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: no known allergies / adverse drug reactions attending: chief complaint: incarcerated hernia major surgical or invasive procedure: exploratomy laparotomy, sigmoid resection (no anastomosis), placement of negative pressure dressing for open abdomen exploratory laparotomy, partial colectomy w/ colostomy, partial omentectomy, resection of giant inguinal-scrotal hernia with left orchiectomy, abdominal wall repair with closure (by ligament repair). history of present illness: patient is a 75 yo male with >20 yr hx of left inguinal hernia. patient has had intermitten pain with straining over the last 20 yrs. patient was told approximately ten yrs ago that the hernia was inoperable. over the past month his hernia has increased in size. he was transferred from an osh where he presented with worsening from his hernia, nausea and vomiting and chest pain. patient currently not nauseated. he does claim to pass flatus have regular bowel movements but has difficulty past medical history: inguinal hernia social history: no etoh no tobacco family history: nc physical exam: on admission: vitals: t 98.4 89 152/72 16 96% 2l gen: a&o, nad heent: no scleral icterus, mucus membranes moist cv: rrr, no m/g/r pulm: clear to auscultation b/l, no w/r/r abd: soft, nondistended, mild diffuse tenderness, no rebound or guarding, scrotum with enormous left sided inguinal hernia. non reduceable, tender to palpation ext: no le edema, le warm and well perfused pertinent results: 02:25am wbc-10.9 rbc-6.31* hgb-17.9 hct-52.8* mcv-84 mch-28.4 mchc-33.9 rdw-14.8 02:25am neuts-60 bands-30* lymphs-3* monos-5 eos-0 basos-0 atyps-2* metas-0 myelos-0 02:25am hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 02:25am plt smr-normal plt count-151 02:25am pt-13.8* ptt-23.0 inr(pt)-1.2* 02:25am calcium-10.1 phosphate-4.3 magnesium-2.3 02:25am lipase-82* 02:25am alt(sgpt)-18 ast(sgot)-25 alk phos-65 tot bili-3.1* 02:25am glucose-211* urea n-45* creat-2.2* sodium-141 potassium-3.8 chloride-101 total co2-22 anion gap-22* 07:54am glucose-197* urea n-42* creat-1.9* sodium-140 potassium-3.9 chloride-105 total co2-23 anion gap-16 12:40pm glucose-174* urea n-41* creat-1.8* sodium-140 potassium-4.1 chloride-106 total co2-24 anion gap-14 cardiac echo : suboptimal image quality. normal biventricular cavity sizes with preserved global biventricular systolic function. ct abd/pelvis : 1. no evidence of intra-abdominal abscess. post-surgical inflammatory change noted in the left inguinal and left iliac fossa. 2. unremarkable rectal stump and loop-colostomy. liver us : 1. normal son appearance of gallbladder and no biliary dilation. 2. dilated small bowel loop in right upper quadrant may be related to post-operative ileus however clinical correlation recommended. brief hospital course: on the patient was taken to the or for a sigmoid colectomy, omentectomy, stapled rectum/proximal colon. he was left in discontinuity and transferred to the tsicu for resuscitation. on pod 0, he was bolused 4 l of lr, 500 cc 5% albumin in am for hypotension, and elevated lactate. he responded well to the fluids. he then developed pac's/pvc's atrial bigeminy with runs of non-sustained vtach on ekg. cardiac enzymes were flat. he was weaned down to minimal vent settings. on pod 1, the patient was diuresed in preparation to take him to the or for anastomosis and abdominal closure. on pod 2, he was taken back to the or for further sigmoid resection, omentectomy, end colostomy and orchiectomy. on pod 3, he was extubated and was oob to chair. he self d/c'ed the ngt. on pod 4, the patient was transferred to the floor. following transfer to the surgical floor he gradually made good progress. he was tolerating a regular diet in modest amounts and up and walking frequently. he was seen by the ostomy nurse on many occasions for teaching and general care. he is emptying the ostomy bag with supervision but still needs help placing the appliance. from a cardiac standpoint he had no further episodes of nsvt but his baseline rhythm was normal sinus with occasional pac's and pvc's. the cardiology service recommended placing him on beta blockers for the nsvt. his wbc was increasing daily and he was pan cultured along with a chest xray. his abdominal wound was erythematous and cellulitic at the upper pole. the upper pole of the wound was opened and packed with damp to dry dressings along with a smaller portion of the lower pole. all of his cultures including blood, urine and stool for c difficile were negative. he also had an abdominal ct and ultrasound of the gallbladder both of which were negative. his wound culture grew out sparse cns. after opening the wound his wbc gradually decreased and he remained afebrile. he underwent dressing changes and the base was clean and granulating. the staples along the umbilicus are pink but will stay in until his follow up appointment. he has been voiding without difficulty since his catheter was removed but due to the surgery he has excessive scrotal edema and a scrotal support was recommended. he's tolerating a regular diet and generally feeling better every day. he was seen by the physical therapy service who recommended a short term rehab prior to returning home to increase his mobility and gain stamina. medications on admission: none discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 2. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain/fever. 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day). 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: clipper of , nh discharge diagnosis: incarcerated left inguinal hernia with perforated sigmoid colon discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital with an incarcerated hernia in your groin that required an operation to repair. a colostomy also was performed as there was a perforation in your colon. the plan is for the colostomy to be reversed in the next 3 months or so. * due to your large operation and lengthy hospitalization you became very deconditioned and will need to spend some time in rehab prior to returning home. * you will also get continued ostomy teaching there. * you will need to follow up with the surgeons here in 1 week for re evaluation. * if you develop any new concerns prior to your appointment please call the acute care clinic at . followup instructions: follow up in 1 week in clinic, call for an appointment. call your primary care physician after discharge from rehab to check blood pressure and reassess medications procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours open and other left hemicolectomy temporary colostomy excision or destruction of peritoneal tissue open and other sigmoidectomy unilateral repair of inguinal hernia, not otherwise specified unilateral orchiectomy diagnoses: unspecified septicemia cardiac complications, not elsewhere classified perforation of intestine sepsis paroxysmal ventricular tachycardia other specified cardiac dysrhythmias paralytic ileus inguinal hernia, with obstruction, without mention of gangrene, unilateral or unspecified (not specified as recurrent) 

Answer: The patient is high likely exposed to