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: patient recorded as having no known allergies to drugs attending: chief complaint: s/p fall and right knee pain. major surgical or invasive procedure: right above-knee amputation history of present illness: 61 yo russian man s/p r bka , iddm with complications, pvd, and recent right cfa-akpop bpg w/arm vein p/w mechanical fall from side of bed in setting of bed not being locked and sensation of vertigo which the patient gets after each meal. patient reports 10 seconds of either loc or confusion as to what occurred which quickly resolved. patient states occasional when sitting or standing very fast he will get dizzy, but this is not a common occurance. patient noted s/p fall to have increased stump pain, bloody drainage from lateral aspect of the stump. patient transferred to ed due to concern for trauma to recent r bka. of note, patient started on bactrim for increased erythema at site of r bka with good effect per center notes. patient states since stitch removal 5 days ago he has had pain right lateral side of the r bka. . patient states that for the past 5 days he has experinces transient vertigo (room is spinning horizontally) after his meals. he reports that this sensation resolves with rest or with passing gas. he reports no other associated deficits. . in ed, vitals 98.2, hr 66, bp 120/59, rr 16, 99% ra. patient found to have tender r bka site. patient given 1 percocet, 1l ns. vascular sugery was consulted and given wbc with left shift recommended falgyl 500 mg iv, cipro 400 mg iv and vancomycin 1 gm iv which were given in ed. right lower extremtity films demonstration no trauma at site of bka. neurology evaluated the patient for "syncope" and felt it was not consistent with a vascular event. suggested investigation for infection, careful bg monitoring. patient admitted to medicine for syncopy work-up with vascular surgery following regarding r bka. . ros: patient denies chest pain, shortness of breath, fevers, chills, nausea, vomiting, dysuria, difficultly with urination, increased frequency of urination, constipation, numbness/tingling in arms/legs. + dry non-productive cough * 1 week. + belching, denies otehr reflux sxs including epigastric pain or burning. past medical history: dmi x 50 yrs (retinopathy, neuropathy) hgba1c 5.7% pvd see surgeries below hypertension hypercholesterolemia pud ckd cr 1.5-1.8 bph . psh: s/p r fem- with svg (in la ), s/p left fem- with -tex 97, re do left profunda-pt with in situ vein by dr. . s/p rle angiography , right cfa-akpop bpg with arm vein , right bka social history: pt. has been in the us for 12 years, worked in computer industry before becoming disabled. pt. lives alone but has son and son's family very nearby. patient does not smoke, drink alcohol, or use illicits family history: significant for dm physical exam: general: nad heent: perrl, eomi, op clear, mmdry neck: no lad, supple, jvp of 7cm heart: rrr ii/vi sem to carotids lungs: ctab no wheezes, crackles, rhochi abd: +bs, ntnd, soft ext: right extremity aka with staples in place. left leg 2+ dp, callouses left heel and great toe pad, but no lesions. pertinent results: 05:50am blood wbc-7.2 rbc-3.00* hgb-9.1* hct-27.1* mcv-91 mch-30.5 mchc-33.7 rdw-13.4 plt ct-430 05:40am blood wbc-11.0 rbc-3.22* hgb-9.6* hct-29.5* mcv-92 mch-29.8 mchc-32.6 rdw-13.5 plt ct-435 12:18pm blood wbc-8.7 rbc-3.05* hgb-9.1* hct-27.8* mcv-91 mch-29.9 mchc-32.7 rdw-13.3 plt ct-340 05:50am blood wbc-8.4 rbc-2.68* hgb-8.1* hct-24.7* mcv-92 mch-30.3 mchc-32.9 rdw-13.2 plt ct-402 06:40am blood wbc-7.6 rbc-2.75* hgb-8.0* hct-25.1* mcv-91 mch-29.1 mchc-31.8 rdw-13.2 plt ct-381 05:50am blood neuts-85.4* lymphs-9.9* monos-3.1 eos-1.5 baso-0.2 06:55am blood neuts-89.7* bands-0 lymphs-5.8* monos-4.1 eos-0.4 baso-0.1 05:50am blood plt ct-430 05:40am blood plt ct-435 12:18pm blood plt ct-340 05:50am blood plt ct-402 05:50am blood pt-13.8* ptt-32.9 inr(pt)-1.2* 11:05am blood pt-13.8* ptt-27.2 inr(pt)-1.2* 06:40am blood plt ct-381 05:50am blood glucose-171* urean-30* creat-1.3* na-130* k-3.9 cl-98 hco3-22 angap-14 05:40am blood glucose-176* urean-30* creat-1.2 na-135 k-4.3 cl-100 hco3-20* angap-19 12:18pm blood glucose-322* urean-34* creat-1.4* na-130* k-3.9 cl-97 hco3-17* angap-20 05:50am blood glucose-227* urean-31* creat-1.4* na-132* k-4.2 cl-97 hco3-21* angap-18 06:40am blood glucose-162* urean-32* creat-1.5* na-135 k-3.8 cl-100 hco3-25 angap-14 05:50am blood calcium-8.0* phos-2.6* mg-1.8 05:40am blood calcium-7.7* phos-2.7 mg-2.0 12:18pm blood calcium-7.8* phos-3.5 mg-2.0 05:50am blood calcium-8.1* phos-2.9 mg-2.1 06:40am blood calcium-8.0* phos-3.6 mg-2.4 brief hospital course: 61 y/o vasculopath with recent r bka, mechanical fall p/w ?syncope and increased r bka pain. he is now s/p r aka. . # r bka: the patient is s/p recent trauma from fall with lateral wound. wbc since . no fever. he had infection of the stump site requiring iv antibiotics with vancomycin and zosyn. his wound culture grew proteus mirabilis sensitive to zosyn. he continued to spike fevers through this regimen and eventually required a revision of his bka to aka by vascular surgery which was performed on . . # syncope: it is unclear whether or not the patient had syncope. he had no ecg changes. symptoms limited to post-prandial, ? cerebellar-basilar insufficiency with blood shunt to gut s/p meals, hyper/hypoglycemia, arrythmia. echo was normal. per neuro, likely peripheral vestibulopathy. he should be referred for outpatient vestibular physical therapy at discharge. . # dmi x 50 yrs (retinopathy, neuropathy) hgba1c 5.7%. his bg was poorly controlled in the setting of stump infection, and he required a short icu stay for dka. his ag peaked at 18 and stabilized around 12 to 13. followed during his stay and titrated his standing and sliding scale insulin prn. . # on ckd: patient admitted with increase in creatinine to 2.4 on with unclear precipitate. he was slightly dry on exam with a gap acidosis which may be due to . his hctz and enalapril were initially held. his enalapril was added back in on as his creatinine improved. his hctz was held at time of transfer to vascular surgery. . # pvd: we continued his aspirin. amputation managed per vascular surgery as above. . # hypertension: we continued atenolol. enalapril originally held due to increase in creatinine but restarted when creatinine returned to baseline. . # hypercholesterolemia: continued simvastatin. . # pud: continued ppi. . # anemia: his baseline hct is 25-30, likely a combination anemia of chronic disease and blood loss with recent bka. iron studies unclear as iron low but ferritin not low. likely some iron deficiency and anemia of chronic inflammation. stable. . # bph: continued tamzulosin nightly. . # fen/gi - diabetic, cardiac diet, electrolyte repletion prn # ppx - hep sc, ppi, bowel regimen # code - full # dispo - pending work-up # communication - with patient medications on admission: atenolol 50 mg enalapril 10 mg daily ( on outpatient medications) hctz 25 mg daily insulin -- glargine 30 units 5pm, hiss simvastatin 20 mg daily cyanocobalamin 1,000 mcg daily folic acid 1 mg daily vit d3 400 units daily tamsulosin 0.4 mg qhs aspirin 325 mg daily docusate sodium 100 mg heparin 5000 units tid sc . lactobacillus 2 tabs po daily * 14 days, started bactrim ds * 14 days, started discharge medications: 1. atenolol 50 mg tablet sig: one (1) tablet po bid (2 times a day). 2. cyanocobalamin 500 mcg tablet sig: two (2) tablet po daily (daily). 3. enalapril maleate 5 mg tablet sig: one (1) tablet po daily (daily). 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 10. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 12. oxycodone 10 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). 13. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 14. lantus 100 unit/ml solution sig: twenty eight (28) units subcutaneous at bedtime. 15. humalog 100 unit/ml solution sig: one (1) u subcutaneous qidachs: as per attached sliding scale. discharge disposition: extended care facility: center- discharge diagnosis: primary: diabetic ketoacidosis, resolved right below-knee amputation stump infection, s/p right above-knee amputation acute on chronic renal insufficiency, resolved . secondary: dmi x 50 yrs (retinopathy, neuropathy) hgba1c 5.7% pvd see surgeries below hypertension hypercholesterolemia pud ckd cr 1.5-1.8 bph discharge condition: good discharge instructions: you were seen at for an infection at your amputation site. you suffered a diabetic complication of this infection, for which you needed a short stay in an icu. you underwent a revision of your amputation on . it is not clear that you passed out but you might have a problem with equilibrium that can be addressed by vestibular physical therapy. . please follow-up as below. . please take your medications as prescribed. . you should call your primary care provider or return to the emergency department if you experience worsening pain at your amputation site, fevers/chills greater than 101.4 degrees f, fatigue, lightheadedness, increased urination, increased thirst, or any other symptoms that concern you. followup instructions: please follow up with your primary physician, . , within 2 weeks of discharge. call to make an appointment. please follow up with dr. in 3 weeks. call his office at ( to make an appointment procedure: nonexcisional debridement of wound, infection or burn amputation above knee transfusion of packed cells diagnoses: anemia in chronic kidney disease acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified polyneuropathy in diabetes hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified other and unspecified hyperlipidemia long-term (current) use of insulin seroma complicating a procedure proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], uncontrolled diabetes with ketoacidosis, type i [juvenile type], uncontrolled legal blindness, as defined in u.s.a. background diabetic retinopathy infection (chronic) of amputation stump disruption of external operation (surgical) wound unspecified vitamin d deficiency chronic peptic ulcer of unspecified site without mention of hemorrhage or perforation, without mention of obstruction vestibular neuronitis amputation of limb(s) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to