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: this is a 58 year-old gentleman who is transferred from hospital. patient is well known to our service and he recently underwent right and left vascular bypasses with revision. his last surgery was where he underwent a left femoral popliteal revision with bovine patch for graft stenosis. he returns now with left leg ischemia. he has had a right femoral popliteal in , a right femoral anterior tibial bypass with ptfe and a right femoral endarterectomy and right profunda femoris plasty secondary to failing graft in . patient on in the morning after going to church had onset of acute left foot pain most of the day and by bed time the pain had progressed and the foot had become cool. the patient was admitted to hospital and transferred here for further evaluation and treatment. patient's last hemodialysis was on sunday. past medical history: past illnesses include peripheral vascular disease, carotid disease, status post bilateral carotid endarterectomy, coronary artery disease, status post myocardial infarction at the age of 36, status post coronary artery bypass graft x4 in at . history of hypertension, controlled. history of type 2 diabetes mellitus with neuropathy and nephropathy. end stage renal disease on hemodialysis via quinton catheter monday, wednesday and friday. at the time of discharge he returned to peritoneal dialysis. renal artery stenosis by arteriogram. history of methicillin resistant staphylococcus aureus. history of pmibi on which showed moderate severe left ventricular dysfunction. past surgical history: left femoral pfa endarterectomy with bone patch angioplasty, left common femoral artery to below knee popliteal with ptfe . right femoral below knee popliteal in . angiogram diagnostic via the left brachial artery in . exploration of the right femoral popliteal bypass with thrombectomy, a right femoral anterior tibial with ptfe, right femoral endarterectomy and right profundoplasty in . revision of the left femoral below knee popliteal bypass angioplasty with bovine patch in . quinton catheter in . hemodialysis catheter in . allergies: no known drug allergies. medications: include coumadin for his graft. physical examination: this is an alert white male with left foot rest pain. head, eyes, ears, nose and throat examination with bilateral carotid bruits. the wound sites are well healed. the carotid pulses are 1+ bilaterally with no jugular venous distension or thyromegaly. lungs are clear to auscultation. heart has a regular rate and rhythm without murmur, gallop or rub. abdominal examination is soft, nontender, nondistended. bowel sounds are present x4 with a left iliac bruit. peripheral vascular pulses show left foot with rubrous cyanotic changes the toes to the ankle. foot is cool to touch. motor is intact. sensory is intact. pulse examination shows on the right a dopplerable femoral with absent pulses below the femoral artery. the left femoral is palpable 2+. the popliteal is dopplerable and the dorsalis pedis and posterior tibial are dopplerable. neurologic examination: the patient is oriented x3, is nonfocal. hospital course: the patient was admitted to the vascular service. he was begun on iv heparinization. he had serial coagulations monitored for goal ptt of 60 to 80. renal service was consulted for peritoneal dialysis management. the patient underwent on an arteriogram which showed a patent right femoral anterior tibial bypass graft with a proximal common femoral artery 90% stenosis. the left iliac was with disease and the left common femoral was with disease. the profunda femoris was the sole runoff on the left side. on cardiology was consulted in anticipation for revascularization. his beta blockade was increased to maintain a goal heart rate between 60 and 70. a pmibi was done which showed moderate fixed deficit with global hypokinesis and ejection fraction of 27%. on the patient had mental status changes with hypotension and he was transferred to vicu. his cks and troponins were cycled. the patient was begun on levophed which required him to be transferred to the surgical intensive care secondary to vasopressive use. initial ck was 312 with an mb of 11. the patient was pancultured. tsh was done which was normal at 4.4 with free thyroid t4 of 0.9. an echocardiogram was repeated. there was no significant change. hemodialysis was instituted. on there was a significant drop in the patient's hematocrit from 30.6 to 26.0. the patient was transfused. patient was noted to have melanotic stools. the patient had a poor response of his hematocrit post transfusion. a gastrointestinal consult was placed. an upper esophagogastroduodenoscopy was done which demonstrated esophageal erosions with duodenitis and gastritis. his h pylori was negative. the patient was then transferred to the vicu for continued care and serial hematocrits were monitored with stabilization of his hematocrit. cardiology was reconsulted on because of the patient was going into paroxysmal atrial fibrillation. he was started on amiodarone which converted him to normal sinus rhythm. iv heparinization was begun and recommendations were long term anticoagulation with coumadin. the outside cardiac catheterization studies were reviewed and they felt the patient was not a candidate for any cardiac intervention. the patient underwent on a left common iliac artery and external iliac artery stenosis with a left femoral patch angioplasty and removal of his peritoneal dialysis catheter. the patient tolerated the procedure well. the patient was noted to have persistent left foot ischemia and they felt he would probably wind up requiring a below knee amputation. it was also noted that the right foot was ischemic. the patient underwent a right femoral endarterectomy with patch angioplasty and a graft thrombectomy. the patient had a full graft pulse at the end of the procedure. the patient's amiodarone was increased secondary to increase in atrial fibrillation. iv heparinization was continued. the patient underwent on a left below knee amputation. he tolerated the procedure well. he continued to do well and on he was transferred to the regular nursing floor. on the patient had an episode of bradycardia with supraventricular tachycardia. his total ck was 194 with an mb of 17 and a troponin of .51. the second set showed a total ck of 1553 with a troponin of 22. the patient was therapeutic on his coumadin and his heparin was discontinued. physical therapy was requested to see the patient. there were no significant ischemic electrocardiographic changes on the bradycardia supraventricular tachycardia episode. on the patient's inr was noted to be 7.7. the coumadin was discontinued. a repeat showed progressive elevation in his inr. a hematology consult was placed. pt/inr the following day was 2.2 after 5 mg of vitamin k. recommendations were to hold the augmentin which we had started for the patient's stump cellulitis and to continue to monitor his coagulations carefully, reconsider another antibiotic given that the augmentin would synergize the effect of warfarin. case management was consulted for discharge planning. physical therapy felt the patient would require rehabilitation prior to the patient being discharged home. the patient will be discharged to rehabilitation when medically stable. discharge medications: coumadin for a goal inr of 2.0 to 3.0. this was reinitiated on at 1 mg. dosing will be adjusted according to pt/inr. metoprolol 12.5 mg b.i.d., lisinopril 10 mg daily, acetaminophen 650 mg q 4 hours around the clock, protonix 40 mg q 12 hours, amiodarone 400 mg daily, allopurinol 100 mg daily, albuterol nebulizer q 6 hours, arvistatin 80 mg daily, gabapentin 300 mg q 4 to 8 hours, amitriptyline 25 mg at h.s., hold for excessive sedation, sucralfate 1 gram q.i.d., bisco 10 mg tablets or suppositories p.r.n. miralax 17 grams q.d. p.r.n. for constipation, insulin sliding scale - please see enclosed copy of insulin sliding scale, temazepam 50 mg h.s. p.r.n., aspirin 325 mg daily, colace 100 mg b.i.d. discharge diagnoses: 1. left foot ischemia secondary to peripheral vascular disease with rest pain. 2. bilateral carotid disease, status post ceas, asymptomatic. 3. history of coronary artery disease with myocardial infarction at the age of 36, status post coronary artery bypass graft x4. 4. history of hypertension, controlled. 5. history of diabetes mellitus type 2 with neuropathy and nephropathy. 6. end stage renal disease on peritoneal dialysis, discontinued with removal of the pd catheter and begun hemodialysis. 7. renal stenosis by arteriogram. 8. history of methicillin resistant staphylococcus aureus wound infection. 9. pmibi shows moderate severe left ventricular dysfunction. 10. postoperative blood loss anemia, transfused, corrected. 11. postoperative esophagitis, gastritis and esophageal erosions by esophagogastroduodenoscopy with h pylori negative. 12. postoperative hypotension requiring vasopressor support secondary to gastrointestinal bleed,corrected. 13. status post left common iliac, external iliac stenting with left femoral patch angioplasty on , failed. 14. status post left below knee amputation on . 15. status post foot ischemia secondary to embolectomy. 16. status post right femoral endarterectomy with patch angioplasty and graft thrombectomy with return of circulation.\ 17. postoperative paroxysmal atrial fibrillation requiring amiodarone. 18. postoperative hypocoagulation secondary to nutritional depletion, corrected. discharge instructions: the patient should follow up with dr. in 3 to 4 weeks. no stump shrinkers. skin clips remain in place for a total of 2 weeks in the right leg and in the left leg the below knee amputation stump skin clips remain in place until seen in follow up. patient's inr should be monitored on a daily basis until he in a steady therapeutic state with a inr of 2.0 to 3.0. if patient's inr drops below 2 iv heparin should be begun for a total ptt 60 to 80. dr. office should be called if the patient develops a temperature greater than 101.5, if the amputation site or the incisions on the right leg become erythematous or drain. , procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine hemodialysis angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries aortography peritoneal dialysis insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) transfusion of packed cells removal of peritoneal drainage device other amputation below knee endarterectomy, lower limb arteries endarterectomy, lower limb arteries infusion of vasopressor agent transposition of cranial and peripheral nerves insertion of two vascular stents procedure on single vessel procedure on single vessel diagnoses: other iatrogenic hypotension end stage renal disease acute posthemorrhagic anemia unspecified protein-calorie malnutrition cardiac complications, not elsewhere classified atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease ulcer of other part of foot other specified forms of chronic ischemic heart disease hemorrhage complicating a procedure atherosclerosis of renal artery other complications due to other vascular device, implant, and graft acute myocardial infarction of unspecified site, initial episode of care dehydration diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled infection (chronic) of amputation stump duodenitis, with hemorrhage other specified gastritis, with hemorrhage 

Answer: The patient is high likely exposed to