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 / percocet attending: chief complaint: incisional hernia major surgical or invasive procedure: status post incisional hernia repair history of present illness: the patient is a 53-year-old male with a history of a giant incisional hernia, status post gastric bypass in , complicated by perforated ulcer in 02/. pt has begun having increased discomfort with plans for repair. past medical history: hypertension, diabetes mellitus, depression, degenerative joint disease dyslipedemia asthma/bronchitis chronic back pain osteoarthritis obesity gerd hepatitis a social history: ex nurse, works in real estate now. married. family history: non contributory physical exam: physical exam: gen: nad, a&ox3 cv: rrr, no murmurs, rubs, gallops pulm: ctab, mild decreased breath sounds at bases bilaterally abd: soft, non-distended. ttp peri midline incision site. incision site intact without wound dehiscense. jp drains x4 intact with sanguinous drainage. binder intact. pertinent results: laboratory results: 06:26pm blood wbc-13.7*# rbc-3.46* hgb-10.4*# hct-30.1* mcv-87 mch-29.9 mchc-34.4 rdw-15.0 plt ct-201 12:04am blood wbc-8.4 rbc-3.12* hgb-9.3* hct-27.0* mcv-87 mch-29.7 mchc-34.3 rdw-15.2 plt ct-166 03:05am blood wbc-8.3 rbc-3.66* hgb-11.0* hct-31.5* mcv-86 mch-29.9 mchc-34.8 rdw-15.2 plt ct-187 09:14am blood hct-30.1* 11:54pm blood wbc-8.9 rbc-3.17* hgb-9.5* hct-27.3* mcv-86 mch-30.0 mchc-34.8 rdw-15.8* plt ct-153 04:00am blood hct-27.9* 01:30pm blood hct-32.2* 06:03pm blood hct-33.4* 09:58pm blood hct-29.6* 01:55am blood wbc-10.7 rbc-3.48* hgb-10.3* hct-30.4* mcv-87 mch-29.5 mchc-33.9 rdw-15.5 plt ct-183 06:26pm blood glucose-162* urean-6 creat-0.7 na-137 k-4.2 cl-102 hco3-25 angap-14 03:05am blood glucose-159* urean-7 creat-0.6 na-136 k-4.4 cl-105 hco3-26 angap-9 11:54pm blood glucose-136* urean-11 creat-1.0 na-137 k-4.0 cl-103 hco3-27 angap-11 06:03pm blood glucose-124* urean-7 creat-0.7 na-136 k-4.1 cl-101 hco3-28 angap-11 01:55am blood glucose-139* urean-6 creat-0.6 na-135 k-4.4 cl-101 hco3-27 angap-11 04:00am blood ck(cpk)-2866* 01:30pm blood ck(cpk)-2860* 06:03pm blood ck(cpk)-2491* 01:55am blood ck(cpk)-1684* 04:00am blood ck-mb-8 ctropnt-<0.01 01:30pm blood ck-mb-10 mb indx-0.3 ctropnt-<0.01 06:03pm blood ck-mb-9 ctropnt-<0.01 01:55am blood ck-mb-6 ctropnt-<0.01 06:26pm blood calcium-7.5* phos-3.7 mg-1.4* 03:05am blood mg-2.1 09:14am blood calcium-8.0* phos-2.9 mg-1.8 11:54pm blood calcium-7.5* phos-2.7 mg-1.9 04:00am blood calcium-7.9* phos-3.2 mg-1.9 06:03pm blood calcium-7.5* phos-2.2* mg-1.8 01:55am blood calcium-7.4* phos-2.1* mg-1.8 02:17pm blood glucose-192* lactate-2.3* na-136 k-3.9 cl-99* 06:34pm blood glucose-160* lactate-3.3* 02:20am blood lactate-1.8 studies: ekg : sinus tachycardia. non-specific st-t wave changes. compared to the previous tracing of the rate has increased. ct abd : impression: 1. dilated, air-filled transverse colon with non-dilated small bowel is consistent with colonic ileus. 2. ng tube is in normal position with its tip projecting over the gastric fundus. cxr : there are low lung volumes. right middle lobe and right lower lobe atelectasis (almost collapsed) have worsened. small linear atelectasis in the left mid lung is new. ng tube tip is difficult to evaluate and cannot be followed further down the distal esophagus; of note, in prior radiograph of the abdomen, the tip was in the stomach. brief hospital course: this is a 53 yo m admitted s/p incisional hernia repair with mesh . the pt was brought to the tsicu intubated for post op monitoring. pt was requiring high vent pressures and phenylephrine post op. pt had thoracic epidural catheter for pain control and followed by acute pain service. 2u prbc given after repeat hct 30->27. pt became hypotensive and epidural was held overnight. hct up to 34 post-transfusion. the pt was then extubated the following day and transfered to the floor. the pt spiked a temperature of 101.5 night of . temperature returned to 99.5 spontaneously with deep inspiration. cxr suggests likely atelectasis. the pt then triggered on the morning of for sbp 60/palp, hr 128. epidural was stopped. 1.5 l ns bolus. sbp 95/50. hct 32.2 -> 33.4 -> 29.6. returned to or evening for ex-lap/washout suspicion of bleeding. no signs of bleeding noted. patient continued to do well without further events. he was progressed to a bariatric stage 5 diet. his pain is well controlled with po meds. there is one jp drain in place. we will send him home on keflex and return to clinic on . medications on admission: prozac, xanax, zocor, cardura, b12, mvi discharge medications: 1. amitriptyline 50 mg tablet sig: one (1) tablet po hs (at bedtime). 2. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 3. doxazosin 1 mg tablet sig: one (1) tablet po hs (at bedtime). 4. fluoxetine 40 mg capsule sig: one (1) capsule po once a day. 5. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 6. multivitamin tablet sig: one (1) tablet po daily (daily). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 8. calcium citrate-vitamin d3 315-200 mg-unit tablet sig: one (1) tablet po twice a day. 9. cyanocobalamin 1,000 mcg tablet sig: one (1) tablet po once a day. 10. multivitamins with minerals tablet sig: one (1) tablet po once a day. 11. simvastatin 20 mg tablet sig: one (1) tablet po at bedtime. 12. alprazolam 1 mg tablet sig: one (1) tablet po at bedtime. 13. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 1 weeks. disp:*28 capsule(s)* refills:*0* 14. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 15. colace 100 mg capsule sig: one (1) capsule po twice a day. disp:*30 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: incisional hernia discharge condition: stable discharge instructions: you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. 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 48 hours after surgery, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. . jp drain care: *please look at the site every day for signs of infection (increased redness or pain, swelling, odor, yellow or bloody discharge, warm to touch, fever). *maintain suction of the bulb. *note color, consistency, and amount of fluid in the drain. call the doctor or nurse practitioner if the amount increases significantly or changes in character. *be sure to empty the drain frequently. record the quality and quantity of the output daily. *you may shower; wash the area gently with warm, mild soapy water. *keep the insertion site clean and dry otherwise. *avoid swimming, baths, hot tubs; do not submerge yourself in water. *make sure to keep the drain attached securely to your body to prevent pulling or dislocation. followup instructions: provider: , md phone: date/time: 09:45am. location: 3, . . please call ( to arrange a follow-up appointment with dr. (pcp) in weeks. procedure: other open incisional hernia repair with graft or prosthesis other incision of soft tissue diagnoses: other iatrogenic hypotension esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of other infectious and parasitic diseases hematoma complicating a procedure asthma, unspecified type, unspecified depressive disorder, not elsewhere classified pulmonary collapse other and unspecified hyperlipidemia peritoneal adhesions (postoperative) (postinfection) other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation osteoarthrosis, unspecified whether generalized or localized, site unspecified other respiratory complications obesity, unspecified incisional ventral hernia with obstruction bariatric surgery status 

Answer: The patient is high likely exposed to