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: heparin agents attending: chief complaint: rectal bleeding major surgical or invasive procedure: intubation and mechanical ventilation continuous -venous hemofiltration multiple paracenteses history of present illness: mr. is a 60m with recent admit for pancreatitis and urosepsis, s/p gastric bypass presents with brbpr. he states that the bowel movements were red/cranberry colored. he had several bloody bm's at rehab, 2 in the ed, and 3 here on the floor since admit. per patient, he denies fevers, chills, or abdominal pain except when he took the po contrast for ct today. he denies nausea, vomiting, dysuria, or cough. he has had a very poor appetite x 3-4 days. he has not had blood in his stool before. he complains of severe thirst. . in the ed, vitals were afebrile 98 105/54 100% on ra. he had brbpr x2 in the ed. hct 27.8, baseline is 28-29. labs notable for hct of 26, cr of 5, inr of 2 (not on anticoagulation). cxr showed rll infiltrate vs atelectasis. given levofloxacin for ?pna and iv flagyl for ?c difficile colitis. ffp given for coagulopathy. 40 of k given for k of 2.7. . gi saw him in ed recommended workup for c diff, thought no need for emergent scope as hct at baseline. remained hemodynamically stable. foley was placed in the ed with about 50 cc urine. stool now + for c diff . on the floor (as mentioned) he had 2 bloody bowel movements. this morning he complained of severe thirst and of abdominal distensin, no n/v or abdominal pain. ct abdomen revealed: fluid filled structure posterior to the excluded stomach, with suture line running through the posterior wall, raising the possibility of a dilated proximal efferent limb, ? obstruction due to adhesions. the anatomy is suboptimally evaluated due to lack of oral contrast in the bypass. predominantly the oral contrast is in the colon. more free fluid, with diffuse colnic wall thickening and pericolonic fat stranding, mostly in the left colon, raising the possibility of c diff colitis. continued peripancreatic stranding, however the previously seen pseudocyst is np longer seen. . past medical history: 1. chronic pancreatitis - multiple episodes, most recently w/ negative w/u for gallstone pancreatitis and thought alcohol 2. alcohol abuse - long-standing alcohol abuse, has denied aaa and other interventions in past 3. hepatitis b and c - diagnosed during admission for ble edema , with markedly elevated hepatitis c viral load. did not pursue follow-up. discharge summary from admission notes multiple risk factors, including h/o ivdu, recent tatto, and multiple sexual partners (although had been in monogamous relationship > 20 yrs by then) 5. dmii - reportedly took insulin at home until gastric bypass, now only taking metformin 6. htn 7. cholelithiasis 8. s/p gastric bypass - , endoscopic, weight loss from ~350 lbs to ~250 lbs, has missed follow-up appts 9. osteoarthritis - hip and knees 10. osa requiring cpap 11. s/p l hip surgeries including prosthesis placement w/ subsequent removal due to infection 12. s/p gunshot wound to l thigh in social history: living in since last hospitalization. son visits. occupation: retired firefighter etoh: drinks 3-6 tequila shots daily, has drank significantly for unclear number of years drugs: remote h/o ivdu per note from admission, none recently tobacco: smokes 1ppd x several years family history: mother who died at age 40 with multiple myeloma. physical exam: vitals: t: 100.6 axillary bp: 94/68 p:98 r: 18 o2: 99% on ac general: alert, oriented, no acute distress heent: sclera icteric, mm dry, oropharynx w/ oral airway in place, poor dentition neck: supple, jvp not elevated, no lad lungs: coarse breath sounds bilaterally with loud upper airway sounds, no appreciable wheezes or rales cv: tachycardic, normal s1 + s2, no murmurs, rubs, gallops abdomen: obese, distended but soft, bowel sounds present, unable to assess for tenderness to palpation ext: 1+ rle edema, trace lle edema pertinent results: ct abdomen w/o contrast : impression: 1. new fluid distention of the gastric remnant and afferent limb. this finding may represent ileus or possibly obstruction as can be seen in afferent limb syndrome. 2. punctate foci of air are seen adjacent to the tail of the pancreas and are of unknown etiology. it is unclear if they are related to a collapsed loop of bowel or possibly the patient has developed a fistula in the region as there was previously a pancreatic pseudocyst in this region on the prior ct scan dated . close followup with ct is recommended. 3. new ascites. 4. fatty infiltration of the liver. 5. new diffuse colonic wall thickening, consistent with colitis. ct abdomen w/o contrast : impression: 1. unchanged dense ascites with slight worsening of extensive soft tissue anasarca and fluid tracking along the right abdominal wall fascial planes. 2. slight interval improvement in colitis with residual colonic thickening involving the ascending, descending and sigmoid colon consistent with underlying c. diff colitis. 3. unchanged dilation of the gastric remnant with worsening dilation of the roux limb and remainder of the small bowel up to an apparent transition in the region of distal colon. 4. hepatic steatosis. hematology: 03:45pm blood wbc-26.6*# rbc-2.98* hgb-8.9* hct-27.8* mcv-93 mch-29.7 mchc-31.9 rdw-15.0 plt ct-336 06:14pm blood wbc-15.3* rbc-3.37* hgb-10.1* hct-31.2* mcv-92 mch-29.9 mchc-32.4 rdw-15.8* plt ct-213 02:53am blood wbc-13.9* rbc-2.83* hgb-8.6* hct-26.8* mcv-95 mch-30.3 mchc-32.0 rdw-17.9* plt ct-76* 05:56pm blood wbc-23.1* rbc-2.97* hgb-9.4* hct-29.5* mcv-99* mch-31.6 mchc-31.9 rdw-22.7* plt ct-88* 05:33am blood wbc-16.2* rbc-2.97* hgb-9.7* hct-30.3* mcv-102* mch-32.7* mchc-32.0 rdw-26.8* plt ct-122* paracentesis fluid: 11:40am ascites wbc-* rbc-3500* polys-86* lymphs-4* monos-10* 11:40am ascites totpro-3.3 ld(ldh)-679 amylase-4 albumin-1.3 triglyc-20 06:25pm ascites wbc-2885* rbc-1175* polys-77* lymphs-10* monos-9* mesothe-1* macroph-3* 06:25pm ascites totpro-3.5 glucose-172 ld(ldh)-516 albumin-1.9 11:40 am peritoneal fluid gram stain (final ): 4+ (>10 per 1000x field): polymorphonuclear leukocytes. 1+ (<1 per 1000x field): gram negative rod(s). urinalysis: 11:39pm urine rbc-901* wbc-52* bacteri-many yeast-many epi-1 11:39pm urine blood-lg nitrite-neg protein->300 glucose-neg ketone-neg bilirub-sm urobiln-0.2 ph-5.5 leuks-sm lactate trend: 04:43pm blood lactate-1.7 k-2.7* 10:55am blood lactate-2.9* 08:11pm blood lactate-5.2* 06:25pm blood lactate-3.8* 04:29pm blood lactate-2.4* 05:53am blood lactate-1.8 05:01pm blood lactate-2.4* brief hospital course: mr had a long and complicated hospital course and eventually his care goals were changed to be comfort measures only (cmo) on night of after a discussion with his son, . at 0100 on , mr. was pronounced to be dead. the following is a brief summary of hospital events. # peritonitis: upon admission mr had a ct scan which showed extraluminal air concerning for potential pancreatico-colonic fistula (in area of prior pseudocyst) or possible microperf/abscess. he was non-tender on exam initially; surgery evaluated and felt abscess was unlikely. on he had a change in mental status and new abdominal tenderness concerning for peritonitis. paracentesis showed 11k wbc with high protein, low glucose concerning for complicated (or secondary) peritonitis. surgery again evaluated and felt this was unlikely due to colonic perforation. he was begun on broad spectrum antibiotics; cultures showed e coli. repeat paracentesis 48-hours later showed improving wbc count; however, his course in the micu was one in which he required accelerating pain control and sedation given that he appeared to have an extremely tender abdomen. he also required increasing vasoactive agents to maintain his blood pressure in a normal range. on night of , vasoactive agents were discontinued when patient was made cmo and a morphine drip was started. patient died at 0100 on . # c diff: mr. had numerous bloody bowel movements in the hosptial; ct scan showed colitis. given his h/o recent antibiotics there was a high suspicion for c diff. he had course of iv, po, and pr vancomycin; however, he did not stool in the last week of hospitalization. he received 4u prbcs for hematochezia. surgery was consulted and recommended against colectomy. # acute renal failure: pre-renal azotemia, nonresponsive to approximately 20l of fluid + albumin + midodrine & octreotide. by definition, hepatorenal syndrome given his cirrhosis. he was started on cvvh in the micu; however, at his son's request, this was discontinued on night of . # ileus: upon admission mr. had a distended afferent loop which was fairly asymptomatic. surgery consulted and recommended against intervention, as did gastroenterology (due to the complication of placing a venting g-tube in a patient with ascites). ng tube placement was also recommended against by dr. of bariatric surgery due to the risk of placing a ngt in a patient with a small surgical stomach. in the final week of hospitalization, the patient did not stool and his lactate and bladder pressures steadily rose in his last few days of hospitalization. #thrombocytopenia: steady trend down since admission. all heparin products d/c'd and hit ab sent. hit antibody was negative; however, given high clinical suspicion for hit, heparin products were avoided and a serotonin releasing assay was sent and was pending at time of death. # dyspnea: acute onset during a plasma transfusion. thought to be either from transfusion reaction (trali) vs fluid overload (cxr clear). on he had another acute episode of dyspnea with desats and was transferred to the micu where he was intubated. he remained intubated throughout the remainder of his course until his death. medications on admission: mvi with minerals methadone 90 mg morphine 10 mg po q8h prn pain lactulose 30 ml daily titrate to bms clonidine 0.1 mg daily lisinopril 5 mg daily on completed course of ciprofloxacin discharge medications: patient expired. discharge disposition: expired discharge diagnosis: primary: bacterial peritonitis aspiration pneumonia septic shock secondary: clostridium difficile colitis acute kidney injury hypertension diabetes mellitus type 2 obstructive sleep apnea hepatitis b hepatitis c discharge condition: patient expired. discharge instructions: patient expired. followup instructions: patient expired. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube hemodialysis hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage percutaneous abdominal drainage diagnoses: acidosis thrombocytopenia, unspecified obstructive sleep apnea (adult)(pediatric) acute kidney failure with lesion of tubular necrosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver unspecified protein-calorie malnutrition severe sepsis unspecified viral hepatitis c without hepatic coma alcohol abuse, unspecified hypopotassemia acute respiratory failure pneumonitis due to inhalation of food or vomitus 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 blood in stool septic shock intestinal infection due to clostridium difficile paralytic ileus other ascites hypovolemia chronic pancreatitis other and unspecified coagulation defects delirium due to conditions classified elsewhere viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta oliguria and anuria transfusion related acute lung injury (trali) natural blood and blood products causing adverse effects in therapeutic use bariatric surgery status other suppurative peritonitis osteoarthrosis, unspecified whether generalized or localized, pelvic region and thigh postgastric surgery syndromes 

Answer: The patient is high likely exposed to