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: patient recorded as having no known allergies to drugs attending: chief complaint: sepsis major surgical or invasive procedure: trach fluid collection aspiration fistula intubation multiple wound debridements history of present illness: this is an 81 year old male who was transferred from an osh on , pod 15 from a left colectomy for a lower gi bleed. (8 units of rbc transfused). on pod 8, the patient had an anastamotic leak and underwent a hartmann's procedure with creation of an ascending colostomy. his post operative course was subsequently complicated by acute renal failure, small peripheral pulmonary emboli, hit positivity on argatroban, and atrial fibrillation a\on an amiodarone drip. past medical history: htn, hyperlipidemia, ef 60%, dm2 diet controlled, history of throat cancer s/p resection + xrt ', s/p empyema w/ ct drainage, legally blind right eye secondary to injury social history: widowed, lives alone independently family history: noncontributory physical exam: on admission vs- t 98.6, p 61, bp 120/40, rr 18, o2 97% on ventillator gen- nad, intubated, sedated heart- irregularly irregular lungs- coarse rhonchi throughout abdomen- soft, diffusley tender to palpationmidline incision with necrotic edges, ostomy pink with green stool extremities- 2+ edema b/l pertinent results: 11:55pm type-art po2-95 pco2-50* ph-7.30* total co2-26 base xs--1 11:17pm urine hours-random creat-97 sodium-39 11:17pm urine color-amber appear-hazy sp -1.018 11:17pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirubin-sm urobilngn-neg ph-5.0 leuk-sm 11:17pm urine rbc-* wbc- bacteria-mod yeast-none epi-0 11:17pm urine granular-<1 hyaline-0-2 11:12pm type-art po2-86 pco2-54* ph-7.26* total co2-25 base xs--3 10:04pm type-art po2-105 pco2-56* ph-7.25* total co2-26 base xs--3 10:04pm lactate-2.0 10:04pm freeca-1.05* 09:54pm glucose-135* urea n-63* creat-2.6* sodium-139 potassium-4.6 chloride-105 total co2-21* anion gap-18 09:54pm calcium-7.5* phosphate-2.8 magnesium-2.1 09:54pm wbc-22.1* rbc-3.15* hgb-9.4* hct-28.9* mcv-92 mch-29.7 mchc-32.4 rdw-16.0* 09:54pm neuts-83* bands-3 lymphs-5* monos-2 eos-3 basos-1 atyps-0 metas-2* myelos-1* nuc rbcs-1* 09:54pm hypochrom-1+ anisocyt-1+ poikilocy-normal macrocyt-normal microcyt-normal polychrom-occasional 09:54pm plt smr-low plt count-104* 09:54pm pt-38.5* ptt-100.0* inr(pt)-4.2* brief hospital course: briefly, mr. was transferred to from on after subtotal colectomy for lgib requiring a massive transfusion of 8u prbc. his hospital course is broken down by systems: neuro he was intermittently sedated with fentanyl and propofol. his sedation was weaned to prn dilaudid and oxycodone liquid. pain gradually became a nonissue. he should not require pain medication even for vac changes. he was seen by neurology for dystonia, who recommended an mri of the brain whcih showed an acute left parietal subcortical infarct. the neurologist felt that coumadinizing him with a goal inr 2.5- 3.5 would be best to prevent another stroke. the etiology of his stoke is presumed cardiac given his atrial fibrillation. his cognition gradually improved throughout his hospital course, as did his dystonia, for which he is on cogentin per neurology. at present, he is alert and can communicate effectovely. cards on admission, mr. had afib with rvr for which he was on an amiodarone gtt. he was evaluated by cardiology and weaned off amiodarone. after amiodarone was weaned, his rhythm was intermittently in and out of afib. he eventually stabilized on po lopressor and po amiodarone. in addition, he was intermittently on and off pressors, including levophed and pitressin. eventually he stabilized and has been off of all pressors for over 2 weeks prior to discharge. pulm the patient had a tracheostomy. he was gradually weaned on the ventillator. eventually he was weaned to trach collar, which he has been tolerating for over 2 weeks. on , he did tolerate a passy-muir valve trial. he requires supervision with the pm valve, because he desaturates. he does require suctioning intermittently. fen/gi tube feeds via dobhoff, tpn, ostomy, serial abdominal debridements , , and abdominal vac , 16, 17, 20, 24, 26 and q 3 days thereafter. last vac change was . his abdominal wound has been healing very well with a vac dressing. it is granulating nicely. there had been a fistulous connection between the ostomy and the wound. this has since closed off after a few vicryl sutures were placed at the bedside. he was seen and evaluated by plastic surgery who recommended outpatient skin grafting. he has been tolerating tube feeds at goal for over 2 weeks prior to discharge and his ostomy is productive. he gets his tube feeds via a dobhoff. we did not feel that a peg was a good idea in him beacause of his anatomy. he was hypernatremic to 153 at a maximum, but he did respond to free water boluses and his sodium has since stabilized. we have since decreased his free water boluses. gu he developed arf and started hemodialysis at the referring institution x3 days. daily cvvh was started at via r fem hd catheter, and he was weaned off cvvh, intermittently on lasix, and he now makes appropriate urine output without any assistance. his azotemia gradually cleared. withing the past week, we have started gradual diuresis to make him about a liter negative daily. his weights have been retruning to baseline of 98 kg. h mr. was found to have small peripheral pes and hit at the referring institution, and was continued on an argatroban gtt. eventually he was transitioned off the argatroban to coumadin. he was found to be hit negative by seratonin release assay. he is currently on coumadin, goal inr 2.5- 3.5. id the patient had a long and complicated infectious disease course. meropenem () and vancomycin () for mrsa pna, fluconazole for torulopsis in the urine and sputum , flagyl empircally for c. diff (although he never tested positive) cultures include klebsiella in blood at osh wound cx: , klebs sputum: budding yeast, gnr, mrsa sputum: sparse klebs to cipro/bactrim sputum: mrsa, klebs sputum: mrsa, 2+budding yeast, sparse gnr sputum: mrsa and 1+budding yeast eventually, all antiobiotics were stopped on . endo mr. was kept on a strict insulin sliding scale to keep his sugars within a tight range. medications on admission: lisinipril 20', acebutolol 400', allopurinol 300', lipitor 10', asa 325', mvi discharge medications: 1. maalox 200-200-20 mg/5 ml suspension : one (1) ml po tid (3 times a day) as needed for constipation. 2. artificial tear with lanolin 0.1-0.1 % ointment : one (1) appl ophthalmic prn (as needed). 3. polyvinyl alcohol 1.4 % drops : one (1) drop ophthalmic prn (as needed). 4. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). 5. oxycodone 5 mg/5 ml solution : one (1) po every eight (8) hours as needed for pain. 6. acetaminophen 325 mg tablet : two (2) tablet po q6h (every 6 hours) as needed for pain, fever. 7. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 8. zinc sulfate 220 mg capsule : one (1) capsule po daily (daily). 9. allopurinol 100 mg tablet : 1.5 tablets po daily (daily). 10. benztropine 1 mg tablet : one (1) tablet po daily (daily). 11. amiodarone 200 mg tablet : one (1) tablet po daily (daily). 12. metoprolol tartrate 50 mg tablet : one (1) tablet po tid (3 times a day). 13. warfarin 5 mg tablet : one (1) tablet po once (once) for 1 doses: check daily inr. 14. furosemide 10 mg/ml solution : one (1) injection (2 times a day). discharge disposition: extended care facility: - discharge diagnosis: lgib s/p colectomy anastomotic leak s/p exlap, hartmann's renal failure pulmonary emboli sepsis rapid atrial fibrillation large abdominal wound dystonia cva discharge condition: good discharge instructions: please call or come to the ed with any fevers > 101, nausea, vomiting, abdominal pain, purulence from wounds, oliguria, hypotension, rapid atrail fibrillation, or any other worrisome issues. please continue all medications as directed. activity as tolerated. followup instructions: please call the office of dr. to schedule a follow-up appointment ( procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage percutaneous abdominal drainage non-invasive mechanical ventilation arterial catheterization insertion of other (naso-)gastric tube temporary tracheostomy nonexcisional debridement of wound, infection or burn application of other wound dressing diagnoses: hyperpotassemia anemia, unspecified acute kidney failure with lesion of tubular necrosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled severe sepsis gout, unspecified atrial fibrillation infection with microorganisms resistant to penicillins disruption of internal operation (surgical) wound atrial flutter other and unspecified hyperlipidemia acute and chronic respiratory failure alkalosis surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation septic shock other septicemia due to gram-negative organisms personal history of venous thrombosis and embolism personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits cerebral embolism with cerebral infarction anticoagulants causing adverse effects in therapeutic use hyperosmolality and/or hypernatremia pneumonia due to klebsiella pneumoniae legal blindness, as defined in u.s.a. mixed acid-base balance disorder antiallergic and antiemetic drugs causing adverse effects in therapeutic use persistent postoperative fistula other suppurative peritonitis carrier or suspected carrier of other specified bacterial diseases butyrophenone-based tranquilizers causing adverse effects in therapeutic use personal history of malignant neoplasm of other and unspecified oral cavity and pharynx surgical operation with formation of external stoma causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation late effect of unspecified injury late effects of injury, undetermined whether accidentally or purposely inflicted flaccid hemiplegia and hemiparesis affecting unspecified side acute dystonia due to drugs other calculus in bladder 

Answer: The patient is high likely exposed to