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: no known allergies / adverse drug reactions attending: chief complaint: draining abdominal wall abscess major surgical or invasive procedure: : incision and drainage of abdominal wall abscess with intervening subcutaneous tissue : endoscopy with over the scope clip placement (otsc), endoscopic placement of nj tube history of present illness: the patient is a 75m recently discharged from after incision, drainage, and vac dressing placement for midline wound abscess and colocutaneous fistula in the setting of previously known gastrocutaneous fluid. he has a history of repair of antral perforation initially repaired in 1/. he was discharged on to a rehab facility. over the following 3 days, there was interval progression of an abscess to the right of his midline incisions which eventually began to drain and became progressively swollen, indurated and tender. he denies fevers, nausea, vomiting, or diarrhea. he had a vac in place on presentation. past medical history: past medical history: htn, cad, hld, niddm past surgical history: psh: ex-lap, washout, j tube placement, ex-lap, ex-lap, re- patch, antral patch, appendectomy, cabg (), l inguinal hernia repair() social history: tobacco: denies. etoh: denies. recreational drugs: denies. retired funeral director. married for more than 40 years. family history: mother/father: dm physical exam: on admission: 97.4 93 107/52 18 100%ra gen: nad cv: rrr s1 s2 lungs: cta b/l abd: soft, nd, midline wound with clean granulation tissue under vac dressing (wound ~20x8cm), area of induration and swelling 6cm in diameter r of midline with opening draining purulent/enteric contents that tracks 3cm medially. tender to palpation. on discharge: vitals 98.8 82 100/58 16 98%ra gen: a&o, nad cv: rrr pulm: ctab abd: soft, nt, nd. midline wound and ruq wound with wound vac in place. pertinent results: labs on admission: 145 | 112 | 27 --------------<117 4.4 | 25 |1.3 23.0 > 8.7 < 380 27.4 n:86.2 l:6.7 m:2.9 e:4.0 bas:0.2 pt: 49.0 ptt: 38.0 inr: 4.9 bilat lower ext veins study date of 3:08 pm no evidence of deep vein thrombosis in either right or left lower extremity. 5:03 am swab site: abdomen abd wall abscess. **final report ** gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. 4+ (>10 per 1000x field): gram positive rod(s). 3+ (5-10 per 1000x field): gram negative rod(s). 1+ (<1 per 1000x field): gram positive cocci. in pairs. 1+ (<1 per 1000x field): budding yeast. wound culture (final ): this culture contains mixed bacterial types (>=3) so an abbreviated workup is performed. any growth of p.aeruginosa, s.aureus and beta hemolytic streptococci will be reported. if these bacteria are not reported below, they are not present in this culture.. pseudomonas aeruginosa. sparse growth. piperacillin/tazobactam sensitivity testing performed by . staph aureus coag +. sparse growth. this isolate is presumed to be resistant to clindamycin based on the detection of inducible resistance . oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. sensitivities: mic expressed in mcg/ml _________________________________________________________ pseudomonas aeruginosa | staph aureus coag + | | cefepime-------------- 2 s ceftazidime----------- <=1 s ciprofloxacin--------- =>4 r clindamycin----------- r erythromycin---------- =>8 r gentamicin------------ 4 s <=0.5 s levofloxacin---------- =>8 r meropenem------------- 4 i oxacillin------------- =>4 r piperacillin/tazo----- s rifampin-------------- <=0.5 s tetracycline---------- <=1 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=0.5 s vancomycin------------ 1 s ct abd & pelvis w/o contrast study date of 11:51 am impression: 1. status post closure of gastrocutaneous fistula, with a small residual fistulous communication with a minimal amount of oral contrast leaking into the rectus sheath and anterior abdominal wall. 2. thickening of the right lower anterior abdominal wall with small locules of air, with tethering of the cecum and a loop of terminal ileum, may relate to recent surgery, however a residual fistula is not entirely excluded. unilat up ext veins us left study date of 10:43 pm impression: no evidence of deep venous thrombosis in the left upper extremity. brief hospital course: mr. was admitted on under the acute care surgery service for management of his abdominal abscess. he was taken to the operating room and underwent incision and drainage of the abscess. postoperatively he was hypotensive in the pacu prompting transfer to ticu for resuscitation and close monitoring. he was transfused 1 unit of prbc's for a postop hct of 23.5 with hypotension. on pod#1 he was normotensive and otherwise stable and was transferred to the surgical floor. his hospital course is detailed by systems below: neuro: he remained alert and oriented throughout his hospitalization. his pain level was routinely monitored. his pain was mainly episodic with vac dressing changes and he was medicated appropriately for this. cardiovascular: as noted above, he was hypotensive initially postoperatively with a systolic bp in the 70's. this resolved with colloid and crystalloid resuscition. his hematcrit responded appropriately from 23.5 to 27 with transfusion of 1 unit of prbc's. by pod#1 he remained normotensive with otherwise stable vital signs. respiratory: pulmonary toileting and incentive spirometry were encouraged. he remained without respiratory compromise. gi: he was initially kept npo. gastroenterology was consulted for question of need for endoscopic intervention of gastrocutaneous fistula. on he underwent endoscopy with otsc to attempt to close the opening of the gastrocutaneous fistula and placement of nj tube for enteral feeding past the point of the fistula. tube feeds were started and advanced to goal rate on . on he had a ct scan to evaluate for resolution of fistula, which showed a small residual fistulous communication (see pertinent results section for details). therefore, he was kept npo with tubefeeds. ct scan was scheduled for 2 weeks from discharge for re-evaluation of closure of the fistula at that time. gu: he had acute kidney injury initially with elevated creatinine to 1.3. he was hydrated with iv fluids and urine output was monitored closely. his creatinine normalized at 0.9. msk: physical therapy was consulted to evaluate his mobility who recommended discharge to rehab when medically stable. he was encouraged to mobilize out of bed as tolerated. heme/id: his coumadin was held initially given need for interventions as discussed above. it was restarted on at his home dose. he was placed on sc heparin for prophylaxis during his entire stay. he had us of his b/l ue's that were negative for dvt. he was started on broad spectrum antibiotics (vanc/cipro/flagyl) which were later changed to vanc/zosyn, given that his intraoperative wound culture grew pseudamonas. this was continued for a total of 7 days postoperatively and completed on . at that time he remained afebrile with a normal wbc count. medications on admission: remeron 15 hs, celexa 30', coumadin 5' alt with 2.5', protonix 40' discharge medications: 1. mirtazapine 15 mg po hs 2. pantoprazole 40 mg po q24h 3. citalopram 30 mg po daily 4. acetaminophen 650 mg po q6h:prn feer/pain 5. docusate sodium 100 mg po bid 6. oxycodone (immediate release) 5 mg po q4h:prn pain 7. senna 1 tab po bid:prn constipation 8. warfarin 2.5 mg po every other day alternate with 5mg dose 9. warfarin 5 mg po every other day alternate with 2.5 mg dose discharge disposition: extended care facility: hospital- discharge diagnosis: gastrocutaneous fistula abdominal wall abscess acute kidney injury anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital with drainage from your wound and were taken to the operating room for drainage of an abdominal wall abscess. formation of a connection (fistula) between your stomach and skin was noted. you were later taken for endoscopy by the gastroenterologists for clipping of the opening in attempt to allow the fistula to close. a feeding tube was also placed endoscopically past your stomach into the portion of your small bowel called your jejunum. this is to given you nutrition below the area of the opening in attempt to allow that area to heal. you are now being discharged to rehab to continue your recovery. you will continue to receive tubefeedings for nutrition. you have a follow up appointment scheduled below in clinic at which time a ct scan will be performed to evaluate for closure of the fistula. followup instructions: department: radiology when: tuesday at 3:30 pm with: cat scan building: cc campus: west best parking: garage ** please call for prep instrustions since this ct scan will be done with a contrast dye.*** department: general surgery/ when: tuesday at 4:30 pm with: acute care clinic building: lm bldg () campus: west best parking: garage ** this appointment replaces the at 3:15pm appointment that has been cancelled. md procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine enteral infusion of concentrated nutritional substances incision of abdominal wall closure of fistula of small intestine, except duodenum central venous catheter placement with guidance diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery other postoperative infection cellulitis and abscess of trunk unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis depressive disorder, not elsewhere classified other and unspecified hyperlipidemia iatrogenic pneumothorax methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation personal history of venous thrombosis and embolism dehydration leukocytosis, unspecified pseudomonas infection in conditions classified elsewhere and of unspecified site peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction personal history of peptic ulcer disease persistent postoperative fistula 

Answer: The patient is high likely exposed to