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: past medical history: 1. coronary artery bypass. 2. av fistula. 3. diabetes. 4. hypertension. 5. status post left bka. 6. status post right fem-. 7. right av fistula. allergies: the patient has no known drug allergies. admission medications: 1. lantus 32 units q.a.m. 2. humalog sliding scale before meals. 3. isosorbide 30 mg q.d. 4. plavix 75 mg q. other day. 5. nephrocaps one q.d. 6. phoslo gelcaps 667 mg one with meals. 7. aspirin. 8. neurontin 300 mg q.d. 9. protonix 40 mg q.d. 10. paxil 20 mg q.d. 11. toprol 25 mg q.d. 12. zocor 80 mg q.d. 13. colace 100 mg b.i.d. 14. senokot tablets p.r.n. physical examination on admission: general: this is a white male in no acute distress. heart: regular rate and rhythm. lungs: clear to auscultation. abdomen: unremarkable. pulse: palpable femorals bilaterally, right dp and pt were biphasic signals. on the left, he had undergone a bka. his graft was biphasic palpable proximally. the av fistula was palpable. neurologic: unremarkable. hospital course: the patient was admitted to the hospital. he was begun on iv antibiotics. the renal service followed the patient for hemodialysis needs. the patient's potassium was elevated at 6.2 on admission. he was treated with kayexalate and it was 5.1 post treatment. he underwent dialysis on his regular scheduled day. cardiology was requested to see the patient for perioperative risk assessment. cardiology felt that because the patient had undergone bypass surgery with four grafts in , the grafts were patent on cardiac catheterization in , and the p mibi of showed fixed anterior wall defect who was relatively asymptomatic with cardiac symptoms would be considered at a moderate risk for surgery. they recommended no further cardiac evaluation. beta blockers perioperatively and proceed to surgery. on , the patient underwent revision of right bk -dp bypass graft using in situ saphenous vein fem-dp. the patient tolerated the procedure well and was transferred to the pacu in stable condition and remained hemodynamically stable. on postoperative day number one, there were no overnight events. his examination showed a right foot that was warm with a lateral heel ulcer which was clean without granulation tissue, a palpable right dp pulse. he was converted to percocet for analgesic control. he was ambulated out of bed. diet was advanced as tolerated. subcutaneous heparin was begun for dvt prophylaxis and he was de-lined and transferred to the floor. a d10 drip was begun for hypoglycemia. the patient did develop hypotension postoperatively with t wave flattening in the lateral leads, although his count remained stable at 38.4, bun 32, creatinine 7.2, k 3.9. serial cks and troponins were drawn. cardiology recommended to hold his isosorbide and lopressor, obtain an echocardiogram to assess his left ventricular function and continue monitoring enzymes, consider transfer to icu with dopamine support and rule out sepsis. an echocardiogram was obtained in which the preliminary revealed that the global ejection fraction was 30% with anterior and anteroseptal akinesis, inferior wall basal segment, hypokinetic. there was no pericardial effusion. he had borderline rv function. they felt that the findings were consistent with chronic ischemic cardiomyopathy and not an acute episode and continued with his pa line. he was transferred to the icu. dopamine was begun. the patient's cks remained flat. his initial troponin was 0.20, greater than 1.0 suggests an acute mi. remaining serial troponins were 0.18. over the next 48 hours, the patient continued to show improvement. dopamine was weaned. he maintained his systolic blood pressure greater than 110. his a line was discontinued and he was transferred out of the ccu. the patient was transferred to the vicu from the ccu. he remained there overnight. he continued to progress. he was de-lined and transferred to the floor for continued care. podiatry was consulted on postoperative day number one. they reviewed his foot films. on , the patient underwent a met head resection and tolerated the procedure well. the initial dressing was removed on postoperative day number one. the wounds were clean, dry, and intact. the hematocrit remained stable at 35.5, bun 60, creatinine 9.1, k 4.7. he was seen by physical therapy and felt that he was safe to be discharged to home, partial weightbearing with healing sandals on the affected side. he will require to be seen by dr. in two to three weeks for suture removal and follow-up with dr. in a weeks time as directed. the patient was discharged in stable condition. the wounds were clean, dry, and intact. he had a working graft pulse. discharge medications: 1. acetaminophen 325 mg one to two tablets q. four to six hours p.r.n. pain. 2. aspirin 325 mg p.o. q.d. 3. folic acid. 4. vitamin b complex capsule one q.d. 5. calcium acetate 667 mg tablets one with meals t.i.d. 6. protonix 40 mg q.d. 7. paroxetine 20 mg q.d. 8. simvastatin 80 mg q.d. 9. colace 100 mg b.i.d. 10. senna tablets one q.d. p.r.n. 11. oxycodone acetaminophen 5/325 tablets two q. four to six hours p.r.n. pain. 12. insulin glargine which would be 28 units q.a.m., humalog sliding scale as follows: breakfast, glucose less than 120, 1 unit; 121-150 2 units; 151-200 4 units; 201-250 7 units; 251-300 9 units; 301-350 12 units; 351-400 15 units; greater than 400 14 units. lunch sliding scale glucoses 120 1 unit; 121-150 2 units; 151-200 4 units; 201-250 6 units; 251-300 9 units; 301-350 12 units; 351-400 15 units; greater than 400 19 units. dinner sliding scale: glucose 120 1 unit; 121-150 2 units; 151-200 4 units; 201-250 6 units; 251-300 8 units; 301-350 11 units; 351-400 14 units; greater than 400 18 units. humalog sliding scale at bedtime: glucose less than 200 no insulin; 201-250 1 unit; 251-300 3 units; 301-350 6 units; 351-400 9 units; greater than 400 13 units. discharge diagnosis: 1. failed graft. 2. right bk popliteal-dorsalis pedis bypass graft. 3. status post right metatarsal head resection. 4. diabetes, insulin-dependent, controlled. 5. end-stage renal disease, on dialysis, stable. 6. perioperative hypotension secondary to medication, resolved. , m.d. dictated by: medquist36 procedure: hemodialysis other (peripheral) vascular shunt or bypass local excision of lesion or tissue of bone, tarsals and metatarsals diagnoses: hyperpotassemia congestive heart failure, unspecified 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 diabetes with peripheral circulatory disorders, type i [juvenile type], not stated as uncontrolled atherosclerosis of native arteries of the extremities with ulceration diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled diabetes with other specified manifestations, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to