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: morphine attending: chief complaint: fever of unknown origin, drainage from surgical major surgical or invasive procedure: none history of present illness: 59 year old male well known to the csurg service as he is status post ruptured thoracoabdominal aneurysm repair on . he was transferred today from rehab with fever of unknown origin and new thoracoabdominal drainage and new rash. he was transferrd to for further workup. past medical history: type a aortic dissection with rupture s/p thoracoabdominal repair hypertension atrial fibrillation blindness s/p aortic dissection repair respiratory failure s/p trach and g-j tube - emergent salvage repair of ruptured thoracoabdominal aortic aneurysm with a 34-mm dacron tube graft using deep hypothermic circulatory arrest. - chest and abdomen exploration, removal of packs, chest closure. - abdomen closure/ feeding jejunostomy tracheostomy social history: admitted from rehab lived with finance prior to surgery family history: unknown physical exam: pulse:82 resp: o2 sat:cpap .4/ps+10/p+5 b/p right: 106/52 left: height: weight: general: skin: dry intact pruritic, reticular erythematous diffuse rash heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + incisional juncture open area 2lx2wx1d cm purulent drainage extremities: warm , well-perfused edema varicosities: none neuro: grossly intact, except (b)blindness pertinent results: 03:07am blood wbc-10.6 rbc-2.89* hgb-8.3* hct-25.9* mcv-90 mch-28.8 mchc-32.1 rdw-14.7 plt ct-450* 03:07am blood glucose-109* urean-26* creat-0.9 na-136 k-4.8 cl-102 hco3-31 angap-8 05:53pm blood alt-33 ast-22 ld(ldh)-176 alkphos-99 amylase-58 totbili-0.7 05:53pm blood lipase-30 03:07am blood calcium-8.6 mg-2.0 : right sided cvl in the lower svc. s/p aortic aneurysm repair. persistent retrocardiac density. urine: negative for legionella serogroup 1 antigen. urine: urine culture (final ): no growth. : sputum: serratia marcescens. moderate growth. : cx: albicans, presumptive identification. sparse growth. urine culture (final ): escherichia coli. : blood culture, routine: ngtd brief hospital course: 59 yo m with a pmhx significant for type a aortic dissection s/p emergent repair with very complicated post op course notable for trach and gj tube presented to on from rehab with fever of unknown origin. pt had been hospitalized at from - for his aortic dissection and post op course. he was transferred to rehab on for physical therapy. the patient had been noted to have an open area of his thoracic that hs been draining a moderate amount of purulent bloody drainage. pt was also having some foul smelling loose stools and thus started on iv flagyl and had stool sent for c. diff which was negative on . on , pt was also noted to be more agitated and pulling at his trach. he was documented to have a single rectal temp on of 103.5 given tylenol and rechecked to be 102.1 and subsequently temperature of 100.4. pt was also noted to have the onset of a diffuse body drug rash presumed to be due to the flagyl and pt started on hydrocortisone topical cream. cxr was obtained with concern for haziness at left base and thus patient was transferred to for concern for development of ventilator associated pneumonia. pt also noted to be having some diarrhea and thus concern for c. difficile as well. pt was transferred to and on exam noted to have minimal opening of incision on chest of 2x2x1 cm with only serosanguinous drainage which was cleaned and had swab sent for culture which grew albicans, sparse growth. the patient was also noted to have copious thick yellow respiratory secretions. he was started on empiric vancomycin therapy. the infectious disease team was consulted and recommended cefepime based on ecoli in the urine and serratia in the sputum. white blood cell count from a peak of 18 to 10 and he remained afebrile x 72 hours prior to discharge. per infectious disease recommendations, his antiboitics were changed to meropenem on and this is to continue for a 10 day course. also noted on admit was a new stage iii decub ulcer, which was treated by the care nurse. was as follows: type pressure ulcer, location:coccyx size:5.5 x 5cm bed: irregular, 80% pink tissue, 20% pale yellow exudate: moderate yellow odor: none edges: maceration, lifting peri tissue: intact, no induration or fl uctuance. recommendations were pressure relief per pressure ulcer guidelines support surface kainair, turn and reposition every 1-2 hours, heels off bed surface at all times multipodius, if oob, limit sit time to one hour at a time and sit on a pressure relief cushion. gya chair cushion, elevate le's while sitting, moisturize b/l le's and feet with aloe vesta ointment commercial cleanser or normal saline to irrigate/cleanse open . pat the tissue dry with dry gauze, apply moisture barrier ointment to the peri tissue with each drg change, apply sacrum mepilex dressing, change dressing every 3 days. on admission, the patient was in sinus ryhthm and remained in sinus rhtym throughtout his hospital course. per dr. the the amiodarone is to continue until he see his cardiologist but he no londer required anticoagulation with coumadin. he is to remain on subcutaneous heparin for deep venous thrombsis prevention. the patient's g tube was noted to be clogged on admission. this was resolved with papain solution and was patent at the time of discharge. he was tolerating tube feeds at goal. the patient required minimal suctioning and was tolerating trach collar for several hours prior to discharge. at the time of discharge, the patient was afebrile with decreased white blood cell count and no signs of active infection. he is to continue on meropenem x 10 days per infectious disease recommendations. he is to continue trach collar trials during the day with increases in duration as tolerated. care per recommendations above. medications on admission: medications at rehab 1. ranitidine hcl 15 mg/ml syrup sig: one y (150) mg po daily (daily). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dryness. 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 5. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 6. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: six (6) puff inhalation q6h (every 6 hours) as needed for wheezes. 7. amiodarone 200 mg tablet sig: two (2) tablet po once a day: 400mg daily for 7days then 200mg daily. 8. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day) as needed for groin yeast. 9. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 10. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). 11. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for thrush. 12. clonazepam 1 mg tablet sig: one (1) tablet po bid (2 times a day). 13. lorazepam 1 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for agitation/anxiety. 14. insulin glargine 100 unit/ml solution sig: twenty (20) units subcutaneous once a day. 15. furosemide 20 mg tablet sig: one (1) tablet po twice a day. 16. warfarin 1 mg tablet sig: as directed tablet po once daily at 4 pm: 3mg on target inr 2-2.5 (received 5mg last 4 days) . 17. insulin regular human 100 unit/ml solution sig: sliding scale injection qac&hs. discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. docusate sodium 50 mg/5 ml liquid sig: ten (10) mililiters po bid (2 times a day). 3. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for pruritis. 4. cortisone 1 % cream sig: one (1) appl topical (2 times a day). 5. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). 8. clonazepam 1 mg tablet sig: one (1) tablet po bid (2 times a day). 9. ranitidine hcl 15 mg/ml syrup sig: ten (10) mililters po daily (daily). 10. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 11. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for wheeze. 12. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily): per j tube. 13. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic q 8h (every 8 hours). 14. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for agitation/anxiety. 15. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 16. insulin glargine 100 unit/ml solution sig: twenty (20) units subcutaneous q am. 17. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical tid (3 times a day) as needed for dry skin/itch. 18. acetaminophen 650 mg/20.3 ml solution sig: one (1) 20.3 ml po q6h (every 6 hours) as needed for pain. 19. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 20. lipase-protease-amylase 8,000-30,000- 30,000 unit tablet sig: one (1) tablet po once a day as needed for g tube clogging. 21. sodium bicarbonate 650 mg tablet sig: one (1) tablet po once (once) as needed for g tube clogging: crush and mix with 30 cc water prn for g tube clogging. 22. meropenem 500 mg recon soln sig: one (1) recon soln intravenous q6h (every 6 hours) for 10 days. 23. insulin regular human 100 unit/ml solution sig: one (1) injection four times a day: per previous sliding scale parameters. discharge disposition: extended care facility: hospital - discharge diagnosis: drug reaction rash, ventalator associated pneumonia, urinary tract infection discharge condition: alert, oriented, moves all 4 tolerating tube feeds tolerating trach collar discharge instructions: pt is to continue on cpap peep 5 pressure support 8 with trach collar trials during the day as tolerated care as per recommendations please bath daily including washing incisions gently with mild soap, no baths or swimming, and check incisions please no lotions, cream, powder, or ointments to incisions followup instructions: please call to schedule appointments primary care dr. . ( in 2 weeks referral for a cardiologist needed from dr. and please make appt in weeks general surgeon: dr. in 4 weeks procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances diagnoses: urinary tract infection, site not specified unspecified essential hypertension atrial fibrillation other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure long-term (current) use of insulin long-term (current) use of anticoagulants pressure ulcer, lower back dermatitis due to drugs and medicines taken internally ventilator associated pneumonia tracheostomy status profound impairment, both eyes, impairment level not further specified other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms attention to gastrostomy other gastrostomy complications pressure ulcer, stage iii late effects of cerebrovascular disease, disturbances of vision other antiprotozoal drugs causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to