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: percocet / adhesive tape attending: chief complaint: 1. status post sigmoid resection 2. ventral hernia major surgical or invasive procedure: : 1. colostomy takedown with colorectal anastamosis 2. repair of complex ventral hernia. 3. placement of acellular dermal matrix, strattice, 20 x 25 cm. 4. bilateral component separation history of present illness: this is a 67 yo m with a history of sigmoid resection with procedure for ischemic colitis in . patient presents to for a colostomy takedown with colorectal anastamosis with component separation hernia repair by drs and the medical history is significant for dvt/pes for which he is on coumadin (goal inr ), aortobifem bypass, left aka, and quadruple vessel cabg. his last dose of coumadin was on in preparation for this admission's surgery. he recently develope two skin ulcers adjacent to his colostomy site for which he completed a seven day course of cipro yesterday, saturday . otherwise, he has had no new medical diagnoses or medication changes in the past 30 days. past medical history: htn, hypercholesterolemia, cad s/p 4-vessel cabg (echo showed no wall motion abnormalities, ef>55% and +pulm htn), pe/dvt on coumadin, reactive thrombocytosis, pvd s/p aortobifem 's (s/p thrombectomy r limb & placement interposition graft ) & l aka , s/p l cea social history: lives w/ wife, daughter, son-in-law, teenage grandson, and mother in law -quit smoking 6 yrs ago, prior to that ppd since age of 13 -no etoh use for 27 yrs, but previously "almost alcoholic," drinking whiskey, banana liquor, cc&coke, canadian mist family history: -vascular disease -sister -- "lost a foot" in her 40's b/c no blood flow -brother -- arm amputated after down on floor for 3 days -father passed from disease and walking pna -mother w/ hernia physical exam: on discharge: vs: gen: nad cv: rrr lungs: ctab abd: midline and bilateral incision with staples c/d/i, jp sites x 5 with occlusive dressings c/d/i ext: left aka, right warm, with positive pp pertinent results: 03:30pm wbc-8.8 rbc-5.09 hgb-13.8* hct-40.2 mcv-79* mch-27.2 mchc-34.4 rdw-15.2 03:30pm glucose-159* urea n-19 creat-0.8 sodium-129* potassium-3.8 chloride-94* total co2-24 anion gap-15 03:30pm alt(sgpt)-24 ast(sgot)-25 ld(ldh)-169 alk phos-94 amylase-72 tot bili-0.3 03:30pm pt-38.3* ptt-46.9* inr(pt)-4.0* 01:40am blood wbc-17.9* rbc-3.74* hgb-10.4* hct-30.0* mcv-80* mch-27.9 mchc-34.8 rdw-15.2 plt ct-311 08:00am blood glucose-116* urean-9 creat-0.7 na-132* k-4.0 cl-100 hco3-25 angap-11 08:00am blood calcium-7.7* phos-2.5* mg-2.4 07:55am blood pt-15.6* ptt-106.5* inr(pt)-1.4* pathology examination name birthdate age sex pathology # , 67 male report to: dr. description by: dr. . willim/mtd specimen submitted: colostomy. procedure date tissue received report date diagnosed by dr. . /ttl previous biopsies: sigmoid colon, small bowel segment. sigmoid bx, 1 jar. false aneursym. diagnosis: colostomy: consistent with colostomy. ekg: sinus tachycardia. left bundle-branch block. compared to the previous tracing of the rate has increased and there are new st-t wave changes with t wave inversion in leads i, avl and v5-v6. the qrs complex has widened. rule out active ischemic process. ekg: sinus rhythm. left bundle-branch block. compared to the previous tracing of the rate has slowed. otherwise, no diagnostic interim change. brief hospital course: the patient was admitted to the general surgical service for elective ventral hernia repair and colostomy takedown on . patient on coumadin at home for dvt/pe treatment, inr on admission was 4.0. patient was given vitamin k, and started on heparin gtt for bridging therapy. cardiology was consulted for pre-op clearance, and patient was cleared for surgery from cardiology stand point. on , the patient underwent colostomy takedown and ventral hernia repair, which went well without complication (reader referred to the operative note for details). after surgery patient was extubated in the pacu, he was noticed to have sinus tachycardia, and secondary to his cardiac history, patient was transferred in icu foe observation. patient was npo, on iv fluids and antibiotics, with foley catheter and dilaudid pca for pain control. the patient was hemodynamically stable. neuro: the patient received dilaudid pca with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: patient with a history of cad s/p cabg and chronic left bundle-branch block, after surgery was found to have sinus tachycardia. patient was transferred into icu where he converted in regular rhythm with fluid resuscitation. cardiac enzymes were checked and were negative x 2. patient was transferred on the floor for continue treatment and observation. he remained stable from cardiac stand point. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. diet was advanced when appropriate, which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. on discharge, patient tolerates regular diet and had several bm. id: intraoperatively 5 jp drains were placed and patient was started on empirical treatment with iv abx. after jp drains were removed all antibiotics were discontinued, patient remained afebrile during hospitalization, wbc was routinely monitored and on dischared was 9.0. wound care: staples will be removed during follow up appointment with plastic surgery. keep wound open to air, patient can shower. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; no transfusions were required. dvt/pe prophylaxis and treatment: patient was started on heparin gtt after operation and his ptt was kept between 60-80. when tolerated po, patient was started on po coumadin. ptt/inr was checked periodically, and heparin gtt/coumadin po was adjusted according to results. prior discharge inr was sub therapeutic (1.5), patient was discharged in acute care rehab on continuous heparin gtt. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: warfarin, toprol xl 50", hctz 12.5', lisinopril 20', omeprazole 20' discharge medications: 1. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 4. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 8. coumadin 7.5 mg tablet sig: one (1) tablet po once a day: inr goal . tablet(s) 9. heparin (porcine) in d5w 25,000 unit/250 ml parenteral solution sig: one (1) intravenous asdir (as directed): please d/c when inr . 10. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 11. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain, fever. discharge disposition: extended care facility: discharge diagnosis: primary: 1. colostomy takedown with colorectal anastamosis 2. ventral hernia, complex. secondary: 1. h/o pe/dvt discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. discharge instructions: please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. continue to follow with clinic to check your inr level per week. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: provider: , md phone: date/time: 12:00 plastic surgery clinic . provider: , md phone: date/time: 3:30 , , , . provider: , md phone: date/time: 11:00 procedure: graft of muscle or fascia other lysis of peritoneal adhesions repair of pericolostomy hernia closure of stoma of large intestine dermal regenerative graft diagnoses: pure hypercholesterolemia unspecified essential hypertension aortocoronary bypass status other chronic pulmonary heart diseases regional enteritis of unspecified site other specified cardiac dysrhythmias peritoneal adhesions (postoperative) (postinfection) other left bundle branch block long-term (current) use of anticoagulants personal history of venous thrombosis and embolism carrier or suspected carrier of methicillin resistant staphylococcus aureus above knee amputation status chronic ulcer of other specified sites attention to colostomy other colostomy and enterostomy complication 

Answer: The patient is high likely exposed to