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: iv dye, iodine containing attending: chief complaint: sigmoid diverticulitis major surgical or invasive procedure: sigmoid resection and end colostomy. history of present illness: 59m with a history of non-hodgkin's lymphoma on his 4th cycle of chemotherapy and r rcc s/p nephrectomy who presented to osh with abdominal pain. the pain was sudden onset in the llq and was unlike any pain he had before. the pain was associated with nausea. he denies fevers, chills, chest pain, dysuria. he does have sob at baseline. he had a normal bm today. ct at the osh demonstrated sigmoid diverticulitis with free air. the patient prefered to be transfered to since he gets his care here. he never had a colonoscopy before. he states that he had diverticulitis in the last 10 years but is unsure how these episodes were diagnosed past medical history: waldenstrom's macroglobulinemia, rcc t3anxm0, hypertension, ocd, basal cell carcinoma, linear iga, ?lyme disease, renal insufficiency psh: r nephrectomy , r knee surgery ', ?evd for hydrocephalus as neonate ' social history: he is married, lives in . occasional marijuana smoker, no tobacco, social etoh family history: no history of colonca physical exam: vs 99.8 113 135/79 20 94% 3l nc gen: a and o x 3 card: tachycardia pulm: decreased bs b bases abd: obese soft distended ttp throughout especially llq with voluntary guarding. small umbilical hernia ext: edema pertinent results: 10:10pm wbc-20.2*# rbc-3.98* hgb-13.4* hct-39.1* mcv-98 mch-33.6* mchc-34.2 rdw-15.6* 10:10pm neuts-88* bands-0 lymphs-4* monos-5 eos-0 basos-0 atyps-0 metas-2* myelos-1* 10:10pm plt smr-normal plt count-160 10:10pm pt-14.7* ptt-24.7 inr(pt)-1.3* 10:10pm lipase-32 10:10pm alt(sgpt)-23 ast(sgot)-12 alk phos-76 tot bili-1.2 10:10pm urea n-31* creat-1.7* 10:16pm glucose-155* lactate-2.6* na+-142 k+-4.0 cl--103 tco2-26 10:10 pm blood culture blood culture, routine (preliminary): anaerobic gram negative rod(s). beta lactamase positive. anaerobic bottle gram stain (final ): gram negative rod(s) . brief hospital course: on , the patient was taken to the or for an exploratory laparotomy and sigmoid colectomy with colostomy/ procedure for perforated diverticulitis and free air. he was extubated in the sicu on pod 0. on pod 1, heme/onc was called and they recommended a serum viscosity and possibly starting ivig if the patient becomes septic. that evening, his blood culture was positive for gnr in the anaerobic bottle. he was started on ivig on pod 2. he was having issues with hypertension and tachycardia/tachypnea. ivf were decreased. he also required a 3 way foley placement for blockage of the foley with sediment. on pod 3, the patient was doing well. his pain was well controlled. the ngt was removed and he was transfered to the floor in good condition. following transfer to the surgical floor he was treated with ivig a second time based on the heme/onc recommendations but he required premedication as he developed chills and nausea. the second administration was successful. he remained afebrile with a wbc of 5k and subsequent blood cultures from are preliminary negative. he will complete a 2 week course of antibiotics which ends . he gradually advanced his diet over a 48 hour period and was able to tolerate a regular diet. his ostomy was active. the ostomy nurse saw him on a regular basis for teaching and general care however he will need that re enforced after discharge. on , he experienced a small amount of drainage from the lower pole of his incision, which was opened at the bedside and packed with dry gauze. no pus was expressed, and the remainder of the wound was clean and dry. he remained free of any other pulmonary problems and was maintained on his home bronchodilator as well as using his incentive spirometer effectively. he is being discharged home with stable vital signs, laboratory values within normal limits, and home vna to perform dressing changes to the lower pole of his incision. there was no sign of wound infection at discharge. he was given instructions to follow up in surgery clinic. medications on admission: acyclovir 400"', albuterol, dapsone 50", diltiazem 120, folic acid 2, furosemide 40, asa 325, vit d3 discharge medications: 1. dapsone 25 mg tablet sig: two (2) tablet po bid (2 times a day). 2. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 3. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: one (1) inh inhalation four times a day as needed for shortness of breath or wheezing. 4. diltiazem hcl 120 mg capsule, extended release sig: one (1) capsule, extended release po daily (daily). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 8. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 9. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 10. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 11 days: thru . disp:*16 tablet(s)* refills:*0* 11. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 11 days: thru . disp:*24 tablet(s)* refills:*0* discharge disposition: home with service facility: home care discharge diagnosis: perforated diverticulitis post op respiratory insufficiency gram negative bacteremia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down 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. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. * the vna will help you with your ostomy care and re enforce teaching followup instructions: call the acute care clinic at for a follow up appointment in weeks. md procedure: colostomy, not otherwise specified open and other sigmoidectomy injection or infusion of immunoglobulin diagnoses: unspecified essential hypertension malignant neoplasm of kidney, except pelvis other malignant lymphomas, unspecified site, extranodal and solid organ sites bacteremia diverticulitis of colon (without mention of hemorrhage) other specified bacterial infections in conditions classified elsewhere and of unspecified site, other anaerobes macroglobulinemia abscess of intestine 

Answer: The patient is high likely exposed to