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: vicodin attending: chief complaint: revision of r charcot joint major surgical or invasive procedure: right charcot joint reconstruction history of present illness: this is a 59 yo male with a complicated pmh who was previously admitted to the hospitalist service for r le cellulitis and charcot joint revision. he tolerated the surgery well and was dicharged on . since then, he has been feeling well, no complaints of chest pain, sob, abdominal pain, f/c/ns/weight loss, headache, cough, increasing le edema, pnd, orthopnea. he has come in today for heparin bridge prior to his surgery scheduled for afternoon of . he reports that he has not had any significant complaints from his rle, but 2 days ago slipped and his 2nd toenail was removed. of note, he has not had any woound care of the external casing or pin care since the last discharge. no increasing le erythema or pain. past medical history: 1)type 2 diabetes with complications including neuropathy 2)charcot deformity of rle s/p reconstruction and multiple revisions 3)hypertension 4)a fib on coumadin 5)systolic chf ef 25% 6)s/p icd placement in at 7)h/o vt 8)gerd 9)barrett's esophagus 10)osteoarthritis 11)osa- uses cpap 12)obesity 13)umbillical hernia 14)s/p gastric bypass 15)s/p ccy 16)s/p left rotator cuff tear and repair social history: the patient is married. he has a 40 pack year smoking history but quit. he has occasional alcohol use, but denies illicit drug use. family history: father with cad, brother with dm physical exam: 98.5, 116/80, 93, 15, 96% ra gen: obese, well appearing, nad heent: perrla, eomi, throat clear cv: +s1s2, irreg irreg, no mrg appreciated (heart sounds were difficult to auscultate), jvp flat lungs: ctab abd: obese, reducible umbilical hernia ext: rle with external casing by podiatry, pins in place, 2nd toenail is removed with erythema, decreased sensation over lle, trace le edema, chronic venous stasis changes noted on lle. neuro: nonfocal, cn 2-12 intact, able to move all 4 extremities pertinent results: na 139 / k 4.4 / cl 99 / co2 29 / bun 27 / cr 1.3 / bg 100 ca 9.3/ mg 2.1 / phos 3.6 wbc 11.1 / hct 40 / plt 253 inr 2.5 / ptt 29.8 - 7:23am na 134 / k 5.3 / cl 97 / co2 24 / bun 24 / cr 1.4 / bg 184 ca / mg 2.3 / phos 4.7 wbc 8.3 / hct 44.3 / plt 237 vanco trough 13.6 inr 1.1 ptt 87.2 on heparin drip at 3550 units microbiology: right ankle swab - gram stain with no pmns or organisms seen right ankle swab culture - final - no growth blood culture - preliminary - no growth to date as of urine culture - final - no growth radiology: portable cxr - lordotic positioning. a pacemaker is in place with lead tips over right atrium and right ventricle. there is moderate cardiomegaly and minimal unfolding of the aorta. there is upper zone redistribution, but no overt chf. no focal infiltrate or effusion is identified. probable left base atelectasis. extreme left costophrenic angle excluded from the film. ? subcutaneous emphysema adjacent to right clavicle versus film artifact. brief hospital course: 59yo male with multiple medical problems was admitted to for heparin bridge before and after r foot charcot joint revision. . 1. rle charcot joint patient had successful charcot joint reconstruction on . his post-operative course was complicated by transient hypotension and was monitored in the icu overnight after his procedure. this was thought likely related to prolonged sedation. blood cultures were sent and are negative. wound cultures were also sent and are preliminarily no growth to date. he was treated with iv vancomycin while hospitalized and can be transitioned to po linezolid for two weeks upon discharge. his vancomycin dose was titrated to 1250mg iv bid, and his most recent trough on that dosage was 13.6. he should follow-up with podiatry as an outpatient on (appointment already scheduled). . 2. chronic systolic heart failure ef 25% he remained asymptomatic throughout his hospital course. his antihypertensive and diuretic medications were briefly held with his brief post-operative hypotension but most were restarted. his creatinine increased slightly from 1.3 to 1.5. due to this slight creatinine bump, his lisinopril and spironolactone have been held and his torsemide dose was decreased to 20mg from 40mg . his lisinopril and spironolactone should be restarted and his torsemide should be increased back to his home dose when appropriate. . 3. chronic atrial fibrillation due to his high risk of blood clots with chads-2 score of 3, he was kept on heparin bridge prior and post-podiatry procedure. his coumadin was restarted on the evening of his surgery, and his dose was increased from 12.5mg daily to 15mg daily due to difficulty achieving therapeutic levels. please continue the heparin bridge until his inr is therapeutic. he is not an ideal candidate for lovenox due to his renal insufficiency and his obesity. his heparin drip was at 3550 units upon discharge from and his most recent ptt at 7am on was 87.2. . 4. diabetes mellitus he was discharged on his last hospitalization with lantus 75 u , but now has increased to 85 units with home dose sliding scale. hba1c was checked to be 6.9. sugars were adequately controlled during the hospitalization. . 5. osa - patient on home cpap machine. . 6. hyperkalemia patient's potassium was slightly elevated on the morning of transfer at 5.3. we would recommend rechecking potassium on the evening of transfer. spironolactone can be restarted once potassium levels are stable. medications on admission: per patient's wife asa 325 bupropion 150 tid coreg 6.25 digoxin 250 mcg qdaily gabapentin am/pm/hs lisinopril 5 qdaily lorazepam 1 prn(rarely takes) colace 100 simvastatin 20 hs spironolactone 25 qdaily torsemide 40 coumadin 12.5 qdialy oxycodone 5 prn lantus 85 humalog ss omeprazole 40 qdaily fioricet prn discharge medications: 1. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day). 2. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 3. simvastatin 10 mg tablet sig: two (2) tablet po qpm (once a day (in the evening)). 4. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 7. bupropion hcl 75 mg tablet sig: two (2) tablet po tid (3 times a day). 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 9. insulin glargine 100 unit/ml cartridge sig: 85 units subcutaneous twice a day: . 10. humalog insulin sig: according to sliding scale four times a day: please administer according to attached sliding scale. . 11. docusate sodium 100 mg capsule sig: two (2) capsule po bid (2 times a day). 12. warfarin 5 mg tablet sig: three (3) tablet po days (,mo,tu,we,th,fr,sa). 13. vancomycin 500 mg recon soln sig: 1250 mg recon solns intravenous q 12h (every 12 hours) as needed for pin site infection for 2 weeks. 14. torsemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). 15. heparin (porcine) in ns 10 unit/ml kit sig: as directed per sliding scale. intravenous continuous: please administer per sliding scale. please continue at 3550 units. . 16. lorazepam 1 mg tablet sig: one (1) tablet po once a day as needed for anxiety. discharge disposition: extended care discharge diagnosis: primary: charcot joint secondary: atrial fibrillation hypertension congestive heart failure type ii diabetes mellitus discharge condition: stable. discharge instructions: you were hospitalized for heparin bridge for the days surrounding your right charcot joint reconstruction. your inr is taking somewhat longer than expected to return to a therapeutic level, and you are on a heparin bridge while awaiting a therapeutic inr. per your request, we are transferring you to to be closer to your family while you are on a heparin bridge. we made the following changes while you were hospitalized: - heparin - this is an anticoagulant that we started to keep you anticoagulated until your coumadin levels are therapeutic. - vancomycin - this is an antibiotics to treat your foot infection. - lisinopril - we have held this medication while your kidney function is slightly abnormal. your doctors restart this medication at . - torsemide - we decreased your dose from 40mg twice daily to 20mg twice daily due to your slightly abnormal kidney function. - spironolactone - we held this medication due to your slightly abnormal kidney function and slightly elevated potassium. this medication can be restarted while at . please seek immediate medical attention if you develop fevers, shaking chills, night sweats, worsened pain in your right foot, abdominal pain, nausea, or vomiting. followup instructions: provider: , dpm phone: date/time: 10:50 please follow up with your endocrinologist and cardiologist after discharge. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours local excision of lesion or tissue of bone, tibia and fibula application of external fixator device, tibia and fibula bone graft, tibia and fibula diagnoses: acidosis hyperpotassemia other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) abnormal coagulation profile other postoperative infection congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation polyneuropathy in diabetes personal history of tobacco use long-term (current) use of insulin other acquired absence of organ chronic systolic heart failure long-term (current) use of anticoagulants osteoarthrosis, unspecified whether generalized or localized, site unspecified automatic implantable cardiac defibrillator in situ surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation obesity, unspecified urinary complications, not elsewhere classified barrett's esophagus venous (peripheral) insufficiency, unspecified diabetes with neurological manifestations, type ii or unspecified type, uncontrolled bariatric surgery status infection and inflammatory reaction due to other internal orthopedic device, implant, and graft other dependence on machines, supplemental oxygen other sedatives and hypnotics causing adverse effects in therapeutic use arthropathy associated with neurological disorders personal history of methicillin resistant staphylococcus aureus 

Answer: The patient is high likely exposed to