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: this 68 year-old gentleman with abdominal pain x 6 weeks with sudden onset associated with eating, occurs 15 minutes post eating and lasts several hours. partially relieved with darvocet. the patient had a diagnostic work-up at an outside hospital for mesenteric ischemia which was positive. review of systems: positive for weight loss, nausea, vomiting, diarrhea, shortness of breath. he denies chest pain or night sweats. the patient now is admitted for prehydration prior to undergoing mesenteric ischemic revascularization. past medical history: peripheral vascular disease, status post angioplasty and stenting of the right lower extremity in . vessel angioplastied is now known. history of hypertension, controlled. past social history: the patient is a 12 pack per week beer drinker. history of copious alcohol use previously. one and 1/2 packs per day times 55 years smoking, which is current. family history: positive in the father for liver disease. mother myocardial infarction and breast cancer. medications on admission: atenolol 100 mg daily, hydrochlorothiazide 25 mg daily. allergies: no known drug allergies. physical examination: vital signs 97.6; 65; 18; blood pressure 124/86; oxygen saturation 90% on room air. general appearance: alert, white male, in no acute distress. heent: unremarkable. lungs are clear to auscultation. heart is regular rate and rhythm without murmur, rub or gallop. abdomen is soft, mildly distended. mild tympany in the right lower quadrant. there are no bruits. rectal exam was deferred. extremity examination shows non palpable dopplerable dp and pt bilaterally. right femoral is palpable. left femoral is nonpalpable. hospital course: the patient was admitted to the vascular service. nutritional service was requested to see the patient in anticipation of postoperative nutritional needs. the patient was iv hydrated and began on iv heparin with serial ptt monitored for a goal ptt of 60 to 70. the patient proceeded to surgery on and underwent an aorta bifemoral bypass graft with a reimplantation of the inferior mesenteric artery and an aorta to superior mesenteric artery bypass graft. the patient tolerated the procedure well and was transferred to the pacu extubated but did require reintubation. the patient was transferred to the surgical intensive care unit the following day for vent support for respiratory failure. the patient was transfused and aggressive pulmonary care was instituted. on postoperative day number 2, it was noted that his platelet counts were in the 25 range. the heparin was discontinued. he was started on fondopain-rx. his pa line was converted to a central line. a hip panel was sent and results returned as negative. it was also noted that the patient had an elevated white count and vancomycin and zosyn were instituted. a chest x-ray was obtained on , secondary to increasing white count. the chest x-ray showed right lower lobe changes, probably consistent with multi-focal pneumonia. nutrition recommended to start tube feeds. this was held secondary to his respiratory status. on , postoperative day number 4, patient required a ciwa scale for postoperative agitation and combativeness. on , the tpn was instituted. on , the patient did have a bowel movement with the use of a suppository. his white count continued to be elevated at 13.9. on , the white count continued to increase. the right groin showed a serosanguineous drainage. a vac dressing was applied. the central line was changed over a wire. tube feeds were held secondary to his elevated white count and abdominal distention. ct of the abdomen was obtained which showed a filling defect in the sma distal to the graft which they felt was thrombus with some thickening of the small bowel. intravenous heparin was restarted. amylase was obtained which was 109 and lactate was .8. general surgery was consulted for the possibility of abdominal exploration and bowel resection. they felt that the patient could be managed conservatively. the patient developed hypercarbia with a c02 of 72, requiring reintubation. he was bronchoscoped which showed right lower lobe collapse and atelectasis. the antibiotics were continued. his tube feeds were started on . head ct was obtained which showed subacute right temporal parietal occipital lobe changes which were consistent with old infarcts per neurology service. ct of the abdomen was obtained and it showed the graft was patent. the patient had a second bronchoscopy done and his antibiotics were restarted. the patient had a third bronchoscopy which showed clear secretions with mucus plugging times one. venous studies were negative for dvt. on , the patient was extubated and new cvl was placed via new stick. on , sedation was weaned. his aspirin was restarted and he was reintubated secondary to aspiration. his white count continued to rise. he required neo for hemodynamic support. this was weaned overnight and flagyl was begun empirically for questionable c. diff. the cultures eventually were determined to be negative and the flagyl was discontinued. on , the patient had an episode of atrial fibrillation which was confirmed with lopressor. ct of the abdomen was repeated secondary to increasing white count which showed a low attenuation and peri-aortic fluid. the right renal artery showed changes, questionable infarct and the white count began to show improvement. on , the patient underwent a peg and trache procedure. his tube feeds were restarted on . his chest x-ray showed a left lower pneumonia. his tpn was discontinued. on , he had elevated lfts and they felt this was related to pancreatitis postoperatively. fluconazole was started for a yeast uti and his zosyn was discontinued on . on , his tube feeds were readjusted for abdominal distention and high residuals. tobramycin inhalation was begun for gram negative rods found in his sputum. lfts have been slowly improving but amylase remained elevated at 450. on , the patient's lfts continued to improve. his amylase and lipase continued to improve. the patient was transferred to the vicu for continued care. his vancomycin, fluconazole and tobramycin were discontinued on . on , a picc line was placed. physical therapy will evaluate the patient. he will require rehab at the time of discharge. patient will be discharged to rehab when medically stable and bed available. discharge medications: iproprium bromide aerosol puffs q. 4 hours. albuterol 90 mcg actuation aerosol, 1 to 2 puffs q. 4 hours. fluconazole nitrate powder 2% to affected areas t.i.d. fluconazole actuation and aerosol 2 puffs b.i.d.. medium chain triglycerides 30 cc b.i.d.. metoprolol 37.5 mg b.i.d. ranitidine 150 mg b.i.d.. montelukast 10 mg daily. erythromycin 500 mg liquid daily. aspirin 325 mg extended release daily. heparin flush to picc line 2 cc iv daily and prn followed by 10 cc of normal saline, followed by 2 cc of 100 units u of heparin, i.e. 200 units of heparin each lumen daily and prn. discharge diagnoses: 1. mesenteric ischemia. 2. postoperative thrombocytopenia; hit negative, resolved. 3. postoperative nicotine withdraw, resolved. 4. postoperative delirium confusion. head ct with old temporal parietal occipital infarcts. 5. postoperative pneumonia, treated. 6. postoperative sma thrombus improved, anticoagulated. 7. postoperative hypercarbia, status post bronchoscopy. 8. postoperative aspiration reintubation for respiratory failure. 9. postoperative atrial fibrillation, converted with lopressor. 10. postoperative right groin seroma. 11. postoperative aspiration, treated. 12. postoperative failure to thrive. 13. peg with tube feeds. major surgical procedures: 1. aorta bifemoral with reimplantation of the , aorta, sma bypass on . 2. right groin vac dressing application starting on . 3. cvl change over wire on . 4. bronchoscopy on and . 5. peg/trache on . , procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances aorta-iliac-femoral bypass percutaneous [endoscopic] gastrostomy [peg] other intubation of respiratory tract temporary tracheostomy closed [endoscopic] biopsy of bronchus transfusion of packed cells other repair of vessel other immobilization, pressure, and attention to wound other intra-abdominal vascular shunt or bypass diagnoses: pneumonia, organism unspecified acidosis thrombocytopenia, unspecified tobacco use disorder toxic encephalopathy unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver candidiasis of other urogenital sites atrial fibrillation alcohol abuse, unspecified pulmonary collapse seroma complicating a procedure acute vascular insufficiency of intestine chronic vascular insufficiency of intestine delirium due to conditions classified elsewhere atherosclerosis of native arteries of the extremities with rest pain acute pancreatitis 

Answer: The patient is high likely exposed to