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: sigmoid carcinoma, umbo hernia major surgical or invasive procedure: 1. laparoscopy. 2. flexible sigmoidoscopy and tattooing of tumor. 3. laparoscopic sigmoidectomy with #31 stapled coloproctostomy. 4. incarcerated umbilical hernia repair history of present illness: the patient is a morbidly obese gentleman with multiple medical problems who was diagnosed with sigmoid colon cancer. after cardiac clearance, and no evidence of metastatic disease by ct scan, he was taken to the operating room for definitive resection. past medical history: dm2, htn, hyperchol, anxiety social history: quit tobacco > 20 years ago, drinks 4-6 beers daily, retired from . married, wife recently broke ankle. family history: his family history is negative for cancer. there is no family history of premature coronary artery disease, unexplained heart failure, or sudden death. father died in his 70's, had parkinson disease. physical exam: at time of dscharge: tm:98.1 tc: 98.1 p76 bp:138/73 rr:20 sao2:98% at 4l gen: nad card: rrr no m/r/g lung: ctab with distant breath sounds abd: +bs, soft, obese, nontender, nondistended, no reboung or guarding wound: c/d/i ext: pedal edema pertinent results: 01:10pm blood wbc-15.1* rbc-3.81* hgb-12.0* hct-37.7* mcv-99* mch-31.5 mchc-31.7 rdw-14.2 plt ct-384 04:12am blood neuts-90* bands-1 lymphs-3* monos-3 eos-2 baso-1 atyps-0 metas-0 myelos-0 04:12am blood hypochr-2+ anisocy-1+ poiklo-normal macrocy-2+ microcy-normal polychr-normal 01:10pm blood pt-13.8* ptt-22.0 inr(pt)-1.2* 06:50am blood creat-1.5* k-4.5 07:20am blood creat-1.5* k-4.0 07:25am blood creat-1.2 k-3.4 07:40am blood glucose-138* urean-13 creat-0.9 na-135 k-4.6 cl-103 hco3-29 angap-8 05:37am blood ck-mb-2 ctropnt-<0.01 probnp-1129* 06:50am blood mg-2.1 05:18pm urine hours-random creat-573 na-27 . mrsa screen (final ): no mrsa isolated . path:primary tumor: pt3: tumor invades through the muscularis propria into the subserosa or the nonperitonealized pericolic or perirectal soft tissues. regional lymph nodes: pn0: no regional lymph node metastasis. lymph nodes number examined: 14. number involved: 0. . studies: echo: la normal in size. lv wall thickness, cavity size, global function normal (lvef>55%). rv chamber size, free wall motion normal. av not well seen. no ar. mv not well seen. no mr. pressure not determined. anterior space which most likely represents a prominent fat pad. . cta: no evidence of pe. b/l ground-glass opacities with central distribution, sparing the lung bases, no intralobular septal thickening (aspiration pneumonia >> fluid overload). mild dilatation of the main pulmonary artery suggestive of pa htn. b/l small pleural effusions (l > r). gallstones, no cholecystitis. . brief hospital course: mr. is a 63-year-old man who underwent a screening colonoscopy and was found to have several polyps and a mass at 25 cm. this was biopsied positive for moderately differentiated adenocarcinoma. he underwent a ct scan of the abdomen, which showed no evidence of metastatic disease. he had no gi symptoms referable to the colon cancer. after cardiac clearance, and no evidence of metastatic disease by ct scan, he was taken to the operating room for definitive resection. patient underwent laparoscopic sigmoidectomy with stapled coloproctostomy and umbilical hernia repair. . he returned to 5 from the pacu. he was made npo and had iv hydration, iv medications, foley and oxygen via nc. he started to show evidence of fluid overload, initially o2 sats's the mid 90s on 5l nc, but had desated to mid 80s requiring nrb. a cta was done - negative for pe. he also had an echo, which showed a normal ef. he had been persistently hypertensive and tachycardic despite hydralazine iv and metoprolol iv. after stabilizing diurisis and blood pressure control in the icu, he returned to the surgical floor requiring oxygen by nasal cannula. . the patient's serum creatinine increased from 0.9 to 1.5 his po lasix will be held for a total of 3 days. the pt will follow up with his pcp . prior to his visit the vna will draw a serum creatinine and fax to pcp . a discharge summary was faxed to the office. . the pt's blood sugar was 50 on without any signs or symptoms of hypoglycemia. this was treated and the pt was educated on the s/s of hypoglycemia. he was advised to check his blood sugar before meals and at bedtime and to continue with his oral diabetic medications. he was advised to call his pcp if his blood sugar is less than 90 or more than 250. the patient's staples were removed and steri strips were applied. . the patient is currently on home oxygen 2l via nc. he will continue with this at home. he was evaluated per physical therapy, and cleared for home with oxygen. he was able to ambulate up and down stairs in hospital prior to discharge with sats remaining over 95% on 2 liters with minimal assist. it was recommended he be discharged to a rehabilitation facility secondary to his acute renal failure and hypoglycemia, but he refused this. the risks of this were explained to the patient. discharge paperwork was reviewed with the patient and he will follow up with dr. in weeks and his pcp . medications on admission: lisinopril 40 mg, lasix 80 mg, toprol xl 50 mg, metformin 1000 mg , glyburide 5 mg , zoloft 40 mg, xanax 0.5 mg tid prn, zocor 80 mg, betoptics drops discharge medications: 1. morphine 15 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for 2 weeks. disp:*45 tablet(s)* refills:*0* 2. metoprolol succinate 100 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po daily (daily). 3. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 5. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 6. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). 7. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 8. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 9. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 10. xanax 0.5 mg tablet sig: one (1) tablet po three times a day as needed for anxiety. 11. zocor 80 mg tablet sig: one (1) tablet po once a day. 12. sertraline 25 mg tablet sig: two (2) tablet po daily (daily). 13. trusopt 2 % drops sig: one (1) ophthalmic twice a day. discharge disposition: home with service facility: , discharge diagnosis: primary: sigmoid colon cancer incarcerated umbilical hernia. post-op hypoxia secondary to fluid over load hypercarbia post op ventricular tachycardia hypertension acute renal failure . secondary: dm2, htn, hyperchol, anxiety discharge condition: stable tolerating regular diet pain well controlled with oral medicaitons discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . incision care: -your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. . oxygen: -please continue with your home oxygen therapy. titrate oxygen to maintain resting saturations over 93%. . medications: lasix: -please continue to hold your lasix until your follow up your pcp . . blood sugars: -please continue to check your blood sugars before meals and at bedtime. -please call your pcp if your blood sugars are under 90 and over 250. -continue your metformin and glyburide unless otherwise instructed per yor pcp. followup instructions: 1) please call dr. office for a followup appointment in weeks ( 2. a follow up appointment was made for you at your pcp's office, , m. , on at 11:00 am. please call if you can not make this appointment. it is very important for you to keep this appaointment to follow up with your lab results. neither dictated nor ready by me procedure: laparoscopy flexible sigmoidoscopy large-to-large intestinal anastomosis laparoscopic sigmoidectomy other laparoscopic umbilical herniorrhaphy diagnoses: obstructive sleep apnea (adult)(pediatric) congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified cardiac complications, not elsewhere classified acute on chronic diastolic heart failure depressive disorder, not elsewhere classified pulmonary collapse other specified cardiac dysrhythmias other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation morbid obesity urinary complications, not elsewhere classified alcohol abuse, continuous malignant neoplasm of sigmoid colon umbilical hernia with obstruction 

Answer: The patient is high likely exposed to