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: patient recorded as having no known allergies to drugs attending: chief complaint: abdominal pain. major surgical or invasive procedure: exploratory laparotomy, right hemicolectomy with takedown of hepatic flexure, and construction of an end ileostomy and mucous fistula. history of present illness: mr. is a 74-year-old male who previously underwent a kidney transplant that was complicated by allograft rejection and shock resulting in loss of his kidney and return to dialysis. the patient has had multiple vascular complications and recently underwent an fem distal bypass on the right side. he remains hospitalized in the skilled nursing facility when he developed abdominal pain over the last several days. he presented to the emergency room where on evaluation he was found to have obvious peritonitis. a ct scan did not demonstrate any intra- abdominal pathology. past medical history: 1) esrd s/p cadaveric renal transplant , on pd (catheter placed ') 2) cad s/p cabg x 3 - s/p angioplaty om graft ; s/p angioplasty of native lad 3) htn 4) hyperlipidemia 5) type ii dm 6) anemia of chronic disease 7) h/o bladder carcinoma status post resection. 8) s/p turp (') and turbt 9) s/p hernia repair 10) peripheral vascular disease: s/p right femoral-to-posterior tibial artery bypass with nonreversed right cephalic arm vein graft social history: pt is a retired truck driver, lives with wife, son and grandchildren. smoked for 40 years, quit smoking 20 years ago. denies etoh and illicit drugs. family history: mother- died mi ('s) father- died ca ('s) physical exam: on admission: 97.1 82 91/41 16 95% 2l o2 appears in pain, a&ox3 pearl, nc/at irreg rhonchi diffusely soft, diffusely tender w/ gaurding ext: r groin incision w/ staples, rle incision w/ staples, small serous drainage dry gangrene 1st and 3rd toes. rue incision intact pulses: rle fem-palp, graft-palp, dp/pt-dop lle fem-palp, -dop, dp/pt-dop pertinent results: 01:40pm blood wbc-4.5# rbc-3.94* hgb-12.3* hct-39.4*# mcv-100*# mch-31.3 mchc-31.3 rdw-23.1* plt ct-54*# 10:02pm blood wbc-5.2 rbc-3.04* hgb-9.8* hct-30.6* mcv-101* mch-32.1* mchc-31.8 rdw-22.7* plt ct-56* 02:47am blood wbc-8.0# rbc-3.11* hgb-9.9* hct-31.7* mcv-102* mch-31.9 mchc-31.4 rdw-22.7* plt ct-58* 03:16am blood wbc-8.5 rbc-3.72* hgb-11.4* hct-35.9* mcv-96 mch-30.7 mchc-31.9 rdw-22.2* plt ct-47* 08:51am blood wbc-10.0 rbc-3.59* hgb-11.2* hct-33.9* mcv-95 mch-31.1 mchc-32.9 rdw-22.4* plt ct-55* 01:40pm blood pt-14.1* ptt-28.2 inr(pt)-1.2* 01:40pm blood plt smr-very low plt ct-54*# 10:02pm blood pt-14.8* ptt-29.6 inr(pt)-1.3* 10:02pm blood plt ct-56* 03:16am blood plt ct-47* 08:51am blood pt-33.1* ptt-39.9* inr(pt)-3.6* 08:51am blood plt ct-55* 01:40pm blood fibrino-559* d-dimer-2837* 08:51am blood fibrino-203# 01:40pm blood glucose-218* urean-50* creat-5.3*# na-131* k-3.2* cl-88* hco3-26 angap-20 10:02pm blood glucose-204* urean-47* creat-4.8* na-131* k-3.4 cl-96 hco3-20* angap-18 02:47am blood glucose-222* urean-50* creat-5.0* na-130* k-3.6 cl-95* hco3-20* angap-19 03:16am blood glucose-91 urean-32* creat-2.8* na-136 k-4.5 cl-97 hco3-13* angap-31* 08:51am blood glucose-66* urean-29* creat-2.4* na-144 k-4.4 cl-100 hco3-16* angap-32* 01:40pm blood alt-22 ast-17 alkphos-75 amylase-19 totbili-0.4 10:02pm blood alt-17 ast-17 ld(ldh)-285* ck(cpk)-39 alkphos-64 amylase-16 totbili-0.5 05:37am blood ck(cpk)-41 09:00pm blood alt-417* ast-568* ck(cpk)-62 alkphos-80 amylase-44 totbili-1.8* 08:51am blood alt-643* ast-948* ld(ldh)-1398* ck(cpk)-96 alkphos-74 amylase-47 totbili-3.0* 01:40pm blood lipase-15 10:02pm blood lipase-13 09:00pm blood lipase-37 08:51am blood lipase-49 10:02pm blood ck-mb-6 ctropnt-0.67* 05:37am blood ck-mb-notdone ctropnt-0.72* 01:59pm blood ck-mb-6 ctropnt-0.85* 09:00pm blood ck-mb-notdone ctropnt-0.41* 08:51am blood ck-mb-notdone ctropnt-0.38* 01:40pm blood albumin-2.6* calcium-8.2* phos-5.3* mg-1.6 10:02pm blood albumin-2.1* calcium-8.1* phos-6.4* mg-1.4* 02:47am blood phos-6.8* mg-2.0 09:00pm blood calcium-11.2* phos-5.6* mg-2.2 03:16am blood calcium-11.5* phos-6.1* mg-2.1 08:51am blood albumin-2.5* calcium-10.9* phos-5.5* mg-2.0 05:47am blood hapto-171 03:32pm blood vanco-3.2* 08:55am blood type-art po2-43* pco2-35 ph-7.38 calhco3-22 base xs--3 03:33am blood type-art po2-83* pco2-28* ph-7.33* calhco3-15* base xs--9 01:12am blood type-art po2-105 pco2-28* ph-7.32* calhco3-15* base xs--10 03:33am blood freeca-1.09* brief hospital course: pt transferred from with acute intermittant abdominal pain. ct in ed showed: 1. 3 cm anterior abdominal wall inflammatory changes with foci of air in rectus sheath and subcutaneous tissue, above umbilicus. in the absence of recent instrumentation, this is suspicious for infection, and a focus clinical exam at this site is advised. if indeed of infectious etiology, diagnostic considerations should include gas forming organisms. 2. multiple foci of free intraabdominal air in nondependent portions of the abdomen. this air is likely secondary to peritoneal catheter. however, if clinical service suspicion is high, we can reimage the patient in the left down lateral decubitus position after the administration of more oral contrast. . pt was admitted and was taken to the sicu. pressors were started in the setting of new onset afib. pt intubated, ngt, foley, a-line, cvl, pa. solumedrol 24'. linezolid, levoflox and flagyl started. peritoneal fluid sent for analysis, and grew 3 isolates of enterococcus. pt underwent operation on day of admission. post-op dx: gangrenous cecum without perforation. final path showed: ileocolectomy specimen: 1. focally transmural necrosis and acute inflammation, colon, see note. 2. proximal and distal resection margins free of necrosis and acute inflammation. 3. unremarkable appendix. . renal and gi were consulted, vascular surgery followed. cvvh was initiated. pt continued on vent, pressors (levophed) and propofol. pod 2- platelets decreased and hit screen was sent. was found to be negative. hct dropped 30->24 and was transfused 2 units. cards consulted: plan for tee, cardioversion once anticoagulation can be started. pod 3- pt extubated and off pressors. platelets transfused x2. pod 4- transfused prbc x2 and plts x3, cvvh continued pod 5- during am rounds (approx 0805) pt found to be in respiratory distress w/ . o2 sats. pt intubated. neo started with sbp to 90's, increased with little effect. pt continued to acutely decompensate despite pressors and fluids. acls protocol, cpr initiated. vfib arrest. time of death 0900, . family notified by primary team. medications on admission: iron 325 mg po daily nephrocaps prednisone 20 mg po daily cipro 250 mg po bid metoprolol 125 mg po bid atorvastatin 80 mg po daily colace 100 mg po bid finasteride 5 mg po daily prevacid 30 mg po bid imdur 30 mg po daily hydralazine 25 mg po q6h glipizide 5 mg po bid metamucil epo percocet prn discharge medications: deceased discharge disposition: expired discharge diagnosis: primary: colon ischemia secondary: cad, esrd, chf discharge condition: expired discharge instructions: pt expired followup instructions: none procedure: venous catheterization, not elsewhere classified insertion of endotracheal tube temporary colostomy temporary ileostomy open and other right hemicolectomy transfusion of packed cells diagnoses: end stage renal disease congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease ventricular fibrillation acute vascular insufficiency of intestine 

Answer: The patient is high likely exposed to