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: enterocutaneous fistulae major surgical or invasive procedure: exploratory lapartomy lysis of adhesions takedown of enterocutaneous fistulae g-tube exchange small bowel resection with anastomosis history of present illness: 72m with h/o sigmoid colectomy in for diverticulitis. he underwent an exploratory laparotomy x 2 in for sbo complicated by multiple enterotomies that were combined and converted to a proximal end-jejunostomy further complicated by an enterocutaneous fistula. presents for enterocutaneous fistula repair and takedown of ostomy. past medical history: pmh: copd prostate cancer meningitis as child diverticulitis psh: appendectomy left inguinal hernia repair radical prostatectomy sigmoid colectomy ex-lap, loa, end ileostomy with gj tube placement sbo social history: married with 3 children, etoh 10 years ago, 25 ppy tobacco 15 years ago. retired federal government. family history: non-contributory physical exam: admission physical exam 99.5 94 132/90 18 93%ra nad ncat, perrl, eomi, cnii-xii grossly intact neck supple, no cervical lymphadenopathy lungs clear heart rrr abd soft, nt, nd, bs+, end ileostomy, gj tube present ext: 1+ ankle edema, no cyanosis or clubbing pertinent results: admission labs 06:00pm blood wbc-9.3 rbc-3.03* hgb-9.5* hct-29.1* mcv-96 mch-31.4 mchc-32.6 rdw-14.2 plt ct-452* 06:00pm blood pt-11.9 ptt-26.1 inr(pt)-1.0 06:00pm blood glucose-82 urean-21* creat-0.8 na-141 k-3.0* cl-102 hco3-30 angap-12 06:00pm blood alt-16 ast-17 alkphos-82 amylase-65 totbili-0.3 dirbili-0.1 indbili-0.2 06:00pm blood albumin-3.2* calcium-8.9 phos-2.5*# mg-2.0 iron-36* 06:00pm blood caltibc-302 ferritn-91 trf-232 01:44pm blood type-art temp-38.1 po2-74* pco2-44 ph-7.44 caltco2-31* base xs-4 intubat-not intuba comment-room air discharge labs operative report preoperative diagnosis: enterocutaneous fistula. postoperative diagnosis: difficult abdomen enterocutaneous fistula. multiple adhesions and multiple enterocutaneous fistulas. indications for surgery: i heard from a hospital in in which he had undergone surgery for intestinal obstruction. apparently the procedure was extraordinarily difficult and after a number of hours there were multiple enterotomies which could not be dealt with. at least 3 loops of bowel, according to my findings today, were brought out through an incision and the incision was closed thus giving him loss of domain and incisional hernia. at that point the operation was terminated and he was later referred to me with a wide open central abdominal wound with multiple loops of bowel on the surface and an abdominal fistula. the nutritionalist assisted the patient including 3 days preparation in which he had a quick burst of around-the-clock enteral nutrition to increase his transferrin to 231 from the situation in which he previously had a transferrin down around 110. he had lost about 30 of 40 pounds. the following procedure was carried out. procedure in detail: under satisfactory general anesthesia the patient was placed supine and prepped and draped in the usual manner. before draping the incision, the old gastrostomy tube was removed and a new fresh sterile gastrostomy tube was calibrated at the appropriate level and sewn in with some fiberwire. we began the operation by extending the incision cephalad and inferiorly and it was a relatively small incision through which it would have been difficult to do the operation. as it turned out we used the entire length of the midline incision in the abdomen. we began the incision superiorly entering the abdomen above the liver without making any enterotomies and without making any holes in the liver. the bowel, as one would expect, was intimately associated with the abdomen. we isolated the small bowel loops after very strenuous dissection and very difficult with the bowels. the bowel really matted to each other. we were able to get him back to having one afferent limb and one efferent limb which we then placed kochers and then resected the bowel. the mesentery, which was a single mesentery across these loops, had approximately 15 inches to 18 inches of bowel attached to it, but he had ample bowel remaining so that nutrition __________. with 4-0 and 2-0 silk, mostly 2-0, until we had gotten the loops of small bowel, 1 proximal and 1 distal, immediately adjacent to each other. there was a slight difference in caliber because the top part of the anastomosis had had some food passed through it in the past and the distal had not had any food for approximately about 10 months and so there was complete diversion. as a matter of fact in the colon, there was some stool balls in the right colon and they had probably been there for 10 months. we had tried to enematize them prior to the operation without success. after this we carried out a two-layer silk, 4-0 silk anastomosis in end-to-end and had ligated the mesentery and sutured the mesentery before we had put these 2 loops of bowel together. the blood supply was excellent and we were very happy with the anastomosis. the fistula which has a lot of skin attached had also been resected prior to doing this and this was satisfactory as well. it then became time to mobilize the abdominal wall widely to repair his incisional hernia which was brought about by the previous operation carried out elsewhere. this was done with immobilization of the entire area and was extensive enough to require #19 drains in the subcutaneous area. gloves, gowns and drapes were then changed. the wound was closed in layers with #1 prolene in running fashion on the fascia, 3-0 vicryl as the subcutaneous closure. this was difficult in the area below the umbilicus but this was successfully carried out with interrupted vertical mattress of 3-0 nylon. the superior portion was closed with 4-0 monocryl and 3-0 vicryl. estimated blood loss was 150 cc. the patient tolerated the procedure well. two sponge counts, needle counts and instrument counts were reported as correct by the nurse in charge. , dictated by: brief hospital course: was admitted to on under the care of dr. . tpn was continued. preoperative labs showed trf 135; albumin 3.3; baseline pco2 44. preoperatively hibiclens washes were provided and he was given a prep of neomycin/erythromycin. he was taken to the operating room on where he underwent an exploratory laparotomy; lysis of adhesions; gastrostomy tube change; enterocutaneous fistula resection; primary anastomosis; w/ repair of incisional hernia. he tolerated the procedure well and was taken to the icu postoperatively for closer monitoring. pain was controlled via epidural and pca. at pod 1 he was afebrile and with good urine output. hct was 26. he was transferred to the floor. at pod 3 he received 1 unit prbcs for a hct of 24.0. the narcotic component of the epidural as discontinued. we continued to await bowel function. at pod 4 reglan was started. he was afebrile and ambulating. at pod 6 he was febrile to 101.5. the epidural was removed. cxr showed lll pna. he was (+) flatus. he was tolerating clear liquids. the incision site, particularly around the g-tube, had a moderate amount of erythema/purulent drainage. vancomycin/cefepime/flagyl were started for empiric coverage. blood/urine cultures were negative for growth. incisional drainage was (+) for yeast; enterococcus; mrsa. fluconazole was added. at pod 10 he continued to have an elevated wbc count at 17.2. incisional cellulitis and drainage was resolving. repeat cxr showed continued lll pna and right middle lobe opacities. at pod 11 he was tolerating a regular diet. wbc count was 16.6. chest ct was completed which showed small bilateral effusions and severe emphysema. at pod 12 he was somnolent. abg was obtained which showed pco2 of 69; ph 7.35; po2 80. albuterol/atrovent were provided with good response. narcotics were discontinued. tpn was discontinued. at pod 14 he was afebrile and with good bowel function. wbc count was 11.8. repeat abg showed pco2 at 50. megace and zinc were started for poor appetite. calorie counts showed 29g protein; 998 kcal. at pod 16, pt discharged to home with services. at this point, pt is tolerating a regular diet and po intakes have significantly improved since he was first discontinued from tpn. he will continue to take iv vancomycin and po cipro, flagyl and fluconazole at home for additional 1 wk. medications on admission: diltiazem 120mg qd atrovent 4 puffs qid albuterol 2 puffs q3h prn temazepam 30mg qhs prn ativan 0.5mg prn paroxetine 20mg qd protonix 40 oxycodone 10mg q12h darvocet q4h prn discharge disposition: home with service facility: critical care systems discharge diagnosis: enterocutaneous fistulae emphysema post-op pneumonia post-op anemia post-op wound infection discharge condition: good discharge instructions: please return or contact for: * fever (>101 f) or chills * abdominal pain * nausea or vomiting * increased shortness of breath or chest pain * redness or drainage from incision site * increased swelling or redness of extremities * inability to pass gas or stool * any other concerns followup instructions: please follow up with dr. in 2 weeks. please call for an appointment procedure: parenteral infusion of concentrated nutritional substances other partial resection of small intestine transfusion of packed cells closure of fistula of small intestine, except duodenum replacement of gastrostomy tube incisional hernia repair diagnoses: pneumonia, organism unspecified other postoperative infection cellulitis and abscess of trunk acute posthemorrhagic anemia personal history of malignant neoplasm of prostate incisional hernia without mention of obstruction or gangrene other emphysema fistula of intestine, excluding rectum and anus nutritional marasmus attention to gastrostomy 

Answer: The patient is high likely exposed to