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 / sulfa (sulfonamide antibiotics) attending: chief complaint: s/p multiple self inflicted stab wounds major surgical or invasive procedure: exploratory laparotomy and repair of liver laceration with suture, sternotomy, exploration of right and left chest, exploration of mediastinum and heart, repair of bilateral upper extremity lacerations and tendons, application of bilateral upper extremity splints history of present illness: mr. is a 53 year old male with a history of depression who presented by ambulance to the ed with 2 stab wounds to the chest, 1 to the abdomen and 3 to his wrists and antecubital fossa. he suffered a left chest sucking chest wound and underwent placement of a chest tube in the ed. he was taken immediately to the operating room after assessement of his abdominal wound verified entry into the abdominal cavity. past medical history: depression social history: lives with his partner and two children. he recently lost his job and had become increasingly depressed. family history: etoh in father physical exam: upon presentation to : hr:118 bp:120/p resp:26 o(2)sat:99% on nrb normal constitutional: ill appearring male in distress; moaning heent: normocephalic, atraumatic, pupils equal, round and reactive to light, extraocular muscles intact chest: sucking left chest wound; 8 cm; deep into subcut tissue cardiovascular: regular rate and rhythm; tachy; no m/r/g abdominal: soft; nt but epigastic wound when explored directly into peritoneum gu/flank: no costovertebral angle tenderness extr/back: no cyanosis, clubbing or edema skin: right ac and wrist 3.5 cm wounds deep into subcut tissue; from all digits and hand neuro: speech fluent; gcs 14-15 psych: moves all 4 extremities pertinent results: 11:06am wbc-18.6* rbc-4.86 hgb-14.4 hct-40.7 mcv-84 mch-29.8 mchc-35.5* rdw-13.0 11:06am plt count-361 11:06am pt-13.9* ptt-24.1 inr(pt)-1.2* 11:06am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 11:06am lipase-23 05:02pm wbc-14.3* rbc-3.55*# hgb-10.7*# hct-29.5*# mcv-83 mch-30.1 mchc-36.2* rdw-13.1 05:02pm plt count-266 05:05am blood wbc-5.2 rbc-3.50* hgb-10.4* hct-29.2* mcv-83 mch-29.9 mchc-35.8* rdw-14.8 plt ct-340 05:05am blood plt ct-340 05:05am blood glucose-115* urean-9 creat-0.5 na-140 k-3.8 cl-104 hco3-28 angap-12 10:07am blood alt-122* ast-174* ld(ldh)-267* alkphos-31* totbili-0.4 03:58pm blood ctropnt-<0.01 02:36am blood freeca-1.13 chest - single view xray impression: tiny right apical pneumothorax and possible tiny right pleural effusion both unchanged since following removal of the right pleural drain. moderate bibasilar atelectasis stable. normal cardiomediastinal silhouette. brief hospital course: he was admitted to the acute care surgery service: his hospital course as follows by systems - neuro: at presentation in the he was alert and oriented. he voiced his distress at having failed at his attempt to commit suicide. his pain was controlled with fentanyl as needed and the acute pain service was initally consulted for epidural analgesia. an epidural was placed during his icu stay with adequate pain control. once he was more awake he was changed to intravenous narcotics andthe epidural was discontinued. over the course of his hospital stay he was eventually transitioned to oral pain medication. at discharge his pain was under control with po dilaudid prn and tylenol. cvs: he was taken to the or and underwent exploratory laparotomy. intraoperatively it was noted that his chest wound communicated with abdomen as the trajectory of the knife pointed from the chest, through the pericardium, through the diaphragm and into the liver. blood was noted to be coming from the pericardium through the diaphragmatic defect. the liver laceration was repaired and then a sternotomy was performed to assess the heart for injury. the heart was examined both posteriorly and anteriorly and no injury was seen. the adjacent lung was also assessed for injury. bilateral chest tubes and mediastinal tubes were placed. the mediastinal chest tubes were removed on pod 4 without complication. he did require initiation of beta blockade as he was tachycardic during his icu stay. he is currently taking lopressor 25 mg ; this was decreased from tid. he is in normal sinus rhythm with a heart rate ranging in the 80's. his blood pressure ranges between 90-110's systolic, he had not been orthostatic or dizzy with this blood pressure. his hematocrit is stable at 29.2 with the lowest of 21.5 on . his surgical wounds are stable and without any evidence of bleeding. his lft's were initially elevated felt likely due to his liver njurym they have since rtrended downward and should return to normal. resp: he had a left sided chest tube placed in the ed under sterile technique as he presented with a sucking left chest wound. he was taken to the or and the pleural space was examined bilaterally after sternotomy was performed to assess the heart. bilaterally chest tubes were placed intraoperatively. the chest tube placed in the ed remained in place. two of his chest tubes were removed on pod 1. he has re accumulation of fluid in his right pleural cavity, in addition to a small right pneumothorax. to drain the fluid and re-expand his lung on the right side, a right sided pigtail catheter was placed on pod6. he tolerated the procedure well. his left chest tube remained in place until pod7. his right sided pigtail catheter was removed without complication on pod8. he has no further oxygen requirements and his saturations have been in the mid 90's. because he is a postoperative patient it is important that he ambulate, cough and deep breathe frequently. gi: exploratory laparotomy revealed two liver lacerations which were repaired primarily. no bowel or other visceral organ injury was found. patient diet was advanced from sips to regular diet from pod3-4 without issue. he is currently tolerating a regular diet. gu/renal: he continued to have good urine output through his stay. initially he had a foley catheter placed but this was removed and he is voiding independently without any issues. msk: he underwent repair of the stab wounds to his right and left arms by plastic surgery. his right and left flexor digitorum superficialis muscle tendinous junction and palmaris longus muscle were repaired. his left fcr tendon was also repaired. he also underwent repair of multiple lacerations to his wrists and antecubital fossa. his splints were adjusted by occupational therapy and he will follow up in weeks as an outpatient with plastics/hand surgery. he was also evaluated by physical therapy and is independent with ambulation. heme: intraoperatively patient had a small amount of blood loss. post-operatively hematocrit trended very slowly downwards and he was transfused 2u prbc on pod2. following transfusion his hematocrit remained stable and he required no further transfusions. endocrine: while in the icu his blood sugars were controlled with a sliding insulin scale. upon discharge patient was not requiring insulin sliding scale and it was discontinued. id: peri-operatively patient was placed on vancomycin to protect against infection of his sternotomy incision. however, all antibiotics were discontinued by pod2. psych: psychiatry was consulted and followed along during his hospital stay. he was placed on 1:1 sitters. his home psychiatric medications were restarted with some changes made to the clonazepam at patient request secondary to daytime drowsiness. it is being recommended that he be discharged to a psychiatric facility for further treatment after his acute hospital stay. medications on admission: lexapro (unknown dosage), xanax discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 4. clonazepam 1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 5. risperidone 1 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 6. risperidone 2 mg tablet sig: one (1) tablet po hs (at bedtime). 7. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 8. citalopram 20 mg tablet sig: 1.5 tablets po daily (daily). 9. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 10. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. 12. psyllium packet sig: one (1) packet po tid (3 times a day) as needed for constipation. discharge disposition: extended care facility: - discharge diagnosis: s/p multiple self inflicted stab wounds to chest, abdomen & upper extremties liver laceration bilateral wrist lacerations discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital after multiple self inflicting stab wounds to your torso and arms. you sustained multiple internal organ injuries requiring several operations for repair. you were also seen by psychiatry to evaluate and discuss with you the reasons you harmed yourself. it is being recommended that you be discharged to an inpatinet psychiatric facility after your acute issues have been stabilized. followup instructions: follow up in weeks in clinic for staple removal and for evaluation of your wounds; call for an appointment. follow up in weeks in hand clinic, call for an appointment. follow up with your pcp after discharge from inpatient psychiatric facility. you will need to call for an appointment. procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage exploratory laparotomy incision of mediastinum closure of skin and subcutaneous tissue of other sites nonexcisional debridement of wound, infection or burn closure of laceration of liver other suture of flexor tendon of hand suture of laceration of diaphragm other division of bone, scapula, clavicle, and thorax [ribs and sternum] other suture of tendon other suture of tendon suture of laceration of chest wall diagnoses: iron deficiency anemia secondary to blood loss (chronic) open wound of wrist, with tendon involvement suicide and self-inflicted injury by cutting and piercing instrument open wound of hand except finger(s) alone, with tendon involvement accidents occurring in unspecified place major depressive affective disorder, single episode, severe, specified as with psychotic behavior injury to liver with open wound into cavity, laceration, unspecified traumatic pneumothorax with open wound into thorax suicidal ideation open wound of forearm, with tendon involvement injury to diaphragm, with open wound into cavity 

Answer: The patient is high likely exposed to