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: morphine sulfate / adhesive tape attending: chief complaint: fistula major surgical or invasive procedure: picc placed 10-f biliary catheter advanced into jejunum antegrade placement of a 10fr locking pigtail catheter, 35 cm in length for tube feeding wound eua ir feeding tube rue picc site erythema/swelling/pus -> new picc line history of present illness: 49y m with history of crohn's disease s/p multipled surgeries, dilations/diversions/fistula, recently operated on for enterocutaneous fistula on . he was discharged home on after ileoanal pouch resection, segmental sb resection, takedown and reconstruction of ileostomy, extensive enterolyss, and cystoscopy w/ urethral stents complicatd by bladder rupture. pt reported weakness and pain in his legs that worsened after discharge. pt mistakenly took too much of his po dilaudid secondary to the pain. his wife found him unresponsive and he was admitted to on , during which he was found to have bilateral dvts by ultrasound, he was started on coumadin until therapeutic. he was also found to have a uti, resistent to ciprfloxaxacin, but sensitive to ampicillin and per id was started on amox 500 tid. the patient was disharged to rehab, yesterday developed leakage from the superior aspect of his abdominal wound, from the area previously covered by the vac. pt had no fevers, chills, sweats, or abdominal or other evidence of infection. his vitals were normal and he was afebrile. past medical history: *pe *ivc filter *severe crohn's disease *s/p proctocolectomy and ileoanal pouch formation *exploratory laparotomy and lysis of adhesions . *recurrent small bowel and pouch strictures requiring dilitations. colonoscopy and balloon dilation (last , and ) *sb resection, end ileostomy *gout *depression *anxiety social history: lives at home with family; they are very involved and supportive. pt has a remote 10 pack-year smoking history, but quit approximately twenty-five yrs ago. occasional etoh. denies illicit drugs. family history: no family history of inflammatory bowel disease or colon cancer. positive for diabetes and coronary artery disease. physical exam: on admission: pe: 97.4, 110, 102/60, 18 96% ra gen: nad resting comfortably heent: ncat, perrl, eomi, op wnl pulm: cta bilaterally, no r/r/w cards: rrr, s1,s2 wnl, no m/r/g abd: large healing incision, w/ 5cmx5cm large area superiorly. open, with granulatin tissuue at base, and small, ?cm area of ? bowel/fistula, from which yellow-green liquid draining. inferior aspect of wound w/ granulation tissue, but appears intact. ext: dp 2+ bil skin: warm and dry pertinent results: fistulogram: anterograde flow fistulogram: forward antegrade flow of contrast through non-dilated efferent bowel loops and normal intestinal fold pattern. no evidence of obstruction of the efferent limb of the fistula. ct abd: supraumbilical midline enterocutaneous fistula, connecting with a loop of small bowel immediately subjacent to the anterior abdominal wall. ble u/s: non-occlusive 1cm thrombus l common femoral dvt to greater saphenous vein. no dvt in rle. brief hospital course: patient admitted with a diagnosis of new enterocutaneous fistula and chronic intraabdominal fluid collections. he was noted to have an acute on chronic dvt in both cfa's into both iliacs and even extending into ivc to level of ivc filter. a picc was placed on hd 1 () for tpn and abx. a dobhoff was also placed for enteral access. urology saw the patient for penile / scrotal edema which resolved with elevation and antifungal cream. he was continued on coumadin with a goal of 2.0 to 3.0. on a gi consult was obtained who had no acute inteventions but would follow up as an outpatient. on tube feeds were attempted but caused profuse fistula output and it was eventually removed on . in order to improve the fistual output, a long dobhoff was advanced through the ostomy to the mid jejunum under ir guidance on , but this did not hold and eventually feel out on . it was attempted again on and this was sutured in place with better result. he had some increased nursing concern on and was transferred to the icu for less than 24 hours. tpn was begun and tube feeding and continued until he tolerated oral food . he went to the operating room on for eua and removal of foreing body from fistulous tract; small bowel sewed over feeding tube, which was secured in place. he tolerated this procedure well (see op note for futher information). he had multiple issues with the feeding tube over the ensuing week, and it was finally secured and stayed . however, he did not toelrate tube feeds as they caused large output and they were held, tpn continued. on his j-tube removed, and tubefeeds were stopped and we started octreotide. a picc line was removed for induration/erythema and replaced via ir. on the picc site was swollen/painful, but an u/s demonstrated no dvt, and so he was treated with elevation/compression of the extremity as needed. a hematology consult was obtained for chronic anemia with eventual iron supplementation for anemia. a ct performed on demonstrated a supraumbilical midline enterocutaneous fistula, connecting with a loop of small bowel immediately subjacent to the anterior abdominal wall. patient was preoperatively evaluated for enterocutaneous fistula takedown. urology again consulted for planned procedure and possible stenting. no urological management was recommended. hematology was consulted for recommendations regarding treatment of his anemia. on a repeat us of the lower extremtimities revealed a 1 cm thrombus in left common femoral to greater saphenous vein. warfarin therapy continued. on he was taken to the or for an exploratory laparatomy, fistula takedown, and loa (see op note for futher information). he tolerated the procedure well and was transferred back to the floor postoperatively. as his ostomy output improved he was transitioned to oral food and tpn discontinued. he continued to do well and all his medications were changed to oral. by he was cleared for discharge. he was carefully made aware of what to watch out for regarding his abdomen and ostomy. he was told to hold his coumadin dose and and then to take his normal dose for an inr of 3.4 he was told to specifically follow up with his pcp . on , and dr. was spoken with as well, who agreed with this plan to follow his inr / coumadin. he will see dr. in follow up in two weeks. he was ammenable to discharge and left in the afternoon. medications on admission: : allopurinol 300, amoxicillin500''', dalteparin 900u sq , lasix 60, lidocaine patch 5%, 2 (both thighs, on for 12 hours between 9am-9pm), ditropan 5''', protonix 40, paxil 20, trazedone 25 qhs, ambien 2.5 qhs. tylenol 650 q4, dilaudid 4-6mg q3, lactulose 20g', maaolox prn. coumadin (dose from ) 2mg on tues,sat, 1mg m/w/th/f/. discharge medications: 1. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 2. oxybutynin chloride 5 mg tablet sig: one (1) tablet po tid (3 times a day). 3. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 4. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. 5. paroxetine hcl 20 mg tablet sig: two (2) tablet po daily (daily). 6. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day). 7. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime) as needed for agitation. 8. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 9. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for anxiety / agitation. 10. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours). 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 12. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for heartburn. 13. warfarin 1 mg tablet sig: three (3) tablet po once daily at 4 pm starting . hold , . 14. psyllium 1.7 g wafer sig: one (1) wafer po bid (2 times a day). 15. oxycodone 5 mg/5 ml solution sig: po q4h (every 4 hours) as needed for pain. discharge disposition: home with service facility: all care vna of greater discharge diagnosis: 1) crohn's disease 2) enterocutaneous fistula 3) chronic dvt 4) malnutrition discharge condition: stable discharge instructions: return to er if: - persistent fever > 101.4 - severe abdominal pain, nausea, vomiting - shortness of breath, chest pain, vision changes - significant increased or decreased ostomy output followup instructions: 1) please call ( to make a follow up appointment in the clinic in 2 weeks 2) please call dr. office to make an appointment in two weeks time 3) please see your pcp, . (, this week, thursday or friday . procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances incision of abdominal wall other lysis of peritoneal adhesions closure of fistula of small intestine, except duodenum repair of other hernia of anterior abdominal wall suture of laceration of small intestine, except duodenum replacement of tube or enterostomy device of small intestine diagnoses: esophageal reflux urinary tract infection, site not specified iron deficiency anemia secondary to blood loss (chronic) unspecified protein-calorie malnutrition gout, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure peritoneal adhesions (postoperative) (postinfection) incisional hernia without mention of obstruction or gangrene infection with microorganisms without mention of resistance to multiple drugs long-term (current) use of anticoagulants personal history of venous thrombosis and embolism carrier or suspected carrier of methicillin resistant staphylococcus aureus acute venous embolism and thrombosis of deep vessels of proximal lower extremity other and unspecified infection due to central venous catheter fistula of intestine, excluding rectum and anus other venous embolism and thrombosis of inferior vena cava attention to ileostomy carrier or suspected carrier of other specified bacterial diseases adjustment disorder with mixed anxiety and depressed mood regional enteritis of small intestine edema of penis edema of male genital organs 

Answer: The patient is high likely exposed to