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: adenocarcinoma of the proximal colon major surgical or invasive procedure: 1. right colectomy. 2. extensive enterolysis. 3. exploratory laparotomy. 4. washout and takedown and resection of failed ileocolic anastomosis with end ileostomy. history of present illness: this patient is a 79-year-old male who presents with a history of having anemia which was worked up and he was found to have a tumor in cecum very near the ileocecal valve. this was palpable at the time surgery. additionally he had 2 polyps in the ascending colon. the highest one was distal to the hepatic flexure. at surgery we found his hepatic flexure was quite adherent to the gallbladder fossa. this was taken down and we managed to get his colon over to the level of his antecolic b2 where we resected. we actually managed to get to the right branch of the middle colic artery. this did require extensive enterolysis for approximately an hour and half because of his previous abdominal sepsis following coronary artery bypass graft in . he was doing well until yesterday when he developed a white count and a fever overnight. this morning he had some stool expressing from his wound. he was brought to surgery and there he was found to have fecal peritonitis. he actually been taking diet and having flatus, but no bowel movement yet prior to surgery. at surgery, the colonic side of this ileocolic anastomoses was found to be disrupted, but was not necrotic. it was determined that the entire colon was open, and so therefore, it was felt it would probably be best to just go ahead and oversew it and take down the anastomoses and give him an end ileostomy, especially since there was so much a fecal spillage. this was accomplished with some degree of difficulty because he had had a preperitoneal bleed, i assume from closure, so we had some abdominal wall hematoma, as well, which was removed. past medical history: cad s/p cabg antrectomy and vagotomy with billrothii then converted to r-y gerd htn social history: lives at home with his wife. social support amongst family members. family history: not elicited pertinent results: 06:01pm potassium-4.1 06:01pm ck(cpk)-377* 06:01pm ck-mb-5 ctropnt-<0.01 06:01pm magnesium-1.5* 06:01pm hct-39.0* 05:09pm hgb-13.2* calchct-40 04:24pm hgb-5.7* calchct-17 portable chest, , 21:44 indication: hypertension and dyspnea. findings: cabg changes are evident. at the right upper lobe laterally, there is some linear reticular markings and a nodular feature is appreciated projecting over right anterior rib 3. the latter was shown to be a dense calcification on prior chest ct. that ct shows no definite correlate with the reticular markings visualized at the right upper lobe laterally, but additional reticular markings were seen in the right upper lobe anteriorly. the pulmonary vascular markings are not distended, and the costophrenic sulci are sharply delineated. there is no focal consolidation. no pneumothorax. impression: no focal consolidation. reticular markings seen in the right upper lobe laterally should be followed with a subsequent film to see if this is evolving. dense calcification presumably granuloma in the superior aspect of the right lower lobe laterally. pathology report specimen submitted: right colon. procedure date tissue received report date diagnosed by dr. . /ttl previous biopsies: gi bx's, 3 jars. diagnosis: ileocolectomy: 1. adenocarcinoma of the ascending colon, see synoptic report. 2. two adenomas of the colon. 3. fibrous obliteration, distal end of appendix. 4. ileal segment, within normal limits. ecg sinus rhythm with borderline a-v conduction delay consider left atrial abnormality left anterior fascicular block since previous tracing of , ventricular ectopy absent brief hospital course: pt admitted to surgery for removal of adenocarcinoma proximal colon. he had a colectomy of the r colon and an anastomis performed to bring terminal ileum to the transverse colon. this did require extensive enterolysis for approximately an hour and half because of his previous abdominal sepsis following coronary artery bypass graft in . he did well for the first five postoperative days until it was noted on pod 6 that pt had stool expressing from his wound. he was brought to surgery and there he was found to have fecal peritonitis. he was on a regular diet and having flatus, but no bowel movement yet prior to the second surgery. at surgery, the colonic side of this ileocolic anastomoses was found to be disrupted, but was not necrotic. it was determined that the entire colon was open, and so therefore, it was felt it would probably be best to just go ahead and oversew it and take down the anastomoses and give him an end ileostomy, especially since there was so much a fecal spillage. this was accomplished with some degree of difficulty because he had had a preperitoneal bleed, i assume from closure, so we had some abdominal wall hematoma, as well, which was removed. s/p surgery pt did well and had wound vac placed over abdominal wall where hematoma was removed. pt continued to progress and was discharged to home after receinf ileostomy care and setting up services for wound vac changes. medications on admission: atenolol 50mg qdaily xanax 0.25 prn omeprazole 20mg qdaily mvn asa 81mg qdaily travatan eye drops (travoprost) discharge medications: 1. phenol-phenolate sodium mouthwash sig: one (1) spray mucous membrane prn (as needed). 2. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 7. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 8. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 9. hydrocodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*30 tablet(s)* refills:*0* 10. senna 8.6 mg tablet sig: one (1) tablet po twice a day as needed for constipation. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: greater vna discharge diagnosis: anastomotic failure with fecal peritonitis. adenocarcinoma of the right colon. discharge condition: good discharge instructions: call your surgeon or return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. * 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. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. followup instructions: please follow-up with dr. and the wound care clinic - your appoinments are on the same day on provider: , md phone: date/time: 9:30 wound care: , np. 10:45am procedure: parenteral infusion of concentrated nutritional substances temporary ileostomy other lysis of peritoneal adhesions open and other right hemicolectomy revision of anastomosis of large intestine revision of anastomosis of small intestine diagnoses: anemia, unspecified esophageal reflux other postoperative infection unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status peritoneal adhesions (postoperative) (postinfection) other suppurative peritonitis malignant neoplasm of ascending colon 

Answer: The patient is high likely exposed to