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: penicillins / pollen extracts attending: addendum: just prior to discharge on , the patient experienced a temperature of 101.5 po in the context of contuned eleavted wbc in the 29-31 range. the planned discharge was cancelled. blood and urine cultures were sent, which ultimately revealed no growth. a legionella urinary antigen was negative. a chest/abdominal/pelvic ct revealed gallbladder distension, fluid collection increased in size at the proximal margin of distal pancreas and in post-splenectomy bed, as well as small plueral effusions. none of the collections were deemed drainable. the patient was continued on iv flagyl and po vancomycin. on , he continued experiencing temperatures with a tmax of 102.3 po. aspirin 325mg daily was started for a platelet count of greater than 1000k. the patient also received lasix iv 20mg daily for lower extremity edema with good effect. by , the patient defervesced into the 97-100.4 range. wbc had decreased to 18.8. . during this time period, the patient continued to tolerate a low sodium, heart healthy diet with boost glucose control supplements. pain was well controlled on ibuprofen and acetaminophen. plavix was restarted, and heart rate and bp were well controlled on low dose metoprolol. he voided adequate amounts without problem, and moved his bowels regularly. he ambulated with assistance, and was followed by physcial therapy. he remained hemodynamically stable. major surgical or invasive procedure: : 1. distal pancreatectomy with splenectomy. 2. ligation of intra-abdominal vessel for control of hemorrhage (splenic arterial takeoff). physical exam: at actual discharge: vs: 99.8 po, 102, 129/76, 18, 95% ra gen: well appearing male in nad. heent: sclerae anicteric. o-p clear. neck: supple. lungs: cta(b) cor: rrr; nl s1/s2 w/o m/c/r abd: incision with steri-strips c/d/i. bsx4. soft/nt/nd. extrem: 2+/4+ pitting edema (b) le. diffuse ecchymotic patch (r) le. no cyanosis, clubbing. neuro: a+ox3. non-focal/grossly intact. pertinent results: additional labwork: 06:05am blood wbc-30.9* rbc-2.78* hgb-7.9* hct-24.5* mcv-88 mch-28.5 mchc-32.4 rdw-15.1 plt ct-1072* 06:45am blood wbc-18.8* rbc-2.78* hgb-7.7* hct-24.6* mcv-89 mch-27.8 mchc-31.4 rdw-15.7* plt ct-1282* 06:05am blood plt ct-1072* 06:45am blood plt ct-1282* 06:05am blood glucose-132* urean-12 creat-1.1 na-136 k-4.2 cl-100 hco3-25 angap-15 07:55am blood glucose-110* urean-11 creat-1.1 na-137 k-4.3 cl-99 hco3-27 angap-15 06:20am blood alt-50* ast-56* alkphos-494* totbili-0.6 06:05am blood calcium-8.2* phos-3.7 mg-1.9 07:55am blood calcium-8.4 phos-4.0 mg-1.9 . additional imaging: chest/abd/pelvic ct: ct torso: helical imaging was performed from the lung bases through the pubic symphysis without iv contrast. subsequently, helical imaging was again performed from the thoracic inlet through the pubic symphysis after uneventful administration of intravenous contrast. oral contrast was present for both examinations. sagittal, and coronal reformations were performed. comparison: ct torso from . ct chest: there remain bibasilar confluent opacities, slightly more pronounced on the left. however, this appearance is improved since the earlier examination. there remain small bilateral pleural effusions, slightly enlarged compared to the previous examination. no pneumothorax is present. there is no axillary, hilar, adenopathy. there are scattered, non-pathologically enlarged mediastinal, and prevascular nodes, which may be reactive. there is minimal coronary artery vascular calcification. otherwise, the heart and great vessels appear normal. ct abdomen: patient is status post splenectomy, and distal pancreatectomy. in the post-splenectomy bed is a 3.4 x 3.1 cm (4:49) fluid collection with a minimally enhancing peripheral rim. this appearance of the fluid is larger, and more organized than on the prior examination. the wall of the stomach, adjacent to this fluid collection, appears thickened. at the proximal site of the pancreatectomy at the surgical margin is a more apparent 4.6 x 4.7 cm fluid collection (4:58). the fluid collection extends slightly anterior and inferiorly (4:62). the head, uncinate, and neck of the pancreas appear normal. there is fat stranding within the abdominal mesentery (4:72, 4:66), which is likely related to post-surgical edema. the gallbladder is slightly distended measuring 7.7 x 5.5 cm (4:64). the wall of the gallbladder appears slightly thickened and there is slight fat stranding around the gallbladder. there is minimal peri-gallbladder fluid (4:61). no stones are present in the gallbladder. throughout the right and left lobes of the liver are multiple hypodense lesions, compatible with simple cysts. the largest in the left lobe of the liver measures 4.5 x 4.2 cm, and the largest in the right lobe of the liver measures 4.9 x 3.7 cm (4:56). there is minimal intrahepatic biliary ductal dilation. the hepatic vasculature appears normal. there are multiple hyperdense cysts arising off both kidneys. the largest arising exophytically off the superior pole of the left kidney measuring 3 x 2.1 cm (4:56), and the largest arising exophytically off the lower pole of the right kidney measuring 13 x 15 mm (4:64). the adrenals appear unremarkable. as described previously, the posterior superior wall of the stomach is slightly thickened and inflamed. the remaining pelvic loops of small and large bowel appear normal without obstruction or dilation. there is no free air within the abdomen. the abdominal aorta and its branches appear widely patent. there are post-surgical changes of the splenic artery (4:58). there are scattered, non-pathologically enlarged mesenteric, and retroperitoneal lymph nodes. ct pelvis: colonic diverticula, but no diverticulitis. otherwise, pelvic loops of small and large bowel appear normal. the bladder appears normal. there are calculi within the prostate. there is a small amount of simple fluid in the low pelvis. there is no free air. there is a fat-containing right inguinal hernia. bone windows: there are degenerative changes of the lower lumbar spine. there are no suspicious-appearing sclerotic or lytic lesions. impression: 1. gallbladder distention, mild wall thickening, peri-gallbladder fat stranding, and small amount of peri-gallbladder fluid. cholecystitis cannot be excluded and would recommend right upper quadrant ultrasound if there is focal pain at this site. there are no stones within the gallbladder. 2. fluid collection at the proximal margin of the distal pancreatectomy, increased in size compared to the prior examination. 3. fluid collection in the post-splenectomy bed, increased in size since the prior examination. the adjacent stomach appears slightly inflamed. 4. small bilateral pleural effusions. persistent, but improved bilateral basilar consolidations. 5. stable multiple hepatic hypodensities and multiple bilateral renal hyperdense cysts. 6. stranding of the abdominal fat, likely postoperative. 7. colonic diverticula without diverticulitis. . microbiology: blood cx x2: n growth - final. urine cx: no growth - final. discharge medications: 1. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 2. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours as needed for fever or pain. 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*11* 4. flonase 50 mcg/actuation spray, suspension sig: sprays in each nostril nasal once a day as needed for allergy symptoms. 5. zocor 20 mg tablet sig: one (1) tablet po once a day. 6. buspirone 5 mg tablet sig: 1.5 tablets po qam and 1 tablet po (by mouth) qpm. 7. multivitamin tablet sig: one (1) tablet po once a day. 8. nifedipine 60 mg tablet sustained release sig: one (1) tablet sustained release po once a day. 9. lisinopril 20 mg tablet sig: one (1) tablet po once a day. 10. singulair 10 mg tablet sig: one (1) tablet po once a day. 11. proair hfa 90 mcg/actuation hfa aerosol inhaler sig: puffs inhalation four times a day as needed for shortness of breath or wheezing. 12. one touch ultra test strip sig: one (1) strips in four times a day. disp:*100 strips* refills:*2* 13. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 14. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation: hold for loose stools. 15. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 16. lorazepam 0.5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 17. metoprolol tartrate 25 mg tablet sig: one (1) tablet po every twelve (12) hours. disp:*60 tablet(s)* refills:*1* 18. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 19. metoclopramide 10 mg tablet sig: 0.5 tablet po bid (2 times a day): give 30 minutes before breakfast and dinner . disp:*60 tablet(s)* refills:*1* 20. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 21. lasix 40 mg tablet sig: one (1) tablet po once a day: until edema resolved, and fluid balance even. baseline weight: 106.6 kg. disp:*30 tablet(s)* refills:*0* discharge disposition: extended care facility: health care center discharge diagnosis: 1. neuroendocrine cystic tumor of the tail of pancreas. 2. cystic lesion of the left kidney. 3. intraoperative hemorrhage. 4. acute on chronic renal failure 5. atrial fibrillation 6. bilateral aspiration pneumonia 7. clostridium difficile 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: please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: provider: , md phone: date/time: 9:45. location: 3, . . please call ( to arrange a follow-up appointment with dr. (pcp) in weeks. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube other electric countershock of heart prophylactic administration of vaccine against other diseases prophylactic administration of vaccine against other diseases other surgical occlusion of vessels, abdominal arteries total splenectomy distal pancreatectomy insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt prophylactic vaccination against influenza diagnoses: pneumonia, organism unspecified hyperpotassemia other iatrogenic hypotension acute kidney failure, unspecified cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation accidental puncture or laceration during a procedure, not elsewhere classified chronic kidney disease, unspecified diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia pneumonitis due to inhalation of food or vomitus long-term (current) use of insulin intestinal infection due to clostridium difficile paralytic ileus need for prophylactic vaccination and inoculation against other specified disease personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits headache obesity, unspecified obstructive chronic bronchitis without exacerbation other specified disorders of liver accidental cut, puncture, perforation or hemorrhage during surgical operation edema neoplasm of uncertain behavior of kidney and ureter secondary diabetes mellitus without mention of complication, not stated as uncontrolled, or unspecified malignant carcinoid tumor of other sites 

Answer: The patient is high likely exposed to