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: leg and back pain major surgical or invasive procedure: 1. left l4-l5 microdiscectomy 2. exploratory laparotomy with primary repair of inferior vena cava injury and dacron interposition graft repair of right common iliac artery transection. 3. primary abdominal wall closure with placement of retention sutures and ethicon wound bridges. history of present illness: (per medical record) ms. has had low back pain for the past several months that has been stable. however, in she developed acute onset of severe pain in her l leg from the buttock region down the leg and all the way to the end of her foot. there is also a sense of numbness. she tried epidural steroid injections without much relief. past medical history: gastroparesis psoriasis anxiety social history: married. she works as a lawyer and has to travel for work. family history: noncontributory physical exam: on pre-op exam: general: pleasant, appears uncomfortable with walking, though can walk from exam room to waiting room and bathroom; avoids bearing weight on l leg heent: sclerae anicteric op: mmm, no ulcers/lesions/thrush neck: supple, no lad cardiovascular: rrr, normal s1, s2, no m/g/r respiratory: cta bilat w/o wheezes/rhonchi/rales back: no focal tenderness, no cvat gastrointestinal: soft, non-tender, non-distended, no hepatosplenomegaly musculoskeletal: no joint warmth or swelling ext: warm and well perfused, no edema skin: no rashes, no jaundice neurological: alert, conversant, appropriate, normal speech, no facial droop. sensation and reflexes intact in lower extremities bilaterally, with 5/5 strength in all le muscle groups including dorsiflexion of great toes. pertinent results: on admission: wbc-21.7*# rbc-3.25* hgb-9.9* hct-29.5*# mcv-91 mch-30.5 mchc-33.6 rdw-13.6 plt ct-317 neuts-75.8* lymphs-19.2 monos-4.0 eos-0.5 baso-0.4 pt-16.9* ptt-81.4* inr(pt)-1.5* glucose-100 urean-13 creat-0.7 na-138 k-4.4 cl-107 hco3-24 angap-11 ld(ldh)-158 calcium-8.1* phos-2.8 mg-2.0 freeca-1.08* hit panel: negative on discharge: wbc-12.0* rbc-3.42* hgb-10.2* hct-30.6* mcv-89 mch-29.9 mchc-33.4 rdw-15.0 plt ct-653* glucose-127* urean-7 creat-0.7 na-138 k-4.3 cl-102 hco3-27 angap-13 calcium-8.8 phos-3.9 mg-2.3 imaging: cta () 1. large retroperitoneal hematoma with active extravasation of contrast from an arteriovenous fistula between the right common iliac artery and the left common iliac vein with pseudoaneurysm formation. 2. thrombosis of the common iliac artery with reconstitution immediately proximal to the bifurcation of widely patent external and internal iliac arteries. 3. embolus into the right anterior tibial artery. kub () clips in the midline. several air-fluid levels in non-distended small bowel loops. no visible colonic gas. gas in the rectum is well visualized. no evidence of free air. ruq u/s () 1. no evidence of cholecystitis. sludge-like cholelithiasis. 2. small amount of fluid in pouch. brief hospital course: on ms. was admitted to the neurosurgery service and underwent an elective microdisectomy. in the pacu she complained of right foot numbness and tingling. her foot was noted to be cool and mottled, without pt or dp pulses. a stat duplex study was ordered, which demonstrated decreased arterial flow in the entire right leg. no embolus or clot was noted. her leg proceeded to become less mottled, and the numbness resolved. a vascular surgery consult was requested, with initial recommendations for close monitoring with serial pulse exams. for this, she was transferred to the vicu. upon arrival to the vicu she was tachycardic to 110. her hematocrit decreased to 22 from 29 preoperatively. she underwent a cta of her abdomen which demonstrated a retroperitoneal hematoma with active extravasation from a possible aortocaval fistula with an arterial pseudoaneursym. she was urgently taken for angiography on and found to have and av fistula at the level of the right common iliac artery in association with the inferior vena cava. a pseudoaneurysm of right common iliac artery was noted, in addition to significant thrombus of the right common iliac artery, with reconstitution of the external iliac artery via the hypogastric. after multiple unsuccessful attempts were made at accessing the infrarenal abdominal aorta/right common iliac artery, the decision was made to convert to an open procedure. ms. was taken to the operating room where she underwent exploratory laparotomy, primary repair of an inferior vena cava injury, and dacron interposition graft repair of a right common iliac artery transection. due to the significant fluid resuscitation required, her abdomen was packed and left open for planned closure at a later date. on she was taken back to the operating room by the acute care surgery service for primary abdominal wall closure and placement of retention sutures and ethicon wound bridges. postoperatively she remained intubated and was transferred to the icu. she was maintained on empiric antibiotic coverage with vancomycin and zosyn. a hit panel was sent due to a downward trend in platelet count in the setting of heparin administration. this returned negative, and she was started on a heparin drip on hospital day #6. she was additionally extubated on this day, which she tolerated well. ms. was transferred to the step-down unit, vicu, on hospital day #7. she continued to experience left lower extremity weakness/tingling, however, her dp/pt pulses remained palpable. physical therapy was consulted. she received one unit of prbcs for hematocrit 24.6, with appropriate increase to 27.6. her heparin drip was stopped and subcutaneous heparin initiated. her diet was slowly advanced to regular, however, on hospital day #9 she began to have episodes of bilious emesis in the setting of known ileus. she had not yet passed stool, and a kub was consistent with ileus with gastric dilatation. a ruq ultrasound was negative for cholecystitis. she was made npo while awaiting return of bowel function, however she refused placement of a nasogastric tube. on hospital day #11 she began to pass copious amounts of diarrhea in conjunction with abdominal distension and crampy lower abdominal pain. both acute care surgery and gastroenterology were consulted. stool was sent for c.diff, and she was started on oral vancomycin. iv vancomycin and zosyn were stopped at this time. three c.diff studies returned negative, however, the oral vancomycin was continued for empiric coverage of c. dificile. slowly, ms. emesis and diarrhea decreased with the use of zofran and immodium, and her diet was slowly readvanced. she tolerated this well. she continued to work with physical therapy, and her left lower extremity weakness and tingling resolved. she proceeded to ambulate quite well. she did have one recurrent episode of numbness/tingling along her left ankle into the left first toe, and neurosurgery was called to assess her. some decreased sensation was noted along the left ankle, but strength remained intact. she was asked to have this issue followed up at her neurosurgery appointment. on hospital day #19 ms. was ambulating well, tolerating a regular diet, and was having formed stools. she was deemed appropriate for discharge with close follow-up scheduled for her retention sutures which remained in place at the time of discharge. medications on admission: gabapentin tylenol discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 2. clobetasol 0.05 % solution sig: one (1) appl topical (2 times a day). disp:*1 bottle* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). tablet, delayed release (e.c.)(s) 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*1* 5. lorazepam 0.5 mg tablet sig: one (1) tablet po qhs prn as needed for anxiety. disp:*15 tablet(s)* refills:*0* 6. vancomycin 250 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 7 days. disp:*26 capsule(s)* refills:*0* 7. tylenol-codeine #3 300-30 mg tablet sig: 1-2 tablets po q4-6 hrs prn as needed for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: home health care discharge diagnosis: 1. radiculopathy due to l4-l5 disc protrusion. 2. status post l4-l5 discectomy with injury to the right iliac artery and inferior vena cava. 3. status post repair of inferior vena cava and dacron interposition graft of the iliac artery and open abdomen. 4. status post closure of open abdominal wound. 5. diarrhea discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? keep your wound(s) clean and dry / no tub baths or pool swimming for two weeks from your date of surgery. ?????? if you have steri-strips in place, they will fall off on their own or be taken off in the office. you may trim the edges if they begin to curl. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. ?????? limit your use of stairs to 2-3 times per day. ?????? have a friend or family member check your incision daily for signs of infection. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. no driving while on narcotic pain medication. ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, and ibuprofen etc. unless directed by your doctor. ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? do not smoke. ?????? please resume all home medications, as well as those new medications prescribed for you while inpatient. visting nursing services will be coming to your home to assist with dressing changes. ?????? call your surgeon immediately or go to the emergency department if you experience any of the danger signs listed below. followup instructions: 1. follow up with dr. in 5 weeks; please call to schedule an appointment: . 2. follow up with dr. in clinic in 2 weeks for management of your abdominal retention sutures. please call ( to schedule that appointment. 3. vascular surgery appointment with provider: , md phone: date/time: 9:00 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours arterial catheterization aortography arteriography of other intra-abdominal arteries suture of vein excision of intervertebral disc repair of blood vessel with synthetic patch graft delayed closure of granulating abdominal wound central venous catheter placement with guidance diagnoses: anemia, unspecified urinary tract infection, site not specified hematoma complicating a procedure accidental puncture or laceration during a procedure, not elsewhere classified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus diarrhea accidents occurring in residential institution aneurysm of iliac artery displacement of lumbar intervertebral disc without myelopathy vascular complications of other vessels acute venous embolism and thrombosis of other specified veins 

Answer: The patient is high likely exposed to