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: vancomycin / norvasc / iodine; iodine containing / tums anti-gas/antacid / compazine / thymoglobulin / dilaudid / cefazolin attending: chief complaint: hd initiation major surgical or invasive procedure: hemodialysis. history of present illness: 33 yo m w dm1 s/p lrrt in and cadaveric pancreatic transplant in now with worsening kidney transplant function and uremia presenting for intiation of hd via permacath. patient has had gradual decline in renal function, worsening in the past 2 years. today he underwent a tunneled catheter placement in his right chest for hd access. he now complains of some pain around the catheter site. unrelated, patient also notes that his right big toe has had trouble healing after a toe nail falling off. he states he has tried to manage it on his own for the past 1-2 months by keeping it clean and dry. on further questioning, he states that it often smells bad and has pus. denies any associated erythema or warmth around the site or extending up his right leg. denies fever or pain. additionally, reports recent sprain of right wrist, now in plaster cast. specifically denies any bone fracture to that area. ros: per hpi, blind in right eye; denies n/v/d, fever, sob, cough, chest pain, headache, rhinorrhea, cough, abdominal pain, abnormal bruising, or feeling light-headed or dizzy. past medical history: h/o type i diabetes mellitus s/p pancreas transplant esrd s/p living related renal transplant recurrent utis blind in left eye d/t toxoplasmosis infection occlusion of radial/ulnar arteries s/p eye laser surgery diabetic retinopathy neuropathy fistula right arm social history: lives with his parents; previously worked in a warehouse. recently quit smoking, smoked 1 pack per week, no etoh, no drugs family history: noncontributory. no history of diabetes physical exam: vs: 98.0 bp 109/67 hr 82 rr 20 o2 100ra gen: nad, lying in bed, well groomed, conversant heent: left eye ptosis, eomi, normal vision r eye, blind in left eye, oropharynx clear. neck: supple, no lymphadenopathy, no thyromegally. right ij tunneled hd catheter with mild tenderness to palpation, dressing c/d/i, no sign of infection cv: rrr, no murmurs, gallops or rubs. s1 and s2 heard. pmi not displaced. lungs: cta bilaterally, no wheezes abd: protuberant, +bs, non-tender, midline incision from previous surgery noted with hernia's detectable towards superior portion of incision. ext: left bka, prosthetic leg in place. right leg with no cyanosis or edema. scarring on right leg below the knee present in round 1-2cm lesions. radial pulses not plapable in upper extremities, previously noted. dp pulse on right leg faint. right forarm in purple cast for wrist. right large toe with ulcer producing pus and erythema and swelling of entire toe. neuro: alert, oriented x 3. cn ii-xii intact bilaterally except cn ii response limited in left eye hx of retinal detachment. strength 5/5 in bilateral ue and right le, sensation intact to light touch in bilateral ue, decreased in right le. no dysdidochokinesis. gait not assessed. lines, tubes: tunneled hd catheter in right ij. brief hospital course: assessment and plan: 33 yo m s/p lrrt , s/p pancreatic transplant admitted for hd initiation worsening renal function over past 2 years now on day 2 of hd with right toe ulceration. . # renal failure - patient was admitted for initiation of hemodialysis due to chronic failure of his transplant kidney. on day of admission, patient had right ig tunneled hd line placed and recieved first hd session. patient then recieved two more hd sessions, with last session on . there were no complications with the hd line placement or with any of the hd sessions. hepatology serology and chest x-ray were done for outpatient hd placement. patient scheduled for mwf hd on discharge. . # syncope - patient developed significant nausea followed by brief period of loss of consciousness one hour later. there was concern that loss of consciousness was related to receiving iv cefazolin. as 2g infusion was being completed, patient developed red flushing of face and eventual loss of conciousness. benadryl was ordered prior to loc, however code blue was called. he woke up spontaneously without any intervention with rigors and vomiting. blood pressure, heart rate and oxygen saturation was normal. epi pen was administered and benadryl given. he was placed on telemetry and 12-lead ekg done. ekg showed sinus tachycardia. he was transferred to micu for overnight observation. he received 100mg solumedrol iv. patient had no further events. with further history, it was felt unlikely to be related to cefazolin. icu team considered challenging pt with another dose of cefazolin, however given recent dose of solumedrol, felt challenge would be low yield. therefore pt was discharged home, and should be rechallenged with cephalosporin in a monitored setting at a later date. . # diabetic foot ulcer - patient noted to have diabetic ulcer on right large toe that produced pus with erythema and swelling of entire foot. podiatry was consulted and surgically debrided the ulcer. deep culture was taken and grew gnr and gram positive cocci in pairs. patient was given cefazolin 2g iv prior to planned discharge with plant to continue cefazolin with hd. mr. developed syncope receiving cefazolin. therefore this was discontinued and patient was discharged home on course of levaquin with follow up planned with podiatry. . # s/p lr renal transplant - transplant in , on immunosupression. immunosuppression was continued with prograf, rapamune and prednisone. daily prograf and rapamune levels were obtained. due to elevated rapamune levels, dosing was decreased to 1 mg qday. patient is to follow up with renal transplant physician as outpatient. . # s/p pancreatic transplant - transplant in . currently on immunosuprression. history of rejection, however pancreatic function now adequate. see above section for discussion of immunosuppressants. . # hypertension - history of hypertension now with failing renal transplant. likely multifactorial, but may be strongly related to volume. on admission (after first dialysis session) blood pressure was noted to be 109/67. hydralazine was discontinued and patient was continued on clonidine out of concern for rebound hypertension and reduced dose of metoprolol 25mg . on the second day of admission, patient's clonidine was held before dialysis due to relative hypotension, but was then administered afterwards when he came back from hd hypertensive. . # depression - continued lexapro medications on admission: atorvastatin 40mg daily clonidine 0.2mg lexapro 10mg daily lasix 40mg daily hydralazine 10mg toprol xl 200mg omeprazole 20mg prednisone 5mg daily sirolimus 2mg daily tacrolimus 1mg bactrim 400/80 daily ambien 10mg qhs prn aspirin 81mg calcium and vitamin d iron discharge medications: 1. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 2. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 40 mg tablet sig: one (1) tablet po hs (at bedtime). 4. sirolimus 1 mg tablet sig: one (1) tablet po daily (daily). 5. tacrolimus 1 mg capsule sig: one (1) capsule po q12h (every 12 hours). 6. clonidine 0.2 mg tablet sig: one (1) tablet po bid (2 times a day). 7. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 8. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 10. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po bid (2 times a day). 11. nephrocaps 1 mg capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*2* 12. acetaminophen-codeine 300-30 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain for 2 days. disp:*10 tablet(s)* refills:*0* 13. os-cal 500 + d 500 mg(1,250mg) -200 unit tablet sig: one (1) tablet po twice a day. 14. ambien 5 mg tablet sig: 1-2 tablets po at bedtime as needed for insomnia. disp:*60 tablet(s)* refills:*0* 15. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 16. levofloxacin 500 mg tablet sig: one (1) tablet po every other day for 3 doses: start on . disp:*3 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: end stage renal disease diabetic foot ulcer syncope secondary: diabetes mellitus, type 1 peripheral neuropathy discharge condition: good. hemodynamically stable. discharge instructions: you were admitted to the hospital for initiation of hemodialysis. a permacath was placed and hemodialysis was started. you are set up to have monday, wednesday, friday hemodialysis as an outpatient in . you had an episode of nausea and unresponsiveness. it is unclear what caused this event. it may have been due to a medication called cefazolin. you will need to be evaluated again to see if this is a true allergy. while in the hospital you were also noted to have a great toe ulcer. you were seen by podiatry and the wound was debrided. a swab was growing several types of bacteria which are not yet fully characterized. you were started on an antibiotic called levaquin for your toe. complete the course of this medication unless podiatry states otherwise. please follow up with podiatry next week for further evaluation. you decided not to have nursing services come to your home to help manage the ulcer on your toe. please change the dressings on your right big toe as instructed by the podiatrists. if you have any questions about the instructions, please contact your podiatrists office at . you have a follow-up appointment with dr. on at 3:20 pm. changes to your medications: stop hydralazine. decrease metoprolol. stop lasix. decrease rapamune to 1 mg daily start nephrocaps. start levaquin for total of 7 days (including 1 tab while in hospital). discuss bone health and calcium/vitamin d replacement with your primary nephrologist. please call your doctor or go to the emergency room if you develop fever, chills, nightsweats, nausea, vomiting, inability to take your medications, abdominal pain, rash, change in urination, diarrhea, or other concerning symptoms. followup instructions: , m.d. phone: date/time: 10:00 , md phone: date/time: 11:10 , dpm phone: date/time: 3:20 procedure: hemodialysis venous catheterization for renal dialysis excisional debridement of wound, infection, or burn diagnoses: anemia in chronic kidney disease end stage renal disease polyneuropathy in diabetes hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease ulcer of other part of foot surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted kidney diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled disorder of bone and cartilage, unspecified diabetes with peripheral circulatory disorders, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled pancreas replaced by transplant peripheral angiopathy in diseases classified elsewhere diabetes with other specified manifestations, type i [juvenile type], not stated as uncontrolled profound impairment, one eye, impairment level not further specified encounter for extracorporeal dialysis 

Answer: The patient is high likely exposed to