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: ephedrine / adhesive tape / oxycodone attending: chief complaint: metastatic renal cell carcinoma to the liver major surgical or invasive procedure: : left lateral segmentectomy, partial resection of right hemidiaphragm and primary repair, resection of segment 6 mass. history of present illness: 66 y/o old male with a history of metastatic renal cell carcinoma to the liver and common bile duct. he is now 10 months after undergoing a common bile duct excision, cholecystectomy, roux- en-y hepaticojejunostomy, segment iii (umbilical fissure) mass resection, segment iii mass resection x2, segment iii and iv mass resection, segment v mass resection, segment vii mass resection, and segment vi mass resection for metastatic renal cell carcinoma to the common bile duct as well as multiple liver metastases and a solitary surface implant that wasperformed on . a repeat ct scan of the abdomen demonstrated 2 new lesions in the liver. there was a lesion in the left lobe of the liver near the dome that is in the area of the previous lesion taken of the area of segment iii and segment iv. the second lesion is in segment vi and somewhat exophytic abutting gerota fascia. no other abnormalities in the abdomen noted. to or with dr for resection. past medical history: rcc ; mi ; dm- diet controlled psh: cabgx5 and avr ; nephrectomy ; ercp x 3 with multiple stent placements : cbd excision with cholecystectomy, roux-en-y and segment iii, iv, v, vi and vii mass resections : wound revision and closure of incisional hernia with prolene mesh social history: n/ has no history of alcohol use. he has a smoking history but quit eight years ago. he has no history of iv drug use, marijuana use, tattoos, hepatitis, or piercing. he did have blood transfusions in and . he has one year of college. he has been married for 36 years. family history: n/c physical exam: post op vs: 101.1, 79, 96/52, 16, 100% general: sedated card: rrr, no murmur noted lungs: cta bilaterally abd: dressing with serous staining. jp with serosanguinous drainageneuro: propofol for sedation vanc and gent for st jude valve pertinent results: on admission: wbc-9.3 rbc-3.03*# hgb-9.3* hct-25.4*# mcv-84# mch-30.8# mchc-36.8* rdw-17.2* plt ct-136* pt-15.0* ptt-25.2 inr(pt)-1.3* glucose-166* urean-19 creat-1.1 na-140 k-5.1 cl-105 hco3-27 angap-13 alt-61* ast-101* ck(cpk)-501* alkphos-37* totbili-5.3* calcium-7.5* phos-4.0 mg-2.0 on discharge wbc-8.8# rbc-3.52* hgb-10.6* hct-30.5* mcv-87 mch-30.2 mchc-34.9 rdw-15.9* plt ct-262 pt-31.9* ptt-34.2 inr(pt)-3.3* glucose-144* urean-13 creat-1.4* na-135 k-4.2 cl-98 hco3-30 angap-11 alt-39 ast-32 alkphos-95 totbili-0.9 calcium-7.8* phos-3.3 mg-2.2 albumin-2.7* brief hospital course: 66 y/o male well known to service who underwent left lateral segmentectomy, partial resection of right hemidiaphragm and primary repair, resection of segment vi mass for recurrent renal cell carcinoma. he was taken to the or with dr . at the time of the surgery, he had a large mass in the left lateral segment at a site of previous resection that was densely adherent to the right diaphragm and required a left lateral segmentectomy and resection of a portion of the right hemidiaphragm. there was a second mass lateral that was originally by ct thought to be in segment vi but in fact, most likely represented a large metastatic deposit along the resection margin of the previous segment vi resection. this was a large necrotic tumor mass between the liver and the diaphragm and right side of the abdominal wall adjacent to gerota fascia. this mass could not be resected in its entirety. he received 4,000 ml of crystalloid, 3 units of fresh frozen plasma, 9 units of packed red cells, 750 ml of albumin and made 800 ml of urine. he remained intubated through pod 3 and remained on o2 for low o2 sats for several more days his diet was advanced with good tolerance following extubation the foley was d/c'd on pod 4. he was diuresed with lasix. on pod 4 he had fever to 102.6. blood cultures drawn at that time grew e coli. he had been started on vanco and gentamycin on pod 0 as he has a st jude valve and previous known bacteremia. he received 10 days of vanco and 7 days of gentamycin. he was also felt to have pneumonia based on chest xray and o2 requirements and gentamycin was discontinued and ceftazadime added. a picc line was placed on as per id recomendations who saw patient throughout the hospitalization. it was determined he should receive antibiotics iv through . he was switched to iv ceftriaxone for discharge. other culture data from this admission showed e coli growing at the drain site and cultures were also sent from the jp drain fluid, both medial and lateral, which need outpatient follow up. these drains are to stay in until further evaluation with dr . incision looked slightly reddened, but is intact and without drainage. medications on admission: amitriptyline 50', bisoprolol fumarate 5', vicodin 1 tab'''' prn, mobic 15', warfarin 10', tylenol prn, chondroitin sulfate 1 tab'', iron sulfate 1 tab', glucosamine 1000', keflex 500''' discharge medications: 1. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours). 2. insulin regular human 100 unit/ml solution sig: follow sliding scale injection asdir (as directed). 3. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 4. amitriptyline 50 mg tablet sig: one (1) tablet po hs (at bedtime). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. warfarin 2 mg tablet sig: four (4) tablet po once daily at 4 pm: for aortic valve replacement. 7. 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. 8. ceftriaxone in dextrose,iso-os 2 gram/50 ml piggyback sig: one (1) dose intravenous q24h (every 24 hours) for 7 days: stop after . 9. bisoprolol patient usually takes bisoprolol fumarate 5mg qd. on hold due to low bp's. discharge disposition: extended care facility: nursing discharge diagnosis: left lateral esegmentectomy, segment 6 mass resection, repair of diaphragm for recurrent renal cell ca pneumonia e.coli bacteremia discharge condition: good discharge instructions: please call dr. office if fever, chills, nausea, vomiting, incision rednss, bleeding or drainage. followup instructions: , rn coordinator will call with follow up appointment with surgeon dr. in weeks office. , rn md, procedure: venous catheterization, not elsewhere classified partial hepatectomy excision of lesion or tissue of diaphragm diagnoses: pneumonia, organism unspecified malignant neoplasm of liver, secondary other postoperative infection diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status malignant neoplasm of kidney, except pelvis heart valve replaced by other means bacteremia old myocardial infarction other respiratory complications personal history of malignant neoplasm of other gastrointestinal tract 

Answer: The patient is high likely exposed to