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: benadryl / morphine attending: chief complaint: infected femoral-femoral bypass graft major surgical or invasive procedure: placement of right axillary to right profunda to below-knee popliteal vein graft bypass, excision of left-to-right femoral-femoral polytetrafluoroethylene graft, patch angioplasty of right common femoral artery using bovine patch, placement of vacuum-assisted closure dressing in right groin wound. history of present illness: 64 yo male w/ significant history of pvd, s/p axillary bifemoral bypass, r pfa to bk popliteal bypass, and l sfa to ak bypass, who presented to on with fever and non-healing right groin wound, with exposed fem-fem ptfe graft. past medical history: 1. coronary artery disease: myocardial infarction in , mqwmi in . most recent cath, : lcx stenting; previous rca stent patent at that time. 2. nonischemic dilated cardiomyopathy; ef 33%. ef to 25% 3. diabetes greater than 20 years; with triopathy. 4. hypertension. 5. end stage renal disease on hemodialysis, q. monday, wednesday and friday via right arteriovenous fistula. 6. hypothyroidism. 7. chronic obstructive pulmonary disease. 8. hepatitis c. 9. chronic pancreatitis. 10. peptic ulcer disease. 11. right perinephric hematoma; status post embolization. 12. obstructive sleep apnea on cpap. 13. ruptured right groin abscess; recurrent right groin abscess in . 14. peripheral vascular disease. 15. status post r pfa to bk bypasss graft with vein 16. status post 2nd and 3rd toe amps 17. status post left cfa to ak with ptfe 18. status post l inguinal hernia repair 19. status post umbilical hernia repair 20. ischemic left foot 21. a - fib social history: social: , lives with wife, has older children, tob: 1 ppd x 60 yrs. quit 3 months ago, no etoh family history: non contributary physical exam: alert, oriented, comfortable, well-nourished appearing chest clear bilaterally rrr abdomen soft, nontender r groin w/ open wound, exposed graft, no purulence or discharge brief hospital course: as above, mr. presented to on with exposed ptfe graft from his femoral-femoral bypass on in stable condition. he began to spike high fevers. cultures were obtained which grew out pseudomonas sensitive only to tobramycin and klebsiella sensitive to meropenem from his right groin wound. he was also found to have klebsiella and pseudomonas in his blood. the infectious disease team was consulted and he was started on tobramycin, meropenem, and vancomycin. he would remain on this antibiotic regimen for most of his hospital stay, and he would remain in stable condition. he continued with dialysis three times weekly. on , mr. a placement of right axillary to right profunda to below-knee popliteal vein graft bypass, excision of left-to-right femoral-femoral polytetrafluoroethylene graft, patch angioplasty of right common femoral artery using bovine patch, placement of vacuum-assisted closure dressing in right groin wound. he tolerated the procedure well. post-operatively he would remain in stable condition on the same antibiotic regimen. his wound vac was changed every three days and his surgical wound sites were changed daily. culture of his graft from the operating room grew out three different kinds of pseudomonas- two of which were susceptible to tobramycin, and one of which sensitive to zosyn, but resistant to tobramycin. his antibiotic regimen was then adjusted to tobramycin, zosyn, and vancomycin. he will continue that antibiotic regimen for six weeks from . he was discharged to rehab on in stable condition. discharge medications: 1. zosyn 2.25 g recon soln sig: one (1) intravenous twice a day for 6 weeks: please continue six weeks from . 2. sevelamer 800 mg tablet sig: two (2) tablet po bid (2 times a day). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily): hold for sbp < 100. 5. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 7. lactulose 10 g/15 ml syrup sig: thirty (30) ml po daily (daily). 8. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 9. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 10. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation q4-6h (every 4 to 6 hours) as needed for sob. 11. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 12. metoclopramide 10 mg tablet sig: 0.5 tablet po qidachs (4 times a day (before meals and at bedtime)). 13. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 14. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 15. cinacalcet 30 mg tablet sig: one (1) tablet po bid (2 times a day). 16. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 17. gabapentin 100 mg capsule sig: two (2) capsule po bid (2 times a day). 18. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 19. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qmon (every monday): hold for sbp < 100. 20. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day): hold for sbp < 100 or hr < 60. tablet(s) 21. tobramycin 180 mg iv qhd please draw peak level 1 hr after next dosing 22. heparin lock flush (porcine) 10 unit/ml solution sig: one (1) ml intravenous daily (daily) as needed. 23. dilaudid 1 mg/ml solution sig: 0.5-1 injection q 2-4 hrs prn as needed for pain: hold for sedation or rr < 10. 24. heparin flush picc (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. discharge disposition: extended care facility: - discharge diagnosis: infected femoral-femoral polytetrafluoroethylene graft. discharge condition: good discharge instructions: please take all medications as prescribed please take all medications as prescribed. seek medical attention if you experience fever, chills, nausea, vomiting, increased pain, significant bleeding, or shortness of breath. please take all medications as prescribed. seek medical attention if you experience fever, chills, nausea, vomiting, increased pain, swelling, or bleeding. please seek medical attention if you experience hearing loss or disturbances, as the tobramycin you are taking could lead to this problem. please take all medications as prescribed. seek medical attention if you experience fever, chills, nausea, vomiting, increased pain, significant bleeding, or shortness of breath. followup instructions: provider: . phone: date/time: 10:30 please call dr. office at within the first few days following discharge to schedule a follow-up appointment please contact medical attention if you experience hearing loss (tobramycin may lead to hearing disturbance), fever, chills, nausea, vomiting, increased pain, or significant bleeding procedure: venous catheterization, not elsewhere classified other revision of vascular procedure hemodialysis other (peripheral) vascular shunt or bypass other immobilization, pressure, and attention to wound diagnoses: other primary cardiomyopathies end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery congestive heart failure, unspecified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site chronic airway obstruction, not elsewhere classified unspecified viral hepatitis c without hepatic coma atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease bacteremia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in other specified places infection and inflammatory reaction due to other vascular device, implant, and graft staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus accidents occurring in residential institution atherosclerosis of native arteries of the extremities, unspecified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms non-healing surgical wound adjustment disorder with depressed mood 

Answer: The patient is high likely exposed to