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: strawberry attending: chief complaint: severe intermittent claudication with infrarenal aortic and common iliac artery occlusion major surgical or invasive procedure: procedures: 1. aortobifemoral bypass with 12 x 6 aortobifemoral graft. 2. abdominal pelvic aortogram with iliac artery runoff. 3. thrombectomy of aortobifemoral graft with embolectomy catheters. 4. bilateral iliac artery angioplasty and stenting with 7 mm self-expanding stent grafts via bilateral femoral cutdown. procedures: exploratory laparotomy, evacuation of intra- abdominal hematoma and open packing of the abdomen. operation performed: abdominal washout and removal of packing and temporary abdominal closure. procedure: exploratory laparotomy, washout and delayed abdominal closure. history of present illness: this 54-year-old gentleman has had severe disabling claudication for 2 years. this was originally thought to be a problem. has been unable to walk. ultimately an mra was done which showed that his infrarenal aorta was occluded along with his common iliac arteries down to the iliac bifurcation, which both external iliac arteries were severely diseased with patent common femoral arteries and reasonable runoff distally. he was advised to have an aortobifemoral bypass. past medical history: hyperlipidemia, a cyst resection from his neck in , an abscess removed from his neck in , rhinoplasty in and tonsillectomy in . denies a history of anemia. social history: mr. is a divorced attorney tobacco: 40 pack year smoker etoh: social admits to prior use of mj, lsd, cocaine in past family history: mother w/history of colon cancer in her 40's - treated successfully. now 82yo alive and well. father deceased from melanoma at 38yo. no h/o cad physical exam: pe: afvss neuro: perrl / eomi mae equally answers simple commands neg pronator drift sensation intact to st 2 plus dtr neg babinski heent: ncat neg lesions nares, oral pharnyx, auditory supple / farom neg lyphandopathy, supra clavicular nodes lungs: cta b/l cardiac: rrr without murmers abdomen: soft, nttp, nd, pos bs, neg cva tenderness, open wound vac dressing in place groin: b/l groin incisions c/i, some serous drainage noted ext: rle - palp fem, , pt, dp lle - palp fem, , pt, dp pertinent results: 05:13am blood wbc-11.5* rbc-3.43* hgb-10.0* hct-31.8* mcv-93 mch-29.3 mchc-31.5 rdw-16.2* plt ct-606* 03:05am blood pt-15.6* ptt-27.2 inr(pt)-1.4* 05:13am blood glucose-108* urean-18 creat-1.0 na-141 k-4.2 cl-106 hco3-25 angap-14 03:35am blood alt-64* ast-71* alkphos-116 totbili-2.3* 05:13am blood calcium-8.1* phos-2.9 mg-1.9 07:50am urine color-yellow appear-clear sp -1.008 urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg urine rbc-0-2 wbc-<1 bacteri-none yeast-none epi-<1 7:55 am sputum source: endotracheal. gram stain (final ): >25 pmns and <10 epithelial cells/100x field. no microorganisms seen. respiratory culture (final ): commensal respiratory flora absent. yeast. rare growth. ruq us: findings: the liver is diffusely echogenic. no focal hepatic lesions are identified. there is no intra- or extra-hepatic biliary ductal dilation. the common duct measures 3 mm. the portal vein is patent, with forward flow. the gallbladder is nondistended and normal in appearance. there are no gallstones. there is no gallbladder wall edema or pericholecystic fluid. the spleen is normal in size. there is no free fluid in the right upper quadrant. impression: normal gallbladder. no biliary ductal dilation. echogenic liver consistent with fatty infiltration. other forms of liver disease including significant hepatic fibrosis/cirrhosis cannot be excluded on this study. brief hospital course: mr. , was admitted on with severe intermittent claudication with infrarenal aortic and common iliac artery occlusion. he agreed to have an elective surgery. pre-operatively, he was consented. a cxr, ekg, ua, cbc, electrolytes, t/s - were obtained, all other preperations were made. it was decided that she would undergo a: procedures: 1. aortobifemoral bypass with 12 x 6 aortobifemoral graft. 2. abdominal pelvic aortogram with iliac artery runoff. 3. thrombectomy of aortobifemoral graft with embolectomy catheters. 4. bilateral iliac artery angioplasty and stenting with 7 mm self-expanding stent grafts via bilateral femoral cutdown. he was prepped, and brought down to the operating room for surgery. intra-operatively, he was closely monitored and remained hemodynamically stable. he tolerated the procedure well without any difficulty or complication. post-operatively, transferred to the pacu for further stabilization and monitoring. he was hypotensive in the pacu with a large volume requirement. he dropped his hematocrit from 31 to 26. his abdomen became increasingly tense and he was showing signs of abdominal compartment syndrome and we decided to re-explore him. he was taken back to the or, he then a exploratory laparotomy, evacuation of intra - abdominal hematoma and open packing of the abdomen. he was closely monitored. because of his excessive bleeding a heme onc consult was obtained. the bleeding was thought to be from dic. heme / onc reccomendations: 1) prbc's to keep hct>30 2) cryoprecipitate to keep fibrinogen >100 3) ffp while actively bleeding to help correct coagulopathy 4) platelets to keep counts above 50k (while actively bleeding) 5) check dic panel and cbc with coags every 3-4 hours. 6) dose of desmopressin, for vwf deficiency the patient did recieve all of the above. his abdomen was left open. he was then transferred to the cvicu for further recovery. while in the cvicu he recieved monitered care. peri operative ab he was taken back for abdominal washout and removal of packing and temporary abdominal closure. he was then transferred to the cvicu for further recovery. while in the cvicu he recieved monitered care. he remained in guarded condition. his cagulopathy improved. was 10 liters positve. lasix drip for fluid overload. remained intudated, on pressors. recieved bronchoscopy for rul collapse peri operative ab remained in the cvicu, intubated, iv lasix continued, aggressive electrolytes repletion. neo for bp control. resp acidosis, tube feeds. general surgery was consulted for open abdomen. remained paralyzed and sedated, pressors dc'd. bp improved, c/w vent wean, npo with tf, hliv, good uop. peri operative ab - procedure: exploratory laparotomy, washout and delayed abdominal closure. remained paralyzed and sedated, bp stable on nitro, c/w vent wean, npo with tf, hliv, good uop. peri operative ab dc'd. bronchial specimans: haemophilus influenzae, beta-lactamase negative. pt started on ampicillan. he recieved these antbiotic untill time of dc. wet to dry dressing changes to abdomen. paralytic dc'd, remained sedated, bp stable on nitro, c/w vent wean, npo with tf, hliv, good uop. c/w ampicillan vac dressing placed on abdomen. cvl change. pt still with wbc - paralytic dc'd, remained sedated, bp stable on nitro, c/w vent wean, npo with tf, hliv, good uop. lasix drip c/w ampicillan for pna, cipro and flagyl started. wound looked psuedomonial, flagyl for increase stool. c-diff negative. treated emperically pt extubated, lasix drip dc'd - put on iv lasix, speech and swallow - tf stopped. mecahnical soft diet started. c/w antibiotics as above. - transfered to the vicu, when stable he was delined. he continued to have decreased po intake. nutrition consult obtained. calorie counts. no need for tf. encouraged to take po for nutrion. he did fail voiding trial. flomax started. foley replaced. a pt consult was obtained. recommended rehab. case management involved. placed successfully he progressed with physical therapy to improve her strength and mobility. he continues to make steady progress without any incidents. he was discharged to a rehabilitation facility in stable condition. medications on admission: simvastatin 20' discharge medications: 1. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 2. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eyes. 3. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 4-6 puffs inhalation q4h (every 4 hours) as needed for wheezing. 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po qid (4 times a day). 6. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 7. percocet 5-325 mg tablet sig: one (1) tablet po every hours: prn for pain. discharge disposition: extended care facility: center - discharge diagnosis: 1. severe intermittent claudication with infrarenal aortic and common iliac artery occlusion 2. intra-abdominal hemorrhage following aortobifemoral bypass. 3. open abdomen status post aortobifemoral bypass graft with abdominal compartment syndrome 4. open abdomen 5. hyperlipidemia 6. dic, requiring massive amounts of fluid resusitation, including blood products, ffp, cryo. 7. right upper lobe collapse, post op - bronchoscopy 8. hospital aquired pna 9. urinary retention requiring foley and flomax discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: division of vascular and endovascular surgery bypass surgery discharge instructions what to expect when you go home: 1. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? unless you were told not to bear any weight on operative foot: you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have swelling of the leg you were operated on: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? unless you were told not to bear any weight on operative foot: ?????? you should get up every day, get dressed and walk ?????? you should gradually increase your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (unless you have stitches or foot incisions) no direct spray on incision, let the soapy water run over incision, rinse and pat dry ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 100.5f for 24 hours bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: provider: , md phone: date/time: 10:30 provider: , md phone: date/time: 2:00 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances aorta-iliac-femoral bypass closed [endoscopic] biopsy of bronchus aortography incision of vessel, lower limb arteries arteriography of other intra-abdominal arteries reopening of recent laparotomy site other endovascular procedures on other vessels resection of vessel with replacement, aorta, abdominal control of hemorrhage following vascular surgery incision of vessel, aorta suture of peritoneum other suture of abdominal wall diagnoses: acidosis atherosclerosis of aorta hematoma complicating a procedure pulmonary collapse other and unspecified hyperlipidemia acute respiratory failure defibrination syndrome 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 other complications due to other vascular device, implant, and graft retention of urine, unspecified other specified complications of procedures not elsewhere classified pneumonia due to hemophilus influenzae [h. influenzae] nontraumatic compartment syndrome of abdomen atherosclerosis of other specified arteries 

Answer: The patient is high likely exposed to