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: penicillins attending: chief complaint: recurrent right retroperitoneal sarcoma/sda major surgical or invasive procedure: s/p ex-lap, loa extensive, r. rp exploration, partial sarcoma resection history of present illness: the patient is a 66-year-old male with a multiply recurrent low grade leiomyosarcoma of the right retroperitoneum. he has undergone preoperative radiation. the sarcoma involves a large mass in the mesentery and two additional masses in the distal and posterior portions of the inferior vena cava and anterior to the left renal vein and vena cava. he presents at this time for abdominal exploration and possible resection of this tumor per general surgery and vascular surgery. past medical history: recurrent liposarcoma, osa, htn, hld, dm, bph, copd, memory deficits status post head trauma from mva, s/p turp social history: mr. is retired. he smokes a pack a day and has done so for almost all his life. he does not drink alcohol. he previously used to work in a warehouse. family history: there is a family history of colon cancer in his mother. his father died in his 60s of a "massive heart attack." physical exam: at discharge: vitals: 98.5, 81, 154/69, 20, 98% on ra gen: nad, a/ox3 cv: rrr, no m/r/g resp: ctab, no w/r/r abd: large, soft, appropriately ttp, +bs, +flatus, +bm incision: large midline abdominal incision ota with staples,cdi extrem: no c/c/e pertinent results: 07:10pm blood wbc-9.9 rbc-3.20* hgb-9.5* hct-26.9* mcv-84 mch-29.7 mchc-35.3* rdw-15.5 plt ct-166 02:35am blood wbc-14.1*# rbc-3.50* hgb-10.1* hct-29.5* mcv-84 mch-29.0 mchc-34.3 rdw-16.0* plt ct-207 02:12pm blood wbc-14.9* rbc-3.52* hgb-10.4* hct-29.6* mcv-84 mch-29.5 mchc-35.1* rdw-16.0* plt ct-226 02:13am blood wbc-11.3* rbc-3.34* hgb-9.7* hct-28.4* mcv-85 mch-28.9 mchc-34.1 rdw-15.8* plt ct-275 04:32am blood wbc-8.0 rbc-3.22* hgb-9.8* hct-28.0* mcv-87 mch-30.4 mchc-35.0 rdw-15.2 plt ct-260 04:32am blood pt-13.1 ptt-27.5 inr(pt)-1.1 04:14pm blood pt-15.5* ptt-33.8 inr(pt)-1.4* 04:32am blood glucose-134* urean-41* creat-1.7* na-141 k-4.0 cl-106 hco3-25 angap-14 02:13am blood glucose-155* urean-34* creat-1.6* na-143 k-4.2 cl-111* hco3-25 angap-11 07:10pm blood glucose-182* urean-32* creat-1.9* na-136 k-5.9* cl-110* hco3-20* angap-12 02:13am blood alt-34 ast-21 ld(ldh)-194 alkphos-65 totbili-0.5 dirbili-0.2 indbili-0.3 02:28am blood alt-41* ast-29 ld(ldh)-186 alkphos-64 totbili-0.6 dirbili-0.3 indbili-0.3 02:35am blood alt-51* ast-40 ld(ldh)-187 alkphos-52 totbili-0.5 dirbili-0.2 indbili-0.3 04:32am blood calcium-8.9 phos-3.3 mg-2.2 02:13am blood albumin-2.8* calcium-8.8 phos-3.2 mg-2.4 02:28am blood albumin-2.6* calcium-8.4 phos-4.6* mg-2.3 . brief hospital course: mr. operative course was prolonged and extensive. he was trasferred from the pacu to ticu secondary to extensive surgical measures, intubation, pressure support and low urine output. . : line switched to triple lumen cvl. monitored urine output and cvp, given fluid boluses as needed to maintain urine output. chest xrays revealed bilateral pleural effusions. fluid hydration tapered to minimize pulmonary edema. vitals and labwork stable. . : weaned sedation and vent -> extubated and doing well; on bipap overnight; decreased ivf with maintained adequate uop/bp; added back several inhalers : negative fluid balance, hypertension cooperative with no pressor support. home medications resumed as indicated. continued to stabilize. . patient was transferred to 5 pod 5 from ticu. he had a foley and ivf for hydration. on pod 6 patient's foley and central venous line were removed. patient had no difficulty voiding. upon return of bowel function his diet was increased from sips to regular which he tolerated well. continued to pass flatus and had a bowel movement a few days post-op. tolerating oral medication for pain. continues with home medication regimen. patient ambulates indpendently, has a large support system and did not need a physical therapy during this admission. discharge paperwork reviewed with patient and advised to call dr. office to make a follow up appointment for removal of incisional staples. medications on admission: atenolol 25', citalopram 20', diltiazem 120', doxazosin 4', lantus 25', metformin 1000', benicar 20', actos 30', simvastatin 40', asa 81', omeprazole 20', ped mvi 0.4 mg-300 mcg-250 mcg tablet discharge medications: 1. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 2. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 3. diltiazem hcl 120 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 4. doxazosin 4 mg tablet sig: one (1) tablet po hs (at bedtime). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 8. metformin 500 mg tablet sig: two (2) tablet po daily (daily). 9. erythromycin 5 mg/g ointment sig: 0.5 mg/g ophthalmic qid (4 times a day) as needed for both eyes. 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain for 2 weeks: please do not exceed more than 4000mg of acetaminophen in 24 hrs. . disp:*35 tablet(s)* refills:*0* 11. benicar 20 mg tablet sig: one (1) tablet po once a day. 12. actos 30 mg tablet sig: one (1) tablet po once a day. 13. lantus 100 unit/ml solution sig: twenty five (25) units subcutaneous at bedtime. 14. multivitamin tablet sig: one (1) tablet po once a day. 15. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation for 2 weeks: take only if pain medication constipates you. disp:*14 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: right retroperitoneal liposarcoma hypotension low urine output post op anemia related to acute blood loss . secondary: recurrent liposarcoma, osa, htn, hld, dm, bph, copd, memory deficits status post head trauma from mva, s/p turp discharge condition: stable. tolerating a regular diet. pain well controlled with oral pain medications. discharge instructions: please call your doctor or return to the er for any of the following: * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . incision care: -your staples will be removed at your follow up appointment with dr. in weeks. -steri-strips will be applied and they will fall off on their own. please remove any remaining strips 7-10 days after application. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. . followup instructions: 1. please call dr. office to make a follow up appointment in weeks. 2. please call your pcp, , . to make a follow up appointment in 1 week or as needed. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified non-invasive mechanical ventilation excision or destruction of peritoneal tissue other lysis of peritoneal adhesions suture of vein suture of laceration of small intestine, except duodenum diagnoses: other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) tobacco use disorder unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia peritoneal adhesions (postoperative) (postinfection) compression of vein other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation urinary complications, not elsewhere classified acquired absence of kidney personal history of irradiation, presenting hazards to health oliguria and anuria accidental cut, puncture, perforation or hemorrhage during surgical operation malignant neoplasm of retroperitoneum body mass index 36.0-36.9, adult 

Answer: The patient is high likely exposed to