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 attending: chief complaint: abdominal pain major surgical or invasive procedure: exploratory laparotomy, hartmann procedure. history of present illness: 78ym with pmh of esrd, cad, aortic stenosis, afib on coumadin who presents with less than one day of acute abdominal pain. seen at lgh and was hypotensive with concerning abdominal exam, so transfer here for further eval. pt confused but complaining of abdominal pain. no nausea or vomiting. cannot give accurate history at this time. past medical history: pmh: a fib, sick sinus syndrome s/p ppm, ef 45-50%, as, chf-predominantly diastolic, cri, gout, htn psh: exploratory laparotomy, hartmann procedure. b knee replacements social history: married retired electrician former smoker, social drinker, no rec drugs family history: father died at 61 from lung ca mother died at 93 from "old age" physical exam: vs: 98.8 60 75/40 20 97 4l pe: moderate distress, uncomfortable, intermittent confusion anicteric rrr mild labored breathing, cta b/l abd is diffusely tender, rigid, with rebound and guarding no edema . labs: 133 97 97 102 agap=19 4.0 21 5.8 &#8710; ca: 9.2 mg: 2.0 p: 4.7 alt: 15 ap: 115 tbili: 1.9 ast: 16 lip: 92 12.4 5.4 149 35.8 n:54 band:21 l:16 m:8 e:0 bas:0 metas: 1 pt: 37.2 ptt: 39.7 inr: 3.9 lactate 2.9 . imaging: ct abdomen->ascites moderate amount, nodular liver. no obvious source of perforation or sepsis. . pertinent results: 02:30am blood wbc-5.9 rbc-3.84* hgb-12.7* hct-36.4* mcv-95 mch-33.2* mchc-35.0 rdw-15.2 plt ct-161 06:20am blood wbc-12.4* rbc-3.46* hgb-11.2* hct-34.2* mcv-99* mch-32.4* mchc-32.7 rdw-15.2 plt ct-293 02:35am blood pt-37.2* ptt-39.7* inr(pt)-3.9* 05:05am blood pt-21.5* ptt-37.3* inr(pt)-2.0* 06:20am blood pt-21.5* ptt-32.9 inr(pt)-2.0* 02:35am blood glucose-102* urean-97* creat-5.8*# na-133 k-4.0 cl-97 hco3-21* angap-19 06:20am blood glucose-132* urean-63* creat-2.3* na-139 k-4.3 cl-105 hco3-26 angap-12 06:20am blood calcium-8.1* phos-3.3 mg-2.0 brief hospital course: he was taken emergently to the or for laparotomy and hartmann procedure on for perforated diverticulitis. surgeon was dr. . he was hemodynamically unstable in the or requiring neosynephrine and levophed. he was given ffp and developed a rash. he was transferred intubated to the sicu postop. bedside tte demonstrated heavily calcified aortic valve, mild global hypokinesis with paradoxical septal motion of lbbb. he was av paced at 50bpm. cardiology adjusted his heart rate to dddr with resting rate of 75bpm. overall picture was one of sepsis. cipro and flagyl were given. he was preload dependent and was treated with iv fluids. on , sedation was weaned, but he failed spontaneous breathing trial and desaturated. bronch was performed for mucus plugging. bal was sent and was negative. pressor requirements decreased. echo noted enlarged rv with free wall hypokinesis, 4+tr, moderate pulmonary htn, akinesis inf/lat wall. ef was 35-40%. creatinine started to decrease with improved urine output. he was weaned off pressors. on , inr had increased to 4.0. ffp and vitamin k were given. inr decreased to 1.7. sedation was decreased and he self extubated on as well as pulled out the jp drain. he remained stable post extubation. mitts were applied. the peritoneal fluid from intra op isolated gnr /bacteroides fragilis in the broth only. incision appeared red and vancomycin was started on . vancomycin was stopped on . the ostomy was working. a post pyloric feeding tube was placed and feedings were started. bedside swallow eval was done noting edentulous state and some confusion. he did not aspirate therefore, recommendations included ground solids and thin liquids which he started. urine output increased and creatinine continued to improve. cxr demonstrated volume overload and lasix was given. the incision was opened for increased redness and a wound vac applied. he was transferred out of the sicu on . on , he was less confused. wrist restraints were removed. diet was advanced as ostomy output was occurring. on , he vomited. an abdominal ct was done showing no focal fluid collection or free air to indicate new perforation, no obstruction. ascites and nodular hepatic contour were seen, raising question of cirrhosis, unchanged. diverticulosis was noted. there were increased moderate bilateral pleural effusions with more confluent appearance of right lower lobe consolidation, raising question of aspiration versus infection. vomiting resolved. levaquin was started for pneumonia on . a congested cough was present. o2 sats were 93% on room air. coumadin was resumed on at 1mg per day. inr was 2.0 on . on day of discharge, osh micro fax'd blood cultures from that were positive for fusobacterium nucleatum in the anaerobic bottle only. flagyl was resumed (had stopped on after 10 days). the plan to complete a 14 day course. blood cultures were negative on and blood cultures from were negative to date. pt evaluated and recommended rehab (refer to note). a bed was available at , and he was transferred there for rehab. medications on admission: : lovastatin 20, atenolol 25, coumadin 3', apap all: pcn discharge medications: 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed for pain. 4. warfarin 1 mg tablet sig: one (1) tablet po once a day. 5. levofloxacin 750 mg tablet sig: one (1) tablet po q48h (every 48 hours) for 1 weeks: rll pneumonia. 6. outpatient work pt/inr 3x per week goal inr 2-2.5 7. atenolol 25 mg tablet sig: 0.5 tablet po once a day. 8. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 4 days: to complete 14 day course. discharge disposition: extended care facility: northeast - discharge diagnosis: perforated diverticulitis pneumonia rll h/o afib/pacemaker/as cri htn bacteremia, fusobacterrium nucleatum discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you are transferring to rehab please call dr. office if you experience any of the warning signs: fever, chills, nausea, vomiting, increased abdominal distension, diarrhea (increased output via ostomy), abdominal wound appears red or has increased drainage followup instructions: follow up with surgeon dr. at 1pm at , procedure: enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus open and other sigmoidectomy exteriorization of large intestine diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified cirrhosis of liver without mention of alcohol acute kidney failure, unspecified severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure aortic valve disorders chronic kidney disease, unspecified septic shock long-term (current) use of anticoagulants rash and other nonspecific skin eruption other ascites septicemia due to anaerobes knee joint replacement fitting and adjustment of cardiac pacemaker foreign body accidentally entering other orifice hip joint replacement diverticulitis of colon (without mention of hemorrhage) other suppurative peritonitis foreign body in main bronchus 

Answer: The patient is high likely exposed to