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: sulfa (sulfonamides) / ciprofloxacin attending: chief complaint: nauseated and vomiting major surgical or invasive procedure: none history of present illness: mr. is a 74-year-old gentleman who i salmost one month out from a difficult exploratory laparotomy, extended adhesiolysis, duodenal cutaneous fistula takedown with primary closure of the duodenum, choledochojejunostomy (roux-en-y), gastroenterostomy, j-tube placement, drainage of retroperitoneal sepsis, small-bowel resection and later g-tube placement. he had been battling recurrent retroperitoneal and intrabdominal sepsis for almost eight months before his operation while his nutritional and physical status was being buffed. as expected, he had along post-op course in the hospital that involved extensive w/u for vomitting with tube feeds, eventually leading to g-tube placement (and with which he can tolerate tf when vented), also an antibiotic course for the organsims groan out of his peritoneal fluid and a questionable aspiration pneumonia. was finally discharged home four days ago on no antibiotics an dminmal medications. went back into hospital after having shaking chills, fever 100.7 and wbc of 24 in there hospital. he also received zosyn there after which he broke out in a full bodyred reaction. he also had not been venting his g-tube at home, so vomitted with his tube feeds, improved once his g-tube was opened. here he is feeling okay. denies any n/v/d/c/cp/sob/ha/ab pain. past medical history: pmh: htn, dyslipidemia, egd with gastric/duodenal ulcers, gout, neuropathy, back pain, h/o carpal tunnel, cervical radiculopathy retroperitoneal sepsis. duodenal cutaneous fistula. biliary obstruction. extensive adhesions of intraabdominal contents. psh: 1. exploratory laparotomy. 2. extended adhesiolysis. 3. duodenal cutaneous fistula takedown with primary closure of the duodenum. 4. choledochojejunostomy (roux-en-y). 5. gastroenterostomy. 6. j-tube placement. 7. drainage of retroperitoneal sepsis. 8. small-bowel resection. social history: married, prior skoking history, retired reader's digest editor family history: nc physical exam: 97.2 78 85-110/30-50 16 98%ra nad aox3 no scleral icterus, skin erthematous, blanching from chin to thighs rrr cta except for slightly decreased left base +bs, nd, soft, slightly tender around g and j tube insertion sights, incisions are well healed, no rebound or gurading no c/c/e pertinent results: 06:00pm blood wbc-22.2*# rbc-2.95* hgb-9.9* hct-28.3* mcv-96 mch-33.5* mchc-35.1* rdw-14.7 plt ct-332 07:05am blood wbc-14.1* 06:40am blood glucose-130* urean-24* creat-0.8 na-137 k-4.0 cl-101 hco3-27 angap-13 06:00pm blood alt-9 ast-14 alkphos-94 totbili-0.6 06:40am blood calcium-8.7 phos-2.6* mg-2.2 03:20am blood caltibc-130* ferritn-790* trf-100* . radiology report chest (pa & lat) study date of 6:27 pm findings: there is a focus of dense pneumonic consolidation in the right middle lobe. there is also atelectasis present in the left lower lobe. the heart remains enlarged. conclusion: dense pneumonic consolidation in the right middle lobe as well as atelectasis in the left lower lobe. please ensure followup to clearance. brief hospital course: id wrote: mr is a 74-year old man with a history of significant abdominal infectious issues after complications of embolization of pancreaticoduodenal artery for gi bleed in 4/. currently, he is readmitted with fevers, rigors and vomiting after a recent definitive surgery for treatment of his abdominal issues. worrisome for etiology of his current symptoms is a recurrent abdominal process, particularly in the setting of the peri-drain purulence. to further assess this will require some microbiological data and imaging to clarify his post-procedural abdomen. also of concern is potential for pneumonia--despite relatively negative symptoms--likely due to aspiration for tube feeds. this is a rather likely etiology, particularly given the time frame he outlines; although his cognitive status is intact, a supine position with nocturnal tube feeds may have predisposed to aspiration. third, further/jtube dysfunction may account for his symptoms. lastly, he has a prominent murmur on exam. if fever or infectious symptoms persist or worsen, or if a blood culture is positive, investigation for endocarditis (possibly from hematogenous seeding during recent procedures) is warranted with echocardiography. for antibiotic coverage, would s suggest continuing with current antibiotics. this may be narrowed as more data is collected, particularly to cover aspiration pneumonitis, but given prior highly resistant organisms, antibiotics are appropriate coverage. after being admitted to the icu, he responded to ivf and antibiotics and was transferred to the floor the next day. cv:monitor blood pressures, bolus ivf for hypotension. resp:wnl gi: there was a small area along the incision that was draining minimal serous fluid. nutrition: tubefeeding: jevity 1.2 full strength; sips. he was tolerating tubefeedings and sips for comfort. the g-tube was vented for nausea. we attempted capping of the g-tube but at times he was nauseated and the g-tube vented when symptomatic. continue with g-tube clamping trials during the day to help train his stomach. uncap every night. heme: follow cbc, leukocytosis trending down endo: riss id: he was started on tobramycin 120 mg iv q18h, meropenem 500 mg iv q8h, vanco 1g q24. his antibiotics were stopped on hd 4. he looked good clinically and had no fever and wbc was improving. the initial wbc was felt to be related to aspiration pneumonitis. fen: sips of clear liquid throughout the day for comfort. if able to tolerate a capped g-tube for 24 hours you may cautiously increase your dietary intake of clear liquids and food (jello, clear broth etc.). do not advance diet beyond clears. you are receiving all the necessary calories and nutrition via your nightly tube feeds into your j-tube. medications on admission: reglan, lisinopril 20, lopressor 50 tid, atorvastatin 40, trazadone 100, testosterone rub, oxycodone 5 , colace, lansoprazole, tylenol, folic acid, jevity 1.2 cans''' discharge medications: 1. tylenol 325 mg tablet : 1-2 tablets po three times a day as needed for pain. 2. colace 100 mg capsule : one (1) capsule po twice a day. 3. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. oxycodone 5 mg/5 ml solution : one (1) po q4h (every 4 hours) as needed. 6. metoclopramide 5 mg/5 ml solution : two (2) po qidachs (4 times a day (before meals and at bedtime)). 7. testosterone 5 mg/24 hr patch 24 hr : one (1) patch 24 hr transdermal daily (daily). 8. lisinopril 20 mg tablet : one (1) tablet po daily (daily). 9. metoprolol tartrate 25 mg tablet : one (1) tablet po bid (2 times a day). 10. atorvastatin 40 mg tablet : one (1) tablet po daily (daily). 11. trazodone 50 mg tablet : 0.5 tablet po hs (at bedtime). 12. folic acid 1 mg tablet : one (1) tablet po daily (daily). discharge disposition: extended care facility: pleasant bay nursing & rehabilitation center - discharge diagnosis: nauseated and vomiting discharge condition: good discharge instructions: incision care: keep clean and dry. -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. . you have been given teaching for your feeding jejunostomy tube and g-tube. please flush the tube as you have been taught & please call our office or come to the ed if you notice increasing swelling, redness or drainage around the insertion site. you may return to your original feeding regimen with jevity 1.2. . 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 skin, or the whites of your eyes become yellow. * 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. * 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. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. * continue to ambulate several times per day. * no heavy ( lbs) until your follow up appointment. g-tube use: the g-tube was placed to assist with managment of your nausea and vomiting. the g-tube should remain capped during the day unless you feel nauseous or your abdomen becomes distended and uncomfortable. if you feel nauseous, remove the cap and attach the g-tube to a drainage bag as you have been taught. uncap the g-tube at night. the bag will help to remove the contents of your stomach and decrease the nausea. please use care when capping and uncapping the g-tube so you do not accidentally pull it out. it is sutured in place, but care should be exercised. if you develop increasing redness/pain/swelling at the site of the g-tube call the office or come to the ed for evaluation. diet: you may take sips of clear liquid throughout the day for comfort. if you become nauseous uncap the g-tube and attach to a bag for drainage. if you are able to tolerate a capped g-tube for 24 hours you may cautiously increase your dietary intake of clear liquids and food (jello, clear broth etc.). do not advance diet beyond clears. you are recieving all the necessary calories and nutrition via your nightly tube feeds into your j-tube. followup instructions: provider: , md phone: date/time: 11:30 procedure: enteral infusion of concentrated nutritional substances diagnoses: pure hypercholesterolemia unspecified essential hypertension gout, unspecified pneumonitis due to inhalation of food or vomitus 

Answer: The patient is high likely exposed to