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: s/p multiple gunshot wound assault major surgical or invasive procedure: - : exploratory laparotomy; suture closure stomach perforation; placement pancreatic drains; left wrist washout; bogata bag placement/open abdomen - distal pancreatectomy and splenectomy and gastrostomy feeding tube placement ercp history of present illness: 38m with gsw to chest/abdomen, txfr from taken immediately to or for ex-lap - no bullet fragment id'd; : washout, distal pancreatectomy/splenectomy, g-tube, developed anuric arf hypotension, volume depletion, contrast, in the setting if r renal artery injury with no perfusion. started cvvh on . swithed to hd on . last hd on . past medical history: dmii, htn family history: noncontributory physical exam: temp 99.8 hr 97 bp 129/69 intubated on 40% o2 sedated on fentanyl drip heent ncat conjunctiva pale, sclera anicteric perrla, abrasion on forehead neck stablec chest lung sounds present cor rrr abd gsw/ bleeding/ distended ext cool, distal pulses present pertinent results: 10:50pm urea n-23* creat-3.2* 01:43pm calcium-7.8* phosphate-4.2 magnesium-1.7 06:22am glucose-157* urea n-11 creat-1.5* sodium-142 potassium-4.1 chloride-111* total co2-21* anion gap-14 06:22am wbc-22.8* rbc-3.77* hgb-11.2* hct-33.5* mcv-89 mch-29.7 mchc-33.5 rdw-14.0 06:22am plt count-191 06:22am pt-13.6* ptt-31.3 inr(pt)-1.2* 06:22am fibrinoge-169 imaging: wound amylase 15 jp amylase ct abd no discrete fluid collection; new abd wall defect at midline wcx e coli piperacillin and ampicillin resistant x 2 cath tip no growth final ucx negative bcx negative lenis neg ct abdomen colonic wall thick, r retroperit hematoma, nonperfused r kidney bcx neg cdiff positive x 2 bcx negative civ tip negative ucx negative sputum >25pmn 2+yeast 2+gnr (op flora) bcx neg sputum >25pmn 2+yeast ucx neg -- echo: ef >60%, trivial mr, tr -- renal us: no hydronephrosis of left kidney, normal a-v flow -- ct abd/pelvis: colonic wall thickening -- b/l le us negative -- ct sinuses: mucosal thickening in ethmoid sinuses ct abd/pelvis : 1. nonperfusing right kidney with 12 mm enhancing structure in right upper pole consistent with pseudoaneurysm, less likely area of active extravasation of contrast. large hemorrhage in the bilateral perirenal space. 2. hypodensity in the pancreatic body, concerning for contusion or laceration. small splenic laceration. 3. focal hepatic hypodensity in location typical for focal fat, contusion felt less likely. 4. small left pneumothorax, with chest tube in place. bilateral atelectasis. cannot rule out aspiration or early pneumonia. 5. left sided rib fractures of indeterminate chronicity. brief hospital course: mr. was taken from the helipad emergently to the operating room where he underwent suture closure of stomach injuries and placement of pancreatic drains, washout of left wrist injury. the abdomen was left open. he tolerated the procedure well and returned to the trauma sicu in guarded condition. he remained intubated, sedated and required pressor support. he was taken back to the operating room on and underwent a distal pancreatectomy, splenectomy, gastrostomy and primary closure of the abdomen. following this procedure he required a tunneled line for hemodialysis as he developed acute renal failure. of note on his initial ct scan the right kidney was not perfused. he was followed closely by the renal service during this time. was eventually extubated from the respirator on . he was able to cough and protect his airway and he was alert and oriented. he underwent vigorous pulmonary toilet including chest pt and incentive spirometry and remained free of any other pulmonary complications. from an infectious disease standpoint he became febrile and had high wbc's on post op day # 5 prompting pan cultures. stool was positive for c difficle and he was placed on both vancomycin and flagyl. his diarrhea resolved and his wbc gradually normalized. following transfer to the trauma floor on he was seen by physical therapy and occupational therapy for evaluation and treatment. his nutritional requirements were met by g tube feedings post op however these were able to be weaned off as his oral intake was improving daily. currently his g tube is still in and clamped. this will be removed at his follow up visit. the jp drains remained in place as the drainage was excessive with an elevated jp amylase. he underwent ercp on for persistent drainage from the pancreatic stump. eventually the drainage decreased and the combined 24 hour total was around 100-120/day. he will need an ercp in months for possible stent removal should the leak seal. the drains will be monitored daily by the vna and he will be followed in the trauma clinic next week. from a surgical standpoint he made remarkable progress and remained hospitalized for a longer than usual duration to follow his abdominal wound.. the wound was opened and packed with 1/4 strength dakins solution due to a wound infection. over time the drainage was decreasing, there was no erythema and it was granulating well. dressings were changed to normal saline wet to dry and this will be done by the vna and his mother. his diabetes was managed by the service and he was controlled on lantus and glipizide. he will continue to undergo teaching on insulin administration by the vna. he was finally discharged on tolerating a diabetic diet, ambulating without difficulty and generally feeling better. his pain now is minimal and controller with occasional oxycodone. medications on admission: unknown at time of admission discharge medications: 1. citalopram 20 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*150 tablet(s)* refills:*2* 3. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. glipizide 10 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. insulin glargine 100 unit/ml solution sig: six (6) units subcutaneous once a day. disp:*1 vial* refills:*2* 7. insulin lispro 100 unit/ml solution sig: 2-8 units subcutaneous four times a day: per sliding scale. disp:*1 vial* refills:*2* 8. insulin syringe microfine 0.3 ml 28 x syringe sig: one (1) box miscellaneous four times a day. disp:*1 box* refills:*2* 9. alcohol wipes pads, medicated sig: one (1) pad topical four times a day. disp:*1 box* refills:*2* 10. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours. disp:*60 tablet(s)* refills:*0* 11. one touch ultra 2 kit sig: one (1) glucometer miscellaneous four times a day. disp:*1 1* refills:*0* 12. lancets,ultra thin misc sig: one (1) lancet miscellaneous four times a day. disp:*1 box* refills:*2* 13. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 14. metoclopramide 10 mg tablet sig: 0.5 tablet po qidachs (4 times a day (before meals and at bedtime)) as needed for nausea. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna of southeastern mass. discharge diagnosis: s/p multiple gunshot wounds primary diagnosis: - left chest pneumothorax - perforated pancreatic tail - right kidney infarction secondarily to right renal artery perforation - left wrist bullet penetration - c difficle colitis - acute renal failure secondary diagnosis: - diabetes mellitus discharge condition: stable, tolerating a regular diet and ambulating without assistance. discharge instructions: you were shot in your left arm and chest; the bullet then penetrated your pancreas and right kidney artery causing it to stop working. you had two operations; the first one explored your abdmonen and placed drains in order to stop any internal bleeding. the second operation removed your perforated pancreas and spleen. we also had to place a feeding tube right into your stomach. followup instructions: call dr. at for a follow up appointment in 1 week. call for an appointment with a primary care doctor to follow you on a regular basis especially for your insulin adjustments. procedure: enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis total splenectomy distal pancreatectomy other gastrostomy suture of laceration of stomach endoscopic insertion of stent (tube) into pancreatic duct diagnoses: acute kidney failure, unspecified hyposmolality and/or hyponatremia intestinal infection due to clostridium difficile accidents occurring in unspecified place assault by unspecified means other specified diseases of pancreas vascular disorders of kidney volume depletion, unspecified open wound of wrist, without mention of complication injury to stomach, without mention of open wound into cavity injury to renal artery postsurgical hypoinsulinemia unspecified external cause status injury to pancreas, multiple and unspecified sites, with open wound into cavity injury to other intra-abdominal organs without mention of open wound into cavity, unspecified intra-abdominal organ 

Answer: The patient is high likely exposed to