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 a past medical history significant for coronary artery disease, diabetes and chronic renal insufficiency, admitted to coronary care unit following cardiac catheterization for ventilatory support and intensive care unit monitoring. the patient originally presented to an outside hospital the morning of admission complaining of chest pain and symptoms of congestive heart failure. an electrocardiogram showed a new left bundle branch block. he was then transferred to for emergent cardiac catheterization. the patient went immediately to the catheterization laboratory upon arrival. catheterization showed three vessel coronary artery disease, patent graft, left internal mammary artery to the left anterior descending, patent saphenous vein graft to the posterior descending artery and patent saphenous vein graft to obtuse marginal 1. it was significant for increased right and left filling pressures. angioplasty was then performed on the aortoiliac bypass graft, left circumflex coronary artery with failed angioplasty of obtuse marginal 1. the patient developed significant respiratory distress following catheterization and was ventilated for ventilatory support with transfer to the coronary care unit on a ventilator. past medical history: coronary artery disease status post coronary artery bypass graft redo, three vessels in , four vessels in , diabetes mellitus times 13 years, chronic renal insufficiency with baseline creatinine 2.3, prostate cancer diagnosed in refractory to hormone therapy followed by dr. , gout, depression, anemia, congestive heart failure with unknown ejection fraction. social history: history of tobacco use, 30 pack years, quit in , occasional alcohol. home medications: 1. calcitriol .25 mcg q. day 2. calcium acetate 657 mg t.i.d. 3. docusate 100 mg b.i.d. 4. epogen 10,000 units subcutaneous q. thursday 5. felodipine 5 mg q. day 6. iron 325 mg t.i.d. 7. fluoxetine 20 mg q. day 8. glipizide 5 mg q. am 9. hydralazine 40 mg b.i.d. 10. hydroxyzine 25 mg b.i.d. 11. metoprolol 25 mg t.i.d. 12. omeprazole 40 mg q. day 13. senna two tablets b.i.d. 14. simvastatin 20 mg q. day 15. allopurinol 50 mg q. day 16. isosorbide mononitrate 60 mg q. day 17. lasix 60 mg b.i.d. physical examination on admission: vital signs, temperature 96, heartrate 60, blood pressure 179/57, oxygen saturation 100% on 30% fio2, weight 108 kg. general: elderly male in no acute distress. head, eyes, ears, nose and throat, pupils equal, round and reactive to light and accommodation. oropharynx clear. neck supple. no lymphadenopathy. chest clear to auscultation anteriorly, no wheezes. heart, regular rhythm, ii/vi systolic murmur at the lower left sternal border with no radiation. abdomen, soft, nontender, nondistended, positive bowel sounds. extremities, 1+ edema. pulses dopplerable bilaterally. venous stasis changes bilaterally. neurological, intubated, sedated. moves extremities times four. laboratory data: white blood count 15.8, hematocrit 29.8, platelets 228. sodium 142, potassium 4.7, chloride 111, bicarbonate 18, bun 86, creatinine 5.0, glucose 138. calcium 8.7, magnesium 1.7, phosphorus 4.6. chest x-ray: cardiomegaly, mild congestive heart failure. electrocardiogram, sinus rate at 80, left bundle branch without st changes. hospital course: cardiovascular - ischemia, the patient with a history of coronary artery disease, transferred from an outside hospital for emergent cardiac catheterization following new left bundle branch block at an outside hospital. during catheterization, the patient underwent percutaneous transluminal coronary angioplasty to the left circumflex with serial percutaneous transluminal coronary angioplasty of obtuse marginal 1. following catheterization he was maintained on a statin, plavix, and aspirin. he was initially on a nitroglycerin drip which was then converted over to p.o. he was also started on hydralazine and titrated up on a beta blocker. this was subsequently converted to carvedilol. the patient did not have any further episodes of chest pain or ischemia during the hospitalization. pump, the patient with congestive heart failure class 4. the patient underwent echocardiogram following cardiac catheterization which showed an ejection fraction of 30 to 40% and severe hypokinesis inferiorly and posteriorly along with 1+ mitral regurgitation and impaired ventricular relaxation. immediately following catheterization the patient was diuresed on a natrecor drip. he was quickly weaned off of this and titrated over to daily intravenous lasix. he was initially started on beta blocker and later converted over to carvedilol which he tolerated well. he was also started on hydralazine and put back on his nitroglycerin. he continued to receive prn lasix for symptoms of fluid overload. rhythm, the patient remained in sinus rhythm and was monitored on telemetry throughout his hospital course. pulmonary - the patient was intubated following cardiac catheterization for respiratory distress following minimal diuresis with natrecor drip. the patient was quickly weaned off of the ventilator and successfully extubated without any complications. he did not require any additional oxygen requirements throughout the hospitalization and had no symptoms of respiratory distress. infectious disease - the patient developed leukocytosis and diarrhea during hospitalization and a stool sample was positive for clostridium difficile toxin. he was started on vancomycin therapy for treatment of clostridium difficile colitis. his symptoms of diarrhea improved following initiation of antibiotic therapy. renal - the patient with chronic renal insufficiency with baseline creatinine of 2.3. at admission, his creatinine was acutely elevated up to 5.0, thought to be due to dye load during catheterization. he was aggressively hydrated and his creatinine trended down. he briefly bumped his creatinine due to hypovolemia during his diarrhea but this resolved with hydration. he was eventually put back on his daily lasix dose for maintenance. fluids, electrolytes and nutrition - the patient's volume status and electrolytes were followed throughout admission. he received multiple electrolyte repletions. heme - anemia, the patient with baseline anemia believed due to chronic renal insufficiency. he was continued on iron and epogen per his home regimen. he required transfusion of 2 units of packed red blood cells during the hospitalization. his acute drop was thought to be following his catheterization procedure. he responded appropriately to the transfusions and remained hemodynamically stable. endocrine - patient with diabetes mellitus. his glipizide was held initially and he was placed on sliding scale insulin. following resumption of the regular diet he was converted back to home medicines. prophylaxis - the patient was maintained on subcutaneous heparin and proton pump inhibitor throughout his hospitalization. code status - the patient was a full code throughout the hospitalization. condition on discharge: stable. discharge status: home. discharge diagnosis: 1. myocardial infarction with cardiac catheterization 2. congestive heart failure 3. acute and chronic renal failure discharge medications/follow up instructions: will be dictated in an addendum to this discharge summary. , m.d. dictated by: medquist36 d: 15:06 t: 16:22 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters parenteral infusion of concentrated nutritional substances other endoscopy of small intestine injection or infusion of platelet inhibitor insertion of endotracheal tube hemodialysis aortography injection or infusion of nesiritide diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified coronary atherosclerosis of autologous vein bypass graft intestinal infection due to clostridium difficile primary pulmonary hypertension 

Answer: The patient is high likely exposed to