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: patient is a 58-year-old morbidly obese man with diabetes type 2, cad status post multiple mis, stents, prior v-fib arrest x2 resident at hospital rehab had hemodialysis as usual on . date prior to admission, complained of gi distress treated with reglan. day of admission was found with malaise, shaking chills, hypotensive with temperature of 99.1, blood pressure 60/palp, heart rate in the 120s, o2 saturation 97%, and he denied chest pain. transferred to for workup for hypotension. on admission, he denied chest pain, shortness of breath, nausea, vomiting, abdominal pain, malaise, and fatigue. past hospitalizations: to v-fib arrest, clostridium difficile colitis, mrsa, vre bacteremia, aspiration pneumonia. on acute pulmonary edema. he has also had a history of mid lad instent thrombosis status post re-stented, intubation complicated by failure to wean requiring tracheostomy, citrobacter, and vre bacteremia, pseudomonas, and citrobacter, ventilator-associated pneumonia, meropenem desensitization, atn leading to renal failure, sepsis from pseudomonas, vre, and citrobacter. vre bacteremia, pseudomonas infection of bladder, bacteremia, tracheitis. urticaria from an allergic reaction to zosyn. pseudomonas found later to be associated with pneumonia and zosyn desensitization, meropenem desensitization. past medical history: 1. cad status post mi in ', ', ', , and . multiple stents. 2. v-fib arrest x2, the last in status post pacemaker placement, no aicd. 3. diabetes type 2, insulin dependent. 4. gerd. 5. obstructive-sleep apnea; unable to tolerate bipap or cpap, currently with trache. 6. hypercholesterolemia. 7. morbid obesity weighing over 400 pounds on initial admission, currently at 300 pounds. 8. chf due to systolic dysfunction. 9. clostridium difficile colitis. 10. mrsa bacteremia. 11. sacral decubitus ulcers stage iv. 12. end-stage renal failure on dialysis from diabetes and atn. 13. anxiety. allergies: cephalosporins and zosyn. family history: father died of mi. social history: sixty pack year tobacco history, d/c'd in '. used to work in the trucking industry. exam on admission: temperature 97.2, blood pressure 108/56, pulse of 95, respirations 16, and 98% on trache collar. general: obese man in no acute distress. perrla. eomi. op dry. no jvd. trache collar. distant breath sounds. distant regular heart rate. chest: right picc and dialysis catheter without erythema or discharge. abdomen is soft, obese, and nontender, positive bowel sounds, incontinent of stool. trace edema on extremities. neurologic: awake with occasional slurring, lethargic, conversant with 1-2 words at a time, moves all four extremities to command. ekg paced at 94, unchanged since . chest x-ray: no infiltrate, no failure, right picc up towards right ij, right dialysis catheter in place, trache, pacer wires from the left. laboratories: white count 23, hematocrit 33, platelets 223. creatinine 4.6. troponin 0.21, inr of 1.3. lactate of 7. hospital course by issue: 1. id: sepsis. patient had multiple possible sources for sepsis, most likely is stage iv sacral decubitus ulcer approximately 30 x 30 x 20 cm in dimension draining liquid stool. question of rectal fistula as possible etiology or osteo. patient also had possibly uti. other etiologies include lines and catheters, pneumonia which although not appreciated radiographically still in the differential as well as clostridium difficile colitis currently on vancomycin with watery stools. he was continued on meropenem, linezolid, and p.o. vancomycin for empiric coverage for pseudomonas, vre, mrsa, and clostridium difficile. he received one dose of gentamicin. cultures were obtained. he was continued on the antibiotics. 2. cardiac: patient was hypotensive. history of ischemic cardiomyopathy. he was enrolled in the ........ protocol. he received 6 liters of fluid. initially, the patient was anuric. his blood pressure continued to drop over the course of his hospitalization. his cvp had remained between 10 and 15. he was started on pressors. he was started first on neo-synephrine then levophed, and vasopressin, and dobutamine with little response. his mixed venous o2 was 71%. his troponins trended down from 0.21 to 0.19, and patient's lactate continued to rise to a high of 14.4 over the course of his hospitalization. 3. cad: he was continued on aspirin, plavix, and lipitor. his beta blocker and ace inhibitor were held. for v-fib, he was continued on his amiodarone. 4. pulmonary: his ventilatory status was stable on admission. he was placed on cpap and pressure supports 10 and 5. the patient over his hospitalization, he had acute respiratory distress likely flash pulmonary edema, was changed to assist control with improvement of his ventilation and respiratory status. he did, however, continue to become progressively acidotic with severe lactic acidosis. 5. renal: he was hydrated. no hemodialysis due to his hypotension. he had an anion gap acidosis secondary to hyperperfusion and lactic acidosis. 6. code: patient was initially admitted as full code. daughter, , who is the healthcare proxy after multiple discussions with the daughter over the course of his hospitalization, given his status as well as his poor prognosis, patient was made cmo on at 9 a.m. patient was pronounced on at 10:20 a.m. no autopsy was to be done per the daughter. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia septic shock tracheostomy status 

Answer: The patient is high likely exposed to