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: stabbing to luq major surgical or invasive procedure: first operation: 1. left closed tube thoracostomy. 2. exploratory laparotomy. 3. wedge resection of anterior stomach. 4. wedge resection of posterior stomach. 5. proximal jejunal resection with anastomosis. 6. oversewing of multiple retroperitoneal bleeding vessels. second operation: 1. reopening of abdomen and abdominal exploration. 2. temporary abdominal closure with a patch. third operation: 1. removal of silastic abdominal wall closure. 2. fascial closure. 3. placement of retention sutures. . intubation and mechanical ventilation central venous access history of present illness: this is a young man who entered via the emergency room after being stabbed early in the morning in the left upper quadrant. he also had a smaller stab wound in the left back close to the posterior axillary line. he was hemodynamically unstable with a systolic blood pressure in the 80s. however, the abdomen was soft. he was intubated in the emergency room. a chest film showed no evidence of pneumothorax. the abdominal wound was a few centimeters below the nipple line and below the costal margin although potentially could have penetrated the chest. he was brought emergently to the operating room following his intubation in the emergency room. past medical history: bipolar ptsd social history: has bipolar disorder and active addictions issues. pt has been followed by dmh and has , (). pt had been in dmh group home in the past but now is living in own apt in . case manager states that pt has addiction to alcohol and cocaine. family history: non-contrib physical exam: in the trauma bay: afebrile p94 78/palp 19 100% ra gcs 3, intubated, sedated cta bilaterally rrr c s1/s2 1-2cm laceration luq without bleeding, penetrating in the abd. cavity. no back wounds. perineal clear, foley in place no le wounds or deformity. pertinent results: 02:03am blood wbc-13.0* rbc-4.21* hgb-13.9* hct-39.8* mcv-95 mch-33.0* mchc-34.9 rdw-13.2 plt ct-295 06:37am blood wbc-23.2*# rbc-4.27* hgb-13.6* hct-39.8* mcv-93 mch-31.9 mchc-34.3 rdw-13.8 plt ct-259 02:18am blood wbc-17.6* rbc-2.35* hgb-7.5* hct-21.1* mcv-90 mch-32.1* mchc-35.6* rdw-13.7 plt ct-152 03:00am blood wbc-20.2* rbc-3.44*# hgb-11.0*# hct-31.3* mcv-91 mch-32.0 mchc-35.2* rdw-14.3 plt ct-294 02:00am blood wbc-26.2* rbc-2.93* hgb-9.3* hct-27.3* mcv-93 mch-31.8 mchc-34.2 rdw-13.4 plt ct-607* 02:08am blood wbc-53.9*# rbc-3.65* hgb-11.4* hct-33.7* mcv-92 mch-31.1 mchc-33.7 rdw-13.5 plt ct-684* 05:38pm blood wbc-58.6* rbc-2.89* hgb-9.0* hct-26.3* mcv-91 mch-31.2 mchc-34.3 rdw-13.7 plt ct-787* 06:07pm blood wbc-36.1* rbc-2.38* hgb-7.3* hct-21.9* mcv-92 mch-30.5 mchc-33.1 rdw-13.7 plt ct-657* 02:00am blood wbc-29.1* rbc-2.34* hgb-7.1* hct-22.0* mcv-94 mch-30.5 mchc-32.4 rdw-13.7 plt ct-738* 06:30am blood wbc-15.6* rbc-2.73* hgb-8.5* hct-25.4* mcv-93 mch-31.0 mchc-33.2 rdw-15.1 plt ct-820* 02:03am blood urean-16 creat-2.0* 05:51pm blood glucose-100 urean-9 creat-1.0 na-131* k-4.2 cl-100 hco3-27 angap-8 08:47pm blood glucose-84 urean-11 creat-1.0 na-139 k-4.0 cl-101 hco3-33* angap-9 02:25am blood glucose-81 urean-12 creat-0.9 na-139 k-4.2 cl-101 hco3-29 angap-13 06:07pm blood glucose-91 urean-16 creat-1.1 na-136 k-4.1 cl-100 hco3-27 angap-13 07:00am blood glucose-83 urean-14 creat-0.9 na-144 k-4.1 cl-108 hco3-22 angap-18 02:03am blood amylase-56 01:57am blood alt-66* ast-527* ck(cpk)-* alkphos-39 amylase-50 04:09pm blood ck(cpk)-* 02:25am blood ck(cpk)-2495* 01:44am blood ck(cpk)-1392* 03:00am blood ck(cpk)-330* 07:00am blood alt-16 ast-26 ld(ldh)-437* alkphos-67 amylase-80 totbili-0.3 dirbili-0.1 indbili-0.2 06:37am blood calcium-7.8* phos-4.6* mg-1.6 03:07am blood calcium-7.9* phos-3.3 mg-2.2 02:00am blood calcium-8.3* phos-3.6 mg-2.4 07:00am blood albumin-3.3* calcium-8.5 phos-3.3 mg-2.6 iron-53 02:41am blood freeca-0.95* 03:30am blood freeca-1.18 03:04am blood freeca-1.09* clostridium difficile toxin assay (final ): feces negative for c. difficile toxin by eia. (reference range-negative). approximately 20x negative cultures of blood medical condition: 25 year old man with stabbing reason for this examination: ? iuncrease in pnx history: pneumothorax. single portable radiograph of the chest is submitted. the left lateral hemithorax is excluded. et tube is 1 cm. above the carina. the remaining visualized portions of the support lines are unchanged compared with the chest radiograph obtained six hours prior. no pneumothorax is identified. trachea is midline. increased airspace opacities involving the bilateral lungs, particularly in the right hilar region and along the course of the left-sided chest tube, remain similar in appearance. the lung volumes are low. the study and the report were reviewed by the staff radiologist. dr. dr. specimen submitted: stomach, proximal jejunum. procedure date tissue received report date diagnosed by dr. . fu/mrr?????? diagnosis: i. stomach, partial gastrectomy(a): segment of stomach with gross defect and focal acute hemorrhage. ii. proximal jejunum, resection (b-d): segment of small bowel with gross defects and focal acute hemorrhage. clinical: stab wound chest and abdomen. gross: the specimen is received fresh in two parts, both labeled with " eu critical" and the medical record number. part 1 is additionally labeled "stomach" and consists of a segment of tan-pink mucosa measuring 3.8 x 2.7 x 0.5 cm. there is a hemorrhagic linear defect in the specimen which measures 1.4 cm in length. the specimen is represented in a with sections including the linear defect. part 2 is additionally labeled "proximal jejunum" and consists of a single tan pink segment of small bowel measuring 2.8 cm in length x 2 cm in diameter. there are stapled margins present at both ends of the specimen. the specimen is unoriented. on the serosal surface are two bulging full thickness defects with surrounding serosal hemorrhage. the specimen is opened to reveal tan pink mucosa with the two linear defects noted on the serosal surface. the specimen is represented as follows: b = shave of one margin, c = shave of the opposite margin, d = sections of linear defect. ct chest w/contrast 5:26 pm ct chest w/contrast; ct abdomen w/contrast reason: is there evidence of 1) leak from gastric or duodenal repair field of view: 38 medical condition: 26 year old man with s/p ex lap repair of gastric and duodenal injury after stab wound (pod 6), s/p takeback for abdominal compartment syndrome (pod 3), now with persistent hypotension, volume requirement. please perform with iv and ngt contrast - we are most interested in proximal bowel. reason for this examination: is there evidence of 1) leak from gastric or duodenal repair 2) missed bowel injury 3) abscess 4) missed pancreatic injury? contraindications for iv contrast: none. findings discussed with dr. . clinical history: 26-year-old male status post ex-lap repair of gastric and duodenal injury after stab wound, postop day 6. postop day 3 for reoperation for abdominal compartment syndrome. persistent hypotension, volume requirement. comparison: none. technique: contrast-enhanced mdct acquired axial images of the chest, abdomen, and pelvis from the thoracic inlet to the pubic symphysis. multiplanar reformatted images were obtained. ct of the chest with intravenous contrast: the lungs demonstrate bilateral dependent lower lobe consolidation vs atelectasis, right greater than left. small left pleural effusion is present. note is made of a tiny air bubble within a small focal colleciton of pleural fluid along the left mid lateral chest, which may relate to a small traumatic pneumatocele. et tube and ng tube are identified. the heart and great vessels are normal. the thoracic aorta maintains a normal contour. no mediastinal, axillary or hilar lymphadenopathy. ct of the abdomen with intravenous contrast: no focal hepatic lesion is identified, however streak artifact limits sensitivity. the adrenal glands spleen, gallbladder and pancreas are within normal limits. fluid is seen surrounding the head of the pancreas. the kidneys enhance and excrete contrast symmetrically. the abdomen remains open. pigtail drain via a left subcostal approach terminates anterior to the stomach and left lobe of the liver. jp drain is seen within the subcutaneous tissues of the mid abdomen. contrast opacifies the small bowel, however yet to reach the cecum and distal ileum. there is a tiny focus of high density material along the anterior abdominal wall (series 2 image 90), which is of uncertain etiology and may relate to suture material although extraluminal contrast cannot be excluded . there is no evidence of intraperitoneal extravasation of oral contrast. suture material is identified in the stomach and proximal small bowel. intermesenteric fat stranding and small amount of free fluid seen within the abdomen, however, no evidence of free intra- abdominal air. the abdominal aorta maintains a normal contour. the celiac, proximal sma, are normally opacified. ct of the pelvis with intravenous contrast: the rectum, sigmoid colon are within normal limits. bladder is decompressed and contains a foley with tiny bubbles of air. free fluid with a hematocrit level is seen within the pelvis, likely blood. a left fat-containing inguinal hernia is identified. bone windows: no suspicious lytic or sclerotic lesion is detected. note is made of diffuse subcutaneous tissue strading and edema. more focal tissue asymetry is identified overlying the right illiac bone, which may represent contusion, edema, im hematoma (though atypical). impression: 1. right lower lobe consolidation vs atelctasis. small left pleural effusion. 2. postoperative changes within the stomach and proximal duodenum. no evidence of intrperitoneal extravasation of oral contrast. extensive intermesenteric stranding and small amount of free fluid. open abominal wall. 3. free fluid within the pelvis with a hematocrit level consistent with blood. slight asymmetry of the muscles overlying the right iliac crest which may represent contusion, edema or intramuscular hematoma. 4. tiny focus of high density material along the anterior abdominal wall (series 2 image 90), which is of uncertain etiology and may relate to suture material although extraluminal contrast cannot be excluded. recommend correlation with exam and ct can be repeated if indicated. the study and the report were reviewed by the staff radiologist. dr. dr. ct abdomen w/contrast 3:20 pm ct abdomen w/contrast; ct pelvis w/contrast reason: iv contrast only; r/o infectious process medical condition: 26 year old man s/p luq stab wound, incr wbcs, mild temp reason for this examination: iv contrast only; r/o infectious process contraindications for iv contrast: none. indication: status post repair of gastric and duodenal injury after stab wound with increasing white blood cell count, mild temperature elevation. comparison: ct torso . technique: mdct-acquired contiguous axial images from the lung bases to pubic symphysis were obtained following the administration of 130 ml of iv optiray. nonionic contrast was administered secondary to protocol. coronal and sagittal reconstructions were performed. ct of the abdomen with intravenous contrast: small left pleural effusion appears to have increased in size compared to the previous examination. there is associated compressive atelectasis within the left lower lobe. minimal right pleural effusion also appears new in the interval. liver, spleen, kidneys, adrenal glands, pancreas, gallbladder appear within normal limits. postsurgical changes are seen within the anterior and posterior aspects of the body of the stomach as well as at the level of the ligament of treitz, s/p resection of proximal jejunum. a small focal fluid collection has developed under the left lobe of the liver and just superior to the stomach, and lateral to the spleen measuring approximately 5.5 (ap) x 1.5 (tv) x 1.6 (cc) cm, new in the interval. second smaller fluid collection is seen just anterior to the anterior suture line within the stomach. both of these small fluid collections likely represent postoperative seromas. small amount of perisplenic hypodensity is also seen, just posterior to the superior aspect of the spleen (series 2, image 16) likely representing a trace amount of fluid. the abdominal wall has been closed in the interval. a small fluid collection contained within the left anterior abdominal wall musculature has decreased in size, now measuring 2.1 x 1.2 cm. the extent of mesenteric fat stranding has decreased in the interval. small bowel loops otherwise appear unremarkable without evidence of obstruction, bowel wall thickening, or evidence of contrast extravasation. abdominal aorta is normal in caliber. no pathologically enlarged mesenteric or retroperitoneal lymph nodes are seen. there is no free air. ct of the pelvis with intravenous contrast: an oval loculated fluid collection measuring 4.4 (ap) x 3.1 (tv) x 2.3 (cc) has decreased in size from the prior exam, located just anterior to the rectum. this fluid collection continues to demonstrate what appears to be a hematocrit level, likely representing a resolving hemorrhagic fluid collection. remaining loops of bowel appear within normal limits. small amount of gas is seen within the bladder, likely due to prior instrumentation. the bladder otherwise is unremarkable. seminal vesicles, prostate are within normal limits. no pelvic or inguinal lymphadenopathy seen. ill defined hypodense area causing expansion of the right gluteus medius and minimus muscles has decreased in size from the prior exam. again this may reflect a resolving hematoma, edema, or contusion. bone windows demonstrate no suspicious lytic or sclerotic lesions. impression: 1. two small fluid collections surrounding the stomach, one anterior to the stomach adjacent to a suture site, and the second located just superior to the stomach and inferior to the left lobe of the liver. both of these fluid collections likely represent postoperative seromas and are not amenable to image-guided drainage. 2. interval decrease in size of loculated hemorrhagic/proteinaceous fluid collection within the pelvis. 3. interval decrease in size of ill-defined hypodensity in the right gluteus minimus and medius muscles causing muscle expansion. this may represent resolving intramuscular hematoma, contusion, or edema. 4. status post closure of the abdominal wall with interval decrease in extent of mesenteric stranding. small bowel loops are unremarkable. 5. slight interval increase in size of small left pleural effusion and new right pleural effusion. continued left lower lobe atelectasis. pt was seen by the inpatient psychiatry service, which recommended continuing his tid seroquel brief hospital course: briefly, the patient was admitted on the with a luq stab wound. he was taken directly to the or for the aforementioned procedure. please see the detailed op note for full procedings. he was taken from the or to the tsicu with an closed abdomen and a chest tube on the l. he was maintained on mechanical ventilation via ett. his abdomen was opened the next day due to abdominal compartment syndrome. he was temporarily closed with a patch. at this time the patient had an extreme leukocytosis and fever, and he was treated with broad spectrum antibiotics. he was fluid resusitated and kept npo. cipro, flagyl and fluc were continued. an ngt was employed for decompression. he was transfused due to dropping hematocrit. there was a question of sirs versus nms as his fevers spiked. he became hypertensive, and was maintained on multiple antihypertensived for 3 days. regardless, his fevers and leukocytosis dropped and his hemodynamics improved. a third operation was undertaken to close his abdomen on . again, see the full op note for full details of this fascial closure. he completed a course of vanc and zosyn for ventilator aquired pneumonia, which resolved. he was gradually diuresed, weaned from the vent, and transferred to the floor. his need for anti-hypertensive therapy decreased, and all of those medications were stopped. on the floor he was seen by pt/ot and treated for his difficulty ambulating and assisted with adls. he is in need of continued pt for ambulation help. he was seen by psych and felt to be stable and at baseline with regards to his psychiatric dosing. his dose of seroquel was slowly titrated to an appropriate level. he was felt to be stable for discharge. his abdominal wound had a small amount of dehiscence in the superior apex; this was treated with a vac dressing which is being changed three times per day. he is completing a 14d course of flagyl for a leukocytosis following abdominal closure. he has been afebrile and without symptoms for at least the 5 days before discharge. the flagyl will be complete on the . medications on admission: unknown discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day) as needed for 1 bm daily. disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 2. methadone 5 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*0* 3. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day): do not take if having >2 bowel movements per day. disp:*600 ml* refills:*0* 4. fentanyl 75 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). disp:*10 patch 72 hr(s)* refills:*0* 5. quetiapine 25 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 6. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 8 days: will be complete with this course on . disp:*39 tablet(s)* refills:*0* 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. vacuum dressing please change abdominal vacuum dressing every 3 days. discharge disposition: extended care facility: rehabilitation & nursing center - discharge diagnosis: s/p knife injury with injury to the stomach and the small intestine, surgically repaired s/p apparent sirs/sepsis s/p open abdomen with eventual closure bipolar ptsd discharge condition: good discharge instructions: continue your antibiotics until you complete the entire course on . continue your wound care as instructed. you will have your abdominal vacuum dressing changed every 3 days. md if you experience a fever >101f, have chest pain, shortness of breath, leakage around your abdominal wound, or for any other symptoms that may concern you or your family. followup instructions: f/u with your surgeon one week after discharge. you can call for an appointment at trauma clinic. md, procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other partial resection of small intestine enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus reopening of recent laparotomy site delayed closure of granulating abdominal wound open and other partial gastrectomy other suture of abdominal wall other repair of peritoneum diagnoses: pneumonia, organism unspecified other postoperative infection unspecified septicemia disruption of internal operation (surgical) wound sepsis assault by cutting and piercing instrument other and unspecified complications of medical care, not elsewhere classified bipolar disorder, unspecified injury to other intra-abdominal organs without mention of open wound into cavity, retroperitoneum posttraumatic stress disorder injury to stomach, without mention of open wound into cavity other injury to small intestine, without mention of open wound into cavity traumatic compartment syndrome of abdomen 

Answer: The patient is high likely exposed to