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: penetrating abdominal trauma major surgical or invasive procedure: 1. status post exploratory laparotomy 2. status post splenectomy 3. status post distal pancreas repair 4. status post mesenteric repair 5. status post anterior and posterior gastrotomy repair history of present illness: 24-year-old male status post gunshot wound to left lower flank. in stable condition, gcs 15, no neuro deficits. +fast. taken to or for exploratory laparotomy. no other injuries. past medical history: none social history: 1. denies etoh, tobacco family history: nc physical exam: on arrival: vs: 97.3 139/76 105 20 100% gen: mild distress heent: perla cardio: s1s2, rrr pulm: ctab : distended, tender, l low back entry wound, + fast ortho: atraumatic neuro: gcs 15, moves all extremities pertinent results: 06:25pm glucose-161* lactate-2.5* na+-140 k+-4.0 cl--110 tco2-20* 06:15pm urea n-17 creat-0.7 06:15pm amylase-112* 10:32pm glucose-148* urea n-14 creat-0.6 sodium-141 potassium-4.2 chloride-117* total co2-18* anion gap-10 10:32pm calcium-6.6* phosphate-3.7 magnesium-1.3* ## ct /pelvis : 1. status post splenectomy, with a hypoenhancing appearance of the pancreatic tail. this may be postoperative as well. 2. thickened appearance of stomach wall, which may represent post-surgical changes as well. 3. somewhat thickened appearance of the descending colon, probably relating to third spacing and wall edema, although clinical correlation is required. 4. small amount of abdominal free fluid is present, consistent with recent surgery, and there is no evidence of retroperitoneal hemorrhage. 5. small bilateral pleural effusions, left greater than right, with dependent changes of atelectasis. brief hospital course: neuro: mr. was admitted to the tsicu after undergoing an exploratory laparotomy for his gunshot injury. he remained intubated and sedated after his surgery. he was placed on a fentanyl drip and later switched to a morphine pca. he was extubated on hd#4 and his pain was well controlled with the morphine. the patient was transferred to the floor on hd#4. ## gi: the patient underwent an exploratory laparotomy shortly after his arrival in the ed. it revealed a shattered upper splenic pole, injured pancreatic tail, torn mesocolon and two gastrotomies. repair included a splenectomy, mesenteric, pancreatic and gastrotomy repair. the patient lost an estimated 2l of blood and received 3 units of prbcs and 8l of fluids. in the post-operative period, the patient received 2 units of prbcs, 3 units of ffp, and one unit of cryo. the patient remained npo and was placed on famotidine. an og tube was placed and replaced by an ng tube after extubation. on hd#6, the ng tube was removed after his gastric output had significantly decreased and he had passed gas. he was placed on clear fluids and his medications were switched to their oral forms. his diet was advanced on hd#7. ## id: the patient was placed on cefotetan in the pre and postoperative period. he intermittently spiked a fever both in the tsicu and on the floor. his chest xrays, urine, and blood remained negative. ## heme: the patient received a total of 5 units of prbcs, 3 units of ffp, and one unit of cryoprecipitate during his hospital stay. his hematocrit levels ranged between 25.7 and 34.1. upon discharge the levels had been stable. medications on admission: none discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 2. oxycodone hcl 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. discharge disposition: home with service facility: discharge diagnosis: 1. status post gunshot wound to abdomen 2. status post exploratory laparotomy 3. status post splenectomy 4. status post distal pancreatic repair 5. status post mesenteric repair discharge condition: good discharge instructions: please follow all instructions by nursing regarding care of your surgical drain. record the amound of drainage from your drain every day. keep surgical site clean and dry. keep steri-strips intact. take all medication as directed. make and keep all follow up appointments. followup instructions: 1. call immediately the trauma clinic at and make an appointment in 1 week. 2. you will have a come to your house to help you with your dressing changes twice a day for at least the first week upon your discharge. she will teach you how to take care of your dressing changes procedure: enteral infusion of concentrated nutritional substances total splenectomy transfusion of packed cells transfusion of other serum suture of laceration of stomach other repair of mesentery other repair of pancreas gastrotomy diagnoses: other specified complications of procedures not elsewhere classified assault by other and unspecified firearm injury to pancreas, tail, with open wound into cavity injury to stomach, with open wound into cavity injury to other gastrointestinal sites, with open wound into cavity injury to spleen with open wound into cavity, massive parenchyma disruption 

Answer: The patient is high likely exposed to