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: morphine attending: chief complaint: l ankle osteo major surgical or invasive procedure: left ankle washout history of present illness: mr. is a 62 year-old man with extensive coronary artery disease and congestive heart failure (ef 30%) admitted on to orthopedic service for a left ankle wound infection. he is s/p left ankle fusion done on for his rheumatoid arthritis. he had a debridement on and was put on keflex. as his wound continued to drain, he was admitted on for a wash-out in the operating room. after the washout, he had a drop in hematocrit from 36-30 following and was transferred to the medical icu for further care. past medical history: 1) hypertension 2) hypercholesterolemia 3) coronary artery disease, status post multiple mis with stents, last ptca as above secondary to in- thrombosis of om2 while holding plavix. otherwise has had stents to proximal and mid lad, d1, lcx, om2, and multiple atherectomies/ptcas. on coumadin, clopidogrel, and asa given apparent hypercoagulability. 4) congestive heart failure, ef 30% 5) rheumatoid arthritis . detailed cardiac history: : acute mi treated with tpa. cath: 80% plad treated with dca, 30% dlad, origin d2 with 40% lesion, bifurcating om1 t.o. cath (+ett): 90% lesion in mlad at prior dca site, s/p x 2 placed to proximal and mid lad. 80% d2. cath d/t rest angina: s/p placement in om2 with unsuccessful ptca of lower pole. cath d/t exertional angina: previously stented om2 patent but with occcluded inferior pole, filling via collaterals. unable to cross with wire. 40% plad, 70-80% d2. s/p successful ptca and stenting of the proximal om2 using a 2.5 x 23 mm bx velocity . also s/p successful direct stenting of the proximal circumflex using a 3.5 x 8 mm bx velocity hepacoat . s/p ptca of d1. admitted to with rest angina.+nqwmi. s/p ptca/rotational atherectomy of the diagonal and ptca/rotational atherectomy and beta-brachytherapy of the om2 instent restenosis s/p 2.5x 15mm biodivysio to the lad r/i for a nstemi s/p two 2.5 x 23mm cypher stents to the lad acute chest pain, mlad thrombosis, s/p 2.5 x 13 and 2.5 x 8mm hepacoat stents to the lad. s/p 2.5 x 8mm cypher to om2 s/p 2.5 x 28mm cypher des to om1 st elevation mi om totally occluded at site, s/p ptca. patent lad stents. cath d/t rest angina, cath did not reveal any flow limiting cad. cath due to acute thrombosis of om2 stents after an ankle procedure, treated with thrombectomy and ptca. social history: he drinks alcohol, mostly on the weekends, and will have "a few" beers and "a few" margaritas on those times. he used to drink heavily but stopped in the 80s. he would drink a case of beer daily and have multiple hard liquor shots. he stopped this at his wife's encouragement. he currently lives at home with his wife. used to smoke 3 ppd, but quit in the 70s. no drug use. family history: mother with cva and mis starting at the age of 60. no premature cad. physical exam: physical exam on admission to cc7 . vitals: 98.2 107/65 74 21 98% ra gen: a+ox3, nad, pleasant heent: perrl, eomi, mmm, op clear neck: jvp about 8 cv: distant heart sounds, soft holosystolic murmur at apex pulm: ctab, no w/r/r abd: soft, nt, nd +bs ext: left ankle with large medial and lateral debridement, dressed and wound vac in place pertinent results: 09:00pm glucose-138* urea n-15 creat-1.2 sodium-141 potassium-3.3 chloride-107 total co2-24 anion gap-13 09:00pm estgfr-using this 09:00pm alt(sgpt)-20 ast(sgot)-22 ld(ldh)-223 alk phos-69 tot bili-0.4 09:00pm albumin-3.5 calcium-8.6 phosphate-3.1 magnesium-2.0 09:00pm crp-20.0* 09:00pm wbc-7.7# rbc-3.57* hgb-11.7* hct-33.7* mcv-95 mch-32.7* mchc-34.6 rdw-17.2* 09:00pm neuts-74.9* lymphs-18.3 monos-3.6 eos-2.6 basos-0.6 09:00pm plt count-216# 09:00pm pt-35.1* inr(pt)-3.8* 09:00pm sed rate-42* . ecg - sinus rhythm. axis to the left. non-specific t wave inversion in leads i and avl and non-specific st segment depression in leads v5-v6. poor r wave progression in leads vi-v4 of uncertain significance. intraventricular conduction defect. compared to the previous tracing of st segment depressions in leads v4-v6 are less pronounced. . cxr - impression: successful placement of 36 cm 5 french double-lumen picc catheter via the right brachial vein. the line is now ready for use.- . ankle x-ray - impression: compared to previous study, there has been no appreciable interval change. no evidence of hardware failure or loosening. brief hospital course: #) left ankle wound infection- s/p left ankle washout on . his course was complicated by post-operative hypotension (sbp 80-90 down from a baseline of 100-110), which was thought to be from low intravascular volume. he reported had only 50cc blood loss intraoperatively but has some postoperative bleeding with a drop in hematocrit from 36 to 30. wound culture grew out enterobacter, klebsiella and enterococcus for which he was stated on ciprofloxacin and vancomycin for presumed osteomyelitis. he was followed by id who later recommended discontinuing vancomycin and ultimately recommmended a total 6 week course of cipro. pt had a normal wbc count and was afebrile at the time of discharge. . #) hypotension- cardiology consult deemed him a high risk but he tolerated the washout. post-op his blood pressure is persistedly about 80-90/50. he was asymptomatic, mentating and making about 20cc per hour. he had no problems with respiration. his tmax was 99.2. two sets of troponins were negative and he had no ekg changes. his blood pressure stabilized with 2units of prbcs. his hematocrit dropped again to 26 and he received an additional 2 units and subsequently stabilized his blood pressure (sbp 110-110) and hematocrit. his ace inhibitor and metoprolol were restarted as his blood pressure remained stable. he continued on plavix and aspirin but coumadin was initially witheld given his blood loss. however, given his history of in- restenosis, his coumadin was later restarted on transfer to the general medical floor. his inr was 1.9 at the time of discharge and he was one his home dose of coumadin (5 mg po daily) with strict instructions to have a f/u inr checked with his cardiologist within 2 days of discharge. . # rheumatoid arthritis- # mr. was continued on his previous home regimen of prednisone 5mg daily and plaquenil 200mg without complications. medications on admission: medications at home (from dc summary in ): # lorazepam 0.5 mg prn # oxycodone 5 mg tablet prn # nitroglycerin 0.3 mg tablet prn # clopidogrel 75 mg tablet sig: two (2) tablet po daily (daily). # aspirin 325 mg tablet sig: one (1) tablet po daily (daily). # hydroxychloroquine 200 mg tablet sig: one (1) tablet po bid # pravastatin 20 mg tablet sig: four (4) tablet po daily (daily). # ferrous sulfate 325 mg daily # pantoprazole 40 mg daily # prednisone 10 mg tablet sig: one (1) tablet po daily (daily). # lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). # coumadin 5 mg daily # toprol xl 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. # imdur 60 mg tablet sustained release daily # foltx 2.5-25-2 mg tablet sig: one (1) tablet po once a day. discharge medications: 1. prednisone 5 mg tablet sig: one (1) tablet po bid (2 times a day). 2. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). :*30 tablet(s)* refills:*0* 3. pravastatin 20 mg tablet sig: four (4) tablet po hs (at bedtime). 4. hydroxychloroquine 200 mg tablet sig: one (1) tablet po bid (2 times a day). 5. clopidogrel 75 mg tablet sig: two (2) tablet po daily (daily). 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 7. warfarin 5 mg tablet sig: one (1) tablet po hs (at bedtime). 8. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 10. zolpidem 5 mg tablet sig: 1-2 tablets po hs (at bedtime). 11. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours). :*60 tablet(s)* refills:*0* 12. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. :*20 tablet(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: primary:left ankle infection secondary: cad chf ra discharge condition: good. afebrile. inr of 1.9 discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 1.5l daily . you were admitted to the hospital for an ankle infection. you underwent a washout and then had a low blood pressure and were sent to the intensive care unit. your blood pressure improved and you were monitored on the regular medical floor while your wound underwent wound vac changes. you were started on cipro for your infection and should stay on that for a total of 6 weeks unless otherwise specified by your infectious disease doctor. you were also started on metoprolol 25 mg twice a day for blood pressure control. your prior home medications of imdur and toprol xl have been stopped. please see your medication list for a complete list of the medications you should be taking. please do not restart these medications without taking to your doctor first. please call your pcp or go to the er if you develop any of the following symptoms: fever >101, chills, chest pain, shortness of breath, difficulty breathing, bleeding or oozing, worsening pain in your foot, or any other worrisome symptoms. followup instructions: please get your inr checked on , , at your coumadin clinic. your dose should be adjusted by the clinic. dr. office will call you with an appointment for a wound vac change for some time on mon., . if you have not heard from them by mon morning, please call them! . please call your pcp . and your cardiologist dr. to set up follow-up appointments in the next 2-3 weeks. . please follow up with dr. on at 8:35am. his office is located on the of the building. his office phone number is (. . provider: ,md mph: date/time: 10:30 md procedure: venous catheterization, not elsewhere classified nonexcisional debridement of wound, infection or burn transfusion of packed cells other immobilization, pressure, and attention to wound diagnoses: pure hypercholesterolemia other postoperative infection congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia atrial fibrillation hemorrhage complicating a procedure other and unspecified angina pectoris long-term (current) use of anticoagulants rheumatoid arthritis hypovolemia pseudomonas infection in conditions classified elsewhere and of unspecified site other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms acute osteomyelitis, lower leg 

Answer: The patient is high likely exposed to