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: history of present illness: the patient had the onset of acute pain and near syncope and was admitted to an outside hospital and then transferred here after the diagnosis of ruptured aneurysm was made. the patient underwent emergent surgery. hospital course: the patient was emergently taken to the operating room and underwent an abdominal aortic repair, open. he was transferred to the intensive care unit for continued care. on , the patient underwent a split primary closure and a g-tube placement. attempt to wean was tried on without success. the patient developed fever and was pancultured. he grew yeast from his sputum. he was begun on levofloxacin and fluconazole. on , he was placed on pap. his right central line was changed to a triple-lumen catheter on . on , he was extubated. physical therapy began to evaluate the patient and treated him on a daily basis. speech and swallow evaluated the patient, and he had positive signs of aspiration with liquids. he was continued npo, and tpn was continued. the patient was begun on g-tube feeds and transferred to the vicu on . he had some episodes of hypernatremia requiring additional intravenous fluids. he underwent a video swallow on which demonstrated aspiration, and he had an inability to cough. he was continued npo, and nutrition was supported with tpn and g-tube feedings. the patient returned to the intensive care unit on secondary to respiratory insufficiency, chronic renal insufficiency with acute renal failure. he was begun on vancomycin, zosyn and flagyl at this time. he required transfusion, 1 u packed cells, and on , he was transferred back to the vicu. a repeat video swallow was done on , which the patient failed. on , the patient became febrile, tachycardiac, with question of pulmonary embolus. intravenous heparin was started empirically. a swallow the day before noted that the patient continued to aspirate, although pureed solids and thin liquids were instituted. the patient remained septic requiring ventilatory support and required additional antibiotics for his mrsa pseudomonas pneumonia. on , the patient continued to be persistently afebrile. ct of the abdomen was obtained which showed fluid around the left kidney. the patient was instituted on ceftazidime for pseudomonas pneumonia. he showed improvement after the ceftazidime was instituted and transferred back to the vicu on . hematology was consulted because of his pancytopenia. they felt this was all secondary to poly-pharmacology, and with adjustment of his medications, his pancytopenia improved. tube feeds, half-strength nepro 50 cc/hr was instituted. on , his antibiotics were discontinued. he was begun on p.o. clears only. he continued to be monitored for aspiration. he was followed by physical therapy and discharged in stable condition. discharge medications: ipratropium multidose inhaler 8 puffs q.4 hours p.r.n., insulin sliding scale, the patient is on tube feeds, artifical tears 1-2 drops o.u. p.r.n., ................. 20% nebulizers q.4-6 hours p.r.n., albuterol nebulizers 1 q.4 hours, acetaminophen 325-650 mg q.4-6 hours p.r.n., metoprolol 25 mg b.i.d., pantoprazole 40 mg q.d., tube feeds half-strength nepro at 50 cc/hr, check residuals q.4 hours and hold for residuals greater than 150, the patient is to receive 125 cc of water q.6 hours. diet: consistence of pureed, thin liquids was begun. discharge diagnosis: 1. ruptured aortic aneurysm, status post open repair, with delayed primary closure of the abdominal wound. 2. g-tube placement for nutritional support. 3. respiratory failure requiring prolonged intubation status post extubation. 4. ................. pneumonia times three, treated. 5. hyponatremia, treated. 6. aspiration of thin liquids, improved. 7. pancytopenia secondary to multiple medications. 8. pseudomonas pneumonia, on ceftazidime. , m.d. dictated by: medquist36 d: 12:54 t: 12:56 job#: procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation gastric lavage resection of vessel with replacement, aorta, abdominal other gastrostomy delayed closure of granulating abdominal wound diagnoses: acute kidney failure with lesion of tubular necrosis unspecified septicemia iron deficiency anemia secondary to blood loss (chronic) hemorrhage complicating a procedure pneumonia due to pseudomonas abdominal aneurysm, ruptured 

Answer: The patient is high likely exposed to