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: this is a 69-year-old white male with coronary artery disease, status post myocardial infarctions, percutaneous transluminal coronary angioplasty, coronary artery bypass grafting x 4, with diabetes mellitus, hypertension, hypercholesterolemia, chronic renal insufficiency, who had a left femoral-tibial bypass graft in by dr. . dr. , of podiatry, did a left charcot foot reconstruction following bypass graft. the patient was readmitted to the podiatry service in for cellulitis of his left foot secondary to a cast. the patient sustained a third-degree burn to the posterior right leg after using a heating pad approximately seven to 10 days prior to admission. the patient had fallen asleep and was unable to feel burning of his leg. he presented to the on and he was evaluated by a vascular surgeon and a plastic surgeon. there was debate about patient's right leg circulation because there were no palpable pulses, and there was a question of whether the patient could heal the achilles tendon area at all. a possible leg amputation was discussed. the patient requested transfer to to dr. service for further evaluation and treatment. past medical history: 1. coronary artery disease: myocardial infarction in , ; status post percutaneous transluminal coronary angioplasty; status post coronary artery bypass grafting x 4 in . 2. diabetes mellitus since age 25: with triopathy; status post laser treatment ou; and charcot joint deformities. 3. hypertension. 4. hypercholesterolemia. 5. chronic renal insufficiency, baseline creatinine 2.0. 6. peripheral vascular disease. past surgical history: 1. cabg x 4 with right leg vein by dr. at . 2. left common femoral to posterior tibial artery in situ saphenous vein graft on by dr. . 3. left charcot reconstruction/midfoot osteotomy by dr. , of podiatry, on . family history: positive for diabetes mellitus. social history: the patient lives with his wife. uses a walker to ambulate at home. he quit smoking cigarettes greater than 15 years ago. he does not drink alcohol. he is a retired plumber. he has a history of industrial exposure to asbestos. allergies: the patient has no known drug allergies. medications on transfer from : 1. clindamycin 600 mg iv q. 6 hours. 2. coumadin 5 mg p.o. q.d. (since cabg) 3. humulin 70/30, 35 units subcutaneous q.a.m. and q. supper. 4. amiodarone 200 mg p.o. b.i.d. 5. lopressor 50 mg p.o. q.d. 6. hyzaar 50/12.5 one p.o. q.d. 7. prevacid 30 mg p.o. q.d. 8. pepcid 20 mg p.o. b.i.d. 9. lipitor 20 mg p.o. q.d. 10. combivent 2 puffs q.i.d. 11. nortriptyline 50 mg p.o. q.h.s. 12. ambien 10 mg p.o. h.s. 13. multivitamin 1 p.o. q.d. 14. vitamin c 500 mg p.o. b.i.d. 15. zinc 220 mg p.o. q.a.m. 16. milk of magnesia 30 cc p.o. q.h.s. 17. peri-colace 100 mg p.o. b.i.d. physical examination: vital signs: temperature 98.0, pulse 80, respiratory rate 16, blood pressure 190/100, weight 107 kg, height 5'9". general: alert, cooperative white male in no acute distress. skin: warm and dry, no rashes on the trunk; a red rash on the lower legs, right greater than left. heent: sclerae anicteric. pupils equal and round. upper denture in place. no lower teeth. no lesions. neck: range of motion within normal limits. no lymphadenopathy or thyromegaly. carotids were palpable. no bruits. lungs: clear. heart: distant heart sounds. regular rate and rhythm without murmur. abdomen: obese. nontender. few bowel sounds. no masses or hepatosplenomegaly. rectal: examination deferred. extremities: right lower extremity had a dry eschar on the posterior leg from heel to mid calf, approximately 4 cm wide x 12 cm long. nontender. no drainage. no odor. right lateral foot with 1.5 cm diameter ulcer, shallow. bone not probed. no cellulitis. left lower extremity had a charcot deformity foot. well-healed surgical incisions. pulse examination: carotid and radial pulses 2+ bilaterally. femoral pulses were 1+, and difficult to palpate. popliteal pulses were nonpalpable. pedal pulses dopplerable bilaterally. right posterior tibial pulse had very faint doppler signal. abdominal aorta nonpalpable. neurological: examination nonfocal. admission laboratory data: white blood cell count 14.8, hemoglobin 11.0, hematocrit 33.3, platelet count 402,000, pt 16.6, ptt 39.2, inr 1.8, sodium 133, potassium 3.9, chloride 95, co2 26, bun 37, creatinine 2.5, glucose 116, alt 76, ast 58, alkaline phosphatase 587, amylase 38, total bilirubin was 1.5, direct bilirubin 1.9, lipase 18. chest x-ray showed no acute pulmonary disease. ekg showed normal sinus rhythm at a rate of 80. left atrial abnormality. intervention conduction defect. no significant change since last ekg. hospital course: the patient was admitted to the hospital from on . cultures of his right lateral foot ulcer were taken. normal saline wet-to-dry dressings of his right foot were started. his posterior eschar secondary to burn was treated with adaptic and saline-moistened dressing b.i.d. he was started on a renal dose of levofloxacin - 250 mg p.o. q.d. and 500 mg of flagyl p.o. b.i.d. preangiogram mucomyst protocol was started. coumadin was held prior to angiogram. iv heparin was to be started if the inr was less than 2. cardiology was consulted for preoperative clearance. an echocardiogram was done which showed mild left ventricular hypertrophy, basal inferior hypokinesis, and an ejection fraction of 40%. no further cardiac studies were necessary and the patient was cleared for bypass graft surgery. vancomycin was added to levofloxacin and flagyl. plastic surgery was consulted and followed the patient during the course of his admission. silvadene b.i.d. to the right posterior leg eschar was recommended. the podiatry service also followed the patient and recommended saline dressing b.i.d. to the right lateral foot pressure ulcer. dr. , the patient's endocrinologist, was consulted to manage the patient's glucose control. the patient complained of new onset of nausea and vomiting during hospitalization. the patient's liver function studies were elevated. an abdominal ultrasound was negative. hepatitis screen was negative as well. the gastroenterology service felt that the elevated liver function tests could be due to levofloxacin or the patient's amiodarone. levofloxacin and flagyl were stopped. vancomycin was continued. zosyn was started at a renal dose. the patient received mucomyst before his arteriogram because of his chronic renal insufficiency. post angiogram the patient complained of being short of breath. he had decreased o2 saturations. he was treated with iv lasix initially with improvement. his chest x-ray showed congestive heart failure. he was started on a nitroglycerin drip to manage his blood pressure. he was transferred to the vascular intermediate care unit for closer monitoring. the patient had received preangiography iv hydration as well as fresh frozen plasma and his congestive heart failure was felt to be secondary to volume overload per the cardiology service. medications were adjusted to manage his blood pressure. the patient initially was scheduled for surgery on but his renal function deteriorated. his creatinine went up to 3.6. the renal service was consulted. after evaluation the renal service determined that the patient's deteriorating renal function was due to contrast dye nephropathy. the patient's surgery was postponed. he was diuresed with iv lasix and zaroxolyn. his urine output was poor for several days. possible need for hemodialysis was discussed. however, about three days after angiogram, the patient's urine output improved tremendously. he diuresed very well. his creatinine peaked at 4.8 and continued to drift downward toward his baseline. the patient had an episode of atrial fibrillation on which spontaneously converted to normal sinus rhythm. cardiology agreed with stopping amiodarone secondary to elevated liver function tests. preliminary plan was to send the patient for a rehabilitation stay and then return to have right leg bypass graft surgery. the renal service cleared the patient for surgery when his creatinine went below 3, i.e. 2.9. they made medication changes for blood pressure management. iron studies were requested. the patient was found to have iron deficiency anemia. iron supplementation was started. the patient had previously scheduled ultrasound graft surveillance of his left bypass graft on , which showed a patent graft with no evidence of narrowing. on the patient underwent a right popliteal to dorsalis pedis bypass graft with composite right arm vein. at the end of surgery the patient had a palpable dorsalis pedis graft pulse. the patient was transfused two units of packed red blood cells and four units of fresh frozen plasma. postoperatively the patient had some hallucinations and delirium which cleared by postoperative day four. on the patient underwent debridement of the eschar on his right posterior leg under monitored anesthesia care. postoperatively the patient was transferred to a floor bed. postoperatively the patient's blood pressure was difficult to manage. the renal service made adjustments in the patient's blood pressure medications with good results. the podiatry service recommended packing the right lateral foot ulcer with saline gauze t.i.d. the plastic surgery service initially thought that a v.a.c. dressing followed by a split-thickness skin graft at a later date would be necessary. however, the wound was granulating well following bypass graft surgery and debridement. they recommended saline dressings wet-to-dry t.i.d. on the patient had a picc line placed in his left arm for iv antibiotic therapy with vancomycin and zosyn for at least two more weeks while the right leg wound was granulating. the patient will follow up with dr. in seven to 10 days. at the time of dictation the patient's right leg incision was clean, dry and intact. his right arm incision was clean, dry and intact. his posterior right leg wound was clean and granulating well. his right lateral foot ulcer was clean. he had a palpable dorsalis pedis graft pulse. the arm and leg incision staples should be removed on postoperative day number 14, which is . the patient had another episode of elevated blood pressure. the renal service adjusted his medications with a systolic blood pressure goal of 150 to 160. discharge medications: 1. vancomycin 1 grams iv q. 48 hours; vancomycin random level pending at time of dictation. 2. zosyn 2.25 grams iv q. 8 hours. 3. humulin 70/30, 30 units subcutaneous q.a.m. 4. humulin 70/30, 30 units subcutaneous q. supper. 5. regular insulin sliding scale at lunch and at h.s. 6. lopressor 50 mg p.o. t.i.d., hold for heart rate less than 60, systolic blood pressure less than 110. 7. losartan 75 mg p.o. q.d. 8. clonidine 0.1 mg p.o. b.i.d., hold for systolic blood pressure less than 160. 9. hydrochlorothiazide 25 mg p.o. q.d. 10. lansoprazole 30 mg p.o. q.d. 11. atorvastatin 20 mg p.o. q.d. 12. nortriptyline 50 mg p.o. q.h.s. 13. ferrous sulfate 325 mg p.o. q.d. 14. miconazole powder 2% applied topically t.i.d. to both groins. 15. aspirin 325 mg p.o. q.d. 16. vitamin c 500 mg p.o. q.d. 17. albuterol-ipratropium 2 puffs inhalation q. 4 hours p.r.n. 18. heparin 5,000 units subcutaneous q. 8. 19. multivitamin 1 p.o. q.d. 20. zinc sulfate 220 mg p.o. q.d. 21. colace 100 mg p.o. b.i.d., hold for loose stool. 22. senna 2 tablets p.o. b.i.d. p.r.n. 23. dulcolax suppository q.d. p.r.n. 24. tylenol 325-650 mg p.o. q. 4 hours p.r.n. condition on discharge: satisfactory. disposition: rehabilitation facility. primary diagnoses: 1. ischemic right leg with burn of posterior leg secondary to heating pad. 2. right popliteal to dorsalis pedis bypass graft with right composite arm vein on . 3. debridement of right posterior calf eschar on . secondary diagnoses: 1. contrast-induced nephropathy. 2. chronic renal insufficiency. 3. congestive heart failure secondary to fluid overload. 4. blood loss anemia. 5. iron deficiency anemia. 6. uncontrolled hypertension. 7. postoperative delirium. 8. elevated liver function tests secondary to amiodarone and possibly levofloxacin. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified arteriography of femoral and other lower extremity arteries other (peripheral) vascular shunt or bypass excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn other myectomy diagnoses: congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease urinary complications, not elsewhere classified atherosclerosis of native arteries of the extremities with gangrene burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified full-thickness skin loss [third degree nos] of foot 

Answer: The patient is high likely exposed to