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: aaa presents for retroperitoneal repair major surgical or invasive procedure: - pod 37 s/p open pararenal aaa - pod 37 s/p takeback for retroperitoneal bleeding, - pod 36 s/p l colectomy - pod 35 s/p extended l colectomy - pod 33 s/p end transverse colostomy - pod 29 s/p attempted abd closure - pod 26 s/p fascial closure - pod 22 s/p bedside perc trach history of present illness: 79 year old man with cad, chf w/ef 40%, htn, presents for elective retroperitoneal juxtarenal 5.5 cm aaa repair with a question of reimplantation of left renal artery. past medical history: cad s/p mi (ef 40%), cabg , multiple pci's/stent to circ/rca hyperlipidemia htn cervical myelopathy gerd schatzki's ring mohs surgery social history: married with three children and worked as a lawyer, rare alcohol family history: nc physical exam: height 175.3cm weight 87.27 kg vital signs: 98 51 148/88 14 100% ra general: nad mental/psych: a and o x 3 airway: mallampati class ii mouth opening adequate > 3cm thyromental distance > 6 cm hyomental distance > 3cm mandibular prognatism adequate dental good heent: perrla, eomi full extension ofneck without pain and supple without lad cards: rrr 1/6 sem, no bruits lungs: ctab abd: s, nt, nd ext no c/ce other: anicteric, no thyromegally, l arm no sensory deficit. active abduction to 120 deg, passive to 180 deg pulses: fem dp pt r 2+ 2+ - 2+ l 2+ 2+ - 2+ pertinent results: 11:54pm glucose-111* urea n-18 creat-1.2 sodium-138 potassium-4.3 chloride-111* total co2-19* anion gap-12 11:54pm alt(sgpt)-402* ast(sgot)-492* alk phos-35* tot bili-2.8* 11:54pm calcium-9.8 phosphate-4.5# magnesium-1.3* 11:54pm wbc-3.8*# rbc-3.61* hgb-11.7* hct-31.3* mcv-87 mch-32.4* mchc-37.3* rdw-15.5 11:54pm plt count-147*# 11:54pm pt-17.2* ptt-54.3* inr(pt)-1.6* 11:54pm fibrinoge-184# 11:49pm type-mix 11:49pm o2 sat-73 11:42pm po2-84* pco2-47* ph-7.16* total co2-18* base xs--11 11:42pm glucose-104 lactate-6.5* 11:42pm o2 sat-94 11:42pm freeca-1.26 09:49pm hct-28.7* 09:49pm pt-18.3* ptt-58.8* inr(pt)-1.7* 09:38pm hct-7.3*# 09:37pm type-art po2-174* pco2-40 ph-7.22* total co2-17* base xs--10 09:37pm glucose-106* lactate-6.1* na+-139 k+-3.3* cl--114* 09:37pm o2 sat-98 09:37pm freeca-1.08* 09:27pm ck(cpk)-2899* 09:27pm ck-mb-48* mb indx-1.7 09:27pm magnesium-1.3* 08:02pm type-art po2-183* pco2-47* ph-7.21* total co2-20* base xs--9 08:02pm lactate-6.4* 07:57pm glucose-152* urea n-16 creat-1.2 sodium-142 potassium-4.7 chloride-108 total co2-19* anion gap-20 07:57pm alt(sgpt)-361* ast(sgot)-364* ck(cpk)-* alk phos-31* amylase-39 tot bili-1.5 07:57pm lipase-48 07:57pm ck-mb-30* mb indx-1.6 ctropnt-0.06* 07:57pm albumin-2.3* calcium-9.1 phosphate-6.3*# magnesium-1.4* 07:57pm wbc-8.6 rbc-3.97*# hgb-12.5*# hct-35.2*# mcv-89 mch-31.5 mchc-35.6* rdw-14.9 06:56pm po2-108* pco2-33* ph-7.30* total co2-17* base xs--8 06:56pm glucose-130* lactate-7.3* na+-137 k+-4.7 cl--113* 06:56pm hgb-11.7* calchct-35 06:56pm freeca-0.94* 06:20pm wbc-8.9 rbc-2.87* hgb-9.2* hct-25.9* mcv-90 mch-32.0 mchc-35.5* rdw-14.7 06:20pm plt smr-very low plt count-67* 06:20pm pt-19.9* ptt-137.3* inr(pt)-1.9* 06:19pm type-art po2-70* pco2-55* ph-7.22* total co2-24 base xs--5 intubated-intubated vent-controlled 06:19pm glucose-133* lactate-9.3* na+-139 k+-5.3 cl--106 06:19pm hgb-8.8* calchct-26 06:19pm freeca-1.00* 05:51pm type-art po2-66* pco2-42 ph-7.12* total co2-15* base xs--15 intubated-intubated 05:51pm glucose-140* lactate-7.6* na+-135 k+-5.1 cl--113* 05:51pm hgb-10.7* calchct-32 05:51pm freeca-1.06* 04:40pm type-mix 04:40pm o2 sat-38 04:33pm type-art po2-265* pco2-35 ph-7.27* total co2-17* base xs--9 04:33pm glucose-125* lactate-7.2* k+-4.7 04:33pm freeca-1.10* 04:03pm hct-25.3*# 03:12pm type-art po2-189* pco2-36 ph-7.24* total co2-16* base xs--11 03:12pm lactate-4.7* 03:12pm freeca-1.12 03:06pm glucose-115* urea n-17 creat-1.0 sodium-141 potassium-4.5 chloride-118* total co2-15* anion gap-13 03:06pm estgfr-using this 03:06pm calcium-6.7* phosphate-4.0 magnesium-1.6 03:06pm wbc-10.7 rbc-3.67* hgb-12.0* hct-34.4* mcv-94 mch-32.6* mchc-34.8 rdw-15.1 03:06pm neuts-88.7* lymphs-7.0* monos-3.9 eos-0.3 basos-0.2 03:06pm plt count-119* 03:06pm pt-18.2* ptt-61.6* inr(pt)-1.7* 01:57pm type-art po2-274* pco2-33* ph-7.22* total co2-14* base xs--13 intubated-intubated 01:57pm glucose-107* lactate-7.8* na+-136 k+-4.3 cl--112 01:57pm hgb-12.1* calchct-36 01:57pm freeca-1.10* 01:32pm type-art po2-315* pco2-44 ph-7.10* total co2-14* base xs--15 intubated-intubated vent-controlled 01:32pm glucose-131* lactate-7.8* na+-136 k+-4.9 cl--111 01:32pm hgb-13.1* calchct-39 01:04pm type-art po2-163* pco2-30* ph-7.26* total co2-14* base xs--12 intubated-intubated vent-controlled 01:04pm glucose-134* lactate-6.0* na+-135 k+-3.6 cl--119* 01:04pm hgb-10.6* calchct-32 01:04pm freeca-1.25 12:29pm type-art po2-175* pco2-35 ph-7.27* total co2-17* base xs--9 intubated-intubated vent-controlled 12:29pm glucose-222* lactate-4.4* na+-134* k+-4.3 cl--113* 12:29pm hgb-12.3* calchct-37 12:29pm freeca-1.05* 12:06pm type-art po2-174* pco2-54* ph-7.11* total co2-18* base xs--13 12:06pm glucose-334* lactate-8.0* na+-133* k+-3.7 cl--109 12:06pm hgb-11.5* calchct-35 12:06pm freeca-1.05* 11:53am type-art po2-158* pco2-30* ph-7.41 total co2-20* base xs--3 intubated-intubated vent-controlled 11:53am glucose-112* lactate-3.5* na+-134* k+-3.6 cl--109 11:53am hgb-12.1* calchct-36 11:53am freeca-0.77* 11:19am type-art po2-186* pco2-38 ph-7.45 total co2-27 base xs-3 intubated-intubated vent-controlled 11:19am glucose-133* lactate-2.2* na+-132* k+-3.8 cl--100 11:19am hgb-11.5* calchct-35 11:19am freeca-0.97* 08:52am type-mix intubated-intubated vent-controlled 08:52am o2 sat-79 08:45am type-art po2-422* pco2-40 ph-7.45 total co2-29 base xs-4 intubated-intubated vent-controlled 08:45am glucose-115* lactate-1.5 na+-135 k+-3.8 cl--98* 08:45am hgb-13.6* calchct-41 08:45am freeca-1.12 brief hospital course: juxta renal aaa repair the patient is a 79-year-old male with progressive increase in size of his juxtarenal aneurysm now close to 6 cm. in addition, he had some features that were very concerning. he has "a double bubble sign" with two areas of saccular-appearing aneurysm with very thin walls. we discussed operation since endovascular repair would not be possible even with fenestration. he understood the risk of death, renal failure and intestinal damage due to the fact that we would need to place the clamp above the visceral vessels. requirement. intraoperatively the dissection proved to be very difficult and there was a 50 min clamping time. hemostasis was achieved and due to the complex nature of the case, we just continued with the patient intubated into the icu and would give him volume resuscitation and blood products as needed. however in his immediate post-operative course initially postop he required a great deal of volume and was somewhat labile, stabilized for a short period of time with his lactate starting come down from the 7 to 8 range down to the 4 range. however, then became more pressor dependent and dropped his pressure even more. on examination he was much more distended and we decided to take him urgently to the operating room for evacuation. take back for bleeding the small bowel looked completely normal. the sigmoid was somewhat dusky but the patient was on pressors at this time. dr. from the general surgery service evaluated the colon and did not think it needed to be removed currently but since we were going to leave the patient open and re-explore him the next day, or 48 hours, they could be re-evaluated at that point. after we were able to get all of the surgical bleeding that could be identified, we re-examined the suture lines and there did not appear to be any bleeding. the aorta where we placed the clamp was not bleeding. the left renal artery was still patent with a strongly palpable pulse. we then irrigated, placed several lap pads in over the surgicel, and then we were unable to get the small bowel back into the peritoneum because of the distention. we then used a patch we fashioned to the skin circumferentially, cut some holes in the patch and then created a suction sumping system with jp drains and ioban. the patient was then taken in critical condition to the intensive care unit with the plan to re- explore the patient in the morning. at the time of transfer, his pressor requirement had been cut in half and his acid- base status had started to improve and he had started to make some urine. the family was notified of the critical nature of the situation. over that night the patient required very aggresive resuscitation with massive transfusion requirments and fluids to > 20l and lactates were stable elevated however he began to not make urine. he also had evidence of compartment syndrome with an open abdomen so was taken off of suction. left colectomy due to his deteriorating circimstance he underwent re-exploration of abdominal aortic aneurysm surgery and left colectomy for dead colon. the pt remained unstable in the cvicu and a left ij quentin was placed and cvvhd was started. he remianed iun ajunctional ryhtym and was requiring three pressors. resection of sigmoid and transverse colectomy due to the pt continuing to be labile and hight lactates with no urine output we reopened the abdomen; drainage of intra-abdominal fluid; resection of residual sigmoid colon and intraperitoneal rectum; resection of a portion of transverse colon. patient began to improve weaniung off of pressors and stariting to make urine over the course of the day colostomy placement removal of packs, placement of colostomy and partial closure of fascia with mesh. pt's wound was tightned at the bedside by pt was ready to have wound closed and vac dressing placed. pt continued to improve however was deemed that he would be vent dependent for a while so underwent a perc trach placement on perc trach by patient was off all pressor by creat was down to 2.5 and pt off of hd on patient was started on acyclovir for preseumed herpetic rash over face and eyes. he was also weaned to trach collar passy muir valve placed pt began communicating creat down to 1.9 taking in po tolerating ensure shakes coag + staph from sputum chnged to nafcillin; optho stopped acyclovir and switched to e-mycin ready for rehab 3/3-5 pt spiked temp and also experienced a drop in sbp. was given ivf. sputum culture revealed mssa and pansens klebsiella. dobhoff placed. tube feeds/ground diet. sat->resp acidosis->back on rate. *klebsiella pna/mssa->#2 zosyn() dobhoff replaced medications on admission: asa 325' hctz 25' univasc 15' prilosec 20' plavix 75' pravastatin 20' aldactone 12.5' toprol xl 25' discharge medications: 1. chlorhexidine gluconate 0.12 % mouthwash sig: one (1) ml mucous membrane (2 times a day). 2. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: four (4) puff inhalation q4h (every 4 hours) as needed for wheezing. 3. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 4. ursodiol 300 mg capsule sig: one (1) capsule po bid (2 times a day). 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 6. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed. 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. 8. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 10. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 12. white petrolatum-mineral oil 42.5-56.8 % ointment sig: one (1) appl ophthalmic q2h (every 2 hours) as needed for per opthamology. 13. erythromycin 5 mg/g ointment sig: one (1) ophthalmic qhs (once a day (at bedtime)). 14. calcium gluconate 100 mg/ml (10%) solution sig: one (1) intravenous prn (as needed). 15. heparin, porcine (pf) 10 unit/ml syringe sig: one (1) ml intravenous prn (as needed) as needed for line flush. 16. magnesium sulfate 4 % solution sig: one (1) injection prn (as needed) as needed for mag<2. 17. metoclopramide 5 mg/ml solution sig: one (1) injection q6h (every 6 hours) as needed. 18. piperacillin-tazobactam 2.25 gram recon soln sig: 2.25g recon solns intravenous q6h (every 6 hours) for 10 days. discharge disposition: extended care facility: rehab discharge diagnosis: aaa repair c/b intestinal ischemia prolonged intubation discharge condition: stable discharge instructions: please call if patient is febrile to >101.2 begins to have nausea/vomiting unbale to tolerate po or begins to have hematemesis and/or blood from ostomy. please also call for decreased ostomy output. please inform if pt becomes unable to ventilate, or is failing prolonged periods of trach mask. call for any questions. followup instructions: f/u with opthamology at rehab provider: , m.d. phone: date/time: 2:00 please call dr. for appointment for follow up procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances open and other left hemicolectomy open and other left hemicolectomy fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis other and unspecified partial excision of large intestine temporary tracheostomy colostomy, not otherwise specified closed [endoscopic] biopsy of bronchus reopening of recent laparotomy site other repair of abdominal wall other repair of abdominal wall resection of vessel with replacement, aorta, abdominal delayed closure of granulating abdominal wound excision or destruction of lesion or tissue of abdominal wall or umbilicus application of pressure dressing application of pressure dressing diagnoses: acidosis esophageal reflux acute kidney failure with lesion of tubular necrosis other postoperative infection congestive heart failure, unspecified unspecified essential hypertension unspecified septicemia severe sepsis atrial fibrillation aortocoronary bypass status other and unspecified hyperlipidemia hemorrhage complicating a procedure acute respiratory failure 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 cardiogenic shock old myocardial infarction methicillin susceptible pneumonia due to staphylococcus aureus other specified complications of procedures not elsewhere classified abdominal aneurysm without mention of rupture hyperosmolality and/or hypernatremia acute vascular insufficiency of intestine pneumonia due to klebsiella pneumoniae nontraumatic compartment syndrome of abdomen herpes zoster without mention of complication 

Answer: The patient is high likely exposed to