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: venous stasis ulcer major surgical or invasive procedure: debridement of left ankle ulcer and split thickness skin graft. cardioversion history of present illness: 73m with history of an infected left le non-healing ulcer that grew citrobacter. he was treated with ceftazidime for 10 days after he underwent surgical debridement . he has had a vac dressing in place. upon exam in office, there was very healthy-appearing granulations and deemed ready for a split-thickness skin graft past medical history: -prostate cancer diagnosed in status post radiation therapy & brachytherapy, complicated by anorectal ulcer (seen on colonoscopy) now s/p diverting colostomy to help ulcer heal. -dm2 -htn -afib (has not been on coumadin for a years reportedly due to issues of adherance) -diverticulosis -gout -back surgery social history: married, has 6 children. lives w/ wife, though currently in rehab. occ etoh, no tobacco, no ivda. hcp is dtr, . family history: non-contributory physical exam: pe tc 97.4, hr 90, bp 121/77, rr 18, o2sat 100ra genl: nad cv: rrr resp: cta-b abd: s/nt/nd; ostomy in place foley in place extr: rle fem//dp/pt: 1+/mono/mono/mono lle fem//dp/pt: 1+/mono/mono/mono >on anterior aspect of lower leg, large 15 x 5cm skin graft. uppe edges not taken. 95 percent take on the rest of the graft pertinent results: 01:32am blood wbc-9.9 rbc-3.10* hgb-10.2* hct-29.3* mcv-94 mch-32.8* mchc-34.8 rdw-15.8* plt ct-138* 01:32am blood pt-23.6* ptt-80.3* inr(pt)-2.2* 01:32am blood glucose-125* urean-27* creat-1.1 na-141 k-3.0* cl-109* hco3-23 angap-12 01:42am blood alt-7 ast-17 ld(ldh)-147 alkphos-57 amylase-75 totbili-1.8* 01:32am blood calcium-8.6 phos-1.7* mg-1.7 08:25am urine color-yellow appear-hazy sp -1.015 urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirub-sm urobiln-neg ph-5.0 leuks-mod urine rbc-* wbc-21-50* bacteri-few yeast-none epi-0-2 conclusions the left atrium is mildly dilated. the right atrium is moderately dilated. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. the right ventricular cavity is markedly dilated with normal free wall contractility. the number of aortic valve leaflets cannot be determined. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. moderate tricuspid regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: preserved -ventricular systolic function. dilated right ventricle. small left-ventricular cavity size. moderate dilatation of right atrium. comparison: ct abdomen . findings: there is no evidence for free air. there is no evidence for bowel obstruction; however there is a large volume of air within the stomach. patient is status post laminectomy at l4 and l5 with vertebral body fixation hardware spanning l4 through l5. there is radiodense amorphous object projecting over the patient's left hemipelvis, which may represent the patient's ostomy device. the partially visualized lung bases appear clear. impression: no obstruction, no free air. a large amount of air within the stomach. brief hospital course: pt admittted for skingraft. pre-op'd and consented. debridement of left ankle ulcer and split thickness skin graft with vac dressing. pt put on bedrest. ostomy consult for ostomy care, wound consult for decubitus ulcer pt triggered for afib, lopressor 10 mg iv given, hypotension. cardioverted 200 joules, converted. still hypotensive with sbp 60's. fluid bolus given. neo started. transferred to cvicu. pt also resp distress. vented. dobutamine, neo and vasopressin. tte done. stat cardiology consult obtained. distributive shock, fluid resusitation. pt r/o for mi. iv heparin untill pe r/o. pe r/o. pt had increase in creatinine to 2.6. renal consult. thought to be secondary to hypotensive episode. responded to iv fluids. on dc creatinine is stable. bicarb given. vented. broad spectrum ab started for gnr in urine. general surgery consult for quetionable reversal od colostomy. this will not be done at this time. pt with rectal vesicular fistula and decubitus ulcer. when healed colostomy site may be reversed. creatinine 1.1. off vent. transfered to the vicu. - pt in the vicu, vac taken down. skin graft c/d/i with 98 percent take. source of infection identified. pneumonia. id consult. vancomycin and zosyn for 14 days total. pt also had difficulty swallowing. pt seen by speech and swallow. recommended ground food. repeat swallow and advance diet as tolerated, if able to swallow. seen by pt recommended rehab. picc placed, cxr confirms placement. medications on admission: colchicine, diazepam 5, gabapentin 300"', ms contin 20", flomax, lisinopril 20, toprol 100 discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 2. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 3. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 4. gabapentin 300 mg capsule sig: one (1) capsule po daily (daily). 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 7. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po bid (2 times a day) as needed for agitation/confusion. 8. miconazole nitrate 2 % powder sig: one (1) appl topical prn (as needed) as needed for yeast. 9. piperacillin-tazobactam 2.25 gram recon soln sig: one (1) recon soln intravenous q6h (every 6 hours) for 10 days. 10. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous q 12h (every 12 hours) for 10 days: check trough and renal function while on. 11. picc line care heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 12. pepcid 20 mg tablet sig: one (1) tablet po twice a day. 13. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 14. picc line care heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 15. famotidine 20 mg tablet, chewable sig: one (1) tablet, chewable po once a day. discharge disposition: extended care facility: hospital- discharge diagnosis: venous stasis ulcer hypotension colostomy afib - hospital acquired pneumonia vesicular- rectal fistula hematuria discharge condition: stable discharge instructions: wound care: please call us immediately for any of the following problems: redness in or drainage from your wound(s). new pain, numbness or discoloration of your lower or upper extremities (notably on the side of the incision). watch for signs and symptoms of infection. these are: a fever greater than 101 degrees, chills, increased redness, or pus draining from the incision site. if you experience any of these or bleeding at the incision site, call the doctor. other information: sutures / staples may be removed before discharge. if they are not, an appointment will be made for you to return for removal. when the sutures / staples are removed the doctor may or may not place pieces of tape called steri-strips over the incision. these will stay on about a week and you may shower with them on. if these do not fall off after 10 days, you may peel them off with warm water and soap in the shower. avoid taking a tub bath, swimming, or soaking in a hot tub. limit strenuous activity and or heavy lifting until the wound is well healed. activity may prevent the wound from healing. do not drive a car unless cleared by your surgeon. try to keep your affected limb elevated when not in use, this decreases swelling to the affected wound and helps in the healing process. antibiotics: you may have a prescription for antibiotics. take as directed. be sure you take the full course even if the wound looks well healed. failure to do so may lead to infection. followup instructions: provider: , md phone: date/time: 1:20 provider: , md phone: date/time: 1:00 provider: onc,pcc prostate cancer care (sb) phone: date/time: 1:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization atrial cardioversion other skin graft to other sites closed [endoscopic] biopsy of bronchus excisional debridement of wound, infection, or burn diagnoses: urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified gout, unspecified atrial fibrillation personal history of malignant neoplasm of prostate sepsis pneumonitis due to inhalation of food or vomitus streptococcal septicemia diverticulosis of colon (without mention of hemorrhage) colostomy status venous (peripheral) insufficiency, unspecified pressure ulcer, stage ii ulcer of ankle dysphagia, unspecified pressure ulcer, hip 

Answer: The patient is high likely exposed to