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: hematuria major surgical or invasive procedure: open debulking radical nephrectomy and renal vein tumor thrombectomy, , dr. history of present illness: 61m w/ incidental l renal mass found during w/u for brachytherapy for low-grade , now w/ gradually worsening gross hematuria for the past several days. he noted clots and difficulty voiding and was admitted for bladder irrigation. he was already on the o.r. schedule for laparoscopic debulking l nephrectomy . past medical history: pmh: 6 (10-17% of cores), bph, niddm, htn, diverticulosis, umbilical hernia psh: none med: metformin, amlodipine, hctz, mvi, asa all: nkda soc: 40 pk-y tob (quit age 35); denies etoh/ivda fh: father w/ (died of other causes at age ); negative for renal/bladder ca physical exam: discharge pe: avss nad abd distended but non tender, passing bowel movements, incision c/d/i, no infection stool small liquid brown/green voids light pink urine pertinent results: 07:30am blood wbc-12.6* rbc-3.20* hgb-8.2* hct-24.5* mcv-77* mch-25.6* mchc-33.4 rdw-17.1* plt ct-438 07:30am blood glucose-167* urean-16 creat-1.2 na-136 k-4.2 cl-105 hco3-21* angap-14 5:50 am urine source: catheter. **final report ** urine culture (final ): no growth. 06:50am blood wbc-6.6 rbc-3.47* hgb-8.8* hct-27.1* mcv-78* mch-25.4* mchc-32.5 rdw-18.5* plt ct-339 06:00am blood pt-30.0* ptt-32.8 inr(pt)-3.1* 06:10am blood glucose-112* urean-14 creat-1.4* na-136 k-3.5 cl-104 hco3-23 angap-13 brief hospital course: 61m w/ low-grade awaiting brachytherapy and locally-advanced l renal mass w/ collecting system invasion, renal vein thrombus, and likely metastases, presented w/ gradually worsening gross hematuria. 24f catheter placed and started on cbi, hematuria improved. he then underwent open debulking radical nephrectomy and renal vein tumor thrombectomy as scheduled. please see dictated operative note for details. the patient was brought to icu after surgery, tranfused 5u prbc, and extubated on pod#1. he received perioperative antibiotic prophylaxis x24 hours. the patient was transferred to the floor from the icu in stable condition. his pain was well controlled on pca, hydrated for urine output >30cc/hour, provided with pneumoboots, sq heparin, and incentive spirometry for prophylaxis, and ambulated with physical therapy. with improvement of creatinine, the patient was restarted on home medications. his diet was conservatively advanced. on pod2, he received an additional 1u prbc transfusion with hct 21.8, improved to 24.5. on pod3, epidural then foley was removed. his oxygen was weaned off with increased ambulation on pod 4. the patient was discharged in stable condition, tolerating regular diet, ambulating independently, voiding, passing liquid bowel movements without fever or abdominal pain, and with pain control on oral analgesics. on exam, incision was clean, dry, and intact, with no evidence of hematoma collection or infection. the patient was given explicit instructions to follow-up in clinic with dr. , c diff results pending. brief micu course: patient was transfered to the icu on for acute respiratory decompensation, tachycardia and fevers. he was initially started on vancomycin and zosin for broad coverage. he was also given po vancomycin to emperically cover c. diff. he was started on a heparin drip given the convern for dvt in the setting of malignancy. his urine culture was positive with gram negative rods. a ct of the chest revealed multiple pes. lenis were negative. a ct abdomen with contrast did not reveal an abscess around his recent surgical site. he stabalized on antibiotics and iv heparin, and was transferred out of the icu on room air within two days. he was transitioned to coumadin, on which he was discharged with 3 mg po daily. his last inr was 3.1. one day before discharge, he began to pass some clots per urethra, likely from his episode of clot retention prior to surgery. ua showed no evidence of infection. he was discharged in stable condition, ambulating without assistance, tolerating regular diet, and with his pain adequately controlled on po pain meds. he was given instructions to call his pcp as soon as possible to schedule a f/u appointment to manage his coumadin and inr. medications on admission: metformin, amlodipine, hctz, mvi discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4-6h () as needed for fever for 2 weeks. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation for 2 weeks. disp:*28 capsule(s)* refills:*0* 3. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 4. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 2 weeks. disp:*40 tablet(s)* refills:*0* 6. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 7. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). discharge disposition: home discharge diagnosis: kidney cancer, pulmonary embolism discharge condition: stable discharge instructions: -please take your coumadin as instructed and call your pcp on day of discharge to arrange for follow-up appointment so that your inr can be monitored. -you may shower but do not bathe, swim or immerse your incision. -do not eat constipating foods for 2-4 weeks, drink plenty of fluids. -do not lift anything heavier than a phone book (10 pounds) or drive until you are seen by your urologist in follow-up. -do not drive or drink alcohol while taking narcotics. -resume all of your home medications, except hold nsaid (aspirin, advil, motrin, ibuprofin) until you see dr. in follow-up. -call dr. office monday to schedule a follow-up appointment and check stool culture results, and if you have any questions. -if you have fevers > 101.5 f, vomiting, or increased redness, swelling, or discharge from your incision, call dr. or go to the nearest er. followup instructions: please call dr. to arrange for a follow-up appointment. please call your pcp on day of discharge to arrange for a follow-up appointment and to follow coumadin levels. procedure: nephroureterectomy transfusion of packed cells other genitourinary instillation insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt insertion of indwelling urinary catheter incision of vessel, abdominal veins diagnoses: acidosis obstructive sleep apnea (adult)(pediatric) urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified unspecified septicemia hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) malignant neoplasm of kidney, except pelvis sepsis acute respiratory failure alkalosis malignant neoplasm of prostate gross hematuria other pulmonary embolism and infarction umbilical hernia without mention of obstruction or gangrene laparoscopic surgical procedure converted to open procedure other venous embolism and thrombosis of renal vein 

Answer: The patient is high likely exposed to