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: ace inhibitors attending: chief complaint: abdominal pain major surgical or invasive procedure: sp exploratory laparotomy, small bowel resection x 80cm for ischemic enteritis sp exploratory laparotomy, closure of abdominal wall sp tracheostomy sp retention suture placement for facial defect history of present illness: 83 year old male who presented to the w/ ecg changes and hypotension and was admitted to rule out mi. past medical history: cad sp imi sp cardiac cath : ef 35%, 2vd atrial fibrillation chf h/o complete heart block s/p pace maker placement copd oa h/o aaa 4.5 cm diverticulosis h/o gi bleed sp right colectomy : asa 325qd, amio200qd, lasix 20qd, toprol xl 50qd, lipitor 20qd, percocet prn, protonix 40qd, tums+vitd, feso4 social history: retired bricklayer, construction. quit smoking 45 years ago, no alcohol, no drug use. family history: non-contributory physical exam: admission pe: pe: t hr 77 bp 90/44 rr 24 90%3lnc gen: alert, conversive, in pain, thin heent: perrl, anicteric, op clear, mm dry neck: supple, jvp nondistended cv: irreg irreg, no mrg resp: trace crackles r>l abd: decreased bs, firm, ttp blq with guarding. erythematous crusting rash over ruq and flank ext: no edema, 1+ dps bilaterally neuro: a&ox3, cn ii-xii intact, maew pertinent results: 06:30pm blood wbc-8.1# rbc-3.42* hgb-11.1* hct-32.7* mcv-96 mch-32.6* mchc-34.0 rdw-13.9 plt ct-249 07:29am blood wbc-4.0 rbc-3.40* hgb-10.8* hct-31.2* mcv-92 mch-31.8 mchc-34.6 rdw-17.6* plt ct-180 06:37pm blood wbc-6.2 rbc-2.95* hgb-9.4* hct-26.4* mcv-90 mch-31.7 mchc-35.4* rdw-18.4* plt ct-138* 02:22am blood wbc-9.4 rbc-2.51* hgb-7.7* hct-23.1* mcv-92 mch-30.8 mchc-33.6 rdw-18.2* plt ct-105* 02:22am blood wbc-14.9* rbc-3.32* hgb-10.4* hct-30.7* mcv-92 mch-31.2 mchc-33.7 rdw-17.4* plt ct-104* 03:20pm blood hct-22.4* 01:54am blood wbc-12.4* rbc-2.36* hgb-7.4* hct-21.7* mcv-92 mch-31.4 mchc-34.2 rdw-16.3* plt ct-132* 07:21pm blood hct-27.1* 02:48pm blood hct-21.0* 02:01am blood wbc-7.7 rbc-2.80* hgb-8.7* hct-25.3* mcv-91 mch-31.1 mchc-34.3 rdw-16.0* plt ct-207 03:22am blood wbc-22.0*# rbc-3.38* hgb-10.4* hct-31.5* mcv-93 mch-30.7 mchc-33.0 rdw-16.0* plt ct-255 04:45am blood wbc-14.4* rbc-2.52* hgb-7.7* hct-24.1* mcv-96 mch-30.6 mchc-32.0 rdw-16.3* plt ct-145* 02:58pm blood pt-14.8* ptt-69.5* inr(pt)-1.3* 07:38pm blood pt-14.0* ptt-32.0 inr(pt)-1.2* 06:30pm blood glucose-109* urean-56* creat-2.6* na-135 k-5.5* cl-95* hco3-28 angap-18 06:25am blood glucose-70 urean-45* creat-1.9* na-140 k-5.0 cl-103 hco3-30 angap-12 12:55am blood glucose-126* urean-50* creat-2.4* na-140 k-4.2 cl-105 hco3-23 angap-16 06:48pm blood glucose-106* urean-46* creat-1.9* na-135 k-4.4 cl-107 hco3-20* angap-12 02:40am blood glucose-99 urean-82* creat-1.3* na-141 k-4.2 cl-112* hco3-22 angap-11 03:08am blood glucose-123* urean-94* creat-1.6* na-140 k-4.2 cl-106 hco3-23 angap-15 01:39am blood glucose-135* urean-89* creat-1.8* na-138 k-4.7 cl-106 hco3-20* angap-17 02:58pm blood glucose-154* urean-89* creat-2.5* na-132* k-5.2* cl-102 hco3-17* angap-18 04:45am blood glucose-172* urean-93* creat-3.0* na-131* k-5.4* cl-102 hco3-23 angap-11 06:30pm blood alt-18 ast-27 ck(cpk)-38 alkphos-166* amylase-57 totbili-0.6 05:15pm blood alt-7 ast-13 alkphos-63 amylase-72 totbili-0.5 06:30pm blood ck-mb-notdone ctropnt-0.02* 12:37am blood ctropnt-0.01 03:13am blood ck-mb-notdone ctropnt-<0.01 06:30pm blood calcium-9.0 phos-3.8 mg-3.2* 04:45am blood calcium-7.1* phos-7.3* mg-2.3 12:37am blood caltibc-153* ferritn-727* trf-118* 02:40am blood caltibc-57* trf-44* 03:05am blood caltibc-46* ferritn-greater th trf-35* 02:12pm blood cortsol-29.3* 03:28pm blood cortsol-35.0* 05:44am blood type-art po2-148* pco2-41 ph-7.25* caltco2-19* base xs--8 03:58pm blood type-art po2-126* pco2-39 ph-7.33* caltco2-21 base xs--4 11:07am blood type-art po2-107* pco2-39 ph-7.32* caltco2-21 base xs--5 03:21pm blood type-art po2-105 pco2-42 ph-7.26* caltco2-20* base xs--7 02:22pm blood type-art po2-92 pco2-45 ph-7.22* caltco2-19* base xs--9 05:09am blood type-art po2-88 pco2-47* ph-7.16* caltco2-18* base xs--11 08:00am blood type-art po2-92 pco2-44 ph-7.20* caltco2-18* base xs--10 06:35pm blood lactate-1.7 06:29am blood glucose-99 lactate-6.0* na-132* k-3.7 cl-112 02:22am blood lactate-1.5 05:01pm blood glucose-121* lactate-0.8 07:27am blood lactate-2.3* 09:31am blood glucose-154* lactate-2.4* 10:23am blood lactate-1.6 09:18am blood heparin dependent antibodies- ct abd: marked portal venous gas and pneumatosis within the proximal small bowel and stomach consistent with ischemic bowel. given extensive vascular calcifications as well as history of atrial fibrillation a likely etiology includes thromboembolic disease. cxr: increased pneumothorax and increased subcutaneous air cxr: interval placement of a second left chest tube with re-expansion of the left lung duplex b le: thrombus identified in the great saphenous vein continuing into the junction with the common femoral vein and extending down to the mid portion of the right superficial femoral vein cxr: moderate-to-large right pleural effusion has increased. very small residual of left pneumothorax is seen at the base of the left hemithorax with increasing small-to-moderate left pleural effusion. subcutaneous emphysema in left chest wall has decreased since . mid level and apical left pleural tubes are unchanged in their respective positions. progressive consolidation at the base of the left lung could be atelectasis alone though pneumonia cannot be excluded. cardiac silhouette is substantially obscured by adjacent pleura and parenchymal abnormality , but does not appear appreciably changed. increasing consolidation in the right upper lung concerning for progressive pneumonia. circular lucency at the upper margin of this region is a subsumed bulla, not a cavity. tracheostomy tube, right internal jugular line, right atrial and right ventricular pacer leads are in standard placements. esophageal feeding and drainage tubes pass into the stomach and out of view. brief hospital course: 83 year old male who presented to the w/ ecg changes and hypotension and was admitted to rule out mi. during his hospital course, he had hematemesis and increasing abdominal pain. a ct abdomen was obtained which showed small bowel pneumotosis. the pt was brought to the operating room for exploratory laparotomy and an 8o cm segment of small bowel was found to be ischemic. the abdomen was left open and the pt was brought back to the operating room the following day for a "second look" procedure. intraoperatively, the bowel appeared viable with the exception of 1 cm of ischemia which was oversewn with 3-0 silk. post-operatively, the pt developed respiratory distress in the icu and was found to have decreased breath sounds on the left side. an emergent chest tube was placed x 2 with good result. the pneumothorax was thought to be a result of his copd/positive pressure ventilation. hospital course was remarkable for the following events: failure to wean ventilator sp tracheostomy dvt: b duplex of lower extremities were obtained as a part of a fever work up which revealed rle dvt. a heparin ggt was started for a goal ptt of 60-80 malnutrition-albumin 1.5/trf 144: the pt was initially sustained on tpn and tf were started one week post operatively via a dobhoff feeding tube placed in the jejunum. the tpn was weaned off as the pt was tolerating tube feeds. when the pt became septic and hypotensive two weeks post op, his tube feeds were held as he required multiple vasopressors to sustain a map > 60. at this time, tpn was restarted. secondary to the pt's severe malnutrition and catabolic state, the pt exhibited impaired wound healing which led to fascial dehiscence mid wound for approximately 2 cm. ethicon wound bridges were palced at the bedside on to prevent eviseration. sepsis/hypotension: the pt spiked a temperature to 101.5 and became massively hypotensive requiring multiple vasopressors to sustain a mean arterial pressure of 60. broad spectrum antibiotics were started. cxr revealed a r pneumonia which did not improve despite antibiotics. sputum cultures grew pan sensitive klebsiella. acute renal failure/anuria: the pt's bun and creatine increased to 93/3.0 respectively. worsening renal failure led to volume overload, electrolyte abnormalities and metabolic acidosis. due to the patient's comorbidies and worsening clinical condition, a family meeting with the icu attending, social worker and the patient's family was held on and the a decision to provide "comfort measures only" was made. the pt expired shortly after. medications on admission: asa 325qd, amio200qd, lasix 20qd, toprol xl 50qd, lipitor 20qd, percocet prn, protonix 40qd, tums+vitd, feso4 discharge medications: na discharge disposition: expired discharge diagnosis: ischemic bowel pneumonia atrial fibrillation acute renal failure wound dehiscence cad sp imi / sp cardiac cath -ef 35%, 2vd complete heart block s/p pace maker placement copd oa aaa 4.5 cm diverticulosis psh: r colectomy discharge condition: na discharge instructions: na followup instructions: na md, procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other partial resection of small intestine enteral infusion of concentrated nutritional substances other bronchoscopy non-invasive mechanical ventilation temporary tracheostomy closure of skin and subcutaneous tissue of other sites transfusion of packed cells small-to-small intestinal anastomosis other repair of intestine diagnoses: pneumonia, organism unspecified anemia of other chronic disease coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation acute respiratory failure hypotension, unspecified iatrogenic pneumothorax old myocardial infarction personal history of malignant neoplasm of bladder cardiac pacemaker in situ sinoatrial node dysfunction hemorrhage of gastrointestinal tract, unspecified dehydration acute vascular insufficiency of intestine herpes zoster with other specified complications disruption of external operation (surgical) wound 

Answer: The patient is high likely exposed to