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: aspirin attending: chief complaint: bilateral foot pain with weight bearing and bloody drainage rt. toe #2 major surgical or invasive procedure: angiogram diagnostic right fem-peroneal bypass right 2nd toe amputation history of present illness: bilateral foot pain with weight bearing and bloody drainage rt. toe #2 hpi: y/o male with multiple medical problems to his gerntologist with c/o right foot pain. foot exam demonstrated calicies and smal ulceration of right plantar heel. recommendation at that time was to followup with his podiatrist for shoe fitting and possible new shoes prior to leaving to for vacation. did well in but upon return to noted increasing foot pain bilaterally. wife noted yesterday when changing his socks bleeding on the sock. saw his podiatrist today who did a foot film per wife which showed osteo. patient refered to dr. . seen in office and now admitted for antibiotics and vascular evaluation. of note patient previously underwent left sfa-peroneal bpg with right arm vein by dr. . patient has also had right cea staged with his cabg's. ultrasound at the time of cea showed bilateral carotid stenosis right > left. past medical history: 1. dm2 -latest a1c 6.1% 2. cad s/p cabg x4 in , svg to post and lat circ, svg to om, lima to lad 3. s/p mi (15 years ago) 4. chronic systolic chf, ef 20% 9/08 5. h/o afib -per chart. patient denies this. 6. ckd -baseline cr 2.3 7. peripheral neuropathy 8. hypertension 9. pvd s/p fem- bypass in 10. hypercholesterolemia 11. depression 12. memory loss 13. cva 14. left intertrochanteric fracture s/p orif 15. recent pe in early , on coumadin 16. history of r cea social history: lives at home with wife of 60 years. just d/c'ed from . ambulates with cane. denies tobacco, illicit drugs. occasional etoh use. import social history family history: non-contributory physical exam: vs: 98.8 98.2 67 183/80 18 99%ra gen : oriented x 3, no acute distress heent: no jvd, carotid 1+palp bilat. no bruits lungs: cta heart: rrr, no mumur,gallop or rub abd. soft nontender, bs active no bruits or masses ext: left foot cool rubrous , no ulcers rt. foot cool, #2 tore with abraded tip to bone and cynotic toe pulses: right: fem//dp/pt: palp/palp/dopp-mono,/dopp-mono left: fem//dp/pt :palp/0/dopp-mono/palp neuro:aaox3, nonfocal pertinent results: 09:14pm urine color-straw appear-clear sp -1.011 09:14pm urine blood-tr nitrite-neg protein-30 glucose-tr ketone-neg bilirubin-neg urobilngn-neg ph-5.5 leuk-neg 09:14pm urine rbc-2 wbc-<1 bacteria-none yeast-none epi-0 08:00pm glucose-182* urea n-69* creat-3.3* sodium-135 potassium-4.9 chloride-100 total co2-22 anion gap-18 08:00pm estgfr-using this 08:00pm calcium-8.5 phosphate-3.4 magnesium-1.9 08:00pm tsh-76* 08:00pm t4-2.2* free t4-0.35* 08:00pm wbc-12.4*# rbc-3.76* hgb-11.4* hct-32.5* mcv-86 mch-30.3 mchc-35.1* rdw-14.3 08:00pm plt count-339 cxr:moderate to severe cardiomegaly unchanged. no pulmonary edema or appreciable pulmonary vascular abnormality, no pleural effusion. the patient has had median sternotomy and coronary bypass grafting. 08:00pm pt-27.2* ptt-35.2* (pt)-2.7* brief hospital course: admitted. c/s sent of rt.#2 toe,renally dose atbx began and vanco levels monetered. vein mapping and arterial studies completed. will need and angio. scheduled for monday thydroid function studies demonstrate thypothyroidism.discussed with patient geritrician, will began low dose of syntyhroid 25mcg daily. 1/24-25/09 no acute events, scheduled for lower extremity angiogram . underwent ultrasound-guided puncture of left common femoral artery. 2. contralateral third-order catheterization of right superficial femoral artery. 3. abdominal aortogram with pelvic angiogram. 4. right lower extremity angiogram. unable to revascularize, scheduled for right fem-peroneal bypass on . continues on heparin drip. no acute events, angio access benign. pre-op and consented for lower extremity bypass in am. continues on heparin drip. taken to or and underwent right fem-peroneal bypass and transfered to pacu intubated secondary to intraoperative hypotension, patient was not extubated and transfered to cticu for vent support. serial troponins were done inital 0.56 peaked 0.66. cardiology was consulted postoperatively. pod#1 cticu d2 remains intubated on vent. pa-line, art line remain. pod #2 cticu d3 possible vent wean and extubate today if abg's satifactory and mental status continues to improve. a-line and pa-line remain. creatinine rising, admission 3.3-> 3.8 today, ruled in for nstemi. continue to cycle cardiac enzymes. cardiology following- recs bp control-on nitro gtt and hydralazine iv prn, beta blocker. pa line d/c'd. pod#3 cticu d4 extubated. remains on nitro drip and hydralazine prn for bp control. trop today .75 from <-.66<-.56. pod#4 transferred to 5/vicu, oral meds resumed. weaned off nitro drip. pod#5 no acute events. vanco trough elevated 24.2, vanco d/c'd. remains on cipro and flagyl. checking daily vanco random levels. pre-op and consented for right 2nd toe amputation. pod #6 taken to or, underwent right 2nd toe amputation, tolerated procedure well, recovered in pacu, then transferred back to 5. vanco level 18.8. pod# no acute events. physical therapy consult for discharge planning- out of bed w/ 2 person assit. vanco level 17.4, creatinine slowly coming down today 3.5 (admission 3.2). foley catheter d/c'd. pod#8-9/2-3 no acute events. physical therapy following. remains on heparin drip- coumadin bridge, 1.3. pod#10-11/4-5 no acute events. physical therapy strongly recommends short term rehab, patient and family amenable. continued heparin drip, 1.8. pod# patient screened for rehab. heparin drip continued, nearly to at 1.9 ( ). plan to d/c to rehab when bed available and d/c heparin drip at that time. discharged to hospital in stable condition, will fu w/ dr. in 2 weeks. staples will come out at rehab in 1 week. today is 1.9, will continue w/ daily dosing of coumadin till is reached and stable. medications on admission: coreg 3.125 mg aricept 10 mg qd lasix 40 mg qd hydralazine 10 mg imdur 30 mg qd omeprazole 20 mg qd simvastatin 10 mg qd aldactone 12.5 mg flomax 0.4 mg qd effexor xr 75 mg qd coumadin 2 mg qd (held since ) colace 100 mg novolin mvi . discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 2. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 3. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 4. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 5. hydralazine 25 mg tablet sig: one (1) tablet po q8h (every 8 hours). 6. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 8. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 9. spironolactone 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 10. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 11. venlafaxine 75 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 13. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 14. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 15. insulin nph human recomb 100 unit/ml suspension sig: twenty four (24) units subcutaneous qam. 16. insulin nph human recomb 100 unit/ml suspension sig: twelve (12) units subcutaneous at bedtime. 17. insulin regular human 100 unit/ml solution sig: two (2) units injection with meals: regular insulin sliding scale as follows: 121-160 2units 161-200 4units 201-241 6units 241-280 8units >280 notify md. 18. coumadin 2 mg tablet sig: one (1) tablet po once a day: please have checked and adjust coumadin dose as per protocol. . discharge disposition: extended care facility: - discharge diagnosis: rt. # 2 toe ischemic changes, gangrene history of dm2, insuin dependant with neuropathy history of perpheral vascular disease s/p left fem-peroneal bpg history of c6-7 radiculopathy with c4-5 spinal canal stenosis history of cva,s/p rt.cea history of coriinary disease s/p cabg"s x4, mi 96w chf,nstemi gi bleed history of af, anticoagulated history of dvt, recurrent pex2, anticoagulated history of dyslipdemia history of macular degeneration history of dyslipdemia history of gi bleed, transfused history of cardiac arrest svt w aberancy with gi bleed history of ileus narcotics. postoperative nstemi acute on chronic renal failure discharge condition: stable discharge instructions: lower extremity bypass discharge instructions have checked as arranged by your rehab facility, adjust coumadin dose as directed by your doctor. . weigh yourself every morning, md if weight > 3 lbs. adhere to <2 gm sodium diet. - ambulate essential distances untill fu with dr. - ace wrap leg from foot-knee when ambulating - elevate leg when sitting - may shower, no tub baths - keep wound dry and clean, call if noted to have redness, draining, swelling, or if temp is greater than 101.5 - continue all medications as directed - keep all follow-up appointments - you have an appointment with dr. scheduled at 9:30am on wednesday, . please call if you need to reschedule. followup instructions: you have an appointment with dr. scheduled at 9:30am on wednesday, . please call if you need to reschedule. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours arteriography of femoral and other lower extremity arteries amputation of toe other (peripheral) vascular shunt or bypass aortography diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere subendocardial infarction, initial episode of care mitral valve disorders congestive heart failure, unspecified acute kidney failure, unspecified chronic kidney disease, stage iv (severe) cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes ulcer of other part of foot 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 long-term (current) use of insulin macular degeneration (senile), unspecified chronic systolic heart failure atherosclerosis of native arteries of the extremities with gangrene 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 ulcer of heel and midfoot 

Answer: The patient is high likely exposed to