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: no known allergies / adverse drug reactions attending: chief complaint: abdominal aortic aneurysm. major surgical or invasive procedure: total percutaneous repair of the aortic aneurysm with endovascular aortic aneurysm repair, bilateral ultrasound guidance for femoral access, bilateral catheters in aorta. left renal artery stent 6 x 20 genesis exploratory laparotomy, splenic flexure, mobilization, extended left hemicolectomy, proctectomy and gastrostomy tube placement history of present illness: this is a 76-year-old gentleman, with a 5.4-cm infrarenal abdominal aortic aneurysm who was previously evaluated and prepared to undergo treatment, who has severe problems with the hips, in particular on the left, and was about to undergo abdominal aortic aneurysm repair when it was determined that because of contracture with the leg this would not be a safe procedure and he was referred for possible percutaneous treatment. past medical history: pmh: aaa, htn, ^lipids psh: r fem- & sfa stent , l cea, cabgx1, ccy, coronary stentx3 social history: n/c family history: n/c physical exam: gen: nad, aox3 neuro: cnii-xii intact. pt unable to lift left arm but can squeeze hand. cvs: rrr, no m/r/g resp: ctab abd: soft, nt/nd. ostomy in place, intact. wound: wet-to-dry dressing ext: 1+ edema b/l, dp/pt dopplerable b/l pertinent results: 03:58am blood wbc-9.3 rbc-3.64* hgb-9.7* hct-29.5* mcv-81* mch-26.7* mchc-33.0 rdw-20.1* plt ct-412 03:56am blood wbc-11.3* rbc-3.66* hgb-9.5* hct-29.6* mcv-81* mch-26.0* mchc-32.3 rdw-19.7* plt ct-353 06:56pm blood wbc-11.1* rbc-3.56* hgb-9.4* hct-29.1* mcv-82 mch-26.3* mchc-32.2 rdw-19.8* plt ct-344 05:33am blood wbc-8.2 rbc-3.33* hgb-8.7* hct-26.9* mcv-81* mch-26.2* mchc-32.5 rdw-20.0* plt ct-323 04:30am blood wbc-7.6 rbc-3.53* hgb-9.3* hct-28.7* mcv-81* mch-26.3* mchc-32.3 rdw-19.2* plt ct-277 04:00am blood wbc-6.6 rbc-3.65* hgb-9.6* hct-29.6* mcv-81* mch-26.3* mchc-32.4 rdw-19.3* plt ct-254 07:45am blood wbc-6.5 rbc-3.53* hgb-9.3* hct-28.3* mcv-80* mch-26.3* mchc-32.8 rdw-19.1* plt ct-239 03:58am blood pt-13.3 ptt-24.4 inr(pt)-1.1 03:58am blood plt ct-412 06:56pm blood pt-13.6* ptt-24.3 inr(pt)-1.2* 06:56pm blood plt ct-344 05:33am blood plt ct-323 04:30am blood plt ct-277 04:00am blood plt ct-254 07:45am blood plt ct-239 03:58am blood 03:56am blood 06:56pm blood 05:33am blood 04:30am blood 04:00am blood 07:45am blood 03:58am blood glucose-144* urean-26* creat-1.0 na-143 k-3.8 cl-107 hco3-32 angap-8 05:04pm blood glucose-122* urean-26* creat-1.0 na-140 k-4.0 cl-103 hco3-32 angap-9 03:56am blood glucose-148* urean-26* creat-1.1 na-143 k-3.7 cl-105 hco3-30 angap-12 06:56pm blood glucose-142* urean-28* creat-1.1 na-147* k-3.7 cl-105 hco3-32 angap-14 05:33am blood glucose-142* urean-31* creat-1.0 na-147* k-3.8 cl-107 hco3-32 angap-12 03:35pm blood glucose-138* urean-29* creat-0.9 na-145 k-3.9 cl-106 hco3-31 angap-12 04:30am blood glucose-137* urean-28* creat-0.9 na-142 k-3.8 cl-103 hco3-30 angap-13 08:57pm blood glucose-120* urean-26* creat-0.8 na-137 k-3.8 cl-99 hco3-31 angap-11 04:00am blood glucose-136* urean-26* creat-0.8 na-136 k-4.0 cl-99 hco3-30 angap-11 04:00am blood glucose-140* urean-23* creat-0.8 na-135 k-3.9 cl-100 hco3-29 angap-10 07:45am blood glucose-126* urean-23* creat-0.8 na-137 k-4.5 cl-101 hco3-27 angap-14 05:38pm blood calcium-7.7* phos-3.7 mg-2.2 03:58am blood calcium-7.5* phos-2.8 mg-2.2 05:04pm blood calcium-7.9* phos-2.6* mg-2.1 03:56am blood calcium-7.7* phos-2.6* mg-2.2 06:56pm blood calcium-7.9* phos-2.9 mg-2.4 05:33am blood calcium-7.9* phos-3.1 mg-2.6 03:35pm blood calcium-8.0* phos-2.9 mg-2.3 04:30am blood calcium-7.8* phos-2.9 mg-2.1 08:57pm blood calcium-7.9* phos-2.8 mg-2.1 04:00am blood calcium-7.9* phos-3.0 mg-2.1 04:00am blood calcium-8.0* phos-2.9 mg-2.1 07:45am blood calcium-8.0* phos-3.1 mg-2.2 brief hospital course: mr was admitted on to the vascular surgery service to undergo percutaneous endovascular repair of abdominal aortic aneurysm. the patient tolerated the procedure well (the reader is referred to the operative note for details) and was brought to the pacu in stable conditions. in the pacu he developed oliguria and hypotension and received boluses of ivf with improvement of his renal output. he remained intubated in the pacu overnight. pt did c/o left abdominal pain. a surgery consult was obtained. this was thought top be secondary to mesenteric ischemia. pt taken to the or, see gi section below. also see review of systems as below for rest of hospital course. neuro: the patient was sedated on propofol while intubated. dilaudid and were administered for pain control with good results. whn patient woke up it was noticed that he had lue and lle weakness. neurology was consulted. head ct was negtive. they recommended a mri of the head, but given his respiratory status and inability not to lie down this was deferred. neurology did not think this was an acute or subacute, thougt to chronic in nature. pt weakness is still there but much improved. cvs:pt complaining of chest pain on hd2, rising troponins and ekg changes (st depression). dr. (cardiology) consulted, recommended echo and swan-ganz to better evaluate volume status. started on asa, plavix, beta-blocker, statin. echo performed on hd2 showed mild regional left ventricular dysfunction c/w cad. cadiology decided to get a cardiac cath. patent lima to lad with non critical coronary artery disease apart from an occluded om2, there recommendation was medical therapy. on dc pt has not complained of any more chest pain resp: intubated hd1, kept intubated for prolong period of time, untill bowel deficits resolved. pt eventualy weaned from ventilator on hd 10. on dc o2 sats are stable, not requiring 02 at this time. gi: abdominal pain on hd2, general surgery consulted, lactate trended. on hd3 the patient underwent exploratory laparotomy, extended left hemicolectomy with colostomy, proctectomy and gastrostomy tube placement for mesenteric ischemia. abd wound left open, (fascia closed) vac placed. pt was kept npo. trophic tube feeds were started on hd3. pt fascia was closed. pt has had a problem with his j tube. pt eventually taken down to ir, this was replaced with new j tube. tolerating tube feeds on dc. gu/fen: a foley was placed at the time of surgery for uop monitoring, patient's intake and output were closely monitored, and volume was repleted when necessary. cvvh x1 and lasix administered while in the icu, goal 1l negative. the arf was thought to be secondary to caontrast load and having a hypovolemic state. his high creatinine was 1.7, on dc 0.6. pt did have urinary retention. flomax was started. on dc pt still has foley. when stable please dc foley. heme: received prbcx1 on hd2 (hct 27) and 3 additional units intraoperatively during exploratory laparotomy. heperin was stopped, pt did have low platelets, the embolic event was considered for hit, placed on bivalrudin on hd3. hit panel was negative, platelets recovered. pt now stable on sq heperin. endo: patient was on an iss then transitioned to an insulin drip for better glycemic control. bs are stable on dc id: on cipro/flagyl for abdominal surgery. wbc and fever curves were closely followed. wbc peaked at 19 on hd3. blood cx on hd3 showed gpc, vancomycin started on hd3. abx regimen changed to vanc//fluc/mica on hd4. iv antibiotics were continued. the regime was changed multiple times. id was following the patient. eventually the patients iv antibiotics were stopped. pt has been afebrile since. to note pt was on antibiotics was mostly for the esenteric ischemia. prophylaxis: received sqh and boots for dvt prophylaxis. received h2 blockers for stress ulcer prophylaxis. medications on admission: amlodipine 5', metformin 500', allopurinol 300', simvastatin 60', metoprolol succinate 100', benicar/hctz 40/25', plavix 75', quinapril 20'', asas 325' discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 5. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 6. famotidine 20 mg tablet sig: one (1) tablet po daily (daily). 7. hydralazine 25 mg tablet sig: one (1) tablet po q6h (every 6 hours). 8. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). 9. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 10. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 11. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 12. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 13. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for . 14. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 15. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for . 16. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for pulm congestion. 17. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for pulm congestion. 18. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily) as needed for low back pain: please wean for pain. disp:*1 adhesive patch, medicated(s)* refills:*1* 19. insulin sliding scale fingerstick q6 insulin sc sliding scale q6h regular glucose insulin dose 0-70 mg/dl proceed with hypoglycemia protocol 71-119 mg/dl 0 units 120-159 mg/dl 3 units 160-199 mg/dl 6 units 200-239 mg/dl 9 units 240-279 mg/dl 12 units > 280 mg/dl notify m.d. discharge disposition: extended care facility: cherry manor discharge diagnosis: aaa mesenteric ischemia urinary retention, need foley replace left sided weakness, not associated with acute or subacute stroke. needs mri of brain when stable arf creatinine normalized, thought to secondary to contrast nephrology discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: division of vascular and endovascular surgery endovascular abdominal aortic aneurysm (aaa) discharge instructions medications: ?????? if instructed, take aspirin 325mg (enteric coated) once daily ?????? do not stop aspirin unless your vascular surgeon instructs you to do so. ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and cta what to report to office: ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site or incision) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office. if bleeding does not stop, call 911 for transfer to closest emergency room. followup instructions: provider: scan phone: date/time: 10:00. please call to confirm location , , provider: , md phone: date/time: 10:45 , . provider: , md phone: date/time: 1:40 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more coronary arteriography using two catheters left heart cardiac catheterization open and other left hemicolectomy enteral infusion of concentrated nutritional substances hemodialysis angioplasty of other non-coronary vessel(s) colostomy, not otherwise specified other gastroenterostomy without gastrectomy arteriography of other intra-abdominal arteries insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) endovascular implantation of other graft in abdominal aorta other resection of rectum replacement of tube or enterostomy device of small intestine cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery toxic encephalopathy unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified aortocoronary bypass status bacteremia morbid obesity retention of urine, unspecified abdominal aneurysm without mention of rupture hypovolemia staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus acute vascular insufficiency of intestine oliguria and anuria chronic total occlusion of coronary artery other disorders of muscle, ligament, and fascia other drugs and medicinal substances causing adverse effects in therapeutic use body mass index 37.0-37.9, adult 

Answer: The patient is high likely exposed to