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: tetracycline attending: chief complaint: gi bleed major surgical or invasive procedure: egd 1. exploratory laparotomy. 2. lysis of adhesions (greater than 3 hours duration). 3. gastrotomy with gastrostomy tube placement. 4. oversewing of small bowel ulcers x4. 5. push enteroscopy. egd 1. exploratory laparotomy. 2. push enteroscopy. 3. duodenotomy. 4. oversewing of duodenal ulcer. 5. gastrostomy tube. history of present illness: the pt is a 45 y/o m with h/o bmi of 72, hypertension, and dyslipidemia s/p open roux-en-y gastric bypass who now presents with syncope and melena for past 2 weeks. the pt also complained of dizziness and shortness of breath. he denies abdominal pain, nausea/vomiting. he was given 2500cc of crystalloid in the ed and 2 units of packed rbcs for a hct of 21.2. emergent gi consult was obtained and the pt was transferred to the icu. past medical history: hypertension gerd dyslipidemia chronic low back pain osteoarthritis of knee joints and ankles. social history: he has no known food or drug allergies. he denied tobacco or recreational drug usage, had bourbon daily for 8 years and quitin ,and drinks 12 ounce diet cola 4 times a day but has stopped. he is employed as a production supervisor and is divorced with 2 daughters ages 14 and 18. family history: father: , age 71 with cardiac disease s/p cabg x 3 and h/o of cancer of prostate; mother: age 74 with rheumatoid arthritis and h/o colon ca on maternal side daughter: age 17 with asthma physical exam: t 98.4 p 116 bp 135/67 r 18 sao2 98% gen - alert and oriented, morbidly obese heent - neck supple, no scleral icterus, lungs - decreased sounds at bases, otherwise clear heart - tachycardic abd - obese, soft, nontender, nondistended, healing surgical wound extrem - 1+ pedal edema pertinent results: 06:10pm blood wbc-10.4 rbc-2.29*# hgb-6.7*# hct-21.2*# mcv-93 mch-29.3 mchc-31.6 rdw-20.3* plt ct-406# 06:10pm blood pt-14.7* ptt-27.0 inr(pt)-1.3* 06:10pm blood glucose-104 urean-23* creat-0.7 na-140 k-3.9 cl-106 hco3-25 angap-13 06:10pm blood alt-30 ast-19 alkphos-50 amylase-77 totbili-0.2 06:10pm blood lipase-151* gi bleeding study active gi bleeding in the small which seems to start at the 2nd portion of the duodenum. ct abdomen w/o contrast 5:44 am 1) no evidence of retroperitoneal hematoma. 2) postoperative change in the right pelvis and groin consistent with recent embolization procedure. 3) minimal stranding surrounding the pancreas and duodenum, which may also be post-procedural. gi bleeding study apparent area of bleeding noted in the second portion of the duodenum, similar in appearance to bleeding study performed yesterday. the findings were discussed with the clinical team by dr. . abd/pel/lower ext a-gram 8:46 pm similar findings compared to prior study with no evidence of active extravasation. these findings include a persistently occluded previously coiled gastroduodenal artery and a persistantly occluded, coiled inferior pancreaticoduodenal artery off of the proximal superior mesenteric artery. echo preserved global and regional biventricular systolic function. compared with the prior study (images reviewed) of , the findings are similar. brief hospital course: gi - the pt was admitted for his gi bleed and was volume resuscitated with transfusions of packed red blood cells, fresh frozen plasma, and crystalloid. an emergent gi consult was obtained. an egd was done which showed a single cratered non-bleeding 20 x 10 mm ulcer found just distal to the anastomosis. there were no stigmata of recent bleeding, and there was no melena in the visualized distal small bowel. this was followed by a tagged rbc study showing bleeding localizing to the second portion of the duodenum. an arteriogram was performed which showed no active extravasation in the expected vascular territories feeding the duodenum. successful coiling of the gastroduodenal artery was empirically performed due to presence of bleeding localizing to the second portion of the duodenum on the nuclear medicine study. however, the pt's hct continued to trend down and he continued to require transfusions of packed rbcs. on hospital day 3, he had an abd/pelvis ct scan which did not show a retroperitoneal bleed as well as a repeat tagged rbc scan which again showed bleeding localized to the second portion of the duodenum. as a result of this study, the pt had further coil embolization of his gastroduodenal artery. however, the pt's hct continued to trend down. on hospital day 4, the decision was made to take the pt to the or to determine the source of bleeding. the pt had an exploratory laparotomy, lysis of adhesions (greater than 3 hours duration), gastrotomy with gastrostomy tube placement, oversewing of small bowel ulcers x4, and push enteroscopy which he tolerated well. the pt's hct remained relatively stable though he required intermittent blood transfusions. on hospital day 8, the pt began passing melenic output from his g tube as well as from stool. the pt also dropped his systolic blood pressure into the 80s. he was resuscitated with blood transfusions and crystalloid. he had an arteriogram which showed similar findings compared to prior study with no evidence of active extravasation. these findings included a persistently occluded previously coiled gastroduodenal artery and a persistantly occluded, coiled inferior pancreaticoduodenal artery off of the proximal superior mesenteric artery. he had an egd which showed blood in the distal esophagus with clotted blood in the gastric pouch that was able to be lavaged clear. there was a clean based ulcer that had previously been identified at the gastrojejunostomy anastamosis. this duodenal ulcer was most likely the source of the bleeding. the pt returned to the or on hospital day 9 for oversewing of this ulcer. he remained intubated post-operatively for ventilatory support. post-operatively, the pt had to be placed on pressors for hypotension. an echo was obtained to determine if there was a cardiac etiology to this. the echo showed preserved biventricular function and he was able to be weaned from the pressors. bladder pressure was checked to monitor for abdominal compartment syndrome. the pt was able to be extubated on hospital day 14. the pt's hct eventually stabilized. he was continued on iv protonix, misoprostol, and sucralfate for his gi bleed. he was started on a diet and pt was consulted to assist the pt to get out of bed. he remained stable and was transferred up to the floor on hospital day 17. during the remainder of the pt's admission, pt continued to see the pt to work with his ambulation. the pt was able to increase his activity level as he worked with pt and the edema that occurred as a result of the volume resuscitations decreased. he was able to ambulate independently on discharge. id - during the first operation, cultures were sent from the pt's abdominal fluid. broad spectrum antibiotics were started post-operatively as empiric treatment. haemophilus species, capnocytophaga species, and veillonella species grew from this sample. on hospital day 5, the pt also spiked a temperature and was pancultured. these cultures had no growth. the pt spiked another fever on hospital day 11 and was found to have mrsa line sepsis. the pt was treated with vancomycin for this. fen - the pt was started on tpn and tube feeds since he was npo for an extended period of time. this was discontinued when he was able to tolerate a diet. he was able to tolerate a bariatric stage 5 diet on discharge. the pt was given lasix to assist with his diuresis because he had received large amounts of fluid during his resuscitations. the lasix was discontinued as the pt was able to auto-diurese adequately. . . bronch extubated floor medications on admission: zantac, colace discharge medications: 1. misoprostol 100 mcg tablet : one (1) tablet po tid (3 times a day): via g tube. disp:*90 tablet(s)* refills:*2* 2. sucralfate 1 g tablet : one (1) tablet po qid (4 times a day): via g tube. disp:*120 tablet(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg/5 ml solution : ten (10) ml po q4-6h (every 4 to 6 hours) as needed for pain. disp:*300 ml(s)* refills:*0* 4. lorazepam 0.5 mg tablet : 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for anxiety. disp:*45 tablet(s)* refills:*0* 5. hexavitamin tablet : one (1) cap po daily (daily): alternatively may use flintstones chewables. disp:*30 cap(s)* refills:*2* 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day): continue for the rest of your life. disp:*60 tablet,rapid dissolve, dr(s)* refills:*10* 7. oxycodone 5 mg/5 ml solution : teaspoons po q4-6h (every 4 to 6 hours) as needed for pain: breakthrough pain only. disp:*250 ml* refills:*0* 8. docusate sodium 50 mg/5 ml liquid : one (1) teaspoon po bid (2 times a day): take while using narcotics to prevent constipation. disp:*300 ml* refills:*2* 9. albuterol 90 mcg/actuation aerosol : 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*1 inhaler* refills:*5* 10. ferrous sulfate-vitamin c 39-75 mg tablet : one (1) tablet po once a day: or liquid vitamin with iron & vitamin c. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: morbid obesity, s/p open gastric bypass s/p cholecystectomy hypertension gerd peptic ulcer disease upper gi bleed hypercholesterolemia osteoarthritis h/o hiatal hernia central line infection wound infection discharge condition: improved discharge instructions: 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 vomitting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomitting, 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. followup instructions: provider: , md phone: date/time: 1:45 provider: , ldn phone: date/time: 2:00 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other endoscopy of small intestine other endoscopy of small intestine other endoscopy of small intestine other endoscopy of small intestine fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances colonoscopy gastric lavage other lysis of peritoneal adhesions arteriography of other intra-abdominal arteries transcatheter embolization for gastric or duodenal bleeding transcatheter embolization for gastric or duodenal bleeding transfusion of packed cells other gastrostomy transfusion of other serum other repair of intestine suture of gastric ulcer site transabdominal gastroscopy diagnoses: esophageal reflux other postoperative infection cellulitis and abscess of trunk unspecified essential hypertension acute posthemorrhagic anemia infection with microorganisms resistant to penicillins other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site peritoneal adhesions (postoperative) (postinfection) morbid obesity gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction infection and inflammatory reaction due to other vascular device, implant, and graft lumbago peritoneal abscess osteoarthrosis, unspecified whether generalized or localized, lower leg acute duodenal ulcer with hemorrhage, without mention of obstruction duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 

Answer: The patient is high likely exposed to