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: ancef attending: chief complaint: right abdominal and flank pain x 8days. major surgical or invasive procedure: : exploratory laparotomy, lysis of adhesions, right colectomy, ileal colostomy retroperitoneal abscess drainage, drain placement, transgastric feeding jejunostomy. : right flank abscess incision and drainage, complex debridement of full-thickness skin, subcutaneous tissue, fascia, pulse lavage. : extensive incision and drainage of subfascial intramuscular right thigh abscess. : exploratory laparotomy, lysis of adhesions, right retroperitoneal drain removal, intra-abdominal drain placement, subcutaneous drain placement. : 1. ultrasound-guided puncture of left brachial artery. 2. second-order catheterization of superior mesenteric artery. 3. abdominal aortogram. 4. selective superior mesenteric arteriogram. 5. primary stenting of superior mesenteric artery for stenoses. history of present illness: 77 year-old gentleman with cad, chf, htn, chronic renal insufficiency presented to in the morning of with complaints of 8 days of right back/flank pain, and eventually skin redness that developed 24 hours ago. the patient has never had pain like this before. he has not been nauseated or vomiting. no reported fevers at home. he has had no dysuria. he states he has had pain in his abdomen that began a few days after the back pain began. at the current time, he reports the most pain on his right side. at , his wbc was noted to be 35.6, and he was found to be in acute renal failure with a bun/creatinine of 101/5.1, respectively. abdominal/pelvic ct scan demonstrated (r) retroperitoneal fascial gas extending into psoas muscles, intraperitoneal air in (r)lq appearing to be stemming from ti area. the patient received vancomycin and zosyn at . the patient was transferred to to evaluate for necrotizing fasciitis. past medical history: 1. htn 2. gerd 3. nephrolithiasis 4. s/p cholecytectomy 5. s/p (r) thr 6. 3+ mr on tte 7. chf with ef 25% 8. cad social history: retired plumber. drinks 2 beers per night. denies history of tobacco or illicit substance use. . health care by proxy: home: . work m-f 7:00am to 4:30pm . son: home . cell: . family history: non-contributory. physical exam: on admission: vs: t 96.9, hr 120, bp 96/45, rr 16, 97%2l gen: nad, a&ox3 heent: no scleral icterus lungs: clear b/l cv: sinus tach, nl s1 and s2 abd: soft, ttp in rlq, nd, no guarding, no rebound, no hernias, abdominal diastasis, cholecystectomy scar well-healed; (r) flank erythema extending to (r) back - shiny and well-defined without active drainage or crepitus. gu: scrotal erythema also present without drainage or crepitus ext: patches of (r) erythema extend to (r) iliac area and anterolateral-anteromedial (r) thigh. feet cool b/l; femoral and poplitleal pulses palpable b/l . at discharge: vs: 98.6 po, 110, 110/52, 18, 97% ra gen: thin, frail male in nad. heent: sclerae anicteric. o-p clear. neck: supple. no . no jvd. lungs: cta(b) cor: rrr; nl s1/s2 with 3/6 sem @(l)sb. abd: well-approximated, well-healed midline incision c/d/i. g-j tube patent/intact. both ports flush w/o problem. insertion site clean, dry. bsx4. soft/nt/nd. extrem: wwp. no c/c/e neuro: a+ox3. deconditioned, otherwise non-focal. skin/integ: wound #1 (right flank/back) description: 16cm x 5cm x 2cm, beefy red, healthy granulation tissue. wound #2 (right groin/thigh) description: 10cm x 3cm x 1.5cm, beefy red, healthy granulation tissue. both healing well with vac dressings. pertinent results: on admission: 11:59pm type-art po2-165* pco2-34* ph-7.38 total co2-21 base xs--3 11:59pm lactate-1.9 11:59pm freeca-1.12 11:50pm ck(cpk)-98 11:50pm ck-mb-notdone ctropnt-<0.01 09:15pm po2-205* pco2-27* ph-7.34* total co2-15* base xs--9 comments-unlabeled 09:15pm lactate-1.7 09:15pm freeca-1.04* 09:03pm creat-2.7* sodium-135 potassium-4.4 09:03pm calcium-7.8* phosphate-5.5* magnesium-2.4 04:40pm glucose-155* urea n-70* creat-2.9*# sodium-135 potassium-4.3 chloride-109* total co2-16* anion gap-14 04:40pm alt(sgpt)-64* ast(sgot)-89* ck(cpk)-175* alk phos-73 tot bili-1.4 04:40pm ck-mb-6 ctropnt-<0.01 04:40pm albumin-1.5* calcium-7.9* phosphate-6.2*# magnesium-1.6 04:40pm wbc-28.4* rbc-3.17*# hgb-10.1*# hct-30.8*# mcv-97 mch-31.7 mchc-32.7 rdw-14.3 04:40pm neuts-91* bands-1 lymphs-3* monos-4 eos-0 basos-0 atyps-0 metas-1* myelos-0 04:40pm plt smr-normal plt count-323 04:40pm pt-16.3* ptt-30.8 inr(pt)-1.4* 11:45am urine color-amber appear-clear sp -1.022 11:45am urine blood-mod nitrite-neg protein-tr glucose-neg ketone-tr bilirubin-sm urobilngn-4* ph-5.0 leuk-tr 11:45am urine rbc-* wbc- bacteria-0 yeast-many epi-0 11:25am ctropnt-<0.01 11:25am ck-mb-7 . pathology: specimen submitted: right colon, retro-peritoneal tissue, section transverse colon, omemtum. diagnosis: i. right ileocolectomy specimen (a-q): subacute/interval appendicitis with severe periappendicitis, periappendiceal/cecal abscess formation, and fecal material consistent with perforation. adenoma, 2.5 cm. multiple hyperplastic polyps. one focus of distorted but crowded glands with cytologic and architectural atypia and focal intraluminal necrotic debris identified at the distal colonic resection margin consistent with dysplasia/adenoma, cannot exclude high grade. unremarkable segment of ileum and proximal resection margin. eleven unremarkable lymph nodes. ii. retroperitoneal tissue (r): fibroadipose tissue with acute and chronic inflammation, necrosis, and granulation tissue and abscess formation. iii. omentum (s): unremarkable adipose tissue. iv. transverse colon resection (t-v): hyperplastic polyp. unremarkable mucosa. three unremarkable lymph nodes. . specimen submitted: right thigh tissue. diagnosis: soft tissue, right thigh, excision: fibroadipose tissue with acute and chronic inflammation, fat necrosis, and granulation tissue. see note. note: although no organisms were identified on special stain (gms, pas-d, gram), the findings, along with the clinical history, favor a diagnosis of panniculitis, most likely due to infectious etiologies. alternatively and less likely, this process could be a secondary inflammatory response (e.g. "id reaction") to a primary trigger such as an abscess at a distant site. clinical correlation recommended. . imaging: echo: the left atrium is moderately dilated. the estimated right atrial pressure is 10-20mmhg. left ventricular wall thicknesses are normal. the left ventricular cavity is mildly dilated. regional left ventricular wall motion is normal. there is considerable beat-tobeat variability of the left ventricular ejection fraction due to an irregular rhythm/premature beats. tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is no pericardial effusion. . portable ap cxr: indwelling devices remain in standard position. cardiomediastinal contours are difficult to assess due to marked leftward patient rotation. there has been apparent interval increase in a moderate left effusion as well as adjacent left retrocardiac opacity, likely atelectasis. additionally, a small right pleural effusion has developed. . abd/pelvic ct w/o contrast: 1. resolution of the retroperitoneal gas/fluid collections and no retroperitoneal abscess. new perihepatic gas and fluid collections are likely post-operative sequelae. 2. bilateral pleural effusions with bibasilar pulmonary consolidations, new since three days earlier. 3. new placement of a transgastric feeding jejunostomy tube in good position as well as a right retroperitoneal drain. 4. decrease in volume of subcutaneous gas overlying the right flank. 5. large scrotal edema. 6. diverticulosis 7. staghorn right renal calculus and inadequately characterized exophytic right lower pole lesion, likely a cyst. this could be clarified with a non- urgent renal son. . (r)uq u/s: 1. status post cholecystectomy. no intrahepatic biliary ductal dilatation. the visualized portion of the common duct is not dilated. 2. small right pleural effusion. . us extremity nonvascular right: two fluid collections in the deep subcutaneous tissues of the medial thigh as described above. the more superior fluid collection may have been present on the prior ct of the abdomen and pelvis. . unilat up ext veins us right: no evidence of dvt. . abd/pelvic ct w/o contrast: 1. portal venous gas and extensive small bowel pneumatosis features consistent with bowel ischemia. these findings were verbally discussed at the time of the study with dr. . 2. right renal cyst, likely representing simple cysts, however, incompletely characterized in the non-contrast setting. 3. unchanged right renal staghorn calculus with associated mild right hydroureteronephrosis. 4. near complete resolution of the right retroperitoneal collection with a small residual fluid pocket in the anterior infrahepatic region measuring 3.8 x 2.9 cm. 5. indeterminant left adrenal lesion. . cta abd w&w/o c & recon: 1. patent mesenteric vasculature without evidence of embolic filling defects. extensive atherosclerotic disease is present, though without evidence of critical stenoses. 2. resolution of previously described portal venous gas. 3. small bilateral pleural effusions. 4. unchanged left adrenal nodule, inadequately characterized. 5. staghorn right renal calculus as well as right renal cyst and other right renal hypodensities, too small to characterize. 6. right hepatic arterial enhancing focus. this finding could be followed with mri on a non-emergent basis. . cxr: a right-sided picc has been repositioned, with a wire seen in the distal subclavian vein and not beyond that location. tip of the catheter is not definitely visualized, repeat pa and lateral radiographs are recommended to assess position of the picc. there is increase in left basal opacity, likely representing atelectasis, given rapid interval change. the remainder of the examination is unchanged, with stable cardiomediastinal silhouette, right basal atelectasis and low lung volumes. there is no evidence of pulmonary edema. left subclavian catheter ends in the distal left brachiocephalic vein. . micro: c diff negative c diff negative c diff negative sputum negative mrsa negative mrsa negative c. diff negative mrsa negative cath tip negative tissue 4+ pmn, gnr sparse, strep viridans rare r thigh 3+ pmns flank gnr x 2 sputum no growth final ucx no growth final bcx x2 no growth final ucx no growth final bcx x2 no growth final abscess b. frag rare growth brief hospital course: the patient was transferred from and admitted to the general surgical service on for evaluation of right back, flank, and groin necrotizing fasciitis likely secondary to an intraperitoneal process. the patient was septic upon presentation. given the emergent nature of the patient's presentation, he was taken to the operating room on , where the patient underwent exploratory laparotomy, lysis of adhesions, right colectomy, ileal colostomy retroperitoneal abscess drainage, drain placement, transgastric feeding jejunostomy, which went well (reader referred to the operative note for details). after a brief, uneventful stay in the pacu, the patient was transferred to the ticu npo with an ng tube, intubated on mechanical ventilation, on iv fluids and iv zosyn, vancomycin, and fluconazole; with a foley catheter, jp drains x2, cvl, a-line, and a g-j tube in place; and a fentanyl drip for pain control. the patient was hemodynamically stable. . neuro/pain: post-operatively when in an icu setting, the patient initially received fentanyl by iv infusion or iv prn with good effect. he was transitioned to dialudid iv prn, and when tolerating oral intake, to dilaudid 2-4mg po q3-4hours prn with continued good pain control. prior to vac dressing changes, the patient was given dilaudid 2mg iv, which worked well. discounting times of intentional sedation, the patient remained neurologically intact during the admission. . cv: patient with baseline history of cad, chf with an ef 25-30%, 3+ mitral regurgitation, systolic ventricular dysfunction, and mild pulmonary hypertension. at the time of admission, ecg revealed afib with pacs successfully treated with metoprolol 5mg iv q6hours prn, which also controlled hypertension. on , the patient experienced abdominal pain, nausea and vomiting,he was made npo and tubefeeds were stopped, he was triggered for a sustained heart rate in 130s, an ekg revealed afib with rvr. he was transferred to the sicu. symptoms were believed secondary to hypovolemia. he received 1 unit prbcs for a hct of 22 and iv fluid rescusitation with good effect. the patient was returned to the floor on . surgery was consulted to evaluate for possible sma stenosis/mesenteric ischemia. a cta abdomen on demonstrated patent mesenteric vasculature without evidence of embolic filling defects, and extensive atherosclerotic disease is present, though without evidence of critical stenoses. on , the patient underwent ultrasound-guided puncture of left brachial artery, second-order catheterization of superior mesenteric artery, abdominal aortogram, selective superior mesenteric arteriogram showing 70-80% stenosis of sma, and primary stenting of superior mesenteric artery for stenoses for chronic mesenteric ischemia, which went well without complication. plavix was restarted. a statin and asa were started prior to discharge. the patient will follow-up with the service as an outpatient. . pulmonary: post-operatively, the patient was maintained on mechanical ventilation until , at which time he was extubated after being weaned and placed on supplemental oxygen by face mask. he was transitioned to supplemental oxygen by nasal cannula and subsequently weaned off supplemental oxygen entirley. early chest x-rays in late revealed a moderate left effusion as well as a small right pleural effusion. over the hospital course, these resolved with later cxr only revealing changes consistent with atelectasis. the patient remained stable from a pulmonary standpoint. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged and adhered to throughout the hospitalization. albuterol and atrovent nebulizer treatments were administered as needed with good effect. . gi/fen: for the majority of the hospital admission, the patient was npo. overall, the patient's metabolic needs were met by tubefeeds and tpn. nutrition was consulted, and followed the patient throughout this admission. the patient received tpn via a picc line starting from until , afterwhich it was discontinued. tubefeeds via the j-port of the g-j tube were initiated as early as , and progressively advanced to cycled tubefeeds with replete with fiber full strength at 100ml/hr by . by this time, his diet had been advanced to regular with only fair but improving intake. on , however, the patient developed abdominal pain, nausea, vomiting. abdminal/pelvic ct revealed portal venous gas and extensive small bowel pneumatosis features consistent with bowel ischemia. tubefeeds were stopped, the g-tube vented, and the patient was made npo. the patient was emergently brought to the operating room, where he underwent exploratory laparotomy, which was negative, lysis of adhesions, right retroperitoneal drain removal, intra-abdominal drain placement, and subcutaneous drain placement (see operative note). post-operatively, trophic tubefeeds were gently re-initiated using 1/2 strength replete. slowly, the rate was increased to goal, and formulation stength and content updated. due to loose stools, banana flakes were added, and the administration route changed to the g-port from the j-port of the g-j tube, with the j-port clamped. loose stools improved. the patient was discharged on replete with fiber 3/4 strength with banana flakes as an additive at a goal of 60ml/hr over 24 hours via the g-tube. the j-tube was clamped. by discharge, the patient was tolerating a low sodium, heart healthy regulr diet, albeit with only fair intake. during hospitalization, he patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. he received iv fluid boluses when needed, including a 1 liter lr fluid bolus on and maintenence iv fluid over and for poor oral intake. by , the patient was tolerating the tubefeeds via the g-tube, was tolerating his diet with improved intake, and no longer required iv fluids. . gu/renal: at the time of admission, the patient was experiencing acute renal failure on chronic renal insufficiency. initial bun/creatinine was 98/4.5, respectively. he required pressors after his frst surgery on . he responded well to iv fluid rescusitation on a number of occassions during this admission with good urine output. after his multiple surgical interventions, he required placement of a foley catheter. the last foley was discontinued on . he was subsequently able to void on his own without problem. by discharge, his renal functions had essentially normalized with a bun/creatinine of 19/0.9, respectively. . infectious disease/integ: after surgery on , the patient had a midline incision with staples which remained clean and intact. staples were removed, and steri-strips placed after 2 weeks. post-operatively, the patient developed progressively worsening erythema and tenderness over his right flank. on , the patient was brought to the or for right flank abscess incision and drainage, complex debridement of full-thickness skin, subcutaneous tissue, fascia, and pulse lavage for a right flank abscess with soft tissue necrosis. he was again taken to the or on for extensive incision and drainage of subfascial intramuscular of a right thigh abscess. at this time, separate continuous vac dressing systems with black granufoam to a target pressure of 125mmhg were placed at both of these extensive i&d sites. the dressings were changed every third day with progressive improvement and development of new granualtion tissue. all jp drains were discontinued. vac dressings were continued when the patient was discharged to a rehabilitation facility. after surgery on , the patient was started on iv fluconazole in addition to iv zosyn an vancomycin, which were continued from . the infectious disease service was consulted. peritoneal fluid culture revealed polymicrobial gut flora with gram negative rods and anaerobes. other cultures from the thigh and flank abscesses revealed only sparse growth of mixed bacterial types. iv fluconazole was discontinued on as preliminary findings revealed no fungus. iv zosyn and vancomycin were continued until . vancomycin trough levels and renal functions were monitored closely during the admission, and iv zosyn and vancomycin dosages adjusted accordingly. . endocrine: the patient's blood sugar was monitored throughout his stay; sliding scale insulin was administered accordingly, particularly when the patient received tpn. exogenous insulin was not required at discharge. . hematology: the patient's complete blood count was examined routinely. over the course of this long hospitalization, the patient required the transfusion of a total of 6 units of prbcs. he remained hemodynaically stable. by discharge, his hematocrit was greater than 31. also, he received 2 units of ffps prior to incision, drainage, and complex debridement of the right flank abscess on . . prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; he was encouraged to get up and ambulate as early as possible with assistance. he was discharged on plavix and asa. . activity: during this admission, the patient was followed closely by physical therapy. he required assistance getting out of bed and ambulating. as recommended, he was discharged to a rehabilitation facility. . at the time of discharge on , the patient was doing well, afebrile with stable vital signs. the patient was tolerating a low sodium regular diet with improved intake and tubefeeds at goal via the g-port of the g-j tube with the j-port clamped, ambulating with assistance, voiding without assistance, and pain was well controlled. prior to discharge, the vac dressings were taken down, and moist-to-dry dressings placed for transport. vac dressings to the right flank/back and right thigh/groin will be replaced at the rehabilitation facility and continued. he was discharged to an extended care facility for continued nursing care and rehabilitation. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: home medications: lisinopril 20mg po daily zoloft 50mg po daily omeprazole 20mg po daily mvi 1 tab po daily tylenol prn . at : vancomycin 1250 mg iv q 24h piperacillin-tazobactam 2.25 g iv q6h discharge medications: 1. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: three (3) ml inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 3. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for heartburn. 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 7. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 8. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 9. hydromorphone (dilaudid) 1-2 mg iv q4h:prn prior to vac change or for breakthrough pain 10. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 11. multivitamin tablet sig: one (1) tablet po once a day. 12. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours as needed for fever or pain. 13. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 14. aspirin, buffered 325 mg tablet sig: one (1) tablet po once a day. 15. dronabinol 2.5 mg capsule sig: one (1) capsule po bid (2 times a day). 16. trazodone 50 mg tablet sig: 0.5-1 tablet po hs (at bedtime) as needed for insomnia. discharge disposition: extended care facility: - discharge diagnosis: 1. perforated cecum with retroperitoneal extension of inflammation and abscess 2. right flank abscess with soft tissue necrosis. 3. right thigh subfascial intramuscular abscess. 4. portal venous gas with small bowel pneumatosis. 5. chronic mesenteric ischemia. 6. htn 7. cad/chf 8. chronic renal insufficiency discharge condition: good discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain is not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. . weigh yourself every morning, md if weight goes up more than 3 lbs. adhere to 2 gm sodium diet. . general drain care: *please look at the site every day for signs of infection (increased redness or pain, swelling, odor, yellow or bloody discharge, warm to touch, fever). *wash the area gently with 1/2 strength h2o2, then rinse with a saline soaked q-tip, pat dry, and place a drain sponge daily and as needed. *keep the insertion site clean and dry otherwise. *avoid swimming, baths, hot tubs; do not submerge yourself in water. *make sure to keep the drain attached securely to your body to prevent pulling or dislocation. . vac dressings will be performed by nursing or medical staff. followup instructions: provider: , md phone: date/time: 10:15. location: 3, , , . service follow-up appointments: provider: lab phone: date/time: 8:30 provider: , md phone: date/time: 9:50. location: , building , for both appointments above. 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 other enterostomy diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances angioplasty of other non-coronary vessel(s) other bronchoscopy incision of abdominal wall colostomy, not otherwise specified aortography arteriography of other intra-abdominal arteries open and other right hemicolectomy reopening of recent laparotomy site insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) transfusion of packed cells excision of lesion of other soft tissue application of other wound dressing other division of soft tissue cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux mitral valve disorders cellulitis and abscess of trunk congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation chronic kidney disease, unspecified pulmonary collapse septic shock chronic systolic heart failure other respiratory complications hypovolemia benign neoplasm of colon calculus of kidney chronic vascular insufficiency of intestine diverticulosis of colon (without mention of hemorrhage) hip joint replacement other disorders of muscle, ligament, and fascia cyst of kidney, acquired unspecified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation acute appendicitis with peritoneal abscess supraventricular premature beats edema of male genital organs necrotizing fasciitis unspecified disorder of intestine 

Answer: The patient is high likely exposed to