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: patient recorded as having no known allergies to drugs attending: chief complaint: hypotension major surgical or invasive procedure: none history of present illness: this is a 67 year old man with h/o hypertension, permanent pacemaker, iddm, chf with ef 10%, and esrd on hd who was transferred to the ccu for management of hypotension. he presented to osh from his nh on with complaints of bilateral leg swelling, calf pain, and heel cellulitis, and was transferred to earlier today for revascularization of his lle. . at the osh, ulcers were noted to the left fourth and fifth toe-web area with purulent drainage, with diminished pulses. ultrasound was without evidence of dvt. dopplers showed a high grade plaque with abnormal wave forms in the left , little flow in the . no flow seen in any of the three run off vessels. the patient was noted to have mrsa in nares, proteus in wound, and c diff + stool. he was started on vancomycin, flagyl and ertapenem. he was then transfered to for catheterization for revascularization. in the catheterization lab, he was found to have total occlusion of l and is s/p ptax2 of , pta to anterior tibialis/tibialis posterior. he received units of heparin and 300 mg of plavix. . on the floor his sbp was <75 for approx 30 minutes. he had an act>230, despite protamine bolus. after additional protamine, his act went to 215 and his sheath was removed. . of note, per the team's discussion with his daughter, , he has been in for 14 months. he has been increasingly debilitated. in he had a loculated pleural effusion (?empyema) requiring drain. since then he has had dysphagia and inability to ambulate. review of systems was otherwise unable to be obtained due to patient's poor baseline mental status. . cardiac review of systems is notable for absence of chest pain. otherwise unable to obtain further ros. . past medical history: hypertension hyperlipidemia esrd on hemodialysis x 4 years (m/w/f), has r scl hd catheter iddm, not on insulin at rehab depression anemia esophageal reflux mrsa cdiff cad s/p "6+" mis, no cabg, per report ef of 10% has ?ppm in place s/p cva - residual l sided weakness . cardiac risk factors: (+)diabetes, (+)dyslipidemia, (+)hypertension . pacemaker/icd placed- unsure of date placed social history: social history is significant for the absence of current tobacco use. per daughter he used to smoke cigars. there is no history of alcohol abuse. physical exam: vs: t 97.8, bp 72/37, hr 73, rr 14, o2 97% on 1lnc gen: elderly, chronically ill appearing male in nad, resp or otherwise. lying flat. oriented x1. alert, responds to questions, albeit inappropriately heent: conjunctiva were pink neck: supple; difficult to determine jvp as patient was in supine position. cv: rr, normal s1, s2. no s4, no s3. chest: resp were unlabored, no accessory muscle use. bilateral coarse bs with decreased bs anteriorly on the right. bilateral crackles ausculated. no wheezes. abd: soft, ntnd normal bs. ext: no edema. no femoral bruits. left foot with dark 5-6 cm long eschar over plantar surface. dusky appearance to 4th/5th toes on right. anterior ankle ulcer with good granulation tissue- no evidence of pus. dry, black 2 cm round right heel ulcer. right foot, cool to touch. dry ulcers noted- well scabbed and no sign of active infection. pulses: right: carotid 2+; femoral with sheath in place; dp/pt not dopplerable left: carotid 2+ ; femoral 1+; dp/pt dopplerable pertinent results: ekg demonstrated regular rate, 66, demand pacing with right axis deviation. no prior for comparison. . peripheral cath: cath showed patent bilateal renal artery stents with poor flow, rle patent to cfa, lle patent to cfa, high grade subtotal , high grade popliteal/tpt, 100%ant tib/peroneal/post tib with poor flow seen at mid/calf/foot. intervention: successful pta of x2, successful pta of the ant tib/tpt with straight continuous flow restored to foot via dorsalis pedis. . 2d-echocardiogram: no echo report here; reportedly ef 10%; will attempt to obtain previous echo reports . cxr: my right sided pleural effusion extending to apex; . from osh: wbc 7.0, hct 37.9 plt 94*** *(139 on admit); k 3.7, bun 17, creat 3.8 (no inr drawn). blood sugar this morning was 84. yesterday was 69. alb 1.6, prealb 8.0. brief hospital course: 67 m chf with ef 10%, biv pacer, and pvd; also esrd on mwf hd transferred for ischemic foot. initially transferred to where he received a few days of abx. on came to , on cath showed total occlusion of l and s/p ptax2 of , pta to anterior tibialis/tibialis posterior. transferred to ccu with persistent hypotension, thought to be likely secondry to sepsis. he was continued on vancomycin, flagyl and meropenem and started on dopamine drip. vascular surgery was consulted for ischemic foot but because of his sepsis, surgical intervention was not recommended. on , cvvhd started. on , he was made cmo by his family and on , he expired. medications on admission: bactroban to both nares celexa 20mg coreg 3.125mg qd ecotrin 81mg daily flagyl 250mg po bid heparin with dialysis invasz 500mg every 24 hours lipitor 40mg lovenox 30mg daily (last given yesterday morning) nexium 40mg trazodone 25mg hs prn vicodin q4 prn mom vancomycin with hd tylenol discharge medications: n/a discharge disposition: expired discharge diagnosis: not applicable discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified hemodialysis angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries aortography nonexcisional debridement of wound, infection or burn destruction of cranial and peripheral nerves procedure on three vessels diagnoses: anemia in chronic kidney disease end stage renal disease coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia unspecified protein-calorie malnutrition severe sepsis infection with microorganisms resistant to penicillins hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia hypotension, unspecified atherosclerosis of renal artery cardiac arrest methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site long-term (current) use of insulin intestinal infection due to clostridium difficile cardiac pacemaker in situ atherosclerosis of native arteries of the extremities with gangrene cellulitis and abscess of foot, except toes ulcer of heel and midfoot 

Answer: The patient is high likely exposed to