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: ulcerative colitis, lower gastrointestinal bleed, status post cecal proctectomy and ileostomy, status post ileostomy revision, status post wound dehiscence, status post hematoma evacuation, status post perineal abscess formation, with corresponding i&d, status post perineal proctectomy, status post split thickness skin graft on abdominal wound site. physical examination: patient is a well-developed and well-nourished male in no acute distress. temperature is 98 degrees, blood pressure 116/70, pulse of 74, respirations 18, and 98% on room air. heent: mucous membranes are moist. no evidence of oral ulcers. cranial nerves ii through xii intact. no evidence of scleral icterus and no cervical lymphadenopathy noted. chest: clear to auscultation, pmi midclavicular, no evidence of murmurs. abdomen: abdomen is soft, nondistended with dressings clean, dry, and intact. right aspect of the abdomen is packed without evidence of cellulitis or purulence, and mid abdominal ostomies intact with gas and greenish output, ostomy appears pink, nonedematous, and viable, left abdominal graft site shows good take with packing in the superior aspect, no evidence of cellulitis is noted throughout the entire abdomen. perineum shows no evidence of discharge with the drains removed. scars intact without evidence of cellulitis or purulence. pertinent laboratory: patient was noted to have complete blood count and chemistry within normal range at the date of discharge. concise summary of hospital course: hospital course from through has been dictated by an earlier service. i will repeat the hospital course for completion sake. the patient was initially admitted for treatment of the inflammatory bowel disease flare. it was noted that biopsy showed pathology more consistent with crohn's disease, however, symptoms were more typical of ulcerative colitis. the patient was started on solu-medrol 2 mg/hr drip with hopes of transitioning over to oral steroids. although the patient seemed to respond well to the intravenous steroids over the course of next four hospital days, the patient continued to have increased bloody stool. a sigmoidoscopy was performed which revealed a diffuse continuous ulceration with granularity and friability with erythema and congestion, which showed abnormal vascularity and contact bleeding. findings were compatible with fulminant ulcerative colitis and the ilial anastomosis could not be identified. additional medical therapy was applied, however, by , it was evident that medical therapy had failed and patient required an operative intervention. patient was taken to the operating room on for cecal proctectomy. patient seemed to tolerate the procedure despite over one liter of intraoperative estimated blood loss. the patient was repleted with 6 liters of crystalloid, and 3 unit of packed red blood cells. on postoperative day #1, the patient was taken back to the operating room with the preoperative diagnosis of intraabdominal hemorrhage. the patient had a exploratory laparotomy which was negative for intraabdominal bleeding, although the ileostomy was also revised at this time. during this operation, the patient had an additional blood loss of approximately 100 cc and was given 2.5 liters of crystalloid and 2 units of fresh-frozen plasma, which patient responded to with good urine output. by postoperative day #3 and four, the patient was noted to have a new onset atrial fibrillation with rapid ventricular response at approximately 150 beats per minute. there were some t wave flattening in leads i as well as avl, and patient was given iv lopressor and diltiazem for rate control. patient was recovering postoperatively until a ventral hernia was discovered on and on the patient was taken back to the operating room for the repair of wound dehiscence. postoperatively, it was noted that the patient had wound dehiscence as well as fascial necrosis. fascia was debrided and the ventral hernia was repaired using mesh. there was an estimated blood loss of approximately 250 cc and 2 units of packed red blood cells were transfused. although the patient continued to recover, serial hematocrits that were obtained showed continually low levels in the mid 20s. this was continued only monitored until when decreasing patient's hematocrit with continued transfusion required an exploratory laparotomy for an abdominal bleed. patient was found to have on examination large 8-10 cm diameter firmness with corresponding skin changes. this represented an abdominal hematoma which was evacuated during the operation by an oversewing of the bleeding vessel and replacement of the vac dressing. the patient spent the next few days in the intensive care unit, where hemodynamically the patient stabilized and was transferred to the floor. on , patient noted some mucousy bloody rectal discharge. this was initially noted to be unremarkable and a possible natural sequelae of having a rectal stump. however, on , the patient spiked a temperature to 101.7. the workup of the fever included blood culture, urinalysis, as well as ct scan of the abdomen and pelvis in search for possible abscess formation. the abdominal and pelvic ct scan showed a rectal contrast that managed to communicate with a peritoneal cavity. these events were proceeded by passage of bright red blood per rectum once again soon after the scans were completed. rectal bleeding gradually increased in quantity necessitating a perineal proctectomy on . following this procedure, although the rectal bleeding decreased, significant amount continued to be noted from the anus. the patient was taken back to the operating room on 26th to rectify this problem. during the case, two bleeding vessels were identified and suture ligated. there were no remaining rectum or colonic tissue during the operative examination. additional bleeding was again noted on the following day necessitating reopening of the perineal wound. upon inspection, inferior aspect of the wound at the level of the levators showed minimal uncontrolled hemorrhage. these were controlled with electrocautery and repacked. on , the patient underwent a perineal exploration again for perineal hemorrhage as evidenced by soaking of the rectal dressing. the area was explored and vessels cauterized using argon laser. four hours after this procedure approximately 600 cc of blood soaked the rectal packing and continued to leak aggressively. the patient was taken to the operating room where pulsatile bleeding vessels were found and suture ligated. on , the patient was found to have heavy bleeding from the rectal packing once again. the patient was taken to the operating room where argon laser was used to achieve hemostasis at the apex of the wound where hemorrhagic points were present. another vessel required suture ligation. on , patient underwent an operative dressing change with expectation of performing an exploration of the perineal wound secondary to purulent discharge that was noted the evening prior. in the operating room, purulent packing was removed. exploration revealed a small bleeding in the wound edge which was promptly controlled with argon laser. a vac dressing was applied to accelerate the wound healing process. since vac dressing required regular change, patient was taken back to the operating room on , , , , and for vac dressing change as well as irrigation and debridement of occasional abscess that formed in the area. on , the vac dressings were removed with placement of jp drains near the perineal wound site. no evidence of purulence were noted. the patient also underwent a split thickness skin graft to the abdominal granulating site. by the day of discharge on , patient remained afebrile with the jp drains removed from the perineal wound site. patient's split thickness skin graft was taking very well to the granulating abdominal tissue, hence no evidence of cellulitis nor purulence were present in the abdominal wound sites. given the favorable condition of the patient, decision was made to discharge the patient to home without any services except occasional home nursing visits for wound care. condition on discharge: good. discharge status: is to home with nursing vna for wound care. discharge diagnoses: 1. ulcerative colitis status post cecal proctectomy and ileostomy. 2. status post ileostomy revision. 3. status post wound dehiscence. 4. status post hematoma evacuation. 5. status post perineal proctectomy secondary to rectal stump communicating with peritoneal cavity. 6. status post split thickness skin graft on abdominal wound site. 7. status post multiple vac dressing changes. discharge medications: none. follow-up plan: the patient was instructed to followup with dr. two weeks after the discharge date. , m.d. dictated by: medquist36 procedure: excisional debridement of wound, infection, or burn other lysis of peritoneal adhesions revision of stoma of small intestine reopening of recent laparotomy site reopening of recent laparotomy site other surgical occlusion of vessels, abdominal arteries other surgical occlusion of vessels, abdominal arteries other open incisional hernia repair with graft or prosthesis other open incisional hernia repair with graft or prosthesis suture of artery rigid proctosigmoidoscopy other permanent ileostomy reclosure of postoperative disruption of abdominal wall other resection of rectum diagnoses: other postoperative infection atrial fibrillation disruption of internal operation (surgical) wound hematoma complicating a procedure hemorrhage complicating a procedure peritoneal adhesions (postoperative) (postinfection) incisional hernia without mention of obstruction or gangrene ulcerative (chronic) enterocolitis 

Answer: The patient is high likely exposed to