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: brimonidine attending: chief complaint: ischemic left lower extremity major surgical or invasive procedure: lle angiography and thrombectomy with 4 compartment fasciotomy history of present illness: mr. is a 85 year old male transferred from an osh with a complaint of loss of feeling and motor control in his left foot. he states he initially presented to the osh for evaluation of epigastric pain, nausea/vomiting and chills. he was found to have elevated lfts and a stone in the cbd on mrcp. he was then sent to for ercp with sphincterotomy and stone extraction. this procedure was uncomplicated and was then transferred back to hospital. he was set for discharge and then noticed his leg was numb after going for a walk. he then started experiencing pain, numbness and loss of motor control. the outside physicians were unable to achieve a pulse in the foot and could only palpate a femoral pulse. a stat head ct scan did not reveal any evidence of stroke. he was then bolused with 6500 units of heparin and started on a heparin gtt at 1250units/hr. he was then transferred to for further management. on presentation here he states he is still unable to feel or move his left from the knee down. he states he has normal sensation and motor control in his right leg. he denies any history of claudication or rest pain. past medical history: pmh: afib (on coumadin), htn, hypercholesteremia, legally blind l eye, glaucoma, ercp for cbd stone psh: lap ccy ~15 years ago, ercp for choledocholithiasis social history: sh: married, denies etoh, tobacco or drugs family history: fh: noncontributory physical exam: on admission: vs: t 95.3 p 75 bp 148/97 rr 18 o2 97%2l pe: gen - a&ox3, nad cv - irregular pulm - ctab abd - s/nt/nd, no rebound/guarding ext - cool left leg from the knee down there is no sensation and no motor, right leg is warm with intact sensation and motor pulses: fem dp pt r palp palp dop dop l palp palp absent absent abi: r 0.99 on discharge: vs: t 97.9 p 70 bp 124/81 rr 18 o2 95%ra pe: gen - a&ox3, nad cv - irregular pulm - ctab abd - s/nt/nd, no rebound/guarding ext - warm, well perfused left leg from the knee down there is sensation at the left lower extremity, but is diminshed in the foot, particularly the medial and plantar aspects of the foot. no motor sensation of the foot, unable to dorsiflex, plantarflex, invert or evert at the ankle joint. pulses: fem dp pt r palp palp dop dop l palp palp dop dop pertinent results: 11:00pm glucose-145* urea n-50* creat-1.1 sodium-139 potassium-4.6 chloride-109* total co2-22 anion gap-13 11:00pm estgfr-using this 11:00pm calcium-8.4 phosphate-2.2* magnesium-2.0 11:00pm wbc-12.8* rbc-4.00* hgb-12.7* hct-38.5* mcv-96 mch-31.7 mchc-33.0 rdw-13.4 11:00pm plt count-188 11:00pm pt-12.8 ptt-73.5* inr(pt)-1.1 08:55am blood wbc-7.5 rbc-3.38* hgb-10.2* hct-31.3* mcv-93 mch-30.3 mchc-32.6 rdw-14.6 plt ct-436 06:10am blood neuts-75.9* lymphs-15.7* monos-7.2 eos-0.5 baso-0.6 08:53pm blood hypochr-1+ anisocy-normal poiklo-normal macrocy-1+ microcy-normal polychr-normal ovalocy-occasional tear dr 08:55am blood plt ct-436 08:55am blood pt-26.2* ptt-36.8* inr(pt)-2.5* 06:20am blood pt-21.9* ptt-89.5* inr(pt)-2.0* 06:48am blood pt-17.2* ptt-78.3* inr(pt)-1.5* 06:10am blood pt-15.1* ptt-75.8* inr(pt)-1.3* 06:05am blood pt-13.5* ptt-62.7* inr(pt)-1.1 05:25pm blood pt-13.5* ptt-150* inr(pt)-1.2* 06:48am blood glucose-108* urean-19 creat-1.2 na-132* k-4.5 cl-101 hco3-24 angap-12 06:10am blood ck(cpk)-1624* 05:18am blood ck(cpk)-7784* 03:45am blood alt-102* ast-473* ck(cpk)-* alkphos-63 totbili-1.0 02:23am blood alt-91* ast-344* ck(cpk)-* alkphos-64 totbili-1.1 06:48am blood calcium-8.2* phos-2.7 mg-2.0 05:18am blood calcium-7.5* phos-2.2* mg-1.9 10:06am blood calcium-7.2* phos-1.9* mg-1.9 11:17pm blood type-art po2-66* pco2-34* ph-7.52* caltco2-29 base xs-4 11:17pm blood type-art po2-66* pco2-34* ph-7.52* caltco2-29 base xs-4 04:29am blood lactate-1.7 08:23am blood glucose-180* lactate-3.4* k-3.6 brief hospital course: the patient was admitted to the general surgical service for evaluation and treatment of ischemic, cold, left lower extremity. on , the patient underwent angiography and thrombectomy, which went well without complication (referred to the operative note for details). after a brief, uneventful stay in the pacu, the patient arrived on the floor npo, on iv fluids and antibiotics, with a foley catheter, and iv morphine for pain control. the patient was hemodynamically stable. post operatively the patients left lower extremity began to pink up but he did not have dopplerable signals in the pt or dp on the left side. heparin was adjusted to therapeutic range. patient began to have increaingly tense anterior compartment and persistant negative signals in the foot and the decision was made to return to the or for fasciotomy and repeat angiography. four compartment fasciotomies were made and angiography was repeated which showed a filling defect below the knee and arterotomy and thrombectomy was performed. after another brief, uneventful stay in the pacu, the patient arrived on the floor npo, on iv fluids and antibiotics, with a foley catheter, and iv morphine for pain control. the patient was hemodynamically stable. at this point, the leg appeared well perfused, was pink, warm and dp and pt pulses were dopplerable on the left side. the two incisions on the leg were left open and wound vacs were applied to collect drainage and facilitate wound healing. due to the circumstances of his admission, we wanted to make sure his inr was optimized prior to discharge. this was a long course, but once his inr was above 2.0, the heparin drip was discontinued and his home coumadin regimen was implemented. during the week, the patients left lower extremity began to look overly erythematous and warm, and a superficial cellulitis was suspected. the patient was placed on oral bactrim seven day course which completes on . on , patient developed a fever of 101.6 and a fever work-up was initiated. patient reported a productive cough and had fatigue. chest xray showed mild atelectasis in the lower left lobe and concern for pneumonia. on exam, we noticed a collection of necrotic tissue with draining hematoma was just inferior to the lateral incision on the leg. an incision and drainage was done, essentially extending the lateral incision a few centimeters inferiorly. after this, the patient remained afebrile, did not have any elevated wbc, or other clinically concerning signs of a pneumonia. neuro: the patient received morphine with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. patient did not have sensation or motor function of the foot intitially post-op, but over the course of his stay, regained some sensation in his foot. the proximal lateral aspect of the foot has some sensation, while the rest of the foot is still lacking. the patient still lacks motor function of the foot. cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. ambulation was obviously difficult given the patients motor status of his left lower extremity, but was worked with by pt. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. diet was advanced when appropriate, which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. the medial and lateral incision were both dressed with wound vacs and a y-type connector to the cannister. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating in an afo on the lle and with a walker, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: coumadin 5mg tthsasun, 7.5mg mwf; omeprazole 40qd, isosorbide mononitrate 30 daily, azopt gtt'', calcium 600 daily, asa 81 daily, simvastatin 20 m/w/f, losartan 50 daily, alprazolam 0.25 qhs, latanoprost gtt discharge medications: 1. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 2. warfarin 5 mg tablet sig: one (1) tablet po days (,tu,th,sa). 3. warfarin 7.5 mg tablet sig: one (1) tablet po days (mo,we,fr). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 5. isosorbide mononitrate 30 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 6. brinzolamide 1 % drops, suspension sig: one (1) ophthalmic (2 times a day). 7. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 8. losartan 50 mg tablet sig: one (1) tablet po daily (daily). 9. alprazolam 0.25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed for sleep. 10. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic daily (daily). disp:*1 20ml* refills:*2* 11. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*3 tablet(s)* refills:*0* 12. oxycodone 5 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. disp:*15 tablet(s)* refills:*0* discharge disposition: extended care facility: highgate manor discharge diagnosis: left lower extremity ischemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: division of vascular and endovascular surgery lower extremity angioplasty/stent discharge instructions medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? if instructed, take plavix (clopidogrel) 75mg once daily ?????? 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 ultrasound 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) ?????? 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: please follow up with dr. in weeks. call his office to schedule an appointment. , phone: fax: procedure: other endoscopy of small intestine arteriography of femoral and other lower extremity arteries fasciotomy aortography incision of vessel, lower limb arteries incision of vessel, lower limb arteries arteriography of other specified sites diagnoses: unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation unspecified glaucoma other and unspecified hyperlipidemia acute respiratory failure blood in stool cholangitis arterial embolism and thrombosis of lower extremity legal blindness, as defined in u.s.a. nontraumatic compartment syndrome of lower extremity encounter for change or removal of surgical wound dressing 

Answer: The patient is high likely exposed to