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: patient recorded as having no known allergies to drugs attending: chief complaint: complicated incisional ventral hernia major surgical or invasive procedure: exploratory laparotomy, lysis of adhesions, small bowel resection, ileal transverse colectomy, jejunojejunostomy, ileal colostomy, component separation, ventral hernia repair with biologic material and polypropylene mesh. history of present illness: mr. is a 48-year-old gentleman with a history of a strangulated hernia repair complicated by an open wound. which required skin grafting by plastic surgery. he is almost completely healed his skin graft site. he reports that there has been some increased bulging at the incision, and developed a large ventral hernia after surgery. he was offered repair and was admitted for surgery. past medical history: pmhx: pneumonia, sepsis s/p ileocecetomy and incarcerated hernia repair . pshx: orif l wrist and l knee after mvc at age 15. exploratory laparotomy, incarcerated ventral hernia reduction, hernia sac removal and hernia repair with mesh. ex lap washout, ileocolectomy, ileocolostomy drain placement and primary fascial closure with back drain placement social history: works in construction, 15-20 pack years tobacco, former alcoholic, no drugs family history: parents - alive and healthy siblings - first alive and well, second passed via complications of drug abuse children - one healthy son physical exam: at discharge: avss/afebrile gen: obese male in nad. heent: sclerae anicteric. o-p clear. neck: supple. lungs: cta(b) cor: rrr; no m/c/r abd: protuberant with large midline incision with staples extending from epigastric area to supra-pubic area. (r)lq jp drain intact/patent with serisanginous output. bsx4. appropriately tender to palpation along incision, otherwise soft/nt/nd. extrem: wwp; no c/c/e neuro: a+ox3. non-focal/grossly intact. pertinent results: on admission: 10:39pm lactate-2.1* 07:13pm lactate-2.0 06:31pm potassium-5.8* 05:07pm type-art po2-453* pco2-50* ph-7.28* total co2-24 base xs--3 04:57pm glucose-121* urea n-13 creat-1.2 sodium-139 potassium-6.1* chloride-109* total co2-21* anion gap-15 04:57pm albumin-3.4* calcium-8.6 phosphate-4.9*# magnesium-1.3* iron-122 04:57pm ferritin-461* 04:57pm wbc-12.7* rbc-4.84 hgb-13.9* hct-43.0 mcv-89 mch-28.6 mchc-32.2 rdw-13.2 04:57pm plt count-248 02:54pm type-art po2-159* pco2-49* ph-7.27* total co2-23 base xs--4 02:54pm glucose-118* lactate-3.1* na+-138 k+-5.2 cl--109 tco2-22 02:54pm hgb-13.5* calchct-41 02:54pm freeca-1.21 02:05pm hgb-14.3 calchct-43 02:05pm freeca-1.09* . imaging: cxr: low lung volumes are again seen. mild retrocardiac atelectasis at the base. again, there is an area of increased opacification at the right base that could represent merely crowding of pulmonary markings related to relatively low lung volumes. if there is clinical concern for pneumonia, lateral view would be helpful. . microbiology: mrsa screen: negative. . pathology: specimen submitted: small bowel, abdominal wall skin, greater omentum, transverse colon. diagnosis: i. small bowel, segmental resection (a-c): small intestine with fibrous adhesions. ii. abdominal wall skin, excision (d-f): skin with scar and epidermal ulceration. iii. greater omentum, omentectomy (g-h): unremarkable fibroadipose tissue. iv. transverse colon, partial colectomy (i-v): 1. large and small intestines with few inflammatory polyps and focal mucosal ulcerations. 2. changes consistent with previous surgery. 3. one unremarkable lymph node. clinical: ventral hernia. gross: the specimen is received fresh in four parts, all labeled with the patient's name, " " and the medical record number. part 1 is additionally labeled "small bowel." it consists of an unoriented segment of small bowel which measures 13.1 cm in and 3.1 cm in diameter. the portions of mesenteric fat is attached which measures 9.9 x 1.1 x 0.5 cm. there are stapled margins which measure 0.2 cm. on the antimesenteric side, the superficial aspect of the serosa was previously peeled. the specimen is opened along the antimesenteric side to reveal small mucosal with normal folds. the bowel wall is unremarkable and measures up to 0.7 cm in thickness. representative sections are submitted as follows: a = margins, b = representative sections of mucosa, c = representative sections of mesenteric fat. part 2 is additionally labeled "abdominal wall skin." it consists of multiple fragments of skin which measure 23 x 10.1 x 3.9 cm in aggregate. the epidermis is focally firm and with an area of possible ulcer. the ulcerated measures approximately 2.8 cm x 1.2 cm and 2.5 x 1.5 cm. two ulcerated areas are separated by 1.5 cm of normal appearing skin. there are multiple areas of scar and thickened skin. the thickest skin measures 1.5 cm in thickness and appears to be composed of scar tissue. representative sections are submitted as follows: d = ulcerated appearing areas, e = representative sections of thickened scar area, f = normal appearing skin. part 3 is additionally labeled "greater omentum." it consists of a red/yellow fibroadipose which measures 14 x 12 x 9.5 cm. sectioning reveals unremarkable fibrofatty tissue. representative sections are submitted in cassettes g-h. part 4 is additionally labeled "transverse colon." it consists of an unoriented segment of large bowel which measures 52 cm long and 5.1 cm in diameter. there are two stapled margins which measure each 12.3 cm. the specimen is opened to reveal multiple black/yellow polyps at one end which measure 2.5 x 0.4 x 0.4 cm and comes to within 0.5 cm of one end. the serosa adjacent to the polyp is inked in blue. representative sections are submitted as follows; i = staple line margin closest to polyp, j = other staple line margin, k-n = polyps, o-p = representative sections of normal mucosa. q = one possible lymph node, r-z = fat for lymph nodes. the bowel wall measures up to 0.5 cm in thickness. brief hospital course: the patient was admitted to the general surgical service for surgical management of a large, complicated ventral incisional hernia. on , the patient underwent exploratory laparotomy, lysis of adhesions, small bowel resection, ileal transverse colectomy, jejunojejunostomy, ileal colostomy, component separation, ventral hernia repair with biologic material and polypropylene mesh, which went well without complication (reader referred to the operative note for details). post-operatively, the patient was admitted to the ticu as anesthesia was unable to extubate him in the pacu due to respiratory failure secondary to respiratory acidosis. the patient arrived npo with an ng tube, on iv fluids, with an abdominal binder, foley catheter and two jp drains in place, and initially propofol drip and dilaudid iv prn for pain control. he was started on empiric iv vancomycin, ciprofloaxin, and flagyl. he was also placed on an ativan ciwa scale given his history of alcohol use. the patient was hemodynamically stable. . post-operative pain was initially not well controlled. after multiple adjustments, the patient experienced significantly improved pain control on a clonidine patch, ultram, round-the-clock acetaminophen, methadone 20mg iv q12hours, and a dilaudid pca. he was transferred to the floor on this regimen. when tolerating clear liquids, he was transitioned to methadone 20mg po bid plus dilaudid po prn with continued good effect. he was successfully extubated on pod#2, and placed on supplemental oxygen by nasal cannula, from which he was ultimately weaned. he expereinced confusion overnight into pod#6, which was attributed to the ativan ciwa scale, which was discontinued. he received two doses of haldol iv with symptomatic resolution, and clearing of his mental status later that day. he remained neurologically intact thereafter. . the patient first cut, the self-discontinued his ng tube overnight on pod#6 when he experienced the confusion. the ng tube was not replaced. he was started on sips of clears advanced to clears on pod#7 with good tolerability. diet was progressively advanced as tolerated to a regular diet by pod#8. iv antibiotics were discontinued on pod#5. he was given a dose of flomax, then the foley catheter was discontinued at midnight of pod#8. the patient subsequently voided without problem. the patient self-discontinued the left jp drain by accident overnight on pod#9. the patient was discharged home with the right jp drain; he received care instructions. the large midline incision remained clean and intact. he wore the abdominal binder at all times, and was advised to do so until he follow-up with dr. as an outpatient. . during this hospitalization, the patient ambulated early and frequently, was adherent with respiratory toilet and incentive spirrometry, and actively participated in the plan of care. the patient received subcutaneous heparin and venodyne boots were used during this stay. the patient's blood sugar was monitored regularly throughout the stay; sliding scale insulin was administered when indicated. he did not require exogenous insulin at discharge. labwork was routinely followed; electrolytes were repleted when indicated. . at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. he was discharged home with services. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: 1. dilaudid 2mg 1 tab po q3-4hours prn pain 2. loratidine 10mg 1 tab po daily prn 3. colace 100mg 1 cap po bid prn discharge medications: 1. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). disp:*14 patch 24 hr(s)* refills:*1* 2. nicotine 7 mg/24 hr patch 24 hr sig: one (1) patch transdermal every twenty-four(24) hours: start once you complete the nicotine 14mg/24hr patches. . disp:*14 patches* refills:*1* 3. tramadol 50 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*0* 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever or pain. 5. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*60 capsule(s)* refills:*0* 6. senna 8.6 mg tablet sig: one (1) tablet po twice a day as needed for constipation: over-the-counter. 7. loratadine 10 mg tablet sig: one (1) tablet po once a day as needed for allergy symptoms. 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. clonidine 0.1 mg tablet sig: one (1) tablet po bid x 1 week, then 1 tab po qhs x1 week, then discontinue.: start this prescription on saturday, . current clonidine patch should be removed before starting rx. disp:*21 tablet(s)* refills:*0* 10. methadone 10 mg tablet sig: one (1) tablet po bid x 1week, then 1 tab po daily x 1week, then discontinue. as needed for pain: dx: post-operative pain. disp:*21 tablet(s)* refills:*0* 11. dilaudid 4 mg tablet sig: 1-2 tablets po q3-4hours: prn. disp:*70 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: 1. complicated ventral incisional hernia with intraabdominal loss of domain secondary large defect. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than 5 lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. *wear your binder at all times except when bathing. . jp drain care: *please look at the site every day for signs of infection (increased redness or pain, swelling, odor, yellow or bloody discharge, warm to touch, fever). *maintain suction of the bulb. *note color, consistency, and amount of fluid in the drain. call the doctor, nurse practitioner, or nurse if the amount increases significantly or changes in character. *be sure to empty the drain frequently. record the output, if instructed to do so. *you may shower; wash the area gently with warm, soapy water. *keep the insertion site clean and dry otherwise. *avoid swimming, baths, hot tubs; do not submerge yourself in water. *make sure to keep the drain attached securely to your body to prevent pulling or dislocation. followup instructions: please call ( to arrange a follow-up appointment with dr. (pcp) in weeks. . please call ( to schedule a follow-up appointment with , md (surgery) in 2 weeks. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other partial resection of small intestine temporary ileostomy excision or destruction of peritoneal tissue other lysis of peritoneal adhesions other lysis of peritoneal adhesions other small-to-large intestinal anastomosis other open incisional hernia repair with graft or prosthesis small-to-small intestinal anastomosis open and other resection of transverse colon diagnoses: tobacco use disorder acute kidney failure, unspecified peritoneal adhesions (postoperative) (postinfection) incisional hernia without mention of obstruction or gangrene other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other constipation obesity, unspecified urinary complications, not elsewhere classified drug-induced delirium benign neoplasm of colon personal history of alcoholism volume depletion, unspecified mixed acid-base balance disorder benzodiazepine-based tranquilizers causing adverse effects in therapeutic use other acute postoperative pain 

Answer: The patient is high likely exposed to