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: fevers major surgical or invasive procedure: none history of present illness: mr. is a 57 yo man recently discharged from following a prolonged hospital stay during which he developed perforated bowel metastatic lung cancer. he initially presented to an osh with worsening back pain and was eventually diagnosed with ? cauda equina syndrome from metastatic lung ca. while on the table for spinal fusion surgery, he became hypotensive, and his abdomen was noted to be rigid. an upright cxr demonstrated free air under the diaphragm and he underwent emergent laparotomy and right hemicolectomy and ileostomy. attempts at weaning him from the ventilator were unsuccessful, and he underwent trach and g-tube placement. of note, he was diagnosed with a lung abscess during his stay. thoracic surgery was consulted and felt his prognosis was too poor for any surgical intervention to have a meaningful effect on his survival. his abdominal fluid grew out pseudomonas and e. coli. multiple sputum cultures grew out mssa, and one grew out yeast and another grew out e. coli. he was discharged to rehab on vancomycin, pip-tazo, metronidazole, ciprofloxacin and fluconazole. he was transferred back to the from rehab for fever. he was afebrile on transfer to the rehab facility but by the night of he spiked to 103.3. he was seen by the infectious disease consultant on at which time ceftriaxone/flagl and the prior antibiotics were stopped. per the id note, it was unclear based on the available records to him if the pulmonary cavitary lesion was an abscess. his vent settings for the 3 days prior to transfer were cpap/ps 10/5 50%. he has an 8-0 portex tracheostomy. in the ed, his initial vital signs were 99.9 /66 10 100%. a cxr was done as well as ct torso (with contrast). he received vancomycin/zosyn as well as dilaudid and toradol for pain. he received 4l normal saline. on arrival to the micu, he denied shortness of breath, worsening secretions, chest pain, dysuria, or change in ostomy output. he has a small amount of pain in his abdomen in the right lower quadrant. past medical history: probable metastatic lung ca (9mm lesion rul) h/o low back pain hepatitis c h/o etoh social history: smokes pack cigarettes per day. drinks etoh heavily, beers per day and sometimes pint of vodka per day family history: mother with lung ca physical exam: vs: 99.4 105 103/70 16 100% vent: cpap/ps 10/5 50% gen: thin, cachetic male in nad heent: at, nc, perrla, eomi, no conjuctival injection, anicteric, op clear, mmm, neck supple, trach in place, no lad, no carotid bruits cv: rrr, nl s1, s2, no m/r/g pulm: ctab, no w/r/r with good air movement throughout abd: soft, nt, nd, + bs, no hsm. large vertical ex-lap scar healing by secondary intent ext: muscle wasting. warm, dry, +2 distal pulses bl, no femoral bruits. midline on left a/c neuro: alert & orientedx3 no r/l neglect, cn ii-xii grossly intact, 5/5 strength throughout upper extremity. plantar/dorsiflex bilat. no sensory deficits to light touch appreciated. no asterixis psych: appropriate affect pertinent results: 03:19pm wbc-25.5*# rbc-3.79*# hgb-10.5*# hct-33.0*# mcv-87 mch-27.8 mchc-31.9 rdw-15.8* 03:19pm neuts-86.5* lymphs-7.8* monos-5.5 eos-0.1 basos-0.1 03:19pm plt count-961*# 03:19pm glucose-126* urea n-25* creat-1.2 sodium-133 potassium-4.7 chloride-103 total co2-20* anion gap-15 03:20pm lactate-1.5 04:30pm urine rbc-0 wbc- bacteria-few yeast-few epi-0 04:30pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-tr 04:30pm urine color-yellow appear-clear sp -1.015 03:19pm alt(sgpt)-8 ast(sgot)-14 alk phos-101 tot bili-0.7 . 5:13 am sputum source: endotracheal. **final report ** gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 1+ (<1 per 1000x field): gram positive cocci. in pairs and clusters. respiratory culture (final ): sparse growth oropharyngeal flora. stenotrophomonas (xanthomonas) maltophilia. sparse growth. sensitivities: mic expressed in mcg/ml _________________________________________________________ stenotrophomonas (xanthomonas) maltophilia | trimethoprim/sulfa---- <=1 s . 3:56 pm urine source: catheter. **final report ** urine culture (final ): yeast. 10,000-100,000 organisms/ml. . ct torso: impression: 1. very limited evaluation for intra-abdominal abscess, questionable focus of fluid collection in the right paracolic gutter, smaller, when compared to study. 2. slight decrease in size of cavitated right upper lobe lesion. 3. interval worsening of centrilobular ground-glass nodules throughout both lung fields, consistent with multifocal infection. 4. lytic l5 vertebral lesions with pathologic compression fracture. 5. increase in conspicuity of hypodense hepatic parenchymal lesions brief hospital course: mr. is a 57yo male with history of metastatic nsclc c/b cord compression c/b bowel perforation s/p hemicolectomy and pulmonary abscess presenting with fevers and leukocytosis. 1)fever: likely related to pulmonary abcess vs. possible fluid collection in the abdomen (right paracolic). he was initially started on vancomycin and zosyn for broad spectrum coverage. after several family meetings the decision was made not to proceed with any further agressive work-up given his overall prognosis. his antibiotic regimen was changed to levaquin and flagyl. he was also started on bactrim for his sputum cultures (stenotrophomonas). he continued to spike fevers which was not surprising in the setting of his underlying abcess. he will be discharged to complete 14 days of levofloxacin/flagyl/bactrim. 2)respiratory failure: patient was initially placed on cpap + ps but was then weaned to trach mask which he has been able to tolerate well and is oxygenating appropriately. he will be transferred on trach collar fio2 0.35. he should use pmv at least once daily as tolerated. 3)lung cancer: no further treatment indicated given the advanced stage. 4)depression: on day of discharge, he was started on low dose citalopram. he should be monitored on this and dose can be uptitrated upon discharge. 5)fen: continued on g tube feedings. he was evaluated by speech and swallow who felt that with 1:1 supervision, he can consume pureed diet for pleasure. he should be sitting upright and if evidence of aspiration, po food should be dicontinued. 6)access: midline. 7)prophylaxis: heparin sq for dvt prophylaxis. 8)code: dnr (confirmed with patient and family). medications on admission: heparin 5,000 sc tid acetaminophen 650mg q4hrs prn oxycodone 5-10 mg q4hrs prn metoprolol tartrate 50 tid ceftriaxone 1g q24 (start ) flagyl 500 mg q8 (start ) lorazepam 1 mg q4hrs insulin (regular insulin) lansoprazole 30 mg daily chlorhexidine 15ml promote with fiber goal 50cc/hr discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. lorazepam 0.5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 3. oxycodone 5 mg/5 ml solution sig: 5-10 mg po q4h (every 4 hours) as needed. 4. levofloxacin 250 mg tablet sig: three (3) tablet po daily (daily) for 14 days. 5. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 14 days. 6. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 14 days. 7. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care discharge diagnosis: metastatic lung ca perforated bowel s/p partial colectomy right paracolic fluid collection right lung loculated abscess l5 metastatic lesion with cord compression discharge condition: fair; comfort as goal. discharge instructions: please continue to take your antibiotics as prescribed. . please note that we have started you on a medication to help your mood, citalopram. . please inform staff at rehab if you are having fevers, chills, increasing pain or any other symptoms that are uncomfortable that concern you. procedure: non-invasive mechanical ventilation diagnoses: tobacco use disorder unspecified viral hepatitis c without hepatic coma depressive disorder, not elsewhere classified alcohol abuse, unspecified acute respiratory failure malignant neoplasm of bronchus and lung, unspecified long-term (current) use of insulin abscess of lung peritoneal abscess ileostomy status 

Answer: The patient is high likely exposed to