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: all allergies / adverse drug reactions previously recorded have been deleted attending: chief complaint: right flank stab wound major surgical or invasive procedure: abdomen closure washout take-back, open abdomen ex lap, infra-renal patch aortoplasty, open abdomen history of present illness: hpi: 32m found obtunded in the middle of street in brought in by an officer. gcs on arrival was 11 and he was intubated in the trauma bay as he was not protecting his airway. ct with contrast was obtained revealing posterior abdominal aortic injury with extravasation. patient subsequently became hypotensive sbp 70's. rapid transfusion protocol was initiated and patient was brought to or by acs surgery for exploratory laparotomy. vascular surgery was also consulted emergently given aortic injury. past medical history: pmh: etoh abuse, cocaine abuse social history: polysubstance abuse family history: nc physical exam: physical examination upon admission: hr: 124 bp: 82/36 resp: bvm o(2)sat: 100 normal constitutional: unarousable, responding to painful stimuli oropharynx atraumatic, gag reflex intact chest: bilateral breath sounds, chest stable, no crepitus. cardiovascular: 2+ dorsalis pedis and posterior tibial pulses bilaterally. abdominal: abdomen soft, nt, nd gu/flank: 2cm stab wound right flank extr/back: moves all extremites, lower extremity compartments soft. skin: warm and dry pertinent results: 04:36am blood wbc-9.8 rbc-3.00* hgb-9.0* hct-26.7* mcv-89 mch-29.9 mchc-33.7 rdw-12.9 plt ct-626* 03:21am blood wbc-10.0 rbc-2.95* hgb-8.9* hct-26.5* mcv-90 mch-30.2 mchc-33.7 rdw-12.8 plt ct-489* 02:04am blood wbc-8.6 rbc-2.89* hgb-9.0* hct-25.8* mcv-89 mch-30.9 mchc-34.7 rdw-13.0 plt ct-341 08:39pm blood hct-28.3* 08:41pm blood wbc-5.9 rbc-2.93* hgb-9.4* hct-27.5* mcv-94 mch-32.1* mchc-34.2 rdw-13.7 plt ct-214 04:36am blood plt ct-626* 01:50am blood pt-15.7* ptt-36.9* inr(pt)-1.4* 10:30pm blood pt-25.1* ptt-150* inr(pt)-2.4* 01:50am blood fibrino-150 11:45pm blood fibrino-149*# 04:36am blood glucose-119* urean-11 creat-0.7 na-137 k-3.7 cl-104 hco3-24 angap-13 03:21am blood glucose-138* urean-8 creat-0.8 na-136 k-3.7 cl-103 hco3-22 angap-15 03:21am blood alt-44* ast-58* ld(ldh)-237 alkphos-160* totbili-1.3 02:04am blood alt-40 ast-39 ld(ldh)-207 alkphos-67 totbili-2.0* 08:41pm blood lipase-27 09:14am blood ck-mb-14* ctropnt-<0.01 04:36am blood calcium-8.5 phos-2.8 mg-2.1 02:19pm blood hbsag-negative 01:55pm blood hiv ab-negative 06:33pm blood vanco-5.4* 08:41pm blood asa-neg ethanol-315* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 10:24am blood lactate-0.6 08:53pm blood glucose-311* lactate-9.0* na-143 k-2.7* cl-113* calhco3-10* 12:19am blood hgb-13.0* calchct-39 : cat scan of the head: 1. no acute intracranial process. 2. left parietal subgaleal hematoma. 3. deformity of the left nasal bone with well-corticated margins could indicate a prior trauma; correlate with physical exam. : cat scan of abd. and pelvis: . massive retroperitoneal hemorrhage with both minimal intraperitoneal and pelvic extension. there is marked active extravasation of intravenous contrast material along the posterior aorta extending toward the left anterior pararenal space and into the right psoas muscle, most consistent with a bleed under arterial pressure, likely secondary to a defect in the posterior aortic wall. no definite evidence of solid or hollow organ injury, although a tiny hypodensity in the posteromedial aspect of the left upper renal pole is incompletely evaluated. 2. signs of marked hypovolemia including flattening of the ivc, small aortic caliber, a tiny spleen, and hyperemia of the adrenal glands. 3. stab wound tract extending from the right flank between the eleventh and twelfth ribs, with a large associated defect in the internal/external oblique muscles, extending superomedially to the posterior aspect of the aorta. 4. enlargement of the right psoas muscle, consistent with hematoma : chest x-ray: impression: stable appearance to the support devices with new monitoring devices on both the right and left hemithoraces. increased left basilar atelectasis. pulmonary edema is improving. : chest x-ray: findings: in comparison with the study of , the monitoring and support devices remain in good position. hazy opacification at the left base is consistent with atelectasis and possible fluid in the pleural space. mild atelectatic changes are seen at the right base. no definite vascular congestion or convincing evidence of acute pneumonia. : cat scan of the chest: 1. both the hemidiaphragms demonstrate normal contour and smooth interface with abdomen and chest. there is no evidence to suggest diaphragmatic hernia/eventration. 2. aspiration in the posterior segment of the right upper lobe, near-complete collapse of the left lower lobe with small left effusion, right lower lung basal pneumonia or atelectasis, and atelectasis in superior segment. 3. residual intraperitoneal and retroperitoneal hematoma : chest x-ray: bibasilar atelectasis, moderate on the right, severe on the left, is improving on the left and previous moderate left pleural effusion has decreased. heart size normal. normal mediastinal contours. lines and tubes in standard placements. no pneumothorax. : chest x-ray: findings: as compared to the previous radiograph, the monitoring and support devices are unchanged. parenchymal opacities on the left are slightly increasing in extent. the right parenchymal abnormalities and the size of the cardiac silhouette are stable. no larger pleural effusions. no evidence of pneumothorax : chest x-ray: various lines and catheters remain in stable position. when compared to the prior study, there has been no appreciable change in the bibasilar opacities, left greater than right. cardiac silhouette remains normal. impression: no significant interval change. brief hospital course: the patient was brought from the scene by ems to the ed. trauma stat was activated and evaluation was carried out by acs and ed trauma teams. patient had been found obtunded in field, down for unknown period of time. on arrival to patient demonstrated movement of all four extremities with gcs of 11 though failed to protect airway through several episodes of emesis. patient was intubated for airway protection. primary survey demonstrated hypotension with sbps to 70s. minimal response to crystalloid resuscitation prompted transfusion 2 prbc. secondary survey showed single r flank stab wound that appeared not to violate fascia on manual probing in trauma bay. with stable hypotension and negative fast, patient was brought to ct scan for full trauma protocol. ct a/p demonstrated posterior infra-renal aortic injury w active extravasation and massive rp hematoma. patient was brought emergently to or by acs team for exploratory laparotomy. on arrival to or patient became further hypotensive w sbp to 50s. trauma cordis was placed in l femoral vein and massive transfusion protocol initiated. vascular surgery was consulted intra-operatively and they proceeded to perform patch aortoplasty of aortic defect as well as ligation of multiple injured lumbar arteries and veins. intra-operative resuscitation included 16 prbc, 9 ffp and 4 platelets to offset ebl of 10 liters. patient was left with open abdomen and brought to tsicu intubated and sedated for further management of care of acs team. he returned to the the operating room on hd #3 where he underwent abdominal wound exploration, by the vascular team and the acute care service, and placement of a patch. he had generalized body fluid and closure was not possible at this time. post-op required diuresis to remove excess fluid. on hd #5 he returned to the operating room for a wash-out, again his abdomen was not able to be closed. he began tachycardic and required colloids and cessation of diuresis. his diuretic therapy was resumed after his vital signs stabilized and he returned to the opertating room on hd #7 when he had his abdomen closed. neuro: post-operatively, the patient was kept intubated/sedated with fentanyl/propofol gtt. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: patient transiently required vasopressor support intra-operatively though arrived to tsicu off pressors. remained hemodynamically stable. the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: patient remained intubated given expectation of multiple takebacks to or for attempt to close abdomen. pulmonary toilet including incentive spirometry and early ambulation were encouraged. the patient was stable from a pulmonary standpoint; vital signs were routinely monitored. the patient was finally extubated on and he tolerated this well. gi/gu: ascending and descending colon had been mobilized intra-op to expose retroperitoneum. intra-operatively bowel was run and no injury to hollow viscus was seen. patient was kept npo and maintained w ivf. he returned to the or on for attempted closure and washout. he was again taken to the or on and his abdomen was closed. after extubation on , the patient's diet was advanced to regular and well tolerated. a foley was placed in trauma bay and urine output was noted to be strong throughout or case (800cc). urine output was monitored. post-operatively, the patient was given iv fluids id: post-operatively, the patient was started on iv cefazolin for three doses given aortic graft and open abdominal wound. the patient's temperature was closely watched for signs of infection. antibiotics were switched to vancomycin and ciprofloxacin when bal results showed serratia and gpcs in the sputum. vancomycin was discontinued on and he was discharged on ciprofloxacin for a week course. heme: see intra-operative transfusion requirement as above. patient was closely monitored for coagulopathy given massive resuscitation. prophylaxis: subcutaneous heparin was held during initial portion of stay due to concern for coagulopathy. the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. he was transferred to the surgical floor on : he discontinued his -gastric tube and was started on clear liquids with advancment to a regular diet. his vital signs are stable and he is afebrile. he is ambulating without assistance. he has been seen by the social worker who provided him with additional support and assisted in his discharge planning by providing him with a list of shelters. his vital signs are stable and he is afebrile. he is tolerating a regular diet. he is preparing for discharge to a shelter where he can regain his strength. he has instuctions to follow-up with dr. in 1 week to have the staples removed. medications on admission: none discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 2. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 days. disp:*6 tablet(s)* refills:*0* 3. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain: avoid driving while on this medication, it may cause drowsiness. disp:*35 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for loose stool. disp:*15 capsule(s)* refills:*0* 5. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). disp:*20 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: 1. right flank stab wound 2. laceration posterior infra-renal aorta 3. massive blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the acute care surgery service for management of injuries related to traumatic right flank stab wound. you were taken to the operating room for exploration of your abdomen. your vital signs have stabilized and you are now preparing for discharge home with the following instructions. please call your doctor or return to the emergency room if you have 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. * 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. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. followup instructions: please follow up with dr. in 1 week to have the staples removed. you can schedule this appointment by calling # # procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances control of hemorrhage, not otherwise specified repair of blood vessel with synthetic patch graft delayed closure of granulating abdominal wound other suture of abdominal wall other suture of abdominal wall diagnoses: pneumonia, organism unspecified assault by cutting and piercing instrument paralytic ileus dissection of aorta, abdominal injury to other intra-abdominal organs with open wound into cavity, retroperitoneum other digestive system complications injury to other intra-abdominal organs with open wound into cavity, unspecified intra-abdominal organ 

Answer: The patient is high likely exposed to