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: oxycodone attending: chief complaint: non healing rle wound major surgical or invasive procedure: irrigation and debridement of skin, subcutaneous tissue, muscle, and tendon of right lower extremity free latissimus dorsi muscle flap reconstruction. split-thickness skin graft (15 x 10 cm). irrigation and debridement of right back wound. history of present illness: 70yom w h/o with chf, afib, wpw s/p ablation, high grade right le sarcoma s/p xrt and multiple excisions, hemochromatosis c/b cirrhosis, hypertension, gerd and asthma; his rle sarcoma is s/p resection x2 and rads w last one covered w stsg. has since had breakdown of wound that required free flap. past medical history: 1. sarcoma rle s/p excision and 2wks ago (late ) an elective wide excision of the tumor bed (wound healing well per surgery note here in ed today. 2. atrial fibrillation on chronic a/c (warfarin ....) 3. status post ablation for -parkinson-white syndrome in 4. congestive heart failure 5. cirrhosis 6. hemochromatosis diagnosed two to three years ago 7. hypertension 8. gerd 9. "asthma" 10. depression 11. hypothyroidism 12. int hemorrhoids social history: irish/scottish ancestry; speaks english with accent, speaks gaelic. lived in and ca previously. the patient works as a housecleaner. he previously owned his own cleaning concession and did both household as well as commercial cleaning. works and does chores from 7a-9p at baseline, recent changes post-op, with difficulty sleeping. . tobacco: he is currently a nonsmoker and reports 30 years of nonsmoking. prior history was one pack per day x12 years. . etoh: prior intake 2-3 beers and a "nip" of soco whiskey (wife says he hides intake from her, so may be more). says he stopped drinking for surgery, none since. denies illicits. family history: significant for alcoholism. he has a brother who has hepatocellular carcinoma and there is a history of breast cancer in both his mother and a sister. physical exam: admission pe: vs: 98.0, 136/90, 122 (90s-140s), 18, 97% ra gen: lying comfortably in bed. awake, alert, oriented, appropriate heent: no conjunctival iceterus or pallor. mmm, op clear. face symmetric neck: supple, no jvd or lad cv: irregularly irregular, not tachycardic, no murmurs or rubs. pmi nondisplaced abd: soft, nt/nd, nabsx4, no rebound or guarding ext: rle with large leg lesion. right foot has 2+ pitting edema, which patient says is chronic. neuro: sensation to light touch intact over all extremities, other than posterior r thigh. aaox3, speech fluent, thought process clear discharge pe: vitals: t:98.4 p 60s-90ss bp 134/77 r 16 o2 sat 100%ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, no lad, cvl on r anterior neck lungs: 2 jp drains in r lower thorax draining bloody fluid, no adventicious sounds b/l cv: irregular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: rle wrapped with ace bandage, no le noted b/l neuro: le sensation intact, plantar and dorsiflexion noted b/l pertinent results: pertinent labs: 07:26pm blood wbc-10.3 rbc-3.06* hgb-9.2* hct-28.4* mcv-93 mch-30.0 mchc-32.4 rdw-14.4 plt ct-366 09:56pm blood neuts-88.4* lymphs-5.5* monos-5.6 eos-0.4 baso-0.2 05:55am blood wbc-10.5 rbc-3.16* hgb-9.5* hct-30.7* mcv-97 mch-30.1 mchc-30.9* rdw-18.1* plt ct-487* 09:30am blood pt-27.2* ptt-41.0* inr(pt)-2.6* 12:21am blood pt-11.8 ptt-24.5* inr(pt)-1.1 09:30am blood glucose-116* urean-14 creat-0.9 na-140 k-4.3 cl-105 hco3-28 angap-11 05:45am blood glucose-103* urean-19 creat-0.8 na-140 k-4.6 cl-105 hco3-26 angap-14 07:26pm blood ck(cpk)-1102* 07:26pm blood ck-mb-6 ctropnt-<0.01 09:30am blood calcium-8.4 phos-3.4 mg-1.9 05:50am blood tsh-5.3* 06:00am blood digoxin-1.2 02:32pm blood type-art rates-/14 tidal v-500 fio2-45 po2-114* pco2-46* ph-7.41 caltco2-30 base xs-4 intubat-intubated vent-controlled 07:49pm blood type-art po2-144* pco2-36 ph-7.44 caltco2-25 base xs-1 02:32pm blood glucose-122* lactate-1.1 na-134 k-3.8 cl-100 02:32pm blood freeca-1.08* 04:41pm blood freeca-1.15 08:13pm urine color-straw appear-clear sp -1.004 08:13pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.0 leuks-neg micro: blood culture, routine (final ): no growth blood culture, routine (final ): no growth. mrsa screen (final ): no mrsa isolated chest (pre-op pa & lat) study date of 1:37 pm impression: 1. copd. cardiomegaly. 2. small left effusion, new compared with , of uncertain etiology. no chf. bilat lower ext veins study date of 1:14 pm impression: 1. no bilateral lower extremity dvt. 2. complex right cyst. knee (2 views) left study date of 2:27 pm impression: moderate-to-large suprapatellar joint effusion is new since prior study. persistent severe tricompartmental osteoarthritis and chondrocalcinosis. pathology examination name birthdate age sex pathology # , 70 male report to: dr. description by: dr. . /mtd specimen submitted: right leg sarcoma. procedure date tissue received report date diagnosed by dr. -,dr. . /ch???????????? previous biopsies: anterior tumor bed right leg. right lower extremity sarcoma, deep tissue overlying right ankle mass. diagnosis: skin and subcutaneous tissue, right leg (a-p): 1.skin and subcutaneous tissue with fibrosis, acute and chronic inflammation, focal necrosis, focal calcification, and foreign body giant cell reaction consistent with prior procedure / treatment effect. 2.no sarcoma is identified. 3.multiple tissue levels examined. chest (portable ap) study date of 5:16 am impression: ap chest compared to preoperative chest radiograph: moderate-to-severe cardiomegaly is comparable to the preoperative appearance. opacification of the base of the left hemithorax is probably a combination of severe left lower lobe atelectasis and pleural effusion. i do not see pulmonary edema. no pneumothorax. chest (portable ap) study date of 4:16 am findings: as compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. there is unchanged borderline size of the cardiac silhouette but the diameter of the vasculature in the lungs has decreased, reflecting decrease in pulmonary edema. moderate atelectasis at the left lung bases. no newly occurred parenchymal opacities. chest (portable ap) study date of 4:09 am findings: mild and hazy opacities in right lower lung is either atelectasias or combination of small effusion and atelectasis, unchanged over last 24 hours. pleural effusion if any is minimal on the left side and stable. mildly increased retrocardiac density, reflecting atelectasis, is similar. moderately enlarged heart size is stable. mediastinal and hilar contours are unremarkable. upper lungs are clear. chest (portable ap) study date of 4:45 pm findings: in comparison with the earlier study, there has been placement of an endotracheal tube with its tip at the clavicular level, approximately 6.2 cm above the carina. retrocardiac opacification persists. there has been interval placement of a right ij catheter that extends to lower portion of the svc. chest (portable ap) study date of 4:36 am impression: ap chest compared to through : moderate-to-severe cardiomegaly and pulmonary vascular congestion and small right pleural effusion have worsened. left lower lobe atelectasis is relatively unchanged, following extubation. right jugular line ends in the region of the superior cavoatrial junction. no pneumothorax. brief hospital course: 70 m with chf, afib, wpw s/p ablation, high grade right le sarcoma s/p xrt and multiple excisions, hemochromatosis c/b cirrhosis, hypertension, left atrial thrombus seen on tee in , who was admitted after elective debridement and split thickness skin graft reconstruction of radiated sarcoma defect. immediately post-op, his course was complicated by severe pain for which he had a sciatic nerve catheter placed by the acute pain service and atrial fibrillation with rvr. after several liters of fluid and better pain control, his rates returned to the low 100s with metoprolol 100 (double home dose). he was taken back to the or on for a large skin graft and flap surgery. post-operatively, he was in afib to the 160s, hypotensive, started on a diltiazem gtt and neo gtt and transferred to the tsicu. he was also agitated and received haldol and ativan, with improvement in his mental status. in the tsicu, he remained on a neo and dilt gtt, both weaned off on the am of . he was then rate controlled on 40 q8 po dilt and 25 metoprolol tartrate. he has been on heparin gtt for anticoagulation while his coumadin is being held. on , he continued to have afib with rvr into the 140s, with a hct drop to 19 and a developing flank/bacl hematoma. he was taken back to or for hematoma evacuation, transfused 2 units prbcs. the hematoma drained 1500-1700 cc and patient transferred back to tsicu. he remained in afib to 140s, metoprolol doubled to 50 tid, dilt dc'ed, started on verapamil 80 tid. on , hcts stable and rates better controlled with pressures in 110s-120s. heparin gtt was discontinued after bleed, placed on aspirin and heparin subq. he was transferred to medicine for optimaztion of rate control and anticoagulation. on the medicine service the pt was placed on po diltiazem and metoprolol succinate was continued. his persistent tachycardia was noted to be vagally responsive. digoxin was initiated and within 24hrs his hr was well controlled with resting rates in the 70s-90s from 120s-150s prior to digoxin. after discussion with plastic surgery it was determined that because he is a chads score 2, warfarin would be held until the two jp drains in his back are removed. he will be continued on just 81mg of aspirin daily. plastic surgery recommended that he continue antibiotic coverage with both bactrim ds and augmentin daily until the jp drains are removed from his thorax or dr. from plastic surgery recommends they be stopped. the rehab facility was given instructions to restart his home dose of valsartan and furosemide with careful monitoring of his kidney function and blood pressure. #transitional: 1. please schedule a primary care appointment within 1-2 weeks of discharge from the hospital. 2. furosemide 20mg daily and valsartan 320mg daily should be restarted in days with careful monitoring if his renal function and blood pressure daily 3. he has a follow up appointment with dr. regarding his flap post discharge. 4. please continue bactrim and augmentin until jp drains are removed or instructed by dr. 5. warfarin should continue to be held until jp drains are removed. medications on admission: lasix 20d, gabapentin 300 tid, vicodin, anusol, levothyroxine 100, metrop 50bid, pantoprazole, diovan 320, coumadin, ambien, ?verapamil discharge medications: 1. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 2. metoprolol succinate 200 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 3. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. venlafaxine 37.5 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po daily (daily). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 8. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily) as needed for back pain. 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 10. diltiazem hcl 120 mg capsule, extended release sig: two (2) capsule, extended release po daily (daily). 11. amoxicillin-pot clavulanate 875-125 mg tablet sig: one (1) tablet po q12h (every 12 hours): please continue to take until drains are removed from back . 12. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: two (2) tablet po bid (2 times a day): continue until both jp drains are removed . discharge disposition: extended care facility: maristhill nursing & rehabilitation center - discharge diagnosis: non-healing leg wound, atrial fibrilation with rapid ventricular response, successful skin flap, surgical site infection discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: mr. , it was a pleasure taking care of you at . you were admitted on for surgical debridements of a chronic right lower extremity wound followed by repair with a free right latissimus flap to your clean wound site with skin graft coverage on . please follow these discharge instructions. . you may continue to move along with your right lower extremity 'dangle' protocol and fully weight bear on your right leg. when you reach 30 minutes three times a day you should continue this for 2 days and then you may progress to an 1 hour a day, three times a day. remember that after your 'dangles' you should elevate your right leg to allow for the swelling to go down and give your leg a proper rest period. dr. will let you know at your follow up appointment, when it is appropriate to progress to greater than 1 hour dangles, three times a day. you also experienced atrial fibrilliation with a rapid ventricular rate during this admission as well. we increased the dose of two medications to help decrease your heart rate and added a medicine called digoxin for heart rate control as well. we recommend that you not restart warfarin until the drains in your back are removed. the following changes have been made to your medications: stop: verapamil warfarin valsartan furosemide hydrocodone-acetaminophen oxycodone start: diltiazem- for blood pressure and heart rate control digoxin- for heart rate control lidocaine patch- as needed for pain control aspirin- to help thin your blood change: increase dose of metoprolol succinate to 200mg daily please see below for follow up appointments that have been made on your behalf. followup instructions: you should follow up with your primary care physician with in 2 weeks of discharge from the hospital. please follow up with dr. for management of your right lower extremity flap repair. . , at 2:30 , md on the , building, , in 'the spine center'. if you cannot keep this appointment then please call his office to re-schedule. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other skin graft to other sites graft of muscle or fascia other incision with drainage of skin and subcutaneous tissue excision of muscle or fascia for graft other excision of soft tissue diagnoses: other iatrogenic hypotension esophageal reflux congestive heart failure, unspecified unspecified essential hypertension cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia unspecified acquired hypothyroidism atrial fibrillation hematoma complicating a procedure asthma, unspecified type, unspecified depressive disorder, not elsewhere classified alcohol abuse, unspecified 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 other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic systolic heart failure long-term (current) use of anticoagulants other disorders of calcium metabolism other alteration of consciousness infection and inflammatory reaction due to other internal prosthetic device, implant, and graft malignant neoplasm of connective and other soft tissue of lower limb, including hip other hemochromatosis mechanical complication due to graft of other tissue, not elsewhere classified chondrocalcinosis, unspecified, lower leg 

Answer: The patient is high likely exposed to