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: codeine attending: chief complaint: 87 m from w/ contained ruptured aaa, s/p rp repair w/ 20mm graft major surgical or invasive procedure: 1. open surgical repair of contained ruptured abdominal aortic aneurysm with prosethic graft 2. reduction of hiatal hernia 3. ct-guided pigtail catheter placement into the patient's left pleural space history of present illness: the patient presented to hosptial with a 6 hour history of abdominal pain. he was found on workup to have a contained ruptured abdominal aortic aneurysm. the patient was emergently transferred to for operative repair. past medical history: bladder ca, prostate ca, aaa, ef 65%, mild tr/mild diastolic dysfunction social history: lives with wife. retired. in . family history: non-contributory physical exam: on discharge: 98.5 62 120/62 20 95% ra fs: 102-116 gen: nad neuro: alert and oriented x3 chest: ctab cv: rrr, no murmur abd: s/nd/nt/ +bs ext: wwp, pulses: fem//dp = palp bilateral pt doppler+ bilateral incisions sites: cd and i coccyx: irritated and erythematous pertinent results: admission labs: 08:18pm type-art po2-103 pco2-43 ph-7.35 total co2-25 base xs--1 08:18pm glucose-125* lactate-2.2* k+-4.8 03:08pm urea n-25* creat-1.3* sodium-146* potassium-3.6 chloride-116* total co2-24 anion gap-10 11:56am glucose-80 urea n-23* creat-1.1 sodium-147* potassium-4.0 chloride-115* total co2-25 anion gap-11 07:50am wbc-5.7 rbc-3.74* hgb-11.1* hct-33.5* mcv-90 mch-29.7 mchc-33.2 rdw-15.3 . discharge date labs: 02:41am wbc rbc hgb hct mcv mch mchc rdw plt ct 5.7 3.38* 9.9* 30.2* 89 29.2 32.7 15.2 263 . pathology from surgery: specimen submitted: retroperitoneal mass & aaa contents. procedure date tissue received report date diagnosed by dr. /cma?????? \ diagnosis: a. retroperitoneal mass: portion of normal adrenal gland. fibrous tissue with necrosis, calcification, chronic inflammation and giant cells. note: stains for acid fast bacilli (afb) and fungus (gms) are negative. the changes may represent retroperitoneal fibrosis related to the aneurysm. b. abdominal aortic aneurysm contents: thrombus. . ct scan impression: 1. bilateral pleural effusions with areas of adjacent passive atelectasis. 2. postoperative changes involving the abdominal aorta including periaortic fluid collections as noted. 3. hyperattenuating renal lesions noted bilaterally for which dedicated ultrasound is recommended for further characterization. 4. suggestion of splenic and hepatic infarcts as noted. 5. findings most consistent with postoperative ileus. brief hospital course: the patient presented to hosptial with a 6 hour history of abdominal pain. he was found on workup to have a contained ruptured abdominal aortic aneurysm. the patient was emergently transferred to for operative repair. the patient was taken to the operating room, where he underwent an open aaa repair with 20mm dacron graft via a retroperitoneal approach. a large incarcerated hiatal hernia was also found at the time of surgery and repaired. the was taken down but not re-implanted due to a profuse amount of backbleeding indicating good collateralization of blood flow. the patient tolerated the operative intervention and was transferred to the icu intubated and in guarded condition. due to a massive amount of intraoperative blood loss, the patient required transfusions of blood, platelets and cryoprecipitate perioperatively. pressor support was slowly weaned off by post-operative day 1. . however, the patient developed acute renal failure (ischemic atn) post-operatively and was put on crrt (continuous renal replacement therapy) until , at which time he was put on hemodialysis (requiring intermittent hd). his tunneled line was removed when became septic. he tolerated hemodialysis on and . his femoral hd catheter came out . uop improving greatly. his creatinine decreased and then plateaued. the nephrology service felt that the cr will not return to baseline (0.9) since aaa involved renal arteries. he will follow-up with nephrology as an outpatient. . he was transferred to the floor on in stable condition. . skin: of note, he has an excoriating rash on coccyx and inguinal region. he was cared for by wound care specialists - he been receiving miconazole powder and anti-fungal cream. on the day of discharge this was resolving. . neuro: no major issues. on the day of discharge his pain was well controlled with acetaminophen . cardiovascular: aneurysm as described above. in addition, his blood pressure was well-controlled with lopressor by the day of discharge to protect his aaa repair. . pulmonary: the patient also developed a post-operative pleural effusion and pneumonia that required ir drainage. he had a prolonged ventilator wean. he was also treated with chest physical therapy, inhaled albuterol, and incentive spirometry. . gi: the patient was transiently on total parenteral nutrition (tpn) from and also briefly on tubefeeds but on the day of discharge had been advanced to a regular diet. he was followed closely by our nutrition specialists. however, he is unable at this time to feed himself secondary to weakness. the patient has chronic diarrhea. he was ruled out multiple times for c. difficil infection. he was treated with loperamide to slow down his stool output. . renal: pt had transient renal failure as described above. on the day of discharge, he had good urine output with a creatinine of 2.4 (trending down from a high of 3.8). . id: during his hospital course, the patient got septic from pneumonia, growing out stenotrophomonas from sputum, with pleural effusion consistent with exudate status post tap. he was briefly on pressors for blood pressure support. this infection resolved with antibiotics. on the day of discharge, he had no active infections, was afebrile, wbc =5.7, and was not sent home with any antibiotics. . prophylaxis: the was on subcutaneous heparin. no acute issues occurred. medications on admission: celexa, buspar discharge medications: 1. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) inhalation q4h (every 4 hours) as needed. 3. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical (2 times a day) as needed. disp:*1 bottle* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*0* 7. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day). disp:*1 bottle* refills:*2* 8. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. disp:*60 tablet(s)* refills:*0* 10. propoxyphene n-acetaminophen 100-650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 11. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po tid w/meals (3 times a day with meals). disp:*60 tablet, chewable(s)* refills:*0* 12. artificial tear with lanolin 0.1-0.1 % ointment sig: one (1) appl ophthalmic prn (as needed). disp:*1 bottle* refills:*2* 13. loperamide 2 mg capsule sig: one (1) capsule po qid (4 times a day) as needed. discharge disposition: extended care facility: tcu - discharge diagnosis: 1. abdominal aortic aneurysm ruptured (ruptured type 4 thoracoabdominal aneurysm) 2. history of bladder cancer 3. history of prostate cancer discharge condition: stable to rehabilitation facility discharge instructions: you have had a surgical repair of your abdominal aortic aneurysm. discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness, or if you have any new back pain as these can be a sign of a serious complication or bleeding. *you have decreasing urination, or burning with urination, or dark colored urine * new or worsening cough or wheezing. * if you are vomitting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomitting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * call or return immediately if you have pain that is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. continue on antibiotics for ... days. * continue to amubulate several times per day. followup instructions: 1. please follow-up with dr. in vascular surgery. please call to make an appointment: (. 2. please also follow-up with the kidney specialists in nephrology clinic (tuesdays) in two weeks. please call to make an appointment: with drs. and . 3. please also follow-up with your primary care doctor as soon as possible. please call to make an appointment. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis resection of vessel with replacement, thoracic vessels transfusion of packed cells transfusion of other serum transfusion of platelets transfusion of coagulation factors repair of diaphragmatic hernia with thoracic approach, not otherwise specified diagnoses: pneumonia due to other gram-negative bacteria acute kidney failure, unspecified unspecified septicemia personal history of malignant neoplasm of prostate sepsis hemorrhage complicating a procedure hypotension, unspecified personal history of malignant neoplasm of bladder diarrhea urinary complications, not elsewhere classified other and unspecified complications of medical care, not elsewhere classified thoracoabdominal aneurysm, without mention of rupture diaphragmatic hernia with obstruction 

Answer: The patient is high likely exposed to