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: percocet attending: chief complaint: hypoxia, hemodynamic instability major surgical or invasive procedure: 1. ultrasound-guided puncture of left common femoral artery. 2. ipsilateral second-order catheterization of left external iliac artery. 3. pelvic arteriogram. 4. stent placement in common iliac artery. 5. perclose closure of the left common femoral arteriotomy. history of present illness: 41 yo m with h/o l4 burst fracture s/p l3-l5 fusion, complicated by psoas abscess and formation of chronic sinus tract, presenting with bleeding from sinus tract, fever, and hypoxia. the patient had an l4 burst fracture in , fused with cage in . he later developed a fluid collection in that area, and has a drain put in . 1 month later, the drain was pulled, and the patient developed a draining sinus tract. the patient was taken to the or for debridement in 12/. this was complicated by ureter injury. since then, the patient had persistent yellow/green drainage from the sinus tract. on sunday, the patient developed profuse bleeding from sinus tract, which resolved before he reached medical center. at , the patient had a abd/pelvis ct showing post-surgical changes in the left psoas muscle extending into the left lateral abdominal wall, with no discrete fluid collection or hematoma. labs were notable for wbc 14.9, 51% bands. the hospital course was complicated by fever to as high as 103, hypotension to 89/43 which was fluid-responsive, and further bleeding from the sinus tract in the setting of fever and vomiting. surgery consulted at the hospital, who packed the sinus tract but did not pursue more aggressive debridement. pt was directly transferred to the internal medicine team at the for further management of sinus tract infection. upon arrival to the floor, patient was noted to have active, profuse bleeding of bright red blood from the sinus tract. he was hypotensive to low 100's/60's, with hr in low 100's. he was bolused 3l ns, and transfusion of 2 units of prbcs and ffp was begun. he was given vanc + zosyn for broad coverage, and admitted to the icu. his hemodynamics stabilized with bp's 120s/60's, and hr 80's. the pressure dressing was removed, and sinus tract examined, which did not appear to be actively bleeding any longer. a cta of abdomen/pelvis demonstrated active extravasation of blood from a lumbar artery to l psoas muscle. vascular surgery was consulted for further management. review of systems: -constitutional: +fevers, chills. lost 10 pounds in past year. -resp: no cough. no shortness of breath. -cv: no chest pain. no dizziness or lightheadedness. -gi: no abdominal pain. +non-bloody emesis on sunday. chronic diarrhea/brbpr. no melena. no bowel or bladder incontinence. -gu: no difficulty urinating or pain with urination. -neuro: no focal weakness, tingling, or numbness. past medical history: ulcerative colitis l4 burst fracture s/p l3-l5 fusion chronic sinus tract, as above ivc filter placed via right groin previous ureteric stent, now removed past surgical history: s/p l ankle orif with hardware placement s/p lumbar fusion with hardware placement s/p or washout/debridement social history: works as . married. lives with wife. -tob: cig/month -etoh: none -drugs: none family history: hyperlipidemia physical exam: admission t 98.9, hr 93, bp 115/64, rr 19, o2 sat 96%/6l nc (was on nrb on transfer to micu) gen: no acute distress. heent: nc/at. anicteric sclerae. moist mucous membranes. op clear. neck: supple. resp: normal respiratory effort. mild basilar rales. cv: rrr. normal s1 and s2. no m/g/r. abd: +bs. soft. nt/nd. no rebound or guarding. back: sinus tract in left flank with wick in place and large amount of blood on dressing but no active bleeding. ext: warm and well-perfused. radial and dp pulses 2+ bilaterally. neuro: a+ox3. face symmetric. strength 5/5 throughout upper and lower extremities. dishcarge t 99.7 hr 72 bp 132/78 rr 16 97%ra gen: no acute distress. neuro: a+ox3. resp: normal respiratory effort. no resp distress. cv: rrr. normal s1 and s2. abd: +bs. soft. nt/nd. ext: warm and well-perfused. pulses: radial pulses palp bilaterally. dp/pt palp bilat pertinent results: cta abd/pelvis 1. psoas phlegmonous changes are again visualized with a chronic sinus tract. however, the left psoas appears enlarged with hyperdense foci consistent with intramuscular hemorrhage with evidence of foci of active arterial extravasation. evaluation of the left psoas is somewhat obscured by streak artifact from adjacent metallic structures. however, multiple dilated tortuous structures are visualized and may represent mycotic aneurysms involving the iliolumbar artery versus foci of hemorrhage. 2. relatively stable appearance of mild left hydronephrosis tapering to the level of the left psoas collection. 3. mild wall thickening and hyperemia involving the descending colon, sigmoid colon, and rectum. although these findings may represent proctocolitis, evaluation is somewhat limited due to lack of distention of the bowel. correlation with symptoms is recommended. 4. new mild ascites as well as new bilateral small pleural effusions with adjacent airspace atelectasis. 5. right fat-containing inguinal hernia descending into the scrotal sac with a right hydrocele. 6. ivc filter in place. 7. l4 burst fracture with l3-l5 cage. . mra abd w and w/o contrast pseudoaneurysm from the left common iliac artery arising adjacent to lumbar orthopedic hardware within the left psoas muscle. this arises roughly 2 cm from the origin of the left common iliac artery and 1 cm proximal to the origin of the left internal iliac artery. large multilobulated pseudoaneurysm occupying the left psoas muscle with large surrounding thrombus and hemorrhage. report was urgently communicated to dr. at 5:57 p.m. on , and with the interventional radiology fellow on call at pager at the time of scan. blood cultures negative. 07:40pm blood hct-31.5* 03:51am blood wbc-9.8 rbc-3.49* hgb-9.9* hct-28.3* mcv-81* mch-28.4 mchc-35.0 rdw-16.0* plt ct-631* brief hospital course: hospital course 41 yo m with h/o l4 burst fracture s/p l3-l5 fusion complicated chronic sinus tract, presenting with active bleeding from sinus tract, fever, hypoxia and hemodynamic instability, found to have pseudoaneurysm of left common iliac artery communicating w sinus tract, now s/p endovascular stenting. patient admitted to micu. course in micu : #pseudoaneurysm of left common iliac artery: patient initially presented to in setting of profuse bleeding from sinus tract. patient received 6 units prbcs, 2 units ffp, 1 bag platelets. cta abd/pelvis demonstrated intramuscular hemorrhage at area of ileopsoas with a mycotic psuedoaneurysm w evidence active arterial extravasation. ir attempted embolization of the psuedoaneurysm, but were unable to locate the artery feeding it. subsequent mra demonstrated pseudoaneurysm from the left common iliac artery with large surrounding thrombus and hemorrhage. patient was transferred to vascular service and underwent endovascular stenting. . #hypoxemia: following transfer, patient w worsening oxygen requirement, fluffy infilatrate on cxr. initial concern was for chf vs ards unknown infectious process. timeline not consistent w trali. tte demonstrated low-normal systolic ejection function w possible hypokinesis of basal inferoseptal segment. patient received 10mg iv lasix w good effect, although patient remained w 2l o2 requirement at time of transfer. #fever: patient initially w fever and bandemia at osh w/o localizing symptoms or culture data. patient has a long history of signs of infection w/o positive culture data. patient remained w intermittent fevers through the icu stay. likely source of infection is known sinus tract. patient treated w vanco/zosyn. no culture data at time of transfer. . #ulcerative colitis - no known flare. held lialda given ongoing other issues. patient was transferred to vicu on . he underwent angio and endovascular stent placement x2 in the common iliac artery on the left with perclosure of left common femoral artery on . bleeding continued and patient was transfused 2 units of blood and patient underwent repeat angio with another stent placed on . crit was still low so additional 2 units of blood were given. patient did well postoperatively. crits were closely followed and stable. pt was switch from vanco/zosyn to bactrim. patient was tolerating a regular diet, pain well managed and ambulating on his own. discussed operation to remove hardware in a few weeks, patient seems amenable. discussed operation with dr. and dr. . patient will go home on bactrim. on discharge, pt was ambulating, tolerating regular diet, pain controlled, hematocrit stable. medications on admission: lialda 1.2 grams, 2 tabs daily discharge medications: 1. vicodin 5-500 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain. disp:*60 tablet(s)* refills:*0* 2. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po bid (2 times a day): take until you come back to hospital for reoperation. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: left common iliac pseudoaneurysm. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? do not stop aspirin unless your vascular surgeon instructs you to do so. ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? elevate your leg 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 it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and 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: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin 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 or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and cta followup instructions: if you have questions call dr. office . procedure: angioplasty of other non-coronary vessel(s) angioplasty of other non-coronary vessel(s) aortography aortography arteriography of other intra-abdominal arteries arteriography of other intra-abdominal arteries arteriography of other intra-abdominal arteries insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) cranial or peripheral nerve graft insertion of one vascular stent transposition of cranial and peripheral nerves insertion of two vascular stents procedure on single vessel procedure on single vessel diagnoses: other postoperative infection unspecified septicemia sepsis peripheral vascular complications, not elsewhere classified hypoxemia surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation nontraumatic hematoma of soft tissue aneurysm of iliac artery persistent postoperative fistula personal history of other diseases of digestive system psoas muscle abscess unspecified local infection of skin and subcutaneous tissue 

Answer: The patient is high likely exposed to