacillin, per the recommendations of the infectious disease service. they further recommended that the patient remain on intravenous oxacillin for four weeks following discharge from (the patient has already been on the intravenous oxacillin for two weeks during his hospitalization, so he will ultimately receive a six week course of the antibiotic). the patient's right lower extremity pain was controlled with a morphine patient-controlled analgesia for a time. this was ultimately changed to oral oxycontin, with msir being used on an as needed basis for breakthrough pain. diabetes mellitus type 1 issues: the patient's finger stick blood sugars were checked four times a day. he is being maintained on a regimen of lantus insulin, with a regular insulin sliding scale four times a day. cardiac issues: as noted above, the patient has an extensive history of coronary artery disease. additionally, the patient suffered a myocardial infarction at the beginning of his hospital course. ultimately, the patient would benefit from cardiac catheterization, however, at this time, given his ongoing infection as well as other medical issues, this has been deferred. also, the patient should continue taking his lipid-lowering , advicor, which is a combination of niacin and a statin. the patient has his own supply of this medication. renal issues: as noted above, the patient is status post his second living related renal transplant. the patient's rapamune was restarted during his hospitalization. also, his prednisone is being tapered. physical therapy issues: the patient would benefit from physical therapy and rehabilitation. his right foot should only be used for partial weight bearing, to optimize healing. pulmonary issues: also of note, during the medical intensive care unit course, he was noted to have a left lower lobe pneumonia by chest x-ray on . the patient was thus placed on a course of levofloxacin, which he has finished. the patient is breathing comfortably currently, with good oxygen saturation on room air. condition at discharge: vital signs stable, afebrile. discharge diagnosis: 1. right lower extremity cellulitis and osteomyelitis, with positive methicillin-sensitive staphylococcus aureus grown in wound and blood cultures 2. status post non-q wave myocardial infarction 3. diabetes mellitus type 1 4. status post diabetic ketoacidosis 5. perioral herpes simplex virus type i 6. status post intubation for respiratory failure, with subsequent extubation on 7. status post debridement of right lower extremity 8. end stage renal disease status post second renal transplant in , on immunosuppressive therapy 9. peripheral vascular disease discharge medications: 1. allopurinol 100 mg by mouth twice a day 2. gabapentin 100 mg by mouth twice a day 3. tylenol 325 mg to 650 mg by mouth every four to six hours as needed 4. bisacodyl 10 mg by mouth or per rectum twice a day as needed 5. heparin 5000 units subcutaneously every 12 hours 6. aspirin 325 mg by mouth once daily 7. valsartan ns 80 mg by mouth once daily 8. miconazole powder 2% applied topically three times a day as needed to the groin 9. amlodipine 10 mg by mouth once daily 10. metoprolol 150 mg by mouth three times a day 11. bacitracin ointment one application topically three times a day to wounds 12. colace 100 mg by mouth twice a day 13. acyclovir 400 mg by mouth every eight hours until the patient's oral hsv lesions are completely gone 14. sirolimus 2 mg by mouth once daily 15. furosemide 80 mg by mouth once daily 16. glargine 6 units subcutaneously daily at bedtime 17. regular insulin sliding scale four times a day, to be administered subcutaneously. the sliding scale begins at the 151-200 range of glucose, for which 2 units of regular insulin is to be given subcutaneously. thereafter, the glucose dose increases by 2 units for every increase of 50 (e.g., for a range of 201-250, 4 units of regular insulin should be given subcutaneously). 18. oxacillin 2 grams intravenously every four hours x four more weeks 19. morphine sulfate sr 60 mg by mouth every 12 hours 20. msir 15 mg by mouth every four to six hours as needed for breakthrough pain 21. prednisone taper: 15 mg by mouth once daily for three days, then 10 mg by mouth once daily for three days 22. the patient should take his own advicor as directed by its prescriber. diet: the patient should be maintained on a diabetic, cardiac and renal diet. physical therapy: the patient, as noted above, should practice partial weight bearing only on his right foot, to facilitate healing of his right lower extremity. follow up: the patient is to be discharged to a rehabilitation center. he should follow up with his primary care physician in the next seven to ten days. additionally, the patient has been encouraged to follow up in the infectious disease clinic. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube enteral infusion of concentrated nutritional substances open biopsy of soft tissue other fasciectomy diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care methicillin susceptible staphylococcus aureus septicemia acute respiratory failure cellulitis and abscess of leg, except foot diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled kidney replaced by transplant unspecified osteomyelitis, lower leg 

Answer: The patient is high likely exposed to