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: the patient is a 55 year-old male with a history of peripheral vascular disease who presented to the medical service with a chief complaint of claudication times one year. the patient was admitted for prehydration prior to cardiac catheterization. previous abis on revealed significant bilateral superficial and femoral artery occlusion and tibial artery disease. the patient also reported some pain with walking consistent with claudication left greater then right reporting symptoms for approximately one year. the patient also noted some chest pressure with short distance walking or walking up a flight of stairs. reports four pillow orthopnea and a history of lower extremity edema. the patient has a significant family history of coronary artery disease and a 20 pack year history of smoking. the patient denies cough, current chest discomfort, fevers or chills, nausea, vomiting, diarrhea, difficulty urinating, blood in the stool or urine. past medical history: 1. hypertension. 2. hypercholesterolemia. 3. insulin dependent diabetes. 4. congestive heart failure. 5. chronic renal insufficiency. past surgical history: unremarkable. medications on admission: 1. lantus 40 units q.a.m. 2. lasix 100 mg po b.i.d. 3. elavil 25 mg po q.d. 4. pletal 100 mg po b.i.d. 5. lipitor 20 mg po q day. 6. lisinopril 40 mg po q day. 7. _________ 15 mg po q day. 8. toprol xl 25 mg po q day. 9. aspirin 81 mg po q day. allergies: cefepime with diaphoresis and tachycardia. social history: the patient has a 20 pack year smoking history. no alcohol and no drugs. family history: father with coronary artery disease. physical examination: the patient was afebrile and vital signs stable and in no acute distress. alert and oriented times three. head was normocephalic, atraumatic. no scleral icterus noted. neck was soft and supple. no masses noted. no jvd. the patient had some carotid bruits bilaterally right greater then left. heart was regular rate and rhythm. no murmurs. chest was clear to auscultation bilaterally. no rhonchi or rales. abdomen was soft, nontender, nondistended. positive bowel sounds. extremities was not significant for any edema. dorsalis pedis pulses were absent and posterior tibial pulses were 2+ bilaterally. the patient was neurologically intact. hospital course: the patient was admitted to the medical service. the patient was a 55 year-old male who was admitted to the medical service for prehydration prior to angio for claudication. the patient went for cardiac catheterization on . dr. attending and the patient was noted to have three vessel disease. for more details please see procedure note. cardiac surgery was consulted on . the patient was evaluated by dr. and deemed appropriate for coronary artery bypass surgery. after undergoing the appropriate preoperative workup the patient went to the operating room on for coronary artery bypass graft times four, left internal mammary coronary artery to left anterior descending coronary artery, saphenous vein graft to right coronary artery to the posterior descending coronary artery, saphenous vein graft to the obtuse marginal. for more detailed account please see operative report. the patient was transferred to the csru on a dobutamine and neo iv. chest x-ray postoperatively was notable for a left lower lobe collapse. the patient was extubated early on postoperative day number one. in addition, on postoperative day number one the patient required one unit of packed red blood cells. of note on postoperative day number two the patient had a creatinine of 2.8, which rose from 2.0. the renal service was consulted and they recommended holding diuresis with lasix, transfusing to a hematocrit above 30 and avoiding other nephrotoxic agents. in addition they recommended keeping systolic blood pressure over 130. on the patient remained on pressors with neo-synephrine intravenously. insulin drip was also restarted at this time. on the patient was transfused 2 units of packed red blood cells for a low urine output. the patient's renal status was worsening at this time with creatinine of 2.5 to 3 range. in addition, on this day the mediastinal chest tube was discontinued. the patient continued to have left persistent left lower collapse. on the patient was transfused 1 unit of packed red blood cells. the patient was off pressors. on the patient had a bronchoscopy, which revealed a mild tracheal malacia otherwise within normal limits. the patient also at this time was noted to have a rise in white blood cell count, so was placed on levofloxacin. white blood cell count rose to 24. on the patient was found to have an alkaline phosphatase of greater then 1000. right upper quadrant ultrasound was done, which showed some dilation. general surgery dr. was consulted and the patient was monitored with expectant management. the patient was eventually transferred to the floor on . the patient continued to have left lower lobe collapse on chest x-ray. creatinine was stable in the 2 to 2.5 range. white blood cell count was persistently high between 20 and 25,000. liver function tests were steady decreasing and the patient's abdominal examination was benign. the patient was also noted to have some erythema at the superior pole of the sternotomy wound with minimal drainage, which improved over the course of his floor stay. on infectious disease was consulted and they recommended placing the patient on vancomycin. he was placed on 1 gram q 24 hours. over the next several days the patient's white blood cell count steadily decreased to the current discharge white blood cell count of 11. in addition, the patient was intermittently diuresed. in addition, the patient received intermittent doses of kayexalate for a potassium level between 5 and 6. the patient continued to improve clinically on the vancomycin. infectious disease recommended discharge with picc line and intravenous vancomycin for three weeks. on the day of discharge the patient's white blood cell count was stable at 11. the patient's creatinine had decreased to 1.8. the patient was replaced on po lasix, however, on only 40 mg b.i.d. instead of his usual home dose of 100. the patient's ace inhibitor and continued to be held to be started at the discretion of his primary care physician. patient continued to have left lower lobe collapse, however, pulmonary is recommending no intervention at this time. the patient is clinically stable. discharge status: to home with services. discharge diagnoses: 1. three vessel coronary artery disease. 2. hypertension. 3. hypercholesterolemia. 4. insulin dependent diabetes mellitus. 5. chronic renal insufficiency. 6. congestive heart failure. medications on discharge: 1. amitriptyline 25 mg po q.h.s. 2. lipitor 20 mg po q.d. 3. colace 100 mg po b.i.d. 4. aspirin 325 mg po q day. 5. dilaudid 2 mg one to two tabs po q 6 hours for pain. 6. glargine insulin 20 units subq q breakfast. 7. regular insulin sliding scale as directed. 8. metoprolol 75 mg po b.i.d. 9. protonix 40 mg po q day. 10. pletal 100 mg po b.i.d. 11. vancomycin 1 gram intravenously q day times three weeks. 12. lasix 20 mg po b.i.d. follow up: 1. the patient is to follow up with the wound care clinic in one week. 2. follow up with primary care physician in two to three weeks for management of intravenous antibiotics. 3. dr. from cardiology in two to three weeks. 4. infectious disease please fax weekly laboratory results and follow up prn. 5. dr. in four weeks. 6. dr. from general surgery in two weeks. please call for an appointment. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart other bronchoscopy transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis cellulitis and abscess of trunk congestive heart failure, unspecified atherosclerosis of native arteries of the extremities with intermittent claudication hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to