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: no known allergies / adverse drug reactions attending: addendum: this addendum reflects notation of the vaccines provided prior to discharge. the following three vacines were provided prior to discharge. pneumococcal vac polyvalent 0.5 ml im influenza virus vaccine 0.5 ml im now x1 meningococcal conj vaccine (menactra) 0.5 ml im once duration: 1 doses major surgical or invasive procedure: procedures: left laparoscopic radical nephrectomy and left laparoscopic para-aortic lymph node dissection. procedure: open splenectomy for splenic rupture discharge disposition: home discharge diagnosis: : renal cell carcinoma : splenic rupture md procedure: nephroureterectomy division or crushing of other cranial and peripheral nerves regional lymph node excision total splenectomy diagnoses: other iatrogenic hypotension tobacco use disorder unspecified essential hypertension acute posthemorrhagic anemia peripheral vascular disease, unspecified malignant neoplasm of kidney, except pelvis accidental puncture or laceration during a procedure, not elsewhere classified pulmonary collapse other and unspecified hyperlipidemia hemorrhage complicating a procedure retention of urine, unspecified removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation unspecified disease of pancreas other diseases of spleen 

Answer: The patient is high likely exposed to