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: the patient is a 70 year old male with a history significant for end stage renal disease secondary to diabetes mellitus, status post cadaveric renal transplant in , hypertension, status post cerebrovascular accident, status post myocardial infarction and congestive heart failure with an ejection fraction of 15 to 20% and diverticulitis who was admitted to with heart failure, myocardial infarction and renal failure on . the patient was admitted to the medical intensive care unit and was medically managed. physical examination: the patient is an obese older male in moderate respiratory distress on admission. the patient was awake and following commands, neurologically intact. the patient had bilateral crackles on lung examination. cardiac examination was regular rate and rhythm without murmur or gallop. the abdomen was obese with a percutaneous endoscopic gastrostomy tube. lower extremities were cool with palpable distal pulses. laboratory data: chest x-ray was significant for pulmonary edema with pleural effusion. electrocardiogram was significant for sinus rhythm with inferior q waves. hospital course: the patient was medically managed in the intensive care unit with a prolonged course of renal failure and congestive heart failure. the patient then developed worsening of diverticular disease with significant diverticulitis requiring a sigmoid colectomy on . postoperatively the patient was transferred to the transplant surgery service. the patient was intubated in respiratory failure with acute renal failure and required aggressive diuresis with natrecor as well as inotropic support with dobutamine. over the course of the next three weeks, the patient had recovering renal function from acute renal failure and was aggressively diuresed. significant infections included enterobacter central line infection as well as enterobacter pneumonia. the patient was treated with meropenem and will be complete a course of three weeks. the patient was also empirically treated for clostridium difficile colitis with a course of flagyl for ten days. during the postoperative period a tracheostomy was placed and the patient was weaned from the ventilator. the patient continued to improve with an improvement in mental status. the patient was awake and following commands and pulmonary function, to be off the ventilator on a tracheostomy collar. the patient's creatinine normalized to a level of 0.9. the patient's gastrointestinal tract recovered and the patient was tolerating tube feeds at goal. the patient was afebrile with a normal white count by the end of the hospital stay. condition on discharge: good. discharge status: stable. discharge diagnosis: 1. congestive heart failure 2. status post myocardial infarction 3. acute renal failure 4. history of end stage renal disease secondary to diabetes mellitus status post cadaveric renal transplant in 5. diabetes mellitus 6. hypertension 7. status post cerebrovascular accident 8. diverticulitis status post sigmoid colectomy and procedure with colostomy on . 10. status post tracheostomy on the date of . 11. sacral decubitus ulcer. 12. enterobacter pneumonia and central line infection. discharge medications: 1. bactrim single strength one tablet p.o. q. tuesday and thursday 2. bacitracin ointment apply to bilateral heel ulcers b.i.d. 3. miconazole powder, 2% apply to bilateral groins t.i.d. 4. zoloft 100 mg p.o. q.d. 5. heparin 5000 units subcutaneously q. 8 6. aspirin 800 mg p.o. q.d. 7. epogen 4000 units subcutaneously q. monday 8. prednisone 10 mg p.o. q.d. 9. cellcept 1 gm p.o. b.i.d 10. meropenem 1 gm intravenously q. 12 11. amiodarone 400 mg per percutaneous endoscopic gastrostomy tube q.d. 12. pepcid 20 mg per percutaneous endoscopic gastrostomy tube b.i.d. 13. hydralazine 10 mg per percutaneous endoscopic gastrostomy tube q.i.d. 14. lopressor 25 mg per percutaneous endoscopic gastrostomy tube b.i.d. 15. insulin sliding scale 16. insulin nph 20 units in the morning and 20 units at night 17. lasix 20 mg per percutaneous endoscopic gastrostomy tube b.i.d. 18. prograf 2 mg p.o. b.i.d. follow up plans: the patient is follow up with dr. of transplant surgery. the patient is also to follow up with nephrology at the . the patient is to follow up with his primary care physician. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy open and other sigmoidectomy permanent colostomy other myectomy other immobilization, pressure, and attention to wound injection or infusion of nesiritide diagnoses: acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified septicemia perforation of intestine systolic heart failure, unspecified hypotension, unspecified complications of transplanted kidney diverticulitis of colon (without mention of hemorrhage) 

Answer: The patient is high likely exposed to