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 75 year-old male with diet controlled type 2 diabetes referred by his primary care physician to podiatrist. he developed a large medial friction ulcer on his ankle over the past several months. the ulcer was nonhealing, which prompted the patient to have an arteriogram performed at an outside hospital. the patient is referred to the for potential revascularization of the right lower extremity. the patient also has symptoms of rest pain in the right lower extremity. past medical history: type 2 diabetes diet controlled. past surgical history: transurethral resection of the prostate times three for benign prostatic hypertrophy. total hip replacement. medications: lasix 20 mg po q day. allergies: no known drug allergies. physical examination: 98.7, 80 heart rate, blood pressure 120/50, respiratory rate 16, 96% on room air. cor regular rate and rhythm. lungs clear to auscultation. abdomen soft, nontender, nondistended. right lower extremity large dry gangrenous ulcer medial aspect of the right ankle. also a left ulcer over the medial malleolus of the left ankle is also present. the dorsalis pedis pulse was nondopplerable on the right side. the posterior tibial pulse was dopplerable on the right side. on the left side both the dorsalis pedis pulse and posterior tibial pulse were dopplerable. hospital course: the patient was admitted and started on levo, flagyl. he had an extensive preoperative workup performed. he had an echocardiogram, which revealed an ef of 55% with moderate aortic stenosis. cardiology consult was obtained and they recommended that they have a persantine mibi stress test performed. this was done on , which revealed a mild inferior partially reversible defect with an ef of 49%. based upon this the patient was cleared for surgery. the patient also had a carotid ultrasound performed, which revealed a stenosis of 70 to 79% on the right side. on the patient was brought to the operating room and had a right common femoral artery to posterior tibial bypass graft with in situ greater saphenous vein. postoperatively, the patient was transferred to the vicu where he was in stable condition. he was started on lopressor, subq heparin and aspirin. on postoperative day two the patient was brought to the operating room again. this was . at this time he had a right fourth toe amputation, which was left open and a debridement of the right ankle ulcer. in the pacu postoperatively, the patient had st depressions, which were visible on telemetry. an electrocardiogram revealed laterally st depressions. cardiac enzymes revealed the patient ruled in for a myocardial infarction. his troponin peaked at 30 and his ckmb peaked at 17. cardiology was aware of all of these findings. it was decided at that time that the bypass, which was to be performed on the left leg be postponed for approximately four to six weeks. also on the patient began to develop a hematuria. a three way foley catheter was inserted with continuous sot irrigation. a urology consult was obtained. a bladder ultrasound revealed echogenic mass in the bladder approximately 3 by 2 cm in size. at the request of urology the patient will follow up with his outpatient urologist dr. to have an outpatient cystoscopy performed. also the foley catheter was left in place at the time of discharge and this will be followed up by dr. as well. throughout the admission cultures on the patient were filed and his ulcer grew out heavy pseudomonas, moderate staph, moderate carinii bacterium and moderate coag negative staph. while he was in house he received a total of twelve days of levofloxacin and flagyl. he also received a total of eight days of zosyn. the staph was sensitive to levofloxacin. it was decided at the time of discharge that he would be given levofloxacin for a total of 21 days. no anaerobes were isolated from any of his cultures. on the patient was transferred to the floor in stable condition. at the time of discharge the patient's graft was palpable. dorsalis pedis pulse and posterior tibial pulse were dopplerable. his incision was clean, dry and intact with no drainage. condition on discharge: stable. follow up: 1. follow up with dr. in two weeks. 2. dr. who is his urologist in . his phone number is . 3. he will also follow up with dr. his cardiologist in approximately four weeks to determine his cardiac status for future surgery. discharge status: the patient will go to a rehab facility. discharge medications: aspirin 325 mg po q day, zestril 5 mg po q day, ditropan 5 mg po b.i.d., lopressor 25 mg po b.i.d., colace 100 mg po b.i.d., darvocet one to two tabs po q 4 to 6 hours prn, lasix 20 mg po q day, levofloxacin 250 mg po q day times nine days for a total of twenty one days. at the rehab facility wet to dry dressings will be performed on the right ankle ulcer twice a day. wet to dry dressings will also be performed on the left ankle twice a day. the patient will have his staples removed at a follow up appointment with dr. . discharge diagnosis: 1. status post right femoral to posterior tibial bypass. 2. status post right fourth toe amputation, debridement of right ankle ulcer. 3. type 2 diabetes diet controlled. 4. hematuria with echogenic mass in bladder to be followed up by urologist. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures amputation of toe other (peripheral) vascular shunt or bypass open and other replacement of aortic valve with tissue graft excisional debridement of wound, infection, or burn diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortic valve disorders occlusion and stenosis of carotid artery without mention of cerebral infarction atherosclerosis of native arteries of the extremities with gangrene ulcer of ankle 

Answer: The patient is high likely exposed to