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: aspirin / morphine / ambien attending: chief complaint: enterocutaneous fistula major surgical or invasive procedure: 1. wound exploration and debridement. 2. on-table fistulogram. 3. laparotomy and lysis of adhesions. 4. small-bowel resection. 5. resection of ileocolic anastomosis history of present illness: 65 y/o man with systolic heart failure (lvef 30%), h/o stable ventricular tachycardia, h/o stomach cancer, appendiceal cancer , presented for elective right flank wound debridement. the procedure was complicated given colocutaneous fistula and bowel involvement. he underwent exploratory laprotomy, small bowel resection, fistulogram and revision of ileocolic anastomosis. ebl was 100 ml. he recieved 1300 crystolloid during the procedure. post op, his bp decreased from 110/70 to 70s/40s with uop decreasing from 20-30 ml/hr to 15 ml/hr. his hr increased from 90s to 100-110s. he recieved two boluses of 500 ml lr overnight. he was transfered to for further care. . he denies any chest pain, sob, lower extremity edema, fever, chills, nightsweats, change in bowel habits, headache, dysuria, hematuria. no weakness of numbness. he feels 'great' and does not have any other complaints. patient was able to walk three miles without limiting symptoms one week ago. past medical history: 1. cad risk factors: hypertension 2. cardiac history: -cabg: never -percutaneous coronary interventions: never -pacing/icd: never 3. other past medical history: gastric cancer adenocarcinoma of the colon, appendix and gall bladder hypertension gout ventricular tachycardia left ventricular systolic heart failure (lvef 30% in ) vancomycin resistant enterococcus (vre) equivocal hit antibody psh: s/p gastrectomy, s/p right colectomy, s/p cholecystectomy social history: former physics teacher. he does not smoke or drink. -tobacco history: never -etoh: denies -illicit drugs: denies family history: father with dm, chf, mi physical exam: general: pleasant, well appearing in nad heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. eomi. mmm. op clear. neck supple. cardiac: normal s1, s2. tachycardic. flat jvp lungs: ctab, good air movement biaterally. abdomen: soft nt, dressing c/d/i extremities: no edema or calf pain, 2+ dorsalis pedis neuro: a&ox3. appropriate. spontaneously moves all 4 ext. . at discharge: vitals: _________________ pertinent results: 04:32am blood wbc-13.8* rbc-2.70* hgb-7.9* hct-23.9* mcv-88 mch-29.4 mchc-33.2 rdw-14.1 plt ct-88* 06:40am blood wbc-28.3*# rbc-4.17* hgb-12.3* hct-36.2* mcv-87 mch-29.5 mchc-34.0 rdw-14.0 plt ct-204 06:40am blood neuts-92.8* lymphs-3.4* monos-3.2 eos-0.4 baso-0.1 04:32am blood pt-14.6* ptt-33.5 inr(pt)-1.3* 10:57am blood pt-16.4* ptt-31.1 inr(pt)-1.5* 04:32am blood glucose-93 urean-23* creat-1.3* na-141 k-4.4 cl-111* hco3-26 angap-8 06:40am blood glucose-99 urean-28* creat-1.6* na-139 k-4.8 cl-106 hco3-22 angap-16 03:22pm blood alt-7 ast-16 ld(ldh)-135 alkphos-68 totbili-0.7 10:57am blood ck(cpk)-80 06:40am blood ck(cpk)-72 10:57am blood ck-mb-3 ctropnt-<0.01 06:40am blood ck-mb-3 ctropnt-<0.01 06:40am blood calcium-8.1* phos-4.1 mg-1.8 10:57am blood cortsol-22.4* 06:16pm blood vanco-19.5 10:10am urine color-yellow appear-hazy sp -1.012 10:10am urine blood-tr nitrite-neg protein-30 glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-tr 10:10am urine rbc-7* wbc-4 bacteri-few yeast-none epi-1 10:10am urine eos-negative 10:10am urine osmolal-379 . microbiology: urine culture : no growth blood cultures x 2 : pending mrsa screen: negative . echocardiogram : the left atrium is elongated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with basal to mid inferior and infero-lateral akinesis. no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. an eccentric jet of mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. compared with the prior study (images reviewed) of , the lv size is smaller and lv systolic function has improved. the degree of mitral regurgitation seen has significantly decreased. . fistulogram : small bowel loop opacification with no definitive evidence of contrast extravasation; see comments above. . cxr (portable ap) : cardiomediastinal silhouette is unchanged including cardiomegaly and tortuous aorta. lungs are essentially clear except for left basal opacity that appears to be grossly unchanged and most likely represents atelectasis, may be with a combination with a small pleural effusion. there is no pneumothorax. there are no overt consolidations worrisome for current infectious process. . cxr (portable ap) : the left subclavian line tip is at the level of junction of left brachiocephalic vein and svc. the cardiomediastinal silhouette is stable. the left basal atelectasis is unchanged. there is no evidence of pneumothorax, apical hematoma after insertion of the central venous line. brief hospital course: the patient presented for an elective right flank wound debridement, but the procedure was complicated given colocutaneous fistula and bowel involvement. he underwent exploratory laparotomy, small bowel resection, fistulogram and revision of ileocolic anastomosis. ebl was 100 ml. he recieved 1300 crystolloid during the procedure. post operatively, his bp decreased from 110/70 to 70s/40s with urine output decreasing from 20-30 ml/hr to 15 ml/hr. his hr increased from 90s to 100-110s. he recieved two boluses of 500 ml lr overnight. he was transfered to the icu in the setting of hypotension. . brief icu course: # hypotension: a left subclavian central line was placed for cvp monitoring and fluid resuscitation. the patient's hypotension responded well to 7l of iv fluid boluses. the patient was started on vancomycin and zosyn for broad spectrum coverage for possible sepsis in the setting of a wbc elevated to 28. blood and urine cultures were drawn but showed no growth. # acute renal failure: the patient had elevated bun and creatinine, possibly due to atn in the setting of hypotension with some prerenal component. his renal function improved slowly with iv fluids. urine output adequate. # chronic systolic and diastolic heart failure: - tte to look for change in cardiac function (refer to echo report) cardiac enzymes were negative - baby aspirin was restarted . the patient was anticoagulated with fondaparinux, given concern for hit per surgical team. his pain was controlled with a dilaudid pca pump. general surgery course: transferred from icu to floor on pod3. blood pressure and urine output stable. remained npo until return of bowel function, at which time his diet was slowly advanced. iv reglan started. central iv access removed. continued on empiric treatment of iv vanco and zosyn until final blood culture results showed no growth. labwork and vitals remained stable. of note, his platlets fell to 88. they then increased from 88 to 103 and then to 121 with the removal of the central line. . at the time of discharge, his pain was well controlled, he was ambulating, and tolerating a po diet. medications on admission: 1. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 2. lasix 40 mg tablet sig: one (1) tablet po once a day. 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. zocor 20 mg tablet sig: one (1) tablet po once a day. 5. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day discharge medications: 1. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. zocor 20 mg tablet sig: one (1) tablet po once a day. 4. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 5. fondaparinux 2.5 mg/0.5 ml syringe sig: one (1) subcutaneous daily (daily). 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 2 weeks. disp:*30 tablet(s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation for 1 months. disp:*60 capsule(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home discharge diagnosis: enterocutaneous fistula post-op hypotension-likely related to hypovolemia vs. transient bacteremia post-op acute renal failure post-op heart failure discharge condition: stable tolerating a regular diet adequate pain control with oral medication discharge instructions: weigh yourself every morning, md if weight goes up more than 3 lbs. adhere to 2 gm sodium diet fluid restriction: not applicable . 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 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. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * 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. * continue to ambulate several times per day. . incision care: -your staples will be removed at your follow-up appointment. steri strips will be applied. -your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. -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. followup instructions: 1. please follow-up with dr. in weeks for removal of your incisional staples. procedure: venous catheterization, not elsewhere classified other partial resection of small intestine exploratory laparotomy other lysis of peritoneal adhesions revision of anastomosis of small intestine sinogram of abdominal wall diagnoses: other primary cardiomyopathies acute kidney failure with lesion of tubular necrosis unspecified essential hypertension gout, unspecified paroxysmal ventricular tachycardia other shock without mention of trauma peritoneal adhesions (postoperative) (postinfection) personal history of malignant neoplasm of large intestine hypovolemia personal history of malignant neoplasm of other gastrointestinal tract peritoneal abscess fistula of intestine, excluding rectum and anus personal history of malignant neoplasm of stomach 

Answer: The patient is high likely exposed to