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: pcn, procardia. heparin was documented as an allergy on med sheets that came from floor. unable to substaniate the allergy in the notes. pmhx: iddm x 20yo, ersd s/p renal transplant, retinopathy, neuropathy, orthostatic bp. ros: neuro: alert and orientated x 3, able to make needs known. cv: vss, bp's by thigh cuff. resp: o2 sat on 2l nc >92%. ls coarse, spitting out/coughing up whitish sputum. gi/gu: npo after midnight. urine cloudy and sludgy will send. skin: red and swollen in upper left arm. iv nurse consulted re- picc line site. coccyx with 2 open areas, cleaned, barrier cream applied. social: family in to visit, md talked with family. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung insertion of endotracheal tube other bronchoscopy diagnoses: unspecified pleural effusion urinary tract infection, site not specified acute kidney failure, unspecified other pulmonary insufficiency, not elsewhere classified hyposmolality and/or hyponatremia diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled pulmonary collapse cellulitis and abscess of upper arm and forearm pulmonary actinomycotic infection 

Answer: The patient is high likely exposed to