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: abdominal pain major surgical or invasive procedure: s/p ex-lap, sb resection (5ft, ileocecal valve spared), g-tube, patch closure s/p reconnected s/p wash-out s/p abdominal wound closure history of present illness: this is a 76m p/w 2 wk h/o abdominal pain @ osh, found to have smv/mesenteric vein thrombosis on ct, admitted to osh icu for resuscitation. he was stable but then deteriorated and a follow-up cat scan on the day of transfer indicated that there was portal venous air, as well as possible pneumatosis intestinalis. he also had a mental status changes which were attributed to delirium tremens, but may have been the first signs of sepsis. mr. upon his arrival to our sicu and found a gentleman with a distended abdomen with the bladder pressure of 29. he had a firm abdomen and his bile chemistries were suggestive of dead bowel. past medical history: (1) lower extremity dvt treated with coumadin 9 years ago (2) hyperlipidemia social history: lives w/ his wife in . of italian descent. non-smoker x50 yrs, 10 ppy hx prior to that. drinks 1-3 glasses of wine a day. no illegal or illicit drug use. father and mother died of old age. has 3 sisters and 1 brother, all in good health. no history of cancer, thrombophilia, or hemophilia in family. physical exam: hr 94 bp 140/74 97% spo2 on vent gen: sedated and intubated cv: pulm: abdomen: distended, tympanitic ext: scd's in place pertinent results: 08:41pm blood wbc-4.1 rbc-3.85* hgb-13.1* hct-37.5* mcv-97 mch-33.9* mchc-34.8 rdw-12.7 plt ct-165 11:18pm blood wbc-12.5* rbc-3.55* hgb-11.5* hct-33.3* mcv-94 mch-32.3* mchc-34.4 rdw-14.6 plt ct-283 09:10am blood wbc-9.0 rbc-3.23* hgb-10.2* hct-30.2* mcv-94 mch-31.5 mchc-33.7 rdw-15.0 plt ct-397 06:20am blood pt-30.0* inr(pt)-3.1* 09:10am blood glucose-124* urean-25* creat-0.8 na-141 k-4.0 cl-111* hco3-23 angap-11 08:41pm blood alt-45* ast-74* ld(ldh)-221 alkphos-53 amylase-35 totbili-1.5 02:54pm blood alt-44* ast-52* alkphos-147* totbili-0.8 08:41pm blood lipase-25 02:30am blood ck-mb-notdone ctropnt-<0.01 09:10am blood calcium-7.7* phos-2.8 mg-2.0 . specimen submitted: small bowel. diagnosis: small bowel segments, two: 1. focal hemorrhagic infarction of the mucosa. 2. organizing venous thrombi in the mesentery. 3. focal mucosal hemorrhage of the margins of larger segment. clinical: small bowel obstruction. . radiology report bilat lower ext veins port study date of 12:57 pm impression: no evidence of dvt in the right or left lower extremity. . radiology report chest (portable ap) study date of 4:42 am chest, single ap view. an et tube is present, tip approximately 3.3 cm above the carina. a right ij central line is present, tip over distal svc. an ng tube is present, tip extending beneath diaphragm off film. there is upper zone redistribution, with slight peribronchial cuffing, but no other evidence of chf. there is increased retrocardiac density consistent with left lower lobe collapse and/or consolidation. there are small bilateral effusions and atelectasis at the right base. compared with , i doubt significant interval change. however, the degree of left lower lobe collapse and/or consolidation has progressed compared with . . cardiology report ecg study date of 11:26:32 am sinus rhythm with ventricular premature beats and couplets. compared to the previous tracing of the findings are similar. tracing #1 read by: , d. intervals axes rate pr qrs qt/qtc p qrs t 106 122 76 376/456 58 17 18 . , m 76 cardiology report ecg study date of 10:12:08 am sinus rhythm with ventricular premature beats. prolonged q-t interval. compared to the previous tracing of the findings are similar. read by: , v. intervals axes rate pr qrs qt/qtc p qrs t 85 126 84 39 . micro all blood culture catheter tip-iv mrsa screen sputum stool swab urine stool clostridium difficile toxin a & b test-final inpatient stool clostridium difficile toxin a & b test-final inpatient blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending inpatient catheter tip-iv wound culture-final inpatient stool clostridium difficile toxin a & b test-final inpatient urine urine culture-final inpatient mrsa screen mrsa screen-final inpatient swab r/o vancomycin resistant enterococcus-final inpatient mrsa screen mrsa screen-final inpatient sputum gram stain-final; respiratory culture-final {enterobacter aerogenes} inpatient swab gram stain-final; fluid culture-final; anaerobic culture-final inpatient swab r/o vancomycin resistant enterococcus-final inpatient mrsa screen mrsa screen-final inpatient swab r/o vancomycin resistant enterococcus-final inpatient mrsa screen mrsa screen-final inpatient swab gram stain-final; wound culture-final {staphylococcus, coagulase negative}; anaerobic culture-final inpatient . radiology report cta abd w&w/o c & recons study date of 11:16 am impression: 1. nonocclusive thrombus in the smv/portal vein confluence and in the portal vein and occlusive thrombus in the distal smv and one of its branches. 2. extensive pneumatosis intestinalis of the ileal segments which are abnormally distended and fluid filled. 3. no free air is seen in the abdomen or pelvis. 4. mesenteric congestion and edema along with free fluid in the abdomen. 5. bilateral pleural effusion. 6. right liver dome hemangioma. 7. degenerative changes. . basic coagulation pt inr(pt) 06:10am 25.0* 2.4* 10:55am 33.9 06:10am 25.3* 2.5* 06:25am 25.7* 2.5* brief hospital course: he now presents with a recent history of abdominal pain over the last few days and was analyzed and treated for this at hospital where a superior mesenteric vein thrombosis was identified. he was stable but then deteriorated and a follow-up cat scan on the day of transfer indicated that there was portal venous air, as well as possible pneumatosis intestinalis he was admitted to the icu and went to the or for the following: 1. exploratory laparotomy. 2. resection of small bowel without anastomosis. 3. gastric tube placement. 4. patch temporary abdominal wall closure. . 1. relook laparotomy. 2. enteroenterostomy. 3. tightening of patch abdominal wall closure. . re-look laparotomy (planned . 1. re-exploration of a recent laparotomy (planned). 2. ventral hernia repair. 3. alloderm mesh placement. he was extubated and transferred to the floor. pain: his pain was well controlled with a pca, he was then switched to po pain meds. cv: frequent pvc's. otherwise stable with no chest pain. resp: his o2 was weaned and he continued with is and pulmonary hygiene. gi/abd: he continued with tubefeedings. he passed his swallow evaluation and his diet was slowly advanced. he reported frequent, loose stool. c.diff was negative x 3. his tubefeeding formula was changed and imodium was added. it is ok to wean tube feeds as patient tolerates more po's. his bowel movements were less frequent and better consistency. his abdomen had a wound vac. the white foam was placed over the alloderm and then black sponge was placed overtop. his next vac change is thursday . impairment in skin integrity-coccyx pressure ulcer: continue with wound care nursing recs. heme: due to hx of lle dvt in who p/w acute superior mvt resulting in bowel ischemia, now s/p ex lap w/ sb resection and re-anastamosis. patients w/ acute mvt are usually anticoagulated for 3-6 months if no etiology of the thrombosis is discovered. however, the etiology of the patient's thrombosis is currently unclear and could be acquired (neoplasm, myeloproliferative disorder) or inherited. in addition, given this patient's hx of previous dvt and now smv thrombosis, it would be prudent to start an inherited coagulopathy work-up while in-hospital. recommend anti-coagulation w/ coumadin for 6 months with therapeutic inr of 2.5-3.5. activity: he needs additional pt for stability and conditioning. medications on admission: lipitor discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. 2. brinzolamide 1 % drops, suspension sig: one (1) ophthalmic tid (3 times a day). 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. 5. artificial tear with lanolin ointment sig: one (1) appl ophthalmic prn (as needed). 6. tylenol 325 mg tablet sig: 1-2 tablets po every 4-6 hours. 7. loperamide 2 mg capsule sig: one (1) capsule po qid (4 times a day). 8. psyllium packet sig: one (1) packet po bid (2 times a day). 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 11. warfarin 3 mg tablet sig: one (1) tablet po once a day: monitor inr. goal inr 2.5-3.5. adjust dose accordingly. discharge disposition: extended care facility: discharge diagnosis: smv thrombosis and portal venous gas ischemic bowel discharge condition: good 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 skin, or the whites of your eyes become yellow. * 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. * 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. * 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. * continue to increase activity daily. * no heavy lifting (> lbs) until your follow up appointment. followup instructions: please follow-up with dr. on at 9:30am. call with questions or concerns. . clinic. provider: , md phone: date/time: 10:00 provider: , md phone: date/time: 10:00 procedure: parenteral infusion of concentrated nutritional substances other partial resection of small intestine enteral infusion of concentrated nutritional substances exploratory laparotomy reopening of recent laparotomy site reopening of recent laparotomy site other repair of abdominal wall other repair of omentum other open incisional hernia repair with graft or prosthesis other gastrostomy small-to-small intestinal anastomosis diagnoses: disruption of internal operation (surgical) wound paroxysmal ventricular tachycardia other and unspecified hyperlipidemia incisional hernia without mention of obstruction or gangrene pressure ulcer, lower back personal history of venous thrombosis and embolism other ascites acute vascular insufficiency of intestine removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation delirium due to conditions classified elsewhere portal vein thrombosis 

Answer: The patient is high likely exposed to