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: cipro / morphine attending: chief complaint: local recurrence of cancer and new metastatic disease to the liver. major surgical or invasive procedure: 1. placement of right ureteral stent by dr. . 2. laparotomy and lysis of adhesions. 3. resection of previous colorectal anastomosis. 4. primary coloproctostomy, stapled number 31. 5. small bowel resection en bloc with local recurrence specimen. 6. diverting end ileostomy with local mucous fistula. 7. segmental resection of three liver lesions by dr. . past medical history: htn cad cancer bph past surgical: l ureteral stent, colectomy x 2, coronary atherectomy + angioplaty social history: the patient works as an optometrist in . he is married. he used to smoke 1 pack a day for 30 years, but quit in . he occasionally has a glass of beer, does not use any other drugs. family history: he had a paternal uncle with cancer. father with cancer at age 57 and cad. he died at 72 from coronary artery disease. mother had pancreatic cancer. sister is healthy and two sons that are healthy. physical exam: vitals: 98.4, 52, 158/60, 20, 96% on 2l, 82-84% on ra gen: nad, a/ox3 cv: rrr, no m/r/g resp: ctab, no w/r/r abd: soft, nd, slightly ttp, +bs incison: midline abdominal ota with staples ostomy: stoma pink & viable, liquid brown effluence extrem: no c/c/e pertinent results: 08:25am blood wbc-7.0 rbc-3.19* hgb-8.9* hct-28.3* mcv-89 mch-28.0 mchc-31.6 rdw-15.8* plt ct-287 02:49am blood wbc-4.9 rbc-2.96* hgb-8.5* hct-26.6* mcv-90 mch-28.7 mchc-31.9 rdw-15.1 plt ct-237 02:13am blood wbc-5.4 rbc-2.97* hgb-8.7* hct-26.7* mcv-90 mch-29.2 mchc-32.5 rdw-15.0 plt ct-200 03:12pm blood wbc-11.2*# rbc-4.21* hgb-12.4* hct-37.6* mcv-89 mch-29.4 mchc-32.9 rdw-15.6* plt ct-223 08:25am blood glucose-110* urean-32* creat-1.6* na-144 k-3.7 cl-111* hco3-24 angap-13 02:49am blood glucose-114* urean-29* creat-1.8* na-145 k-3.7 cl-115* hco3-19* angap-15 08:25am blood alt-94* ast-33 alkphos-104 totbili-1.0 02:13am blood alt-176* ast-68* alkphos-75 totbili-1.8* 01:30am blood ck-mb-11* mb indx-0.5 ctropnt-0.02* 04:19pm blood ck-mb-15* mb indx-0.6 ctropnt-<0.01 03:12pm blood ck-mb-4 ctropnt-<0.01 08:25am blood albumin-2.9* calcium-7.8* phos-3.0 mg-2.7* brief hospital course: mr. ' operative course was complicated by increased blood pressure and difficult extubation. surgical procedure was otherwise unremarkable. patient transferred to icu for closer monitoring on ventilator. secretions sent for culture, positive for klebsiella. treated accordingly with antibiotics. patient also required hemodynamic support due to elevated blood pressure while in icu. . once hemodynamically stable, transferred to stone 5 for routine post-op care. ileostomy teaching provided. diet advanced once ostomy began to put out stool & gas. tolerated regular diet. medications switched to oral. blood pressure remained elevated on home dose of norvasc. clonidine 0.2mg daily added to regimen with some effect. sbp's in 140-150 range. pain well controlled with tylenol. activity progressed to baseline. physical therapy consulted. no pt needs at home. . continued to require supplemental oxygen to maintain sats over 95%. has h/o emphysema and sleep apnea. sats on ra after walking between 82-84%. supplemental oxygen arranged for home. vna arranged for continued teaching/management of ostomy care, respiratory and cardiovascular assessment. . attempted to contact patient's pcp, ., unable to reach because office closed. clonidine discontinued at discharge. patient instructed to follow-up with pcp 1 week to re-assess blood pressure and respiratory status. in addition, he will follow-up with dr. in a few weeks for staple removal. he agreed with this plan. medications on admission: amlodipine 7.5mg , lipitor 10mg , 325mg qd discharge medications: 1. amlodipine 2.5 mg tablet sig: three (3) tablet po twice a day. 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 325 mg tablet sig: one (1) tablet po once a day. 4. tylenol 325 mg tablet sig: two (2) tablet po every 4-6 hours as needed for pain for 2 weeks: do not exceed 4000mg in 24hrs. 5. home oxygen therapy home oxygen 1-2 liters via nasal cannula titrate oxygen for saturations >88% discharge disposition: home with service facility: visiting nurse service of greater discharge diagnosis: local recurrence of cancer and new metastatic disease to the liver. post-op respiratory distress-difficult extubation post-op respiratory infection-cultures positive for klebsiella post-op hypertension-treated with clonidine & norvasc discharge condition: stable. tolerating regular diet. pain well controlled with oral medications. requiring oxygen during day (room air oxygen saturation after ambulation between 82-84%), cpap at night ambulating with assistance discharge instructions: please call your doctor or return to the er for any of the following: * new or worsening cough or wheezing/shortness of breath. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . incision care: -your staples will be removed at your follow up appointment. -steri-strips will be applied and will fall off on their own. please remove any remaining strips 7-10 days after application. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. . monitoring ostomy output/prevention of dehydration: -keep well hydrated. -replace fluid loss from ostomy daily. -avoid only drinking plain water. include gatorade and/or other vitamin drinks to replace fluid. -try to maintain ostomy output between 1000ml to 1500ml per day. -if ostomy output >1 liter (contact dr. , take 4mg of imodium, repeat 2mg with each episode of loose stool. do not exceed 16mg/24 hours. followup instructions: scheduled appointments : ***please follow-up with your pcp, . in 1 week to re-assess you lungs, oxygen saturation, and blood pressure. 1. provider: , md phone: date/time: 1:00 2. provider: , md,phd: date/time: 11:00 3. provider: , md phone: date/time: 11:00 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other partial resection of small intestine insertion of endotracheal tube other bronchoscopy non-invasive mechanical ventilation arterial catheterization other cystoscopy other lysis of peritoneal adhesions ureteral catheterization ileostomy, not otherwise specified other destruction of lesion of liver diagnoses: acidosis hyperpotassemia malignant neoplasm of liver, secondary unspecified essential hypertension friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site coronary atherosclerosis of unspecified type of vessel, native or graft hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) acute and chronic respiratory failure peritoneal adhesions (postoperative) (postinfection) pulmonary congestion and hypostasis benign essential hypertension malignant neoplasm of colon, unspecified site other diseases of respiratory system, not elsewhere classified 

Answer: The patient is high likely exposed to