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: demerol / phenergan attending: chief complaint: splenic artery aneurysm. major surgical or invasive procedure: - exploratory laparotomy, splenectomy with distal pancreatectomy, retroperitoneal exploration and control of arterial and venous bleeding and abdominal packing for damage control surgery - exploratory laparotomy, removal of 20 laparotomy packs, control of superficial bleeding and partial abdominal closure - abdominal washout and closure of open abdomen history of present illness: this middle-aged asian male presents unresponsive and intubated with having been found down in his garage. he was brought to ed where they did a ct scan finding blood in his abdomen. he was brought up to and in shock, arriving with a blood pressure 60. with aggressive resuscitation, we were able to get his blood pressure up in the 110-120 region. he had the ct scan with him. there was no contrast in that scan as far as iv contrast and also the issue of his being found down was not clear. his abdomen at that time was not terribly distended and he had a small amount of blood in his abdomen. based on that, we felt it is probably necessary that we make sure that he had not suffered intracranial hemorrhage since his inr, which had been reported back, was nearly 2 and so he was quickly taken to ct scan for a head scan and a c-spine scan when he again became hypotensive. he was, therefore, taken to the or as a stat transfer past medical history: pmh: diabetes, hepatitis b psh: liver transplant for hepb ( ~ 5 yrs ago) social history: married (wife . lives in w/ wife and 2 children (5&2). is a stay-at-home dad; wife is manicurist. came from 8 yrs ago. has 2 siblings (brother & sister) here. buddhist family history: nc pertinent results: 11:58pm glucose-422* urea n-18 creat-1.3* sodium-144 potassium-6.0* chloride-109* total co2-13* anion gap-28* 11:58pm calcium-13.9* phosphate-6.8* magnesium-1.4* 11:58pm wbc-1.8* rbc-2.21* hgb-6.9* hct-20.2* mcv-91 mch-31.4 mchc-34.4 rdw-14.2 11:58pm plt count-99* 11:58pm pt-18.1* ptt-133.8* inr(pt)-1.7* 10:31pm type-art temp-34.4 o2-100 po2-451* pco2-32* ph-7.05* total co2-9* base xs--21 aado2-251 req o2-48 intubated-intubated vent-controlled 08:46pm alt(sgpt)-19 ast(sgot)-28 alk phos-10* tot bili-0.3 liver or gallbladder us impression: 1. dilation of the common duct, measuring 9 mm. 2. patent vessels within the right lobe of the liver. the left lobe could not be well evaluated due to patient positioning and overlying bandages. 3. right pleural effusion. brief hospital course: transferred to from w/ imaging c/w hemoperitoneum. the day prior to arrival, was complaining of stomach pain & later collapsed while helping friend work on his car. at , found to be unresponsive, intubated, and hypotensive. volume resuscitation was temporarily successful. taken to or as stat transfer for ex-lap, splenectomy with distal pancreatectomy & packing. received 24 units prbcs, 8 units ffp, 1 unit cryoprecipitate intraopa and peri-op. post-op, necessitated pressor support including levophed and epinephrine. patient was started on iv vancomycin, levofloxacin and flagyl. patient was kept intubated/sedated with iv resuscitation, ventilator and vasopressor support. a plastic surgery consultation was obtained for epidermolysis of the left hand dorsum. his arm was splinted below the elbow in extension with xeroform and dry gauze dressing to the wound. taken back to or for exploratory laparotomy, removal of 20 laparotomy packs, control of superficial bleeding and partial abdominal closure. the patient began to develop acute renal failure with a creatinine of 3.6 up from 1.6. his lfts were also found to be rising. a transplant hepatology consult was obtained. this rise was felt to be secondary to shock liver from hypoperfusion. continued to stabilize and resuscitate with iv fluids. patient was weaned off pressors. his creatinine and lfts were followed carefully. adequate urine output. takeback to or for abdominal washout and closure of open abdomen. antibiotic regimen changed to vancomycin and zosyn. tube feeding started, sedation weaned vent weaned from cmv to cpap. antibiotics stopped. vent wean continued. self-extubated with immediate re-intubation. tube feeds advanced to goal. extubated off all drips/o2/sedation. drinking/eating ground diet without issue. biabetes center consulted for elevated sugars. he was started on an insulin regimen which required adjustment throughout his stay. transferred from tsicu to floor. on he developed fevers and was pan cultured and empirically started on vanco and zosyn. his blood and urine cultures grew e.coli resistant to ampicillin, cipro and bactrim so augmentin was started; the vanco and zosyn were stopped. he underwent abdominal imaging which revealed a perihepatic abscess which was subsequently drained by interventional radiology. culture of the fluid was sent which had no growth, the catheter continued to drain bile and was eventually removed on day of discharge. fevers defervesced and patient doing well. he was discharged to home on with services. specific instructions for follow up were provided. medications on admission: fk , hepsera 10', lamivudine 100', riss discharge medications: 1. white petrolatum-mineral oil 42.5-56.8 % ointment sig: one (1) appl ophthalmic prn (as needed) as needed for dry eyes. 2. fentanyl 100 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). disp:*qs patch 72 hr(s)* refills:*0* 3. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for breakthrough pain. disp:*60 tablet(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. tacrolimus 1 mg capsule sig: two (2) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. adefovir 10 mg tablet sig: one (1) tablet po qday (). disp:*30 tablet(s)* refills:*2* 7. lamivudine 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. glargine insulin sig: twenty five (25) units at bedtime. disp:*2 vials* refills:*2* 9. silver sulfadiazine 1 % cream sig: one (1) appl topical daily (daily): apply to left antecubital fossa daily as directed. disp:*1 jar* refills:*2* 10. amoxicillin-pot clavulanate 500-125 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 13 days. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: splenic artery hemorrhage acute blood loss anemia secondary diagnosis: diabetes discharge condition: hemodynamically stable, tolerating a regular diet, pain adequately controlled. discharge instructions: return to the emergency room if you develop any fevers, chills, headache, dizziness, very hih or low blood sugars, shortness of breath, abdominal pain, nausea, vomiting, diarrhea and/or any other symptoms that are concerning to you. take all of your medications as prescribed and be sure to complete your entire antibiotic course as instructed. followup instructions: follow up next week with dr. , call for an appointment. you will also need to be scheduled for an outpatient cta (ct scan to look at your arteries). please inform the office when you call to make your appointment to schedule this test. follow up with diabetes asian american clinic in the next week, call for an appointment. follow up in clinic for your left hand/arm in 1 week, call . follow up with your primary care doctor in weeks, you will need to call for an appointment. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other surgical occlusion of vessels, abdominal veins control of hemorrhage, not otherwise specified other lysis of peritoneal adhesions total splenectomy transfusion of packed cells suture of artery distal pancreatectomy delayed closure of granulating abdominal wound delayed closure of granulating abdominal wound transfusion of other serum transfusion of other serum closure of laceration of liver transfusion of platelets transfusion of platelets other irrigation of wound other irrigation of wound transfusion of other substance repair of adrenal gland cesarean section of other specified type diagnoses: acidosis acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled accidental puncture or laceration during a procedure, not elsewhere classified bacteremia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation unspecified accident liver replaced by transplant urinary complications, not elsewhere classified electrolyte and fluid disorders not elsewhere classified aneurysm of splenic artery blister of elbow, forearm, and wrist, without mention of infection 

Answer: The patient is high likely exposed to