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: tetanus / vicodin / ambien attending: chief complaint: abdominal pain major surgical or invasive procedure: exploration of left inguinal hernia with small- bowel resection of approximately 60 cm with primary stapled side-to-side anastomosis, omentum resection and primary closure of the inguinal defect. right basilic picc line history of present illness: patient is an 80m with pmh significant for mi x 2 s/p stents placement (), copd/emphysema and sleep apnea, presenting with incarcerated likely left femoral hernia. patient is uncertain as to when the herniation happen, but denies any pain until early last night/ this morning. pain described as constant and is localized to left lower quadrant. incidentally he also fell out of bed in the morning on day of presentation, does not recall how, did not sustain any injury. patient reports last bowel movement 2 days ago. normally has a bowel movement every day. he denies constipation or diarrhea, vomiting or nausea. denies fevers, chills or night sweats. patient was seen by his pcp last week for evaluation of the rash that he developed in the left groin area. the pcp did not notice the hernia. patient had no abdominal pain at that time. past medical history: pmh: - chronic dyspnea - severe osteoarthritis - right parotid cyst - asthmatic bronchitis/ emphasyma - copd - sleep apnea - right cataract extraction - cad - mi x 2 s/p cardiac stents placement (? ) - hypertension - cardiomyopathy - lvef 40% psh: - bilateral total knee replacements - left inguinal hernia repair approximately 25 years ago social history: lives with a wife, increasing dementia over the past 6 months, walks with a cane, was a real eastate lawyer family history: non contributory physical exam: upon presentation to : temp 98.0 hr 74 bp 187/88 rr 20 o2 sat 97% ra gen: nad, pleasant cv: rrr pulm: cta b/l abdomen: obese, + bs, nd, tender in the llq where there is a large hernia contanining bowel, it is not reducible extremities: no edema bilaterally pertinent results: 04:50am wbc-8.4 rbc-4.35* hgb-13.8* hct-41.3 mcv-95 mch-31.7 mchc-33.3 rdw-14.4 04:50am neuts-79.2* lymphs-17.0* monos-2.1 eos-0.9 basos-0.8 04:50am plt count-141* 04:50am alt(sgpt)-22 ast(sgot)-26 alk phos-63 tot bili-0.9 04:50am glucose-127* urea n-29* creat-1.4* sodium-145 potassium-4.2 chloride-108 total co2-23 anion gap-18 ct abd/pelvis : 1. incarcerated left inguinal hernia with multiple dilated bowel loops within the hernia sac. 2. bilateral adrenal nodules, incompletely assessed. recommend further evaluation with non-emergent mri. 3. multiple bilateral probable renal cysts, some of which too small to fully characterize head ct : no acute intracranial process. brief hospital course: mr. was evaluated by the acute care service in the emergency room and based on his physical exam and abdominal ct urgent surgery was recommended. due to his other co morbidities he underwent medical clearance from pulmonology and geriatric medicine prior to going to the operating room. on he was taken to the operating room and underwent an exploration of the left inguinal hernia with a small bowel resection and closure of the hernia defect. he tolerated the procedure well and returned to the sicu in stable condition. he maintained stable hemodynamics and was eventually extubated. postoperatively he had problems with profound delirium which reportedly happened with previous hospitalizations. a head ct was done to assure there was no acute pathology and it was essentially normal. following transfer to the surgical floor his mental status remained about the same. he knew his name but otherwise perseverated and had periods of agitation. the geriatric team had consulted early on during his hospital stay and were re-consulted again with this acute delirium. they felt that he may have body dementia and recommended treatment with ativan as opposed to haldol. his narcotics were minimized and eventually he improved. currently he is awake, oriented to self, cooperative and without any episodes of agitation. due to difficult venous access a picc line was placed in the right basilic vein on . this was strictly for iv access and can be removed once it is no longer needed. his diet was advanced on post op day #3 and he remained free of nausea or vomiting. his abdominal incision was noted with erythema and mild induration, keflex was started and ordered for a total of 7 days. physical therapy was consulted and have recommended a stay in a short term rehab prior to returning home to increase his mobility and endurance. medications on admission: - amlodipine 5 mg daily - lasix 20 mg daily - atorvastatin 20 mg daily - carvedilol 12.5 mg qam - carvedilol 25 mg qpm - fexofenadine - ipratropium - nitroglycerin - acteaminophen - aspirin 325 mg daily - ibuprofen 200 mg dialy - benadryl 50 mg daily discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for wheezing . 3. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for wheezing. 4. quetiapine 25 mg tablet sig: one (1) tablet po daily (daily). 5. tylenol 325 mg tablet sig: two (2) tablet po three times a day. 6. acetaminophen 325 mg tablet sig: two (2) tablet po tid (3 times a day). 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 9. carvedilol 12.5 mg tablet sig: one (1) tablet po daily (daily). 10. carvedilol 12.5 mg tablet sig: two (2) tablet po once daily at 6 pm. 11. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 12. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 13. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 14. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 15. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 6 days. 16. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 17. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 18. polyethylene glycol 3350 17 gram/dose powder sig: seventeen (17) grams po daily (daily). 19. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day) as needed for constipation. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: 1. incarcerated left inguinal hernia with gangrenous small bowel and gangrenous omentum 2. wound cellulits 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: you were hospitalized with a hernia in your groin that was incarcerated with a portion of your intestines that was badly damaged requrirng an operation to repair this. your operation was successful, you did however develop an infection along your incision called cellulitis and now being treated with an antibiotic called keflex for 7 days total. *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. followup instructions: call the acute care clinic at for a follow up appointment next week. provider: , : date/time: 1:30 procedure: other partial resection of small intestine excision or destruction of peritoneal tissue small-to-small intestinal anastomosis unilateral repair of inguinal hernia, not otherwise specified diagnoses: other primary cardiomyopathies obstructive sleep apnea (adult)(pediatric) pure hypercholesterolemia other postoperative infection cellulitis and abscess of trunk congestive heart failure, unspecified unspecified essential hypertension percutaneous transluminal coronary angioplasty status surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction chronic systolic heart failure obesity, unspecified chronic obstructive asthma, unspecified dementia in conditions classified elsewhere without behavioral disturbance acute vascular insufficiency of intestine knee joint replacement delirium due to conditions classified elsewhere dementia with lewy bodies inguinal hernia, with gangrene, unilateral or unspecified, recurrent 

Answer: The patient is high likely exposed to