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: sulfa (sulfonamides) attending: chief complaint: adenocarcinoma of sigmoid colon major surgical or invasive procedure: s/p lar, divert transverese loop colostomy, takedown of bladder history of present illness: mr. is a y.o. gentleman with h/o prostate cancer, cholecystolithiasis, h /o pancreatitis who was newly diagnosed with rectal carcinoma. he was recently admitted ( to )to for pancreatitis. he has a h/o coffee-ground emesis prior to the admission, chronic constipation, occasional brbpr since some years and occasional dark, firm stools since one year. the patient reports that his guaiac's stool test was negative for several times. he was found to have a sigmoid colon mass on ct scan. colonosopy and biospy showed adenocarcinoma of the sigma, cea level was 5.3 in , abdominal and pelvis ct revealed no evidence of distant metastasis. he was transferred to for continued rehab and radiation therapy to site of cancer after last admission. he underwent 1 week of radiation as recommended per heme/onco. he presents for surgical resection of colon mass with dr. . past medical history: prostate ca htn chronic constipation s/p hernia repair cholecystolithiasis pancreatitis s/p radiation for sigmoid colon mass social history: widower, lives alone, is independent. retired electrician. former 4 p/y smoker, quit ~50 years ago, does not use etoh. supportive sister, , who is patient's proxy. family history: noncontributory physical exam: on admission: 97.1 pulse 74, bp 132/54, rr 16, 95%ra gen- no acute distress, alert and oriented card- rrr pulm- cta b/l abd- soft, nt, nd, + bowel sounds extremities- no edema pertinent results: radiology final report chest port. line placement 5:43 pm reason: please asses l ij cvl medical condition: year old man with s/p lar, h/o pna left ij line is in the lower svc. there is no pneumothorax or pleural effusion. ng tube tip is in the stomach. cardiac size is top normal. the aorta is elongated. the lungs are clear. extensive bilateral pleural plaques are noted. . radiology final report portable abdomen 5:50 pm medical condition: year old man with distention impression: nonspecific bowel gas pattern without evidence of obstruction or ileus. pathology procedure date diagnosis: rectosigmoid, resection (a-m): 1. adenocarcinoma, see synoptic report. 2. diverticulosis. 3. focal acute cryptitis and reactive changes. ii. additional sigmoid, resection (n-q): focal acute cryptitis and reactive changes, no evidence of malignancy. iii. colonic donuts (r): focal acute cryptitis and reactive changes. no evidence of malignancy macroscopic specimen type: rectal/rectosigmoid resection (low anterior resection). specimen size greatest dimension: 27.5 cm. additional dimensions: 8 cm x 3.5 cm. tumor site: rectum. tumor configuration: exophytic (polypoid), ulcerating. tumor size: greatest dimension: 3 cm. microscopic histologic type: adenocarcinoma. histologic grade: moderately differentiated. extent of invasion primary tumor: pt3: tumor invades through the muscularis propria into the subserosa or the nonperitonealized pericolic or perirectal soft tissues. regional lymph nodes: pn0 lymph nodes number examined: 15. number involved: 0. distant metastasis: pmx: cannot be assessed. margins proximal margin: uninvolved by invasive carcinoma: distance of tumor from closest margin: 215 mm. distal margin: uninvolved by invasive carcinoma: distance of tumor from closest margin: 30 mm. circumferential (radial) margin: uninvolved by invasive carcinoma: distance of tumor from closest margin: 12 mm. lymphatic small vessel invasion: absent. venous (large vessel) invasion: absent. tumor border configuration: infiltrating. . 06:55am blood wbc-7.3 rbc-3.09* hgb-9.5* hct-29.0* mcv-94 mch-30.9 mchc-32.9 rdw-14.1 plt ct-215 11:17am blood wbc-11.8*# rbc-2.95* hgb-9.2* hct-27.7* mcv-94 mch-31.2 mchc-33.2 rdw-14.3 plt ct-165 05:07pm blood wbc-7.7 rbc-3.43* hgb-10.7* hct-31.9* mcv-93 mch-31.4 mchc-33.7 rdw-14.2 plt ct-187 05:07pm blood pt-13.3 ptt-27.6 inr(pt)-1.1 06:55am blood glucose-99 urean-24* creat-0.9 na-144 k-3.9 cl-110* hco3-29 angap-9 05:07pm blood glucose-145* urean-17 creat-0.9 na-139 k-4.0 cl-107 hco3-22 angap-14 06:11am blood ck(cpk)-125 06:11am blood ck-mb-3 ctropnt-0.01 06:55am blood calcium-8.1* phos-3.1 mg-2.2 brief hospital course: mr. course required urology assist to mobilize bladder and ureterlysis secondary to inflammatory changes from prostate cancer & treatment. his colorectal surgery was uncomplicated. . hypotension/hypovolemia:he developed hypotension intra-op and was successfully resuscitated with iv fluid. he was monitored in the icu overnight due to age and potential risk factors. he remained stable, and was transferred to following morning for post-op care. . resp/pneumonia:he had bibasilar crackles with expiratory wheezing post-op. chest xray on revealed pneumonia. he was otherwise afebrile with no evidence of leukocystosis. he was started on iv levaquin, and switched to oral levaquin. he will continue with this regimen for two more days. . post-op delirium: his baseline mental status is a/ox3. he has some underlying dementia and parkinson's. his mental status deteriorated a few days post-op likely due to fluid balace shifts. he became agitated, pulling on medical equipment. soft restraints were applied for a few hours, and zyprexa sc given with effect. geriatric team was consulted. recommendations provided. he remained confused for a few days after zyprexa with increased sleepiness, and extrapyrimidal tremors related to . adjustments were made to medication regimen. his mental status returned to baseline on with no further changes. . abd/ostomy:his abdomen is currently soft, nt/nd with active bowel sounds. his abdominal incision is ota with staples. the stoma is pink & viable with drainage pouch intact. he has a rlq incision that continues to drain serous fluid requiring frequent dressing changes to maintain dry. in addition, he has a few skin tears proximal to this incision which requires dressing as well. please refer to ostomy/wound care rn recommendations. . nut:he was npo post-op. his diet was advanced as his bowel function resumed. he was reverted back to npo due to mental status changes, and risk for aspiration. he was advanced to regular food once his mental status cleared. he has been tolerating a regular diet without complaints of nausea and/or vomiting. . elim:a foley catheter inserted intra-op. the catheter remained inserted for a few days post-op due to condition of bladder and ureters intra-op. the foley was removed on , and he was able to urinate without difficulty. flatus and stool production was noted in ostomy pouch. he was seen per the ostomy rn who provided teaching regarding care of stoma. his participation in ostomy care is minimal. he is aware of the presence of the ostomy, but has not been able to participate in care. . pain:his pain was managed with scheduled tylenol and iv morphine prn post-op. he denies pain, and has not required any narcotics. tylenol has managed his pain well. . mobility: he was evaluated per physical therapy, and recommended to return to rehab due to deconditioned physical state. medications on admission: mvi, protonix, , aquaphor to buttocks, colace, terazosin 4mg' discharge medications: 1. acetaminophen 500 mg tablet sig: one (1) tablet po q6h (every 6 hours). 2. hexavitamin tablet sig: one (1) cap po daily (daily). 3. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical (2 times a day). 4. quetiapine 25 mg tablet sig: 0.5 tablet po daily (daily) as needed for agitation. 5. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for sob/wheeze. 6. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. levofloxacin 250 mg tablet sig: three (3) tablet po q24h (every 24 hours) for 2 days. disp:*6 tablet(s)* refills:*0* discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary: adenocarcinoma of sigmoid colon post-op hypotension post-op hypovolemia post-op delirium . secondary: prostate ca-med treated, htn, chronic constipation, s/p hernia repair, cholelithiasis, pancreatitis, l hip fx tx non-, pneumonia discharge condition: stable tolerating a regular diet adequate pain control with oral medication discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * 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. * continue to ambulate several times per day. . incision care: -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. . monitoring ostomy output/prevention of dehydration: -keep well hydrated. -replace fluid loss from ostomy daily. -avoid only drinking plain water. include gatorade and/or other vitamin drinks to replace fluid. -try to maintain ostomy output between 500ml to 1000ml per day. -if ostomy output >1 liter, take 4mg of imodium, repeat 2mg with each episode of loose stool. do not exceed 16mg/24 hours. followup instructions: 1. please make a follow-up appointment with dr. in weeks. 2. make a follow-up appointment with your primary care provider, . , in 1 week or as needed. 3. follow-up with heme/oncology procedure: venous catheterization, not elsewhere classified other lysis of perirenal or periureteral adhesions open and other sigmoidectomy anterior resection of rectum with synchronous colostomy diagnoses: pneumonia, organism unspecified other iatrogenic hypotension anemia, unspecified unspecified essential hypertension constipation, unspecified disorders of phosphorus metabolism pressure ulcer, other site malignant neoplasm of prostate unspecified disorder of kidney and ureter other ascites other specified complications of procedures not elsewhere classified hypovolemia unspecified procedure as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure delirium due to conditions classified elsewhere malignant neoplasm of sigmoid colon malignant neoplasm of rectosigmoid junction 

Answer: The patient is high likely exposed to