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: history of present illness: this 71 year-old male was noted to have an elevated creatinine by routine screen at his primary care physician's office and abdominal ultrasound demonstrated abdominal aortic aneurysm. a ct scan was performed which demonstrated a 5.4 to 6 cm juxtarenal abdominal aortic aneurysm asymptomatic. patient denies abdominal pain, claudication, can play a round of golf without symptoms. denies rest pain, strokes, symptoms or amaurosis. the patient now is admitted for preoperative iv hydration for elective aortic repair. past medical history: no known drug allergies. medications: felodipine 10 mg daily, atenolol 50 mg daily, simvastatin 20 mg daily. illnesses: include hypertension, hypercholesterolemia, chronic renal insufficiently. the patient had a pmibi which was negative and ejection fraction was calculated at 57%. past surgical history: tonsillectomy. social history: the patient is a 50 pack year history of smoking. he is a retired banker. he denies alcohol use. family history: father died of a myocardial infarction. mother with asthma and colon carcinoma. physical examination: vital signs: 98, 60, 16, blood pressure 170/90, o2 saturation 99% on room air. general appearance: this is an alert, cooperative white male in no acute distress. head, eyes, ears, nose and throat examination shows 2+ carotids bilaterally without bruits. chest is diminished in sound but clear to auscultation. heart has a regular rate and rhythm. abdominal examination is soft, nontender, nondistended with a palpable aorta. the pulse examination shows 2+ radials, dorsalis pedis and posterior tibials bilaterally palpable. hospital course: the patient was admitted to the vascular service on and iv hydration was begun in anticipation for surgery. the patient underwent an open repair of the juxtarenal abdominal aortic aneurysm and right iliac aneurysm. he tolerated the procedure well and was transferred to the post anesthesia care unit in stable condition. epidural catheter was placed intraoperatively for analgesic control. the patient developed overnight oliguria and renal was consulted, recommendations were to maintain a systolic blood pressure greater than 140 to 160, volume repletion, rule out for myocardial infarction and cardiac enzymes were negative. postoperative day 2 the patient was begun a pressor support trial which he failed and remained intubated. postoperative day 3 the epidural was discontinued and the patient was put back on assist control for blood gas of 7.29, 37, 114, 19 and 7. his creatinine was stable at 3.9. although he had diminished urinary output an ultrasound of the renals were obtained which showed echogenicity consistent with chronic cystic renal disease without obstructive disease. on tube feeds were begun. on his cvl was changed and trialed to wean to extubate which failed. the patient required 2 units of packed red blood cells on . on the nasogastric tube trial was clamped. the patient's tube feeds were held secondary to residuals greater than 150. patient developed a temperature. ct of the abdomen was obtained which showed gallbladder thickening. there was no obstructive disease or ischemic disease noted. blood and urine cultures were obtained. patient's blood, urine and sputum cultures were all negative. the urine culture did grow pseudomonas which was pansensitive. the patient was begun on levofloxacin at that time. ct scan showed no retroperitoneal hematoma. there was a small amount of hyperdense fluid in the dependent pelvis in keeping with the recent blood products. a moderate atelectasis in the dependent lower lobes from basilar pleural effusions, a moderately distended, mildly thickened gallbladder. the wall thickening may be due to patient's low albumin rather than inflammatory process. there was no other intraoperative findings on ct. general surgery was consulted regarding patient with postoperative fever, undetermined etiology, looking for an intra-abdominal source. after examining the patient and review of the patient's ct and gallbladder ultrasound i felt there was no intra-abdominal source. recommendations were serial examinations and re- evaluation if there were clinical changes. on the patient was successfully extubated. on patient continued to have episodes of hypertension requiring adjustment in his beta blockade and hydralazine. his central line was changed at that time. on his antibiotics were discontinued and his nasogastric tube was discontinued. thoughts were that he might require a bedside swallow but this was reviewed and decided it was not necessary. the patient did have episodes of hyperglycemia while on total parenteral nutrition requiring iv insulin drip or glycemic control. the patient's foley was changed and zosyn was added as double coverage for the pseudomonas. a repeat urine culture was sent which was positive for pseudomonas. the patient's continued to do well and was transferred to the vcu on . p.o.s were begun with sips and on the 19th the patient's diet was advanced secondary to passing flatus. procrit was begun at 10,000 units twice a week which will be given at dialysis. patient's renal function remained with an elevated creatinine between 3.6 and 4.6. the patient was placed on dialysis on . his total parenteral nutrition was discontinued and his diet was advanced as tolerated. the remaining of the hospital course was unremarkable. the patient will be discharged to rehabilitation when bed is available and renal is satisfied with patient's renal function. the last hemodialysis was . discharge diagnosis: 1. juxtarenal abdominal aortic aneurysm and right iliac aneurysm, status post repair on . 2. chronic renal insufficiency compounded with postoperative acute tubular necrosis and acute renal failure. hemodialysis access catheter placed . 3. postoperative blood loss anemia, transfused, corrected. 4. postoperative failure to extubate secondary to volume overload, corrected. 5. postoperative fever, treated. 6. postoperative pseudomonas urinary tract infection, treated. 7. postoperative hypertension, corrected. 8. postoperative hyperglycemia, treated. discharge medications: albuterol aerosol 1 to 2 inhalations q 6 hours p.r.n., ipratropium bromide aerosol puffs 2 inhalations q 4 to 6 hours p.r.n., acetaminophen 650 mg suppository q 6 hours p.r.n., acetylcholine 20% solution 1 cc aerosol q 4 to 6 hours p.r.n., levofloxacin 250 mg q 4 to 6 hours for a total of 6 more days on which is day 8 out of 14 days of antibiotic course. protonix 40 mg q.d., colace 100 mg b.i.d., hold for loose stools, metoprolol partate 100 mg t.i.d., hydralazine 50 mg q 6 hours, hydromorphone tablets 2 mg tablets 1 to 2 q 4 hours p.r.n. for pain, amlodipine 5 mg daily, parconazole nitrate powder to affected areas b.i.d., nystatin swish and swallow 5 cc q 6 hours p.r.n., zolpidem 5 mg q.h.s. as needed, vitamin b complex capsule daily as needed. patient should follow up with dr. as directed and call for an appointment at . , m.d. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis resection of vessel with replacement, aorta, abdominal transfusion of packed cells insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt infusion of vasopressor agent resection of vessel with anastomosis, abdominal arteries diagnoses: acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified acute posthemorrhagic anemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease abdominal aneurysm without mention of rupture aneurysm of iliac artery pseudomonas infection in conditions classified elsewhere and of unspecified site 

Answer: The patient is high likely exposed to