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 an 83 year old male with multiple medical problems including end-stage renal disease on hemodialysis who had initially presented on at hemodialysis with decreased p.o. intake and one week of cough productive of clear sputum. in hemodialysis, the patient was also noted to be rigoring, at which time blood cultures were drawn and the patient was subsequently sent home. at home, the patient experienced generalized weakness and so presented to the emergency department. in the emergency department, initial vital signs were a temperature of 103.0 f.; heart rate 88; blood pressure 94/68; respiratory rate 20; pulse oximetry 96% on room air. emergency department work-up revealed a slight left shift without elevated white blood cell count and a left lower lobe infiltrate on chest x-ray. the patient was treated in the emergency department with vancomycin 1 gram and gentamicin 100 mg given his history of prior methicillin sensitive staphylococcus aureus line sepsis. the patient experienced an episode of hypotension to 64/40 in the emergency department, which was asymptomatic (normal mentation). the patient was bolused one liter of normal saline and systolic blood pressure increased appropriately to 107. per the patient, his baseline blood pressure is 90 to 100 systolic, and generally 85 systolic following hemodialysis. the patient was admitted to the medical intensive care unit from the emergency department for relative hypotension and concern for sepsis. on arrival to the medical intensive care unit, temperature was 99.2 f.; heart rate 66; blood pressure 94/36; respirations 15; pulse oximetry 95% on room air and the patient was asymptomatic. the medical intensive care unit course was notable for the addition of levofloxacin to the patient's antibiotic regimen for atypical organism coverage in the setting of community acquired pneumonia. the patient did not receive any further doses of vancomycin or gentamicin following the emergency department visit. levofloxacin was dosed q.o.d. given the patient's renal failure and at the time of discharge, the patient had received a total of 3 doses. by report, culture data from hemodialysis on showed no growth from blood cultures. admission blood cultures at have shown no growth to date. the patient remained hemodynamically stable in the medical intensive care unit without further hypotensive episodes. he was continued on amiodarone for his atrial fibrillation and coumadin for anti-coagulation in the setting of atrial fibrillation. his inr was noted to be subtherapeutic at 1.5 on admission. a renal consultation was obtained and the patient was dialyzed on hospital day number three. also on hospital day number three, the patient was transferred to the acove service for continued care. review of systems: on review of systems, the patient noted a minimally productive cough. the patient had a good appetite. no shortness of breath, chest pain, back pain, fevers, chills, nausea, vomiting diarrhea, black or bloody stools, dysuria, headache. the patient was feeling his baseline on transfer to the acove service. past medical history: 1. end-stage renal disease on hemodialysis. 2. atrial fibrillation. 3. peptic ulcer disease. 4. hypertension. 5. back pain. 6. supraventricular tachycardia. 7. abdominal aortic aneurysm (4.3 centimeters in ). 8. benign prostatic hypertrophy. 9. history of cerebrovascular accident. 10. peripheral vascular disease with left leg claudication. 11. left transmetatarsal amputation. 12. gastritis and esophagitis. 13. right inguinal hernia. 14. history of gastrointestinal bleed in . 15. history of methicillin sensitive staphylococcus aureus arterial line sepsis. 16. pneumonia. allergies: no known drug allergies. medications on admission: 1. coumadin 1 mg p.o. q. day. 2. nephrocaps one p.o. q. day. 3. amiodarone 200 mg p.o. q. day. 4. remegel 800 mg p.o. three times a day. 5. protonix 40 mg p.o. q. day. 6. tylenol 650 mg p.o. p.r.n. physical examination: on admission to micu, temperature 99.2 f.; heart rate 66; blood pressure 94/36; respirations 15; 95% on room air. in general, an alert, pleasant comfortable appearing male in no acute distress. heent: anicteric sclerae. pupils are equal, round and reactive to light. oropharynx clear. mucous membranes were moist. neck: supple, no lymphadenopathy, no elevated jugular venous distention. chest: rhonchi at the left base, otherwise clear to auscultation bilaterally. cardiovascular: distant heart sounds, apparent regular rate and rhythm without murmur. abdomen soft and nondistended, nontender. bowel sounds present. no hepatosplenomegaly. extremities with no cyanosis, clubbing or edema. left foot notable for transmetatarsal amputation. right foot notable for toenail thickening and heavy scale of the distal foot. admission laboratory data: white blood cell count 7.2, hematocrit 41.3, platelets 167, 83% neutrophils, 10% lymphocytes, 5% monocytes. pt 14.6, inr 1.5, ptt 42.2. sodium 146, potassium 4.6, chloride 98, bicarbonate 33, creatinine 6.0, bun 24, glucose 98. ekg normal sinus rhythm at 83. left axis deviation (old). q waves in iii and f (old). no st or t wave changes. chest x-ray: left lower lobe pneumonia. hospital course: the initial hospital course is as outlined in the history of present illness. the patient was transferred to the acove service on . the patient had a temperature spike on to 101.5 f., at which time blood cultures were drawn; to date blood cultures have shown no growth. levofloxacin was continued for community acquired pneumonia. the patient was feeling his normal self and was afebrile on the day of discharge. he received in-house dialysis prior to discharge. condition on discharge: stable. discharge status: to home. discharge instructions: 1. diet renal and cardiac. 2. activity as tolerated. 3. the patient is to continue levofloxacin 250 mg p.o. q.o.d. to end , for community acquired pneumonia. 4. the patient to continue outpatient hemodialysis as directed. 5. the patient to continue coumadin 1 mg p.o. q. day until hemodialysis on , at which time a repeat inr will be checked. the patient refused a blood draw prior to discharge to assess inr. given that he is on levofloxacin he has been advised at discharge to continue his current coumadin dose until the inr recheck. discharge diagnoses: 1. end-stage renal disease on hemodialysis. 2. atrial fibrillation. 3. peptic ulcer disease. 4. hypertension. 5. back pain. 6. supraventricular tachycardia. 7. abdominal aortic aneurysm (4.3 centimeters in ). 8. benign prostatic hypertrophy. 9. history of cerebrovascular accident. 10. peripheral vascular disease with left leg claudication. 11. left transmetatarsal amputation. 12. gastritis and esophagitis. 13. right inguinal hernia. 14. history of gastrointestinal bleed in . 15. history of methicillin sensitive staphylococcus aureus arterial line sepsis. 16. left lower lobe pneumonia. discharge medications: 1. amiodarone 200 mg p.o. q. day. 2. nephrocaps one p.o. q. day. 3. protonix 40 mg p.o. q. day. 4. remegel 800 mg p.o. three times a day. 5. coumadin 1 mg p.o. q. day or as directed. 6. levofloxacin 250 mg p.o. q.o.d. to end . 7. tylenol as needed. follow-up instructions: 1. the patient to follow-up with dr. , phone number . , m.d. dictated by: medquist36 procedure: hemodialysis diagnoses: pneumonia, organism unspecified atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hypotension, unspecified infection and inflammatory reaction due to other vascular device, implant, and graft 

Answer: The patient is high likely exposed to