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: no allergies/adrs on file attending: chief complaint: reason for micu transfer: hypotension post-nephrectomy major surgical or invasive procedure: crrt history of present illness: 80yom with diverticulitis, htn, dyslipidemia, pvd who was found to have a left renal mass and who initially presented for left partial nephrectomy being transferred to the micu for hypoxia and acute renal failure. the patient who was originally being evaluated for abdominal pain underwent a ct abdomen for diverticulitis which showed a possible lesion of the left lower pole of the anterior kidney. an mri confirmed enhancement of a 2cm mass, consistent with renal cell carcinoma, and the patient underwent a laproscopic left partial nephrectomy on . following the surgery, the patient was hypoxic and hypotensive, and was found to have sbp in the 60's-80's. d-dimer was checked and he underwent a cta to rule out pe which was negative, and showed only bibasilar atelectasis. ce's were negative x1, ekg was unremarkable per report. the patient was started on neosynephrine gtt for hypotension and also received lasix 20mg iv for hyperkalemia. cardiology was consulted, and the patient was transferred to the ccu for further monitoring and to r/o mi. he complained of abdominal pain and nausea, and had a leukocytosis of 18.5 and he was given reglan 10mg iv push. sbp decreased to the 80's and neosynephrine gtt was increased. he underwent a ct abdomen/pelvis which showed left retroperitoneal hematoma from the site of left nephrectomy extending superiorly into perisplenic region and inferiorly into left pelvis. extravasation of excreted contrast from lower pole surgical bed of the kidney. post-op pneumoperitoneum. hct was 33 from a baseline of 42.6 pre-op on , uop was 100cc over 3 hours and sbp decreased to 65-69 with blood soaked dressings, and 90cc of frank blood draining from the lp drain. neo gtt was increased and the patient was given 2 units prbc. his cr at this time was 1.36. he received calcium gluconate, insulin/d50, kayexalate, lasix 20mg iv x2 for further hyperkalemia of 6.4. he also received stress dose steroids. on , the patient underwent ir for embolization (particle and coil embolization of the left kidney and tlc) of the lower pole left renal artery. hct was 37.4 from 33 following 2 units prbc, k+ 6.2, and bp 140/70 on neo gtt. he was given an additional unit of prbc for a total of 3 units prbc and 6l ivf. he was subsequently edematous and complained of dyspnea and was intubated . a right a-line and right femoral cortis were placed . cr 1.38. on , the patient underwent hemodialysis. labs showed wbc 23.8, hct 31.3, cr 3.82. he was afebrile. on transfer, the vent settings were fio2 75%, tv 550, r18, 5 peep. during the , the patient received fentanyl 100mcg iv, midazolam 2mg iv, levophed 25mcg/min, phenyleprine 300mcg -> 200mcg. past medical history: - ?diverticulitis - htn - dyslipidemia - pvd - bph - gerd - djd - ?copd - nasal polyposis - s/p tonsillectomy - s/p cholecystectomy - s/p polyectomy - s/p r varicose vein stripping social history: - tobacco: (+) x15 year smoking history, quit 35 years ago - etoh: unknown - illicit drugs: unknown lives with wife. family history: cad physical exam: vs: 99.9 108 156/76 tv 500/fio2 100%/peep 5/r 14 gen: intubated, interactive and following commands, nad heent: perrl, eomi, sclera anicteric, mmm cv: rrr, s1 and s2 wnl, no m/r/g resp: coarse rhonchi and rales at rml without wheezes, equal air movement b/l abd: soft, moderate rlq tenderness without rebound or guarding, significant left sided tenderness near surgical site, surgical dressing clean, dry, intact with minimal blood on the bandage. no masses, +bs, no appreciable hepatosplenomegaly. ext: no c/c/e with compression stockings in place b/l. 2+ dp pulses b/l. skin: no rashes/no jaundice/no splinters neuro: moving all extremities, following commands. pertinent results: 01:00pm ck(cpk)-1051* 01:00pm ck-mb-18* mb indx-1.7 ctropnt-0.32* 11:41am lactate-13.4* k+-5 ct: prelim the patient had approximately 95 cc of visipaque contrast infiltration in his left hand. 1. sub-optimal contrast for assessment of the segmental pulmonary arteries. no large central pe. bibasal consolidations, likely atelectasis with small pleural effusions. 2. s/p partial nephrectomy with a 9.1 x 5.7 x 6.6 cm hematoma in the perinephric space, without significant compression of the left renal vessels. 3. no bowel obstruction/ secondary signs of ischemic bowel. 4. small amount of free intraperitoneal free air and subcutaneous emphysema, relates to recent surgery. an intraperitoneal drain is seen in the mid abdomen. 5. ill-defined hypodense lesion in the left hepatic lobe, is not well assessed in this study. be helpful to compare with prior imaging to further assess. brief hospital course: 80 yo m with diverticulitis, htn, dyslipidemia, pvd who was found to have a left renal mass and who initially presented for left partial nephrectomy being transferred to the micu for hypoxia and acute renal failure. he continued to deteriorate clinically including rising lactic acidosis to 13 and became increasingly difficult to oxgenate. concern was for septic shock though no clear source was located. he was covered with broad spectrum antibiotics and required 3 pressors. general surgery saw and did not feel that there was an acute abdominal process based on ct and exam that would benefit from surgical intervention. he was started on crrt given his rising lactate. ultimately given his poor prognosis he was made dnr. shortly thereafter, he became bradycardic and hypotensive to the 60's and briefly lost his pulse. he received mulitple amps of bicarb and epi with return of spontaneous circulation. decision ultimately made by family at bedside to change to comfort measures only. pressors were stopped and he expired within 20 minutes. autopsy will be performed here at . medications on admission: medications at home: - lasix 40mg daily - simvastatin 20mg daily - finasteride 5mg daily - atenolol 50mg daily - losartan 50mg daily - albuterol inhaler 2 puffs prn - preservision daily - vitamin d 1000 iu daily - vitamin b complex - centrum silver - exlax 1 pill at night . meds on transfer: - norepinephrine gtt - phenylephrine gtt - ceftriaxone 1gm iv once - ertapenem 0.5gm iv daily - vancomycin 1gm iv once with hd - hydrocortisone 50mg/1ml iv q6h - albuterol 90mcg hfa 2 puffs q6h prn - albuterol-ipratropium 103-18mcg aerosol 4 puffs q6h - artificial tears - bisacodyl 5mg po qhs - diphenhydramine 25mg iv q6h prn itching - fentanyl 25mcg/0.5ml iv q1h prn - fentanyl 50mcg/1ml iv q1h prn - fentanyl 100mcg/2ml iv q1h prn - lorazepam 1mg/0.5ml iv q30 mins - pantoprazole 40mg iv daily - simvastatin 20mg qhs - finasteride 5mg po qhs - metoclopramide 10mg/2ml iv q6h prn n/v discharge disposition: expired discharge diagnosis: na discharge condition: deceased discharge instructions: na followup instructions: na md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified diagnoses: acidosis acute kidney failure with lesion of tubular necrosis unspecified essential hypertension unspecified septicemia severe sepsis peripheral vascular disease, unspecified malignant neoplasm of kidney, except pelvis other and unspecified hyperlipidemia septic shock hypoxemia do not resuscitate status 

Answer: The patient is high likely exposed to