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: history of present illness: this is an 80-year-old nondiabetic white male with hypertension, chronic low back pain secondary to spinal stenosis, who complained of increased lower back pain since . the patient was evaluated by an orthopedic surgeon with an mri that showed an abdominal aortic aneurysm. the patient was referred to dr. for further evaluation. the patient underwent an outpatient arteriogram on that showed an 8 cm aaa, and a 3.5 cm right common iliac artery aneurysm. the patient was evaluated for a stent graft placement but he was not a suitable candidate. past medical history: 1. hypertension. 2. herpes zoster of the right trigeminal nerve. 3. bacterial meningitis. 4. increased intraocular pressure. 5. spinal stenosis. 6. right sciatica. 7. degenerative joint disease. past surgical history: 1. carpal tunnel release. 2. left total knee replacement. 3. right total hip replacement in in . allergies: 1. percodan causes hallucinations. 2. vicodin causes a rash. 3. benadryl causes hives. admission medications: 1. atenolol 25 mg p.o. q.d. 2. aspirin 325 mg p.o. b.i.d. family history: noncontributory. social history: the patient is a retired electrical engineer. he stopped smoking cigarettes 30 years ago. he drinks two to three alcoholic drinks per day. he lives with his wife. his daughter and son-in-law live next door. currently he ambulates with a cane. he is physically active golfing and drives his car without difficulty. physical examination: vital signs: pulse 87, respiratory rate 21, blood pressure 145/60, o2 saturation equals 98% on room air. general: alert, cooperative white male in no acute distress. heent: normocephalic. pupils were equal, round, and reactive to light. tongue in midline. neck: range of motion within normal limits. no lymphadenopathy. chest: heart regular rate and rhythm without murmur. lungs clear bilaterally. abdomen: soft. nontender. bowel sounds present. aorta palpable. rectal: examination deferred. extremities: arthritic changes present. pulse examination: carotid, radial, femoral, popliteal, dorsalis pedis pulses were all 2+ bilaterally. posterior tibial pulses were 1+ bilaterally. neurological: examination was not focal. the patient was alert and oriented x 3. laboratory data: on white blood cell count was 7.8, hemoglobin 12.1, hematocrit 34.6, platelet count 173,000, sodium 138, potassium 4.3, chloride 105, bicarbonate 24, bun 15, creatinine 1.0, glucose 96. ekg on showed a sinus rhythm with a rate of 67. borderline intraventricular conduction delay. compared to previous tracing of , sinus rate faster and sinus bradycardia no longer present. chest x-ray on showed emphysema. hospital course: the patient was admitted to the hospital on following aaa and right common iliac artery aneurysm resection with an aortobi-iliac bypass graft. at the end of surgery the patient had equally warm feet with doppler signals of the dorsalis pedis arteries bilaterally. he was given kefzol perioperatively. he was transfused two units of packed red blood cells immediately postoperatively. the patient's postoperative course was complicated. shortly after surgery he developed episodes of bradycardia to a rate of 30 to 40 with associated hypotension. cardiology was consulted. a transesophageal echocardiogram was done that was negative. the patient was transferred to the surgical intensive care unit on a dopamine drip. heparin was removed from all of his lines after platelets drifted down from 136,000 to 95,000. he was given ativan 1 mg iv q. 6 hours for ethanol withdrawal prophylaxis. fentanyl was given p.r.n. a nasogastric tube was kept in place and iv protonix was ordered. anesthesia capped his epidural catheter. the electrophysiology service was consulted. the patient's heart rate was in the 70s after the dopamine drip was weaned off. no further immediate treatment was necessary. the following day the patient had a vt arrest x 2. he was cardioverted successfully twice. beta blocker was started. amiodarone and propofol drips were started following the second vt arrest. the patient was transfused packed red blood cells to keep his hematocrit greater than 30. the amiodarone drip was stopped after two days. the patient was weaned off of his iv ativan for alcohol withdrawal prophylaxis. diuresis was continued. on postoperative day number seven the patient had a fever spike to 101.2. vancomycin was added to the levofloxacin already on board. the following day the patient spiked to 104.1. sputum, blood and urine cultures were sent. flagyl was added to the vancomycin and levofloxacin. general surgery was consulted to evaluate for possible intra-abdominal process. they felt there was more likely a septic process going on. the infectious disease service was consulted. they recommended stopping the vancomycin, levofloxacin and flagyl. zosyn 4.5 grams iv q. 6 hours was ordered. blood cultures grew e. coli. sputum grew proteus. urine culture grew e. coli and 10 to 100,000 enterococcus. vancomycin was continued to cover the enterococcus. lines were changed. blood cultures were repeated. a chest x-ray showed right lower lobe pneumonia. the patient failed extubation on postoperative day number eight. he was finally extubated on postoperative day number 10. vancomycin was stopped. aggressive pulmonary toilet was ordered. dilaudid subcutaneous was given for incisional pain. the nasogastric tube had over 400 cc of guaiac positive fluid. this was felt to be old postoperative blood. the patient was continued on iv protonix. infectious disease recommended changing the iv zosyn to ceftriaxone for a combined total of 14 days. this was to be followed by two to four weeks of oral antibiotics. the patient was started on levofloxacin on and will be stopped on . on a bedside swallow study showed that the patient had a nonfunctioning swallow. a nasogastric tube was continued. the patient had had a dobbhoff placed on to initiate tube feedings when the catheter was postpyloric. the patient was transferred to the vicu on . a video swallow study was attempted on but was not possible because the patient could not follow commands. he continued to be confused, sometimes combative, and required a sitter. the electrophysiology service was consulted again regarding the placement of an aicd. the eps agreed to place the device after a total of two weeks of antibiotic therapy. a right picc line was placed for tpn and intravenous antibiotic therapy. however the patient pulled out the picc line five days after placement. this was not replaced. video swallow done on showed a normal swallow, no aspiration, but decreased pharyngeal sensitivity. the patient was able to tolerate a soft diet with boost t.i.d. with meals. aspiration precautions were followed. repeat blood cultures were negative. an aicd via the left cephalic vessel was placed on . three days of vancomycin were ordered post device placement. the patient had been scheduled to follow up in one week in the device clinic, but since the patient remained hospitalized, the eps fellow interrogated the aicd at the bedside on . follow up in the electrophysiology cardiology clinic in one to three months was recommended. the patient continued to have periods of agitation, confusion, and combativeness. he required a sitter for several evenings to prevent him from climbing out of his posey and bed. these episodes primarily occurred in the early morning hours. he also reported seeing things on the walls in the bathroom. the patient was screened for rehabilitation but could not be accepted while the patient required a 1:1 sitter. the patient's family described a similar postoperative episode in following right hip surgery in . at that time the family reported that the patient was started on risperdal, improved considerably, and then was weaned off of the medication. a psychiatry consultation was requested on . they recommended giving haldol 1 mg iv q. one hour as needed for acute confusion/agitation. they also recommended starting b.i.d. risperdal. the patient improved on this medication regimen and after three days, no longer required a 1:1 sitter. psychiatry recommended looking for an infectious or metabolic source for the patient's postoperative delirium. all laboratory studies, chest x-ray, cultures, and head ct were negative. the patient could not undergo mri of his head because of his new aicd. psychiatry also felt after speaking with the patient during periods of lucidity, that the patient might have early signs of cognitive impairment, and recommended an outpatient work-up. the patient's mental status stabilized on 0.5 mg of rispderal in the morning and 1.5 mg of rispderal at bedtime. the patient developed and area of thrombophlebitis over his left arm puncture site. he was treated with a short course of kefzol. physical therapy was consulted on for full weight-bearing ambulation. the patient did fairly well with a rolling walker but required constant supervision because of poor concentration and unsteadiness. the patient has improved but still requires supervision. at the time of dictation the patient's abdominal incision is clean, dry and intact. his feet are equally warm with palpable pedal pulses. the slight redness and firmness at the left arm puncture site is almost completely resolved. his aicd site is clean, dry and intact with steri-strips in place. follow-up plans: the patient will follow up in the office with dr. after discharge from rehabilitation. discharge medications: 1. atenolol 50 mg p.o. q.d. 2. risperidone 0.5 mg p.o. q.a.m. 3. risperidone 1.5 mg p.o. q.h.s. 4. miconazole powder 2% one application topically b.i.d. 5. heparin 5,000 units subcutaneous q. 12 hours. 6. acetaminophen 325 mg p.o. q. 4-6 hours p.r.n. 7. lacri-lube ointment, one application ou p.r.n. 8. colace 100 mg p.o. b.i.d. 9. milk of magnesia 30 ml p.o. q. 6 hours p.r.n. 10. multivitamins, one capsule p.o. q.d. disposition: to rehabilitation facility. condition on discharge: satisfactory. primary diagnoses: 1. abdominal aortic aneurysm and iliac artery aneurysms. 2. abdominal aortic aneurysm and aortoiliac resection with aortobi-iliac bypass graft on . secondary diagnoses: 1. postoperative bradycardia and hypotension. 2. ventricular tachycardia arrest x 2 on . 3. automatic implantable cardioverter-defibrillator placement on ; interrogated on . 4. right lower lobe pneumonia with proteus. 5. e. coli urosepsis. 6. e. coli bacteremia. 7. respiratory failure with prolonged intubation; extubated on postoperative day number ten, . 8. blood loss anemia; multiple transfusion. 9. heparin-induced thrombocytopenia; transient. 10. postoperative malnutrition; short-term tpn. 11. left arm thrombophlebitis; treated. 12. ethanol withdrawal prophylaxis with ativan. 13. difficulty swallowing secondary to pharyngeal insensitivity; aspiration precautions and soft diet. 14. postoperative delirium; resolving with treatment with risperdal. 15. underlying cognitive impairment; may need outpatient work-up. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart aorta-iliac-femoral bypass catheter based invasive electrophysiologic testing implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] resection of vessel with replacement, aorta, abdominal diagnoses: thrombocytopenia, unspecified pneumonia due to other gram-negative bacteria urinary tract infection, site not specified acute posthemorrhagic anemia paroxysmal ventricular tachycardia acute respiratory failure other emphysema abdominal aneurysm without mention of rupture septicemia due to escherichia coli [e. coli] 

Answer: The patient is high likely exposed to