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 known allergies / adverse drug reactions attending: chief complaint: open thoracotomy major surgical or invasive procedure: extended vram to the back history of present illness: 64yom w/ a hx of small cell ca. has had a left upper lobectomy & superior segmentectomy following induction radiotherapy and chemotherapy, then resection as well as postoperative empyema with bronchopleural fistula. has also had a modified eloesser flap, and currently has an open thoracotomy cavity that he continues to dress with every other day dressing changes and presents for further potential reconstructive options. past medical history: -hypercholesterolemia -osteoarthritis of hip -squamous cell ca (lul), s/p rt, s/p left upper lobectomy, mediastinal lymph node dissection, intercostal muscle flap buttress and partial pulmonary decortication on . the pathology revealed an 8.8cm moderately differentiated squamous cell carcinoma, with negative lns and negative margins (t3n0) -s/p vats decortication . dvt: non-occlusive thrombosis of bilateral popliteal, the right peroneal and the left posterior tibialis veins social history: lives alone, has always lived in ma, works as a post office letter carrier (prior employment- government contractor), smoked 1 ppd x 40 yrs (quit on ), drinks a few beers 2-3 times/weekly family history: prostate cancer (father, deceased) hypertension (mother, alive) physical exam: preoperative physical exam: on exam, he is alert, oriented, in no apparent distress, fully ambulatory, fully conversant. he has a weight of 185 pounds. he has a height of 5 feet 10 inches. examination of the abdominal region reveals a small umbilical hernia. he has adequate tissue for abdominally based reconstruction. posteriorly on the left side, he has a thoracotomy cavity that is quite deep and extends medially from the prior resection. the cavity is at this point clean and does not reveal areas of granulation tissue and does not reveal any areas of purulence, and it is the cavity that extends significantly anterior and medial. cranial nerve examination is otherwise intact pertinent results: 09:32pm pt-13.5* ptt-32.6 inr(pt)-1.3* 09:33pm wbc-8.1 rbc-3.51* hgb-10.1* hct-31.5* mcv-90# mch-28.7# mchc-32.1 rdw-15.5 brief hospital course: the patient was admitted to the plastic surgery service on sp small cell resection with an open thoracotomy cavity. patient was taken to the operating room and underwent free extended vram to back. patient tolerated the procedure without difficulty and was transferred to the pacu, then the floor in stable condition. please see operative report for full details. neuro: the patient received oxycodone with good effect and adequate pain control. cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient was stable from a pulmonary standpoint; vital signs were routinely monitored. gi/gu: a po diet was tolerated well. patient was also started on a bowel regimen to encourage bowel movement. intake and output were closely monitored. id: the patient's temperature was closely watched for signs of infection. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. at the time of discharge on , the patient was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. all questions were answered, and patient has appropriate follow-up care. discharge medications: 1. acetaminophen 650 mg po q6h:prn pain, fever 2. aspirin 121.5 mg po daily please take for one month rx *aspirin 81 mg 1.5 tablet(s) by mouth every day disp #*45 tablet refills:*0 3. docusate sodium 100 mg po bid 4. oxycodone (immediate release) 5-10 mg po q4h:prn pain rx *oxycodone 5 mg tablet(s) by mouth every 4-6 hours disp #*60 tablet refills:*0 5. senna 1 tab po bid:prn constipation 6. levofloxacin 750 mg po q24h antibiotic rx *levofloxacin 750 mg 1 tablet(s) by mouth once a day disp #*7 tablet refills:*0 discharge disposition: extended care facility: hospital - discharge diagnosis: sp extended vram to the back discharge condition: stable discharge instructions: followup instructions: -you should continue taking the antibiotics as prescribed. -please do not put pressure on your incision -please keep your incision dry -if your incision begins to worsen after discharge home with an acute increase in swelling or pain, please call the clinic at the number given and ask to speak with a doctor. . medications: * resume your regular medications unless instructed otherwise. * you may take your prescribed pain medication for moderate to severe pain. you may switch to tylenol or extra strength tylenol for mild pain as directed on the packaging. please note that percocet and vicodin have tylenol as an active ingredient so make sure that your tylenol intake does not exceed 4 grams/day. * take prescription pain medications for pain not relieved by tylenol. * take colace, 100 mg by mouth 2 times per day, while taking the prescription pain medication to prevent constipation. you may use a different over-the-counter stool softener if you wish. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. . return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. followup instructions: please fu with dr. in one week. please schedule an appointment with the plastic surgery clinic. procedure: arterial catheterization attachment of pedicle or flap graft to other sites dermal regenerative graft diagnoses: other iatrogenic hypotension chronic airway obstruction, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of bronchus and lung personal history of tobacco use iatrogenic pneumothorax long-term (current) use of anticoagulants personal history of venous thrombosis and embolism pulmonary congestion and hypostasis removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh non-healing surgical wound other fluid overload 

Answer: The patient is high likely exposed to