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: disabling cludication major surgical or invasive procedure: right femoral to peroneal bypass graft with insitu vein, angioscopy and valvelysis rt. 5th ray amputation with vac dressing history of present illness: 70y/o nondiabetic with seizure disorder, hypertension,sleep apnea with history of bilateral calf claudication at less than block.underwent outpatient angiogram. returns for elective vascular surgery. past medical history: seizure disorder, last seizure hypertension asthma sleep apnea, uses cpap avascular necrosis of left hip history of peptic ulcer disease macular degeneration colonic polyps internal hemmroids anxiety disorder s/p left hip arthroplasty s/ppartial gastrectomy s/p left hip revision s//p umbilical hernia repair bph social history: retired print shop worker. married lives with his wife. former d/c 19 years ago 3 beer / night family history: unknown physical exam: vital signs: 96.6-65-20 199/79 oxygen saturation 97% room air general: alert ,cooperative white male . no acute distress heent: carotids palpable no bruits lungs: clear to auscultation herat: regular rate rythmn without mumur abdomen: begnin pulses:palpable carotid, radial pulses bilaterally. femorals not palpable secondary to abdominal obesity.popliteal pulses nonpalpable pedial pulses dopperable bilaterally neuro: intact pertinent results: 08:45pm glucose-249* urea n-113* creat-3.0*# sodium-130* potassium-5.2* chloride-94* total co2-24 anion gap-17 08:45pm ck(cpk)-156 08:45pm ck-mb-2 ctropnt-0.05* 08:45pm calcium-8.6 phosphate-4.5 magnesium-2.8* 08:45pm wbc-12.9*# rbc-3.57* hgb-10.3* hct-29.9* mcv-84# mch-28.9 mchc-34.5 rdw-15.7* 08:45pm plt count-289# 08:45pm pt-31.5* ptt-62.6* inr(pt)-6.2 06:27pm urine color-ltamb appear-cloudy sp -1.020 06:27pm urine blood-lge nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 06:27pm urine rbc-791* wbc-52* bacteria-many yeast-many epi-<1 brief hospital course: trnasfered to for evaluation of right foot wound. wound was sustaianed secondary to fall four weeks ago. patient suffered nondisplaced fracture of right hmerous and right shoulder injury. patient was placed in sling for immoblization. he was noted to have a right foot necrotic wound.his anemia was corrected with transfusion of 2 units packed red blood cells.blood and urine cultures were no growth. picc line placed for poor iv access and iv antibiotics.cardology ;consluted for abnormal admitting ekg.a flutter note as rythmn on ekg. recommendations were pmibi,echo, eps consult for consideration of electrical conversion to sinus rythmn. echo: left artrial dilitation. lefet ventricular wall thickness and cavity size normal. no thrombs,valves without structural disease. akensis of anterior and apical wall of left ventricle. fe 55%. stress negative for symptoms or ekg changes. study fixed defect of inferior and apical wall (severe) and fixed defect of basal inferior wall. ef 45%. ct head done for mental status changes. ct consisted with old left occiptual infract and left frontal lobe old encephlomalicia no acute changes. right excisionl foot wound debridment.electrophysology consulted. recommendations: af/flutter chronic. obtain pft, along with thyroid,and liver function test for base ine. start amidarone 400mgm tid x 4 days the 400mgm . no tee required. patient can proceede with any surgical intervention.mra obtained .bilateral femoral -tibial disease. recommend llimited angio study to better define disease in affected foot. patient converted to nsr on amidarone.betablocker and losartan adjusted for better for rate control and systolic hypertension. angiogram toletated. thyroid and liver function studies stable.transfused 2 units for hct. 26. vanco d/c oxycilin started.s/p right fem-pedal bypass graft with composite svg.transfered to pacu stable with palpable pedal graft. pod#1no overnight events. nitro weaned. chest pt continued . diet advanced as tolerated . qntbiotics continued and patient remained in vicu.thrombocytopenia noted.hit sent.result negative. platlet count improved with d/c heparin. pod# 4 transfered to regular nursing floor. pod# 7 rigth 5th ray amputation.transfused one unit packed red blood cell for hct of 25.8 secondary to wound drainage. pod# vac dressing to ray amputation last changes .transfered to vicu for mental status changes and hct. of 24. transfused.gi consulted for positive stool guiac and positive ng drainage. transfered to icu for respiratory failure secondary to hypercapnea ,reintubated. recommendations from gi, follow serial hct's, hold anticoagulation. consider gi scoping upper and lower when medically stqable. required vasopressor support for his hypotension. head ct negative for acute bleed or infract. vac dressing changed with excisional debridment at bed side. duplex of right upper extremity negative for dvt. consulted for glucose managment secondary to recurrent hypoglycemic episodes on oral agents.recommendations: hold oral , adjust regular insulin scale once taking by mouth. pod#14/8 extubated and transfered to vicu. no overnight events. aline discontinued. god large bm!!.glycemic control improved with holding oral agents and using regular insulin scale.physical thearphy recommends rehabiltation prior to discharge to home for continued strenghting and mobility.foley discontinued. central line taken out and d/c to rehab. will need to stay on coumadin 1mg for awhile before advancing. will need to follow up with dr. in two weeks and need out patient gi work up for the melena. medications on admission: see d/c rx discharge medications: 1. losartan potassium 50 mg tablet sig: one (1) tablet po qd (once a day). 2. glipizide 5 mg tablet sig: one (1) tablet po bid (2 times a day). 3. rosiglitazone maleate 8 mg tablet sig: one (1) tablet po qd (once a day). 4. pravastatin sodium 10 mg tablet sig: one (1) tablet po qd (once a day). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for headache. 7. tolterodine tartrate 2 mg tablet sig: one (1) tablet po bid (2 times a day). 8. levofloxacin 500 mg tablet sig: one (1) tablet po q48h (every 48 hours). 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po qd (once a day). 10. atorvastatin calcium 10 mg tablet sig: one (1) tablet po hs (at bedtime). 11. amiodarone hcl 200 mg tablet sig: two (2) tablet po tid (3 times a day). discharge disposition: extended care facility: health of - discharge diagnosis: disabling claudication respiratory failure secondary to hypercapnea blood loss anemia, corrected gi bleed, stable discharge condition: stable discharge instructions: vac dressing change q3days.last change followup instructions: dr. 2 weeks . call for appointment. followup with gi for evaluation of gi bleed? procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arteriography of femoral and other lower extremity arteries amputation of toe other (peripheral) vascular shunt or bypass excisional debridement of wound, infection, or burn arteriography of other specified sites transfusion of packed cells transfusion of other serum application of pressure dressing diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery iron deficiency anemia secondary to blood loss (chronic) other convulsions diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes atrial flutter percutaneous transluminal coronary angioplasty status other persistent mental disorders due to conditions classified elsewhere ulcer of other part of foot acute respiratory failure hypotension, unspecified diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled blood in stool old myocardial infarction chronic obstructive asthma, unspecified atherosclerosis of native arteries of the extremities with gangrene proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site cellulitis and abscess of other specified sites myasthenia gravis without (acute) exacerbation 

Answer: The patient is high likely exposed to