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: penicillins / cephalosporins / amoxicillin / sulfa (sulfonamides) / bee sting kit / codeine attending: chief complaint: acute abdominal pain and found to have a 5.5 cm aneurysm from an outside hospital major surgical or invasive procedure: s/p open retroperitoneal suprarenal aaa repair history of present illness: this 74-year-old gentleman underwent repair of a ruptured abdominal aortic aneurysm 12 years ago. he was recently admitted to the emergency room at another hospital with abdominal pain and found to have a 5.5 cm aneurysm of the visceral segment of his abdominal aorta starting at about the level of the celiac artery and ending at the previously- placed graft. most of the aneurysmal portion of the aorta was posterior with relatively normal looking aorta anteriorly. he was advised to have repair. past medical history: infrarenal aaa s/p repair htn angina-ef of 66%, cardiac cath l carotid stenosis 60-80% with hx cva, cholelithiasis vertigo social history: lives with wife family history: n/c physical exam: vs 98.0 p 78 bp 151/78 rr 18 o2 sat 94% ra gen: aaox3, nad hent: wnl lungs: cta bl, has a productive cough heart: regular rate and rhythm. abdomen: soft with a large ventral hernia. no pulsatile mass. femoral,popliteal, and dp/pt were all palpable. pertinent results: 06:00am blood wbc-6.2 rbc-3.67* hgb-10.8* hct-31.5* mcv-86 mch-29.3 mchc-34.2 rdw-14.1 plt ct-410 12:29pm blood hct-33.4* 01:41am blood wbc-6.3 rbc-3.53* hgb-10.3* hct-30.2* mcv-86 mch-29.1 mchc-34.0 rdw-14.3 plt ct-344 03:55pm blood hct-32.2*# 04:53am blood wbc-5.6 rbc-2.85* hgb-8.6* hct-25.1* mcv-88 mch-30.1 mchc-34.2 rdw-13.8 plt ct-283 06:49am blood wbc-7.2 rbc-3.05* hgb-9.2* hct-26.9* mcv-88 mch-30.0 mchc-34.1 rdw-14.1 plt ct-286 03:28am blood wbc-8.5 rbc-3.20* hgb-9.4* hct-28.4* mcv-89 mch-29.3 mchc-33.0 rdw-14.2 plt ct-270 06:00am blood plt ct-410 10:27am blood pt-16.0* ptt-28.9 inr(pt)-1.4* 01:41am blood plt ct-344 04:53am blood plt ct-283 06:49am blood plt ct-286 03:28am blood plt ct-270 06:00am blood glucose-120* urean-60* creat-2.3* na-139 k-3.8 cl-105 hco3-26 angap-12 01:41am blood glucose-102 urean-74* creat-2.5* na-139 k-3.8 cl-102 hco3-27 angap-14 03:55pm blood urean-77* creat-2.5* k-4.1 04:53am blood glucose-104 urean-81* creat-2.5* na-139 k-3.5 cl-103 hco3-27 angap-13 02:30am blood glucose-106* urean-90* creat-2.5* na-137 k-3.5 cl-102 hco3-26 angap-13 03:28am blood glucose-96 urean-93* creat-2.3* na-138 k-4.5 cl-104 hco3-24 angap-15 08:04am blood alt-22 ast-33 ld(ldh)-193 alkphos-45 amylase-50 totbili-1.3 04:57pm blood ck(cpk)-659* 05:34am blood ck(cpk)-720* 02:19am blood alt-27 ast-42* ld(ldh)-165 ck(cpk)-670* alkphos-38* totbili-1.8* 05:34am blood ck-mb-11* mb indx-1.5 02:19am blood ck-mb-11* mb indx-1.6 ctropnt-<0.01 06:study date of 7:09 am 00am blood calcium-6.9* phos-3.5 mg-1.9 01:41am blood calcium-7.1* phos-3.9 mg-2.0 04:53am blood calcium-7.2* phos-4.7* mg-2.2 chest x-ray study date of 7:09 am comparison: . upright chest radiograph: an endotracheal tube, left-sided internal jugular central venous line, and nasogastric tube are appropriately positioned. the cardiomediastinal silhouette is unchanged. mild pulmonary edema is improving. there is a small right-sided pleural effusion. the left-sided pleural effusion is less evident on this upright chest radiograph. impression: 1. improving pulmonary edema. 2. small bilateral pleural effusions. the study and the report were reviewed by the staff radiologist. chest (portable ap) study date of 10:16 am findings: the moderate left pleural effusion is stable. mild right pleural effusion and minimal pulmonary edema is also stable. the heart size is within limits. the endotracheal tube is 4 cm from the carina in satisfactory location. impression: 1. stable moderate left pleural effusion. 2. stable mild right pleural effusion and adjacent right pulmonary edema. the study and the report were reviewed by the staff radiologist. ecg study date of 2:04:50 pm sinus rhythm consider left atrial abnormality generalized low voltage these findings are nonspecific but clinical correlation is suggested no previous tracing available for comparison brief hospital course: this 74-year-old gentleman underwent repair of a ruptured abdominal aortic aneurysm 12 years ago. he was recently admitted to the emergency room at another hospital with abdominal pain and found to have a 5.5 cm aneurysm of the visceral segment of his abdominal aorta starting at about the level of the celiac artery and ending at the previously-placed graft. most of the aneurysmal portion of the aorta was posterior with relatively normal looking aorta anteriorly. he was advised to have repair he agreed to have the procedure done. patient was admitted via holding room to vascular surgery/dr. service. patient was taken to or and had a successful resection and repair of abdominal aortic aneurysm. patient was intubated, sedated post-operatively, transferred to cvicu for recovery. patient was transfused 2 units ffp and 2 units prbc for ebl of 2500 cc intra-op. fluid resuscitated. epidural was placed for pain control. remains in cvicu, intubated, sedated, more fluid rescusitation. vital signs stable. low urine output. good pain control with epidural. routine labs and electrolytes repleted. noted to have mild thrombocytopenia-no intervention, monitored. riss for blodd sugar control. remains in cvicu, intubated- with moderate metabolic acidosis, slightly sedated. moderately tachycardic and hypertensive place on nitro drip and lopressor iv. remains in cvicu, slightly sedated, intubated-weaning to cpap, then as tolerated. remains on nitro drip and lopressor iv for bp and hr control. hydralazine iv was added for increasing hypertension. po meds resumed via ngt. remains in cvicu, slightly sedated-weaning, intubated- continued vent wean. patient had increased work of breathing, remains to have low urine output, and t maxed 101.4. remains on nitro and lopressor. started to diurese with lasix-responded well. started on vanco and aztreonam. remains in cvicu, slightly sedated-weaned off. low grade temp. making good urine output, creatinine rising- continue to diurese and watch creatinine. sputum grew enterobacter-continue vanco and aztreonam. tube feeds started and tolerating-titrating to goal. remains in cvicu, intubated-on cpap-plan to extubate. off sedation, now trying to follow commands. afebrile, vss on current meds. vanco and aztreonam changed to cipro for the enterobacter in sputum. remains on metoprolol iv. tolerating tube feeds now at goal. continue to diurese. remains in cvicu, remains intubated-continue weaning. mae, following commands. now autodiuresing. afebrile, still mildly hypertensive- lopressor iv prn. tolerating tube feeds. remains in cvicu. extubated maintaining airway with tent mask. diuresed again. antibiotic- remains on cipro. remains in cvicu, maintaining airway. vital signs stable. remains on lopressor iv. started po diet. diuresed again with lasix. physical therapy consult. vitals stable transferred to vicu 5. a-line d/c'd. good po intake. getting out of bed. autodiuresing- holding lasix. vicu status, had guiac positive stools. hct insidously dropping now 25.1, transfused with 2 units of prbc, lasix was given in between. post transfusion hct 32.2. gi consulted- planned egd and done vss, no acute events overnight. egd- negative, recommended to have colonoscopy outpatient. pcp . was , patient has a follow-up appointment for next week. patient discharged in good condition via chair . medications on admission: atenolol 25 mg qd aspirin 325 mg po qd colace 100 mg po bid simvastatin 40 mg po qd zetia 10 mg po qd flomax 4 mg po qd discharge medications: 1. ezetimibe 10 mg tablet : one (1) tablet po daily (daily). 2. terazosin 1 mg capsule : four (4) capsule po hs (at bedtime). 3. simvastatin 40 mg tablet : one (1) tablet po daily (daily). 4. albuterol 90 mcg/actuation aerosol : four (4) puff inhalation q4h (every 4 hours). 5. ipratropium bromide 17 mcg/actuation aerosol : two (2) puff inhalation qid (4 times a day). 6. metoprolol tartrate 50 mg tablet : 1.5 tablets po tid (3 times a day). 7. miconazole nitrate 2 % powder : one (1) appl topical prn (as needed). 8. docusate sodium 100 mg capsule : one (1) capsule po tid (3 times a day) as needed for constipation. 9. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 10. camphor-menthol 0.5-0.5 % lotion : one (1) appl topical daily (daily) as needed. discharge disposition: home with service facility: all care vna of greater discharge diagnosis: suprarenal aaa htn angina-ef of 66% cholelithiasis vertigo l carotid stenosis 60-80% s/p cva discharge condition: good discharge instructions: division of vascular and endovascular surgery abdominal aortic aneurysm (aaa) surgery discharge instructions what to expect when you go home: 1. it is normal to feel weak and tired, this will last for weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have incisional and leg swelling: ?????? wear loose fitting pants/clothing (this will be less irritating to incision) ?????? elevate your legs above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? you should get up every day, get dressed and walk, gradually increasing your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (let the soapy water run over incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 101.5f for 24 hours ?????? bleeding from incision ?????? new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: provider: , . phone: date:time provider: , md phone: date/time: 12:45 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine enteral infusion of concentrated nutritional substances other bronchoscopy other lysis of peritoneal adhesions resection of vessel with replacement, aorta, abdominal repair of pleura diagnoses: pneumonia, organism unspecified acidosis thrombocytopenia, unspecified acute kidney failure with lesion of tubular necrosis unspecified essential hypertension pulmonary collapse occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified angina pectoris peritoneal adhesions (postoperative) (postinfection) other and unspecified complications of medical care, not elsewhere classified precipitous drop in hematocrit abdominal aneurysm, ruptured other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms 

Answer: The patient is high likely exposed to