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: norvasc / clonidine / pollen extracts attending: chief complaint: bilateral lower extremity ischemia major surgical or invasive procedure: - endovascular stent graft repair of abdominal aortic aneurysm. - bilateral groin explorations with aortoiliac, superficial femoral artery, profunda thrombectomy, right femoral endarterectomy with dacron patch angioplasty, left external iliac, common femoral, superficial femoral artery endarterectomy and dacron patch angioplasty, left leg fasciotomy. 1. evacuation of infected hematoma. 2. debridement of skin and subcutaneous tissues left groin. 1. excisional preparation and pulsed lavage washout of left groin wound - 66 sq. cm. 2. ipsilateral rectus abdominis muscle flap transfer to left groin wound. 3. split-thickness skin graft coverage of transferred left rectus flap measuring 66 sq. cm. 4. application of negative pressure dressing to left groin wound. 5. intermediate layered closure of left calf wound - 10cm. history of present illness: mrs. is a 81f with a fib well-known to our service who, on , underwent emergent left lower extremity embolectomy for a cold pulseless left foot. that surgery was complicated by a post-operative hematoma which required reoperation on . she then developed another groin hematoma approximately a week after surgery while on heparin. therefore it was decided that the patient could not be anticoagulated because of her risk of bleeding. today she presents as a transfer from hospital with approximately 5 hours of bilateral lower extremity ischemia. she was in her usual state of health until 8:45pm the night prior to admission when she felt acute onset pain in her legs and then numbness. the patient presented to hospital where she was immediately given 5000u bolus of heparin and started on a heparin drip. she then was transferred to emergently. on arrival she had no sensation or motor function of both of her legs and was complaining of back pain. she also had bilateral foot drop. past medical history: cad cabg as prothetic valve a fib chf h/o of cva with residual right sided weakness niddm social history: n/c family history: n/c physical exam: physical exam pain 99.7 90-100 170/60 18 100 3l mod distress ctab tachycardic s, nt, nd lower extremities cold and without cap refill bilaterally. no fem dp or pt pulses present bilateral foot drop loss of sensation and motor function bilateral lower extremities pertinent results: 12:30am blood wbc-12.1* rbc-3.95* hgb-12.7 hct-37.1 mcv-94 mch-32.2* mchc-34.3 rdw-16.7* plt ct-462*# 03:15am blood wbc-13.5* rbc-3.10* hgb-10.0* hct-26.3* mcv-85 mch-32.1* mchc-37.9* rdw-17.4* plt ct-137* 01:00am blood wbc-23.2* rbc-2.68* hgb-8.4* hct-24.2* mcv-90 mch-31.2 mchc-34.5 rdw-18.2* plt ct-171 05:51am blood wbc-25.8* rbc-3.02* hgb-9.3* hct-27.4* mcv-91 mch-30.8 mchc-33.9 rdw-18.4* plt ct-266# 04:08am blood wbc-13.0* rbc-2.58* hgb-8.3* hct-27.3* mcv-106* mch-32.2* mchc-30.4* rdw-20.3* plt ct-430 12:30am blood pt-14.4* ptt-134.6* inr(pt)-1.3* 11:50am blood pt-17.6* ptt-150* inr(pt)-1.6* 02:37am blood pt-13.4 ptt-72.2* inr(pt)-1.1 02:54pm blood pt-28.3* ptt-34.4 inr(pt)-2.8* 04:08am blood pt-29.9* ptt-33.4 inr(pt)-3.1* 12:30am blood glucose-208* urean-34* creat-1.6* na-136 k-3.9 cl-99 hco3-21* angap-20 04:39am blood glucose-173* urean-63* creat-2.0* na-131* k-5.0 cl-107 hco3-17* angap-12 04:08am blood glucose-153* urean-67* creat-1.9* na-133 k-5.2* cl-108 hco3-17* angap-13 12:30am blood ck(cpk)-54 03:15am blood alt-45* ast-210* ld(ldh)-588* ck(cpk)-* alkphos-57 totbili-0.8 04:51am blood ck(cpk)-3436* 11:22am blood ck-mb-42* mb indx-1.4 09:39pm blood ck-mb-118* mb indx-1.2 06:46pm blood ck-mb-29* mb indx-0.5 11:22am blood calcium-9.5 phos-5.9*# mg-3.2* 04:08am blood calcium-8.6 phos-4.5 mg-2.5 05:51am blood vanco-9.2* 08:15pm blood vanco-22.3* 02:16am blood type-art po2-307* pco2-31* ph-7.45 caltco2-22 base xs-0 intubat-intubated vent-controlled 02:16am blood glucose-167* lactate-2.4* na-131* k-4.1 cl-99* brief hospital course: pt was admitted and taken urgently to the operating room for her bilateral lower extremity critical limb ischemia. the previously aforementioned procedures were performed. post-operatively the patient was admitted to the cv-icu, remained intubated, the patient was cautiously volume resuscitated, she received 4 units prbc, 2 units ffp, 2 platelets, heparin gtt was initiated, the lower extremities were monitored for compartment syndrome. labs were serially checked, blood products were transfused as necessary, the wound vac was continued, although there continued to be significant oozing from this dressing. on pod #3 the patient was extubated without event. beta-blockers were utilized for rate control, as the patients rhythm was atrial fibrillation. on pod#5 the a bedside swallow evaluation was performed and it was determined the patient was unsafe for po medication, video swallow the following day confirmed this, she was left npo at that time, and a dobhoff was placed, tf were initiated and advanced to goal. the patient continued to have hct drops, ct peformed demonstrated left groin hematoma. on pod #7 the patient was transfered out of the cv-ivu to the vicu. heparin gtt was continued, 1 of the groin drains was discontinued, lopressor was used prn for a-fib rate control. the left groin had increase in drainage, the patient was take back to the operating room as aforementioned for evacuation of infected hematoma. at this time antibiotic therapy was intiated with vanc/cipro/flagyl, heparin gtt was continued, tf were again advanced to goal. cultures from the operating room were positive for pseudomonas, and bacteroides. on a r ij triple lumen cvl was placed without incident, placement was confirmed with cxr. plastic surgery was consulted for the possibility of tissue coverage for the groin wound. on the patient was taken to the operating room by the plastic surgery team for rectus flap with stsg coverage. a vac dressing was then applied to be managed by the plastic surgery team. the pt remained on bedrest post-operatively, tf were advanced to goal. repeat swallow evaluation was performed with recommendations that the patient take nectar thick liquids and pureed solids, po intake was encouraged in order, and tube feeds were cycled overnight. the patient did not have adequate caloric intake po, tf were continued. the patient was transitioned from heparin to coumadin, inr was checked, and coumadin dosed daily. on the vac was taken down by the plastic surgery team, there was 100% stsg take, and the flap was viable. recommendations for dry sterile gauze to the wound. at this time the patient was deemed fit for discharge, the patients pain was controlled, she was tolerating tf at goal, and was therapeutic on coumadin. medications on admission: lopressor 50", nifedical 60', detrol 2', amiodarone 200', plavix 75', hydralazine 20"", lasix 20', acidophilus 1", colace 100 discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 3. hydromorphone 2 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed. 4. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for sob, wheezing. 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for wheezing, sob. 6. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 7. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 8. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 9. ascorbic acid 90 mg/ml drops sig: five (5) ml po daily (daily). 10. ferrous sulfate 300 mg (60 mg iron)/5 ml liquid sig: five (5) ml po daily (daily). 11. quetiapine 25 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 13. ciprofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours): continue until follow-up appointment. 14. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day): continue until follow-up appointment. 15. metoclopramide 10 mg tablet sig: 0.5 tablet po q6h (every 6 hours). 16. acetaminophen 500 mg tablet sig: 1.3 tablets po q6h (every 6 hours) as needed for pain. 17. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). 18. warfarin 2 mg tablet sig: one (1) tablet po once (once) for 1 doses: coumadin to be dosed daily for goal inr of 2.5 - 3. 19. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day). 20. outpatient lab work please draw inr daily and dose coumadin daily for goal inr of 2.5-3 21. outpatient lab work please draw electrolytes - check potassium discharge disposition: extended care facility: - discharge diagnosis: aortoilliac thrombosis; bilateral discharge condition: improved discharge instructions: incision care: keep clean and dry. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. -if you have staples, they will be removed during at your follow up appointment. . please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in 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. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. * continue to ambulate several times per day. * no heavy ( lbs) until your follow up appointment. check inr daily and dose coumadin daily with goal inr of 2.5-3 check potassium followup instructions: follow-up with dr. - vascular surgery - in 2 weeks, call( for appointment follow-up with dr. - plastic surgery - in 2 weeks, call ( for appointment procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries incision of abdominal wall fasciotomy other skin graft to other sites graft of muscle or fascia aortography insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) nonexcisional debridement of wound, infection or burn endovascular implantation of other graft in abdominal aorta other suture of muscle or fascia endarterectomy, lower limb arteries endarterectomy, lower limb arteries endarterectomy, abdominal arteries cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel procedure on single vessel procedure on two vessels procedure on vessel bifurcation diagnoses: acidosis congestive heart failure, unspecified acute posthemorrhagic anemia atrial fibrillation hematoma complicating a procedure chronic kidney disease, unspecified heart valve replaced by other means hemorrhage complicating a procedure other late effects of cerebrovascular disease long-term (current) use of anticoagulants pressure ulcer, lower back methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site abdominal aneurysm without mention of rupture arterial embolism and thrombosis of lower extremity embolism and thrombosis of iliac artery atherosclerosis of native arteries of the extremities with ulceration ulcer of other part of lower limb diabetes with peripheral circulatory disorders, type ii or unspecified type, not stated as uncontrolled peripheral angiopathy in diseases classified elsewhere dysphagia, oropharyngeal phase pressure ulcer, stage iii muscle weakness (generalized) 

Answer: The patient is high likely exposed to