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: vancomycin attending: chief complaint: left lateral abdominal wound, open wound and exposure of mesh. major surgical or invasive procedure: 1. incisional hernia repair with alloderm bioprosthetic mesh 12 x 12 cm. 2. local tissue rearrangement via 2 bipedicled flaps. 3. split-thickness skin grafting, meshed 1.5:1. size is 10 x 25 cm. history of present illness: this patient is a 65-year-old male who has undergone liver transplantation in the past. he has presented with a lateral incisional hernia repaired previously with prolene mesh and subsequently has had an open wound on the left side with exposure of mesh. risks,benefits of the procedure were explained. this included the risks of bleeding, infection, additional surgery, flap loss, graft loss, asymmetry, delayed wound healing, open wound healing, need for revisional procedures and repeat or revisional skin grafting and recurrent hernia. he also is a current smoker and this also is a contributing factor to delayed wound healing. all of his questions were answered and he wished to proceed. past medical history: olt etoh cirrhosis dm type ii - resolved, occurred after olt in setting of steroids splenorenal shunt obstructive sleep apnea - not on cpap asthma l ventral hernia repair and as well social history: lives in . former bank president. he is a smoker. he has a h/o heavy etoh use, and currently drinks 1 drink/week. no drug use. family history: many family members died from cirrhosis. physical exam: vs: afebrile, vss gen: nad cv: rrr, no murmurs resp: ctab, no wheezes or crackles abd: soft obese abd with wounds with good granulatpon well medially, but still some fibrinopurulent debris laterally. pertinent results: 06:41am blood wbc-5.1 rbc-3.46* hgb-10.3* hct-29.0* mcv-84 mch-29.7 mchc-35.5* rdw-16.0* plt ct-122* 06:30am blood wbc-6.1 rbc-3.62* hgb-10.5* hct-29.7* mcv-82 mch-29.0 mchc-35.4* rdw-15.8* plt ct-122* 03:26am blood wbc-4.2 rbc-3.54* hgb-10.3* hct-29.2* mcv-83 mch-29.1 mchc-35.3* rdw-15.4 plt ct-94* 02:52am blood wbc-4.8 rbc-3.62* hgb-11.0* hct-30.4* mcv-84 mch-30.3 mchc-36.1* rdw-15.6* plt ct-92* 08:00am blood wbc-7.4 rbc-4.04* hgb-11.9* hct-35.6* mcv-88 mch-29.5 mchc-33.5 rdw-15.7* plt ct-98* 06:41am blood plt ct-122* 06:30am blood plt ct-122* 03:26am blood plt ct-94* 02:52am blood plt ct-92* 06:41am blood glucose-92 urean-17 creat-1.6* na-139 k-3.6 cl-104 hco3-29 angap-10 06:30am blood glucose-112* urean-16 creat-1.5* na-137 k-3.4 cl-103 hco3-29 angap-8 03:26am blood glucose-95 urean-19 creat-1.5* na-139 k-3.5 cl-104 hco3-29 angap-10 02:52am blood glucose-102 urean-24* creat-1.6* na-138 k-4.2 cl-106 hco3-28 angap-8 08:49am blood glucose-101 urean-23* creat-1.6* na-139 k-4.7 cl-107 hco3-25 angap-12 08:00am blood creat-1.5* 06:40am blood glucose-94 urean-23* creat-1.6* na-139 k-4.9 cl-108 hco3-25 angap-11 03:26am blood alt-34 ast-57* alkphos-134* totbili-1.4 02:52am blood alt-60* ast-105* alkphos-157* totbili-3.5* 08:49am blood alt-47* ast-61* 08:00am blood ck-mb-4 ctropnt-0.02* probnp-1071* 06:41am blood calcium-9.1 phos-3.0# mg-1.9 06:30am blood calcium-8.0* phos-1.4* 03:26am blood albumin-2.7* calcium-8.1* phos-1.9* mg-1.7 02:52am blood calcium-8.2* phos-2.5* 08:49am blood calcium-7.9* phos-3.3 mg-1.9 06:33am blood cyclspr-90* 06:41am blood cyclspr-126 06:30am blood cyclspr-94* 03:26am blood cyclspr-146 02:52am blood cyclspr-119 04:20pm blood hbsag-negative hbcab-negative brief hospital course: the patient was admitted to the plastic surgery service on and had a incisional hernia repair with alloderm bioprosthetic mesh 12 x 12 cm, local tissue rearrangement via 2 bipedicled flapsl, split-thickness skin grafting, meshed 1.5:1. size is 10x 25 cm. the patient tolerated the procedure well. the patients hospital course was complicated by hypoxia in the am of pod 1. patient was noted in the am to have o2sat 60%, he was placed on nrb with good improvement. later in the morning he was noted to be confused with increased wob. he was transferred to the icu and a cxr showed likely pna in the rll, possible from aspiration. he was given aggressive chest pt, zosyn antibiotics, lasix and improved, although patient was difficult to motivate throughout his entire hospital course to participate in his own medical care and therapy. he was transferred out of the icu and improved on the floor without new issues. his oxygen sat remained stable and there were no further respiratory issues. he was instructed to use cpap at night which he did. he worked intermittently with pt. neuro: post-operatively, the patient received a pca with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: see hospital course above. serial chest x-rays showed a stable small effusion/consolidation. gi/gu: post-operatively, the patient was given iv fluids until tolerating oral intake. his/her diet was advanced when appropriate, which was tolerated well. he/she was also started on a bowel regimen to encourage bowel movement. intake and output were closely monitored. id: post-operatively, the patient was started on zosyn and bactrim prophylaxis after the aspiration event. he will complete a full 14d course of zosyn at home. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. at the time of discharge on pod#8, the patient was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. medications on admission: cyclosporine 100 mg po qd cellcept mg po bid osteo-biflex bactrim one po qd os-cal 500 plus d one tab po bid multivitamin one po qd. discharge medications: 1. mycophenolate mofetil 250 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). disp:*60 tablet, chewable(s)* refills:*2* 5. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. cyclosporine modified 100 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 7. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 8. piperacillin-tazobactam-dextrs 4.5 gram/100 ml piggyback sig: one (1) bag intravenous q8h (every 8 hours) for 10 days. disp:*30 bags* refills:*0* 9. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous daily (daily) as needed for picc line use. disp:*100 ml(s)* refills:*0* 10. sodium chloride 0.9 % 0.9 % syringe sig: ten (10) ml injection three times a day as needed for picc line use. disp:*qs syringes* refills:*0* discharge disposition: home with service facility: critical care systems discharge diagnosis: left lateral abdominal wound, open wound and exposure of mesh. discharge condition: good discharge instructions: you need to wear your cpap every night while you sleep. your wounds will need to be dressed with xeroform dressing with fluff gauze on top of the xeroform with an abdominal pad return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. * 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. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. you are being discharged with drains in place. drain care is a clean procedure. wash your hands thoroughly with soap and warm water before performing drain care. perform drainage care twice a day. try to empty the drain at the same time each day. pull the stopper out of the drainage bottle and empty the drainage fluid into the measuring cup. record the amount of drainage fluid on the record sheet. reestablish drain suction. followup instructions: follow-up with dr. next week. call his office at ( for an appointment. follow-up with dr. in the next week after discharge. call his office at ( for an appointment procedure: venous catheterization, not elsewhere classified other skin graft to other sites attachment of pedicle or flap graft to other sites excision or destruction of peritoneal tissue other lysis of peritoneal adhesions other open incisional hernia repair with graft or prosthesis diagnoses: obstructive sleep apnea (adult)(pediatric) chronic kidney disease, unspecified pneumonitis due to inhalation of food or vomitus peritoneal adhesions (postoperative) (postinfection) incisional hernia without mention of obstruction or gangrene liver replaced by transplant disruption of external operation (surgical) wound non-healing surgical wound 

Answer: The patient is high likely exposed to