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: patient recorded as having no known allergies to drugs attending: chief complaint: coffee-ground emesis major surgical or invasive procedure: 1) ex-lap, ileocecectomy 2) return to or for washout and ileostomy creation 3) cvvhd - 4) ex-lap, washout, resection of transverse and limited descending colon for ischemic segment of splenic flexure 5) ivc filter placement (for prophylaxis, h/o l subsegmental pe and multiple) 6) abdominal closing at bedside (sutured bag to reduce abdominal opening by ~50%) 7) ex-lap, washout, omentectomy, gj tube placement, open tracheostomy, abdominal wall closure history of present illness: 53m with multiple medical problems, transported from nursing home to ed for coffee-ground emesis, hypotension, and tachycardia noted after dialysis. he was found to have an upper gi bleed in the setting of fevers and sepsis. the upper gi bleeding resolved. once stabilized, a ct scan was obtained which revealed free air and a dilated thickened cecum. because of this, he was taken emergently to the operating room for exploration. past medical history: esrd on hd, left av fistula clotted dm dementia anemia seizure disorder htn depression pneumonias social history: per daughter - no etoh, "a lot" cigarettes family history: noncontributory physical exam: on admission: t 96.1 hr 135 bp 79/52 rr 17 o2sat 88% gen: intubated and sedated cv: reg rhythm, tachycardic lungs: ctab abd: soft, mildly distended, no tenderness elicited, no masses rectal: no tenderness elicited, no masses noted, heme neg . on discharge: t: 98.1 hr: 81 bp: 149/63 rr: 19 sat: 97% trach mask nad, alert and awake rrr coarse bilateral breath sounds soft, mildly distended, wound healing well with grannulation tissue, clean no edema of extremities pertinent results: 05:19am wbc-5.9 rbc-3.56* hgb-12.6* hct-38.8* mcv-109* mch-35.5* mchc-32.6 rdw-21.0* plt ct-457* 05:19am neuts-74* bands-7* lymphs-16* monos-2 eos-0 baso-0 atyps-0 metas-0 myelos-1* nrbc-2* 05:19am pt-14.6* ptt-24.1 inr(pt)-1.3* 08:10pm fibrino-449* d-dimer-3084* 05:19am glucose-194* urean-29* creat-5.1* na-137 k-4.8 cl-93* hco3-21* angap-28* 07:21pm alt-17 ast-59* alkphos-77 totbili-0.2 05:19am ck(cpk)-184 ck-mb-4 ctropnt-0.08* 11:21am ck(cpk)-404 ck-mb-6 ctropnt-0.06* 11:21am alt-17 ast-48* 11:21am calcium-7.8* phos-1.1* mg-1.8 05:12am lactate-10.8* . on discharge: 02:55am blood wbc-12.4* rbc-3.12* hgb-9.2* hct-28.5* mcv-91 mch-29.5 mchc-32.3 rdw-19.4* plt ct-501* 01:30am blood pt-14.7* ptt-30.6 inr(pt)-1.3* 02:55am blood glucose-102 urean-92* creat-7.5*# na-141 k-4.4 cl-98 hco3-22 angap-25* 02:55am blood alt-48* ast-63* alkphos-607* amylase-221* totbili-1.2 02:55am blood lipase-160* 02:55am blood calcium-11.0* phos-9.1*# mg-2.5 . brief hospital course: 53m with esrd and multiple medical problems was transported from nursing home to ed on for coffee-ground emesis, hypotension to 70's, and tachycardia to 130's. ngt was placed, which returned coffee-ground colored liquid. he was intubated and sedated in ed for airway protection, and given 6u prbc, 2u ffp, 2l crystalloid for presumed gi bleed. gi was consulted for possible egd and intervention. post-transfusion hct was 38. cultures were sent, and vanc/zosyn were started empirically. ct scan of the abdomen/pelvis was done, which showed free intraperitoneal air and fluid suggestive of perforation, and markedly dilated colon with a sharp transition in the region of the splenic flexure. of note, he was also found to have lll pulmonary emboli with bilateral ultrasound negative for dvts. he was taken urgently to the or for ex-lap, and ileocecectomy was performed, with plans to return to or for washout and closure/maturing of ostomy at later date. . postoperatively, he remained stable in the ticu - on cvvh, bp supported with pressors, vanc/zosyn continued, fluc was added for broader coverage, ppi for prophylaxis. . on , he was taken back to the or for exploratory laparotomy, removal of bag, ascending colectomy, abdominal wash-out, ileostomy maturation and reclosure with bag. post-operatively, he became tachycardic to 200's, and was cardioverted. an echo was performed which demonstrated lvef > 55% wuth grossly normal biventricular systolic function. a repeat echo on showed similar findings. on , platelets were noted to be significantly decreased, so all heparin products were stopped, and hit antibody was sent, which was ultimately came back negative. . on , he underwent ex-lap, washout, resection of transverse and limited descending colon for ischemic segment of splenic flexure. exploratory laparotomy, washout, transverse colectomy, closure with a bag and left groin dialysis catheter placement. . on he had a ivc filter placed by dr. for prophylaxis, h/o l subsegmental pe. he underwent abdominal closure at the bedside (sutured bag to reduce abdominal opening by ~50%). he continued to have elevated lfts and a ruq ultrasound was performed for possible cholecystitis on , it showed sludge without evidence of cholecystitis. on , he returned to the or for exploratory laparotomy, abdominal washout, abdominal wall closure with retention sutures, gastrostomy tube and tracheostomy. infectious disease was consulted on for tailoring of his antibiotics towards , enterococcus, and basteroides grown from his cultures. he continued on cvvh until whe he was transitioned to hemodialysis. . on a ct scan of his abdomen for persistent fevers found an 11 cm thick-walled fluid collection in the mid lower pelvis just beneath the intralesional scar, most likely representing abscess in this setting of cecal perforation and fever and he underwent drainage and placement of a pigtail catheter under ct guidance. the placement of the drain was complicated by a postop bleed with a decrease of his hematocrit to 23.6. he was managed conservatively with transfusions for the pelivc hematoma and was transfused a total of 10 units of prbc and 2 units ffp up to when he finally stablized his hematocrit in the 27-30 range. repeat ct scan on demonstrated stable size of the hematoma. a repeat ultrasound on for possible drainage found the large predominantly solidified pelvic hematoma not amenable to drainage. he continued to have fevers daily and his lines were changed. all cultures, except for his initial cultures from his or swab, were negative. during the period of management of his pelvic hematoma, he also developed an ileus with decreased output from his ostomy and was provided nutrition via tpn. he stopped having fevers and his antibiotics(zosyn, flagyl, fluconazole, and daptomycin) were finally stopped on . his ileus resolved and he was restarted on tube feeds, slowly advanced to goal. his right subclavian quentin catheter used for dialysis was removed and a tunneled catheter was placed by interventional radiology on in the right internal jugular vein. . his retiention sutures were removed on with his wound healing well by secondary intention and essentially closed at the skin. his jp drain from his initial operation was also discontinued with minimal output. his pain has been well-controlled with dilaudid prn. he has remained hemodynamically stable since his last operation on . his respiratory status has slowly improved with the ability to tolerate trach mask for the majority of the day, occasionally becoming tachypnic and diaphoretic when he tires. he continues to tolerate tf via his j-tube and his g-tube clamped. he received dialysis via his tunnel right ij catheter on monday, wednesday, and friday. he has been afebrile since and his hematocrit stable in the 27-28 range. he was deemed stable for discharge to an extended care facility and will follow-up with dr. . medications on admission: asa, lanthanum, prozac, lisinopril, lopressor, kayexalate, nephrocap, lopid, estraderm discharge medications: 1. metoprolol tartrate 5 mg/5 ml solution : one (1) intravenous q4h (every 4 hours): sbp > 160. 2. hydromorphone 2 mg/ml syringe : one (1) injection q3h (every 3 hours) as needed for pain. 3. hydralazine 20 mg/ml solution : one (1) dose injection q6h (every 6 hours) as needed for sbp>160. 4. acetaminophen 650 mg tablet : one (1) tablet po q6h (every 6 hours) as needed for fever. 5. influenza tri-split vac intramuscular 6. heparin lock flush (porcine) 100 unit/ml syringe : one (1) ml intravenous daily (daily) as needed. 7. metoprolol tartrate 25 mg tablet : two (2) tablet po tid (3 times a day): hold for sbp < 100 or hr < 60. 8. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 9. gemfibrozil 600 mg tablet : one (1) tablet po bid (2 times a day). 10. levothyroxine 125 mcg tablet : one (1) tablet po daily (daily). 11. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 12. aluminum hydroxide gel 600 mg/5 ml suspension : thirty (30) ml po tid (3 times a day). 13. insulin sliding scale nph 14 units q12h . scale glucose insulin dose regular 0-60 mg/dl amp d50 61-120 mg/dl 0 units 121-140 mg/dl 5 units 141-160 mg/dl 8 units 161-180 mg/dl 11 units 181-200 mg/dl 14 units 201-220 mg/dl 17 units 221-240 mg/dl 20 units 241-260 mg/dl 23 units 261-280 mg/dl 26 units 281-300 mg/dl 29 units 301-320 mg/dl 32 units 321-340 mg/dl 35 units 341-360 mg/dl 38 units > 361 mg/dl notify m.d. discharge disposition: extended care facility: & rehab center - discharge diagnosis: cecal perforation lll pulmonary emboli pelvic hematoma anemia esrd on hd htn dm discharge condition: stable, to extended care facility. discharge instructions: discharge instructions: please call your surgeon or return to the emergency department if you develop a fever greater than 101.5, chest pain, shortness of breath, severe abdominal pain, pain unrelieved by your pain medication, severe nausea or vomiting, severe abdominal bloating, inability to eat or drink, foul smelling or colorful drainage from your incisions, redness or swelling around your incisions, or any other symptoms which are concerning to you. . diet: please continue your tube feeds. . medication instructions: please take all medications as prescribed. . activity: no heavy activity until directed. please continue physical therapy. . renal: please continue hemodialysis per renal. . please follow-up as directed. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances interruption of the vena cava enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis temporary ileostomy atrial cardioversion temporary tracheostomy gastric lavage excision or destruction of peritoneal tissue open and other right hemicolectomy other repair of abdominal wall transfusion of packed cells other gastrostomy transfusion of other serum open and other resection of transverse colon transfusion of platelets open and other cecectomy diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified anemia in chronic kidney disease end stage renal disease diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia severe sepsis hematoma complicating a procedure other convulsions hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure other specified cardiac dysrhythmias septic shock alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance hemorrhage of gastrointestinal tract, unspecified other pulmonary embolism and infarction unspecified intestinal obstruction acute appendicitis with generalized peritonitis 

Answer: The patient is high likely exposed to