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: the patient is a 50-year-old male with a history of refractory carcinoma in situ of bladder first diagnosed in . he had been treated with three six-week courses of bcg with continuous evidence of carcinoma in situ. he had continuous urinary frequency, pelvic pain, urgency, no dysuria. in , the patient had an mri which showed thickening of the bladder wall, involvement of potential submucosal layers with extension to perivesicular fat, severe hydronephrosis on the left side with a minimal functioning left kidney. the patient presented to for further evaluation and management. past medical history: none. past surgical history: 1) turbt, 2) right shoulder surgery, 3) sinus surgery. medication: 1) percocet, 2) ditropan xl. social history: medical imaging salesman, known smoker, nondrinker. family history: noncontributory. exam: pleasant, cooperative, in no acute distress. chest clear to auscultation bilaterally. heart - regular rate and rhythm, no murmurs. abdomen soft, nontender, nondistended. no inguinal lymphadenopathy. gu - normal phallus, meatus and testes. no inguinal hernia. rectal - 15 gm prostate without nodularity. labs: bun and creatinine 19 and 1.0, potassium 4.0, creatinine clearance 111 cc/min. hospital course: the patient was taken to the operating room on where radical cystectomy, left radical nephrectomy was performed. neobladder was made. a foley catheter, suprapubic tube, two jps and right ureteral stent were placed intraoperatively. the patient was transfused 2 units of packed red blood cells in the or. the operation went without complications (please see op note for details.). the patient was transferred to the unit. postoperative day #1 and #2, the patient afebrile, vital signs stable, slowly weaning off ventilator, good urine output coming out of right ureteral stent. wound was clean, dry and intact. the jp outputs sanguineous. postop day #3, the patient was afebrile, vital signs stable. he was extubated without complications. postop day #4, the patient was transferred out of the unit to the floor. he was afebrile, vital signs stable, pain getting better controlled. his respiration was improving. he started to ambulate. he received one dose of toradol. a repeat chest x-ray showed significant improvement in pulmonary edema and pleural effusion. there was still pleural effusion on the left side. on postop day #6, the patient was afebrile, vital signs stable, decreased breath sounds bilaterally, left more than right. his ng tube was dc'd without complications. his foley and sp tubes were being flushed with normal saline tid. on postop day #7, the patient's epidural was discontinued. he started on oral pain medication which seemed to be working well for him. his stent was removed, after which the patient started to put out significantly high amounts in the jp especially on the right side. it was felt that the patient had a small anastomotic leak. the rechecked creatinine showed increased rise compared to the first few postoperative days. postop day #8, the patient had a fever up to 101.9. he had a very high foley output. bun and creatinine continued to rise. the renal service was consulted. it was felt that the patient's bun and creatinine rise was probably a combination of systemic absorption of urine in the peritoneum, as well as some edema in the ureter post stent removal. the patient had an ultrasound performed which showed minimal to mild hydronephrosis. the patient had some right-sided back pain. postop day #9, the patient's creatinine continued to rise. he was put on fluid restriction. still had some cva tenderness to palpation but nothing at rest. he continued to ambulate. his output had changed and he was now mostly putting out urine out of foley and jp tube. there was a consideration for percutaneous drainage of right kidney due to acute renal failure; however, on the evening of postop day #9, the patient's bun and creatinine started to decline, so it was decided to hold. on postop day #10, the patient was afebrile, vital signs stable. bun and creatinine slowly going down. the patient's right-sided pain had resolved. he started to develop a fever on postop #11. he had a fever, shortness of breath. his saturation dropped to 86-88% on room air. he had another chest x-ray which showed evidence of left lower lobe pneumonia. because of a high suspicion, the patient had a vq scan which had moderate to high probability of left upper lobe pe, as well as some filling defects in the right lung. the respiratory and medicine service were consulted. the patient was placed on oxygen, antibiotics and heparin for anticoagulation. on postop day #11, the patient was still spiking a fever, continued on heparin. he was started on for anticoagulation. on postop day #12, the patient had a fever overnight, some right-sided back pain. his foley and sp were irrigated more aggressively and some mucous came out, after which the patient's symptoms have resolved. his flushing regimen was changed to tid plus prn versus qd. the patient continued on heparin and for anticoagulation. he also was growing oxacillin resistant staphylococcus out of his urine, sensitive to levofloxacin. the patient was continued on levo. on postop day #13, the patient was afebrile, vital signs, foley and sp were draining well (most urine coming out of foley). jp had minimal output. left jp was removed without complications. the patient was ambulating. staples were removed. there was a small open which was open and packed wet-to-dry. the patient was started on lovenox. his heparin was discontinued. condition on discharge: good. discharge status: the patient is discharged to home with vna for foley and suprapubic tube flushing and teaching. wound wet-to-dry changes . lovenox injections . check qd. medications: 1) oxycodone 5 mg 1-2 tabs po q 4-6 h prn, 2) levofloxacin 500 mg po qd x 10 days, 3) 5 mg po qd, 4) colace 100 mg po bid, 5) dulcolax 10 mg po pr qd prn, 6) tylenol 650 mg q 4-6 h prn, 7) zantac 150 mg po bid, 8) lovenox 80 mg po bid. follow-up: the patient should contact dr. and dr. office for postoperative check. the patient's inr results should be phoned to his primary care doctor adjustment. diagnoses on discharge: 1) bladder carcinoma. 2) ureteral carcinoma. 3) left hydronephrosis. 4) status post left radical nephrectomy, ureterectomy, radical cystectomy, prostatectomy, neobladder formation, hypokalemia, hypomagnesemia, hypocalcemia, pleural effusion, acute renal failure, postoperative anemia. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more radical cystectomy nephroureterectomy reconstruction of urinary bladder ureteral catheterization other suprapubic cystostomy radical excision of iliac lymph nodes isolation of segment of small intestine diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified acute kidney failure, unspecified hydronephrosis urinary complications, not elsewhere classified other pulmonary embolism and infarction malignant neoplasm of ureter carcinoma in situ of bladder 

Answer: The patient is high likely exposed to