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: none history of present illness: patient is a 58 year old male transferred from . patient presented to with symptoms of small bowel obstruction. he was taken to the or the same day of presentation for lysis of adhesions- no distinct transition zone was found. post operatively, patient remain intubated with septic/ards like picture and on began to leak bowel contents from midline wound. patient was taken back for a second operation for repair of a small bowel perforation. a second episode of leakage from wound occurred on . patient taken to the or the third time the dame day for trach placement, repair of the second perforation (no resection performed in either case), and end ileostomy. aproximately pod 4 from the third surgery, stool again began leaking from the incision. patient was transferred to per request of family and girlfriend and was on both tpn and tube feeds at time of transfer. patient had received levo, zosyn and unasyn at . past medical history: bipolar disorder abdominal surgery as an infant hx of several episodes of bowel obstruction- resolved spontaneously cervical fusion social history: 1 pack cigarettes per day drinks per day family history: no colorectal ca physical exam: on admission, 99.6 103 110/61 cpap 500 x 30, ps 8, peep 5, satting 98% moves all 4 extremities and is responsive coarse breath sounds bilaterally tachy regular abdomen soft, nt with bowel sounds, viable ostomy with stool fistula at lower edge of incision with appliance in place lower extremities with 3+ edema pertinent results: 09:01pm hct-28.8* 05:40pm type-art po2-105 pco2-37 ph-7.48* total co2-28 base xs-3 intubated-intubated vent-imv 05:40pm glucose-96 05:40pm freeca-1.16 03:05pm albumin-1.9* iron-20* 03:05pm caltibc-124* trf-95* 05:27am lactate-1.5 05:15am glucose-95 urea n-19 creat-0.4* sodium-143 potassium-4.0 chloride-109* total co2-28 anion gap-10 05:15am alt(sgpt)-30 ast(sgot)-36 alk phos-87 tot bili-0.9 05:15am albumin-1.7* calcium-7.8* phosphate-2.7 magnesium-2.1 05:15am pt-13.5 ptt-28.2 inr(pt)-1.1 abd wound- pan e. coli sputum- pseudomonas to and gent sputum- pseudomonas, pan s drain- psudomonas & yeast blood coag neg staph blood- pseudomonas ct, leakage from small bowel, most like at anastomosis site, multiple enterocutaneous fistulas, bilateral pleural effusions ruq us- sludge in gallbladder brief hospital course: patient was admitted to the surgical intensive care unit on . patient was continued on tpn, zosyn and levo. on hd 2, perc drainage of l flank extravasation was performed and blood pressure was continued to be supported with fluid boluses. antibiotics was was changed to meropenum, gent and fluc based on clx results-pseudomonas grew from sputum cultures. patient spiked and line was changed over wire. tip was subsequently positive and the line was resited. patient was also started on hydrocortisone for adrenal insuffciency. infectious disease was consulted and vanc was added. on hd 6, echo demonstrated normal cardiac function, pateint started trach collar trials, octreotide was started, physical therapy was started and patient was evaluated for a passy muir valve. also, ruq us demonstrated gb sludge and repeat ct demonstrated near complete resolution of l fluid collection but persistent leakage of bowel contents in the anterior abdominal wall. no vegatations were noted on a repeat echo. ngt was discontinued on hospital day 8, steroid wean was begun and urine output responded well to lasix. patient was transferred to the floor on hospital day 10, however, he returned to the unit on for tachycardia, likely due to atrial fibrillation. he underwent another ct-guided drainage and aspiration. his atrial fibrillation was eventually contolled and he was transferred back to the floor on . his fistula output steadily decreased, but never entirely ceased. he continued to work with physical therapy, and made excellent progress. his bowel required manual disimpaction, but he eventually recovered bowel movements. at the suggestion of id, his meropenem and gentamicin were discontinued on , and zosyn was started instead. he gradually tolerated clears for comfort. on , he developed respiratory distress and was again transferred to the sicu for tachycardia, hypotension, tachypnea, and hypoxia. workup for pe was negative. gentamicin was re-started. a repeat ct scan on showed no new fluid collections. he was transferred to the floor on . he gradually improved. a mild bump in his lfts was attributed to his chronic tpn, and nutrient levels were adjusted. vanco and gent were discontinued on , and his pain control was changed to a fentanyl patch and prn morphine.the timing of his fistulogram was discussed at great length, and it was decided the optimal time would be after his discharge to rehab, to allow him time to gain his strength and regain mobility in preparation for the fistulogram and resultant operative assessment. he was discharged to acute care rehab in stable condition on . medications on admission: meds at osh zosyn levaquin unasyn heparin sub q perioperative beta blockade home medication- depakote discharge medications: 1. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. 2. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 3. fentanyl 25 mcg/hr patch 72hr sig: one (1) patch 72hr transdermal q72h (every 72 hours). 4. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 5. valproate sodium 100 mg/ml solution sig: five (5) ml intravenous q6h (every 6 hours). ml 6. fluconazole in normal saline 200 mg/100 ml piggyback sig: one hundred (100) ml intravenous q24h (every 24 hours): please call dr office for updates on duration of treatment. 7. lorazepam 2 mg/ml syringe sig: 0.25 mg injection hs (at bedtime) as needed. 8. piperacillin-tazobactam 4.5 g recon soln sig: one (1) recon soln intravenous q6h (every 6 hours): please contact office for updates on desired duration. 9. metoprolol tartrate 5 mg/5 ml solution sig: 7.5 ml intravenous q6h (every 6 hours). 10. diphenhydramine hcl 50 mg/ml solution sig: 0.5 ml injection hs (at bedtime) as needed. 11. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. discharge disposition: extended care facility: - discharge diagnosis: entercutaneous fistula pseuodomonis pneumonia line sepsis adrenal insufficieny discharge condition: stable discharge instructions: pt will need optimization of respiratory status and possible transition to pm valve. extensive physical therapy to restore mobility. total parenteral nutrition. close wound care of midline fistula site. routine ostomy care. followup instructions: provider: , . call to schedule appointment patient to call and make appointment to see dr. in weeks. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart percutaneous abdominal drainage percutaneous abdominal drainage diagnoses: other postoperative infection unspecified pleural effusion atrial fibrillation pneumonia due to pseudomonas bacteremia 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 infection and inflammatory reaction due to other vascular device, implant, and graft bipolar i disorder, most recent episode (or current) unspecified ileostomy status fistula of intestine, excluding rectum and anus attention to tracheostomy 

Answer: The patient is high likely exposed to