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: sulfa (sulfonamide antibiotics) / iodine attending: chief complaint: abdominal pain major surgical or invasive procedure: : exploratory laparotomy, lysis of adhesions, small bowel resection and rectal resection with end ileostomy and removal of a large amount of fecal peritonitis. : mucous fistula creation : tunnelled hemodialysis catheter hemodialysis three times weekly dobhoff placement history of present illness: 58m s/p kidney txp in and procedure/reversal / for perforated diverticulitis, now with 2 days abd pain. his pain started about 2 days ago and was vaguely located in the lower abdomen. it worsened overnight until it became unbearable at 6am today, and he called an ambulance to bring him to the ed. the pain is mostly in the llq and is sharp. he states the pain is somewhat similar to when he had perforated diverticulitis 10 years ago, but is less severe now. he had a normal bowel movement last night. he had a ct performed in the ed which showed small foci of free air, for which surgery was consulted. ros: (+) per hpi (-) denies fevers chills, night sweats, unexplained weight loss, fatigue/malaise/lethargy, changes in appetite, trouble with sleep, pruritis, jaundice, rashes, bleeding, easy bruising, headache, dizziness, vertigo, syncope, weakness, paresthesias, nausea, vomiting, hematemesis, bloating, cramping, melena, brbpr, dysphagia, chest pain, shortness of breath, cough, edema, urinary frequency, urgency past medical history: diverticulitis, polycystic kidney disease past surgical history: procedure , kidney transplant social history: lives in own home, reports 1 beer every other day, no tobacco family history: father with polycystic kidney disease physical exam: vitals: 99.0 74 136/70 20 99% gen: a&o, appears uncomfortable heent: no scleral icterus, mucus membranes moist cv: rrr, no m/g/r pulm: clear to auscultation b/l, no w/r/r abd: multiple scars c/w previous surgeries; multiple hernias at previous incisions, all soft and reducible; mildly ttp llq, no rebound or guarding dre: normal tone, no gross or occult blood ext: no le edema, le warm and well perfused pertinent results: on admission: wbc-21.2* rbc-4.87 hgb-12.3* hct-40.1 mcv-82 mch-25.1* mchc-30.5* rdw-16.1* plt ct-271 pt-13.6* ptt-18.4* inr(pt)-1.2* glucose-117* urean-102* creat-7.8* na-139 k-7.3* cl-101 hco3-22 angap-23* alt-8 ast-54* alkphos-34* totbili-0.4 lipase-86* albumin-4.3 calcium-7.8* phos-3.5 mg-1.1* . hbsag-negative hbsab-negative hbcab-negative hcv ab-negative . labs at discharge: wbc-10.7 rbc-3.44* hgb-9.0* hct-28.5* mcv-83 mch-26.1* mchc-31.6 rdw-16.1* plt ct-490* glucose-94 urean-30* creat-3.2*# na-138 k-4.2 cl-100 hco3-28 angap-14 alt-14 ast-35 alkphos-77 totbili-0.9 calcium-8.0* phos-3.0 mg-2.2 brief hospital course: 58 y/o male admitted through the ed with abdominal pain. an abdominal ct was performed which showed irregularly distended loop of distal bowel in the pelvis with questionable pneumatosis and with numerous foci of adjacent extraluminal gas which tracks into a right-sided anterior pelvic wall hernia. mild surrounding inflammation and only trace pelvic free fluid. as these findings were suggestive of possibly chronic inflammation leading to eventual bowel rupture, and concern for rupture near the anastomosis of the previous hartmanns repair, a surgical consult with dr was obtained. he was taken the same day to the or for exploratory laparotomy, lysis of adhesions, small bowel resection and rectal resection with end ileostomy and removal of a large amount of fecal peritonitis. lactate rose as high as 5. he was started empirically on cipro and flagyl. following the or he was immediately transferred to the surgical icu. he was intermittently on neo and a fentanyl drip. he received 2 units prbcs, and home immunosuppression regimen was continued initially. urine output was very poor, and after a renal consult was obtained, a temporary dialysis line was placed and the patient was started on cvvh-d. patient is noted to have a non-functioning left upper arm av graft which appears to be recently placed, however non-functional. blood and urine cultures were sent, (no growth on either culture) and due to the large amount of fecal peritonitis, the antibiotic coverage was broadened to vanco and zosyn. the patient remained hypotensive and on hd 3 was still requiring pressors and was given 2 units prbc's. on the patient was taken back to the or as he was still having pressor requirements and elevated wbc. when the original resection was done it was thought that the distal rectal segment was in continuity, (i.e., a hartmann ), however, it was noted that both the distal ileum and the distal transverse colon had been stapled off during the original surgery, leaving a blind , he was taken back to create a mucous fistula. patients status improved following this second surgery, no additional pressor requirement and cvvh was transitioned to intermittent hd. on hd 6 (pod 6 and 4)the determination was made that the already failing kidney transplant would not be salvageable. cyclosporine was d/c'd, leaving him on prednisone and low dose mmf. a tunneled hemodialysis line was placed in ir with uncomplicated placement of a 23 cm 15.5 french hemodialysis tunneled catheter via the right internal jugular vein with its tip in the right atrium. the patient was extubated on . was arousable but only intermittently following commands. he was seen by neuro and also underwent head ct, showing "deep white matter hypodensities, more prominent on the right, are nonspecific and could be chronic". over the course of the hospitalization he improved in his mental status. he was also seen by pt who recommended rehab when ready for discharge from the hospital. the ostomy looked healthy, gas and stool noted in bag and mucous fistula with output. on , the patient was transferred to the regular surgical floor. hemodialysis has been continued on an intermittent basis (tuesday/thursday/saturday) the initial incision area was opened due to drainage. it has been packed with ns wet to dry dressings and has improved in appearance, the base of the shallow wound has pink granulating tissue. a dobhoff was placed for tube feedings as patient oral intake has been poor. he has been tolerating the tube feeds without diarrhea or nausea/vomiting. wbc was noted again to be rising on pod 8. he also had a low grade fever to 100.1 for several days in a row during that time. blood and urine cultures were again sent. urine culture was no growth, blood cultures are negative to date but not finalized.. a repeat abdominal ct was done on , the rectal anastomosis appeared intact with no focal fluid collection or evidence of developing abscess. there were areas of fluid but no organized collection. over the next few days he was again afebrile, wbc which peaked at 18.7 was again down to 10.7 on discharge. urine output has improved to greater than one liter daily, however creatinine continues to rise between hemodialysis treatments. patient is to transfer to va . chief resident who accepted patient is md. (. the patients failed lue av graft will be referred back to , who created the access on . medications on admission: prednisone 10', mycophenolate sodium 180", cyclosporine 125", calcitriol 0.25', asa 81', iron 325", calcium carbonate 500''', nahco3 1300''', lasix 40', tylenol prn allergies: sulfa discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection (2 times a day). 2. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 5. mycophenolate mofetil 250 mg capsule sig: one (1) capsule po bid (2 times a day). 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 7. calcitriol 0.25 mcg capsule sig: one (1) capsule po once a day. 8. nephrocaps 1 mg capsule sig: one (1) capsule po once a day. 9. hd medications please evaluate for iv iron and epogen dosing per hd protocol discharge disposition: extended care facility: discharge diagnosis: rectal perforation s/p end ileostomy and mucous fistula creation failed kidney transplant now on hemodialysis malnutrition abdominal incision drainage, now open with dressings discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: please contact office at for surgical concerns regarding the end ileostomy or mucous fistula. both are functioning at this time. continue wet to dry dressing changes to abdominal incision area that was opened post op. there is a small opening where a jp had been that drains slightly every day. please call if the drainage increases greatly, becomes bloody or develops a foul odor. continue tube feeds via dobhoff tube continue hemodialysis via right ij dialysis line. patient has non-functioning av graft in the left upper arm. please refer to md who created the access on for question of thrombectomy vs new access placement. followup instructions: , md phone: date/time: 10:20 medical building, , ma, procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other partial resection of small intestine enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis other lysis of peritoneal adhesions small-to-small intestinal anastomosis ileostomy, not otherwise specified other resection of rectum delayed opening of colostomy diagnoses: acidosis other iatrogenic hypotension end stage renal disease toxic encephalopathy intestinal bypass or anastomosis status long-term (current) use of steroids acute kidney failure, unspecified unspecified protein-calorie malnutrition perforation of intestine accidental puncture or laceration during a procedure, not elsewhere classified acute respiratory failure peritoneal adhesions (postoperative) (postinfection) 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 other ascites surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation precipitous drop in hematocrit complications of transplanted kidney diverticulosis of colon (without mention of hemorrhage) mechanical complication of other vascular device, implant, and graft peritonitis (acute) generalized polycystic kidney, unspecified type other fluid overload acute venous embolism and thrombosis of internal jugular veins 

Answer: The patient is high likely exposed to