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: 52-year-old male with insulin-dependent diabetes mellitus, coronary artery disease, severe congestive heart failure, end stage renal disease on peritoneal dialysis, who presents on the advice of vna nurse for "gangrene in the toe." the patient is otherwise without complaints, no shortness of breath, no chest pain, no pre-syncope, no fevers or chills, no abdominal pain. positive cough with sputum production, no myalgias, odynophagia or constitutional symptoms. the patient received one liter of normal saline bolus x 2 for sbp in 70s with appropriate increase to 90s. normal peritoneal dialysis on . the patient is well known to the medicine service, with multiple admissions in the past, most recently for sbp for which he was discharged from the hospital one week prior with continued oral fluconazole and was to continue to be followed up by dr. . now the patient comes for evaluation of removal of the peritoneal dialysis catheter. past medical history: 1. insulin-dependent diabetes mellitus 2. end stage renal disease on peritoneal dialysis 3. coronary artery disease status post myocardial infarction in 5/00 4. congestive heart failure 5. hypertension 6. peripheral vascular disease status post right below the knee amputation 7. polysubstance abuse 8. encephalopathy 9. right ocular prosthesis medications: aspirin 81 mg by mouth once daily, nephrocaps one once daily, zestril 30 mg by mouth once daily, atenolol 25 mg by mouth once daily, reglan 10 mg by mouth four times a day, coumadin 2 mg by mouth daily at bedtime, colace 100 mg by mouth twice a day, insulin 70/30 7 units every morning and 3 units every evening, fluconazole 400 mg by mouth once daily. physical examination: vital signs: pulse 68, blood pressure 95/60, respiratory rate 16, 96% on 2 liters nasal cannula. general: elderly male, in mild distress. head, eyes, ears, nose and throat: right orbit empty, left eye sclera clear, not injected, no lymph nodes, oropharynx dry, no jugular venous distention. pulmonary: decreased breath sounds bilaterally, left greater than right, no wheezes, rhonchi or rales, question possible dullness to percussion one-third of the way up the left side. cardiovascular: respiratory rate, without any murmurs, gallops or rubs, normal s1 and s2. abdomen: soft, nontender, nondistended, normal active bowel sounds, no rebound or guarding noted. extremities: chronic venous stasis changes noted to the left lower extremity, no open ulcers or lesions, no tenderness. left third toe black, small necrotic-appearing ulcer, no scars or symptoms noted, no inflammation. positive distal pulse by doppler. right below the knee amputation noted. laboratory data: white blood cells 8.2, 72% neutrophils, no bands, 19% lymphocytes. hematocrit 31.0, platelets 389. coagulation: inr 3.5. sodium 134, potassium 3.5, chloride 93, co2 28, bun 37, creatinine 7.2, glucose 325. chest x-ray: atelectasis vs. scarring at the right base, new area of infiltrate with air bronchogram to the left base. electrocardiogram showed normal sinus rhythm at 66, axis was normal. there were no acute st/t wave changes, t waves in v1 and v4 consistent with prior electrocardiogram of . hospital course: mr. was admitted to , firm, for ongoing treatment and workup of fungal peritonitis and left third toe gangrenous ulcer. 1. infectious disease: the patient was felt to have continued fungal peritonitis, as during his previous hospital stay. he was continued on oral fluconazole 400 mg by mouth once daily in the first three hospital days. in discussion with the infectious disease team, it was felt he would benefit from change in the anti-fungal regimen, so he was switched to amphotericin intravenously. after a test dose, he was given amphotericin b 33 mg intravenously once daily with premedication with demerol and hydrocortisone for seven days. this was continued after his peritoneal dialysis catheter was removed. he tolerated the amphotericin b well. he continued afebrile throughout the entire hospital course, however, on hospital day four, he was noted to have an elevated white count without a local source of infection. his white count was followed and dropped over the course of subsequent days to 13.5 at the time of this dictation. 2. access: the patient continued to have an infected peritoneal dialysis catheter at the time of hospital admission. on hospital day three, this peritoneal dialysis catheter was removed without complications. he remained without dialysis access for several days. finally, on hospital day six, the patient had a right femoral tunneled catheter placed after multiple attempts in surgery and interventional radiology to place the tunneled hemodialysis catheter in his subclavian/axillary/internal jugular veins. it was felt that these sites were all very poor access sites, and the only alternative at that time was felt to be a tunneled femoral hemodialysis catheter, although this is not felt to be ideal and is only a temporary bridge until we can replace the peritoneal dialysis catheter. 3. vascular: mr. was evaluated by the vascular team on hospital day two for left second toe gangrenous ulcer. he was noted to have arterial insufficiency of the left leg evidenced by skin changes, nonpalpable pulses, however, his third toe was not felt to be gangrenous and no vascular intervention is indicated at this point. during the rest of his hospital stay, he was without complaint of his left second toe, and no further progression of his mild ulcer. if desired, mr. can follow up with dr. of the vascular team as an outpatient for possible treatment options. 4. psychiatric: mr. was followed by the inpatient psychiatric team for issues of competence and agitation on the hospital floor. numerous times during the hospital course, mr. was seen by the psychiatric team and was felt to be competent, fully aware of his decisions and repercussions. on hospital day eight, during hemodialysis, mr. became acute agitated and was sedated during hemodialysis, which caused the hemodialysis session to be terminated early. he was given ativan with good response, an calmed down appropriately. he will be pre-mediated for future hemodialysis sessions with ativan. 5. hematology: mr. had a baseline hematocrit of approximately 30 on admission. this was consistent with his previous hematocrits, and notable low secondary to his end stage renal disease. he received epogen, however, this was not continued during the first part of this hospitalization. by hospital day six, he was noted to have a hematocrit of approximately 26, and was given epogen after hemodialysis, and he was followed thereafter with appropriate increases in hematocrit. further discharge diagnoses, status and discharge medications will be addended at a later time, at the time of hospital discharge. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube hemodialysis injection or infusion of thrombolytic agent venous catheterization for renal dialysis arterial catheterization removal of peritoneal drainage device incision of peritoneum diagnoses: pneumonia, organism unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease ulcer of other part of foot other shock without mention of trauma mechanical complication of other vascular device, implant, and graft staphylococcal septicemia, unspecified diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled infection and inflammatory reaction due to peritoneal dialysis catheter 

Answer: The patient is high likely exposed to