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: this is a -year-old white male who was initially evaluated by the trauma service on the after a fall on the commode. at that time, he was noted to have multiple rib fractures and a small splenic lac. he had stable hematocrits in the hospital and was discharged to rehab on . he was readmitted on , brought in via the er, for lethargy and hypotension into the 80s/50s. the outside hospital hematocrit was listed at 15 prior to the 3 units transfused. he was found to have a posttransfusion hematocrit of 26, which was down from his previous of 35. he was scanned and then transferred here after being given 3 units of prbcs and being intubated. past medical history: 1. hypothyroidism. 2. parkinson's disease. 3. lower leg elephantiasis. 4. copd. past surgical history: left total knee replacement. home medications: 1. serevent. 2. advair. 3. levoxyl. 4. vicodin. allergies: nkda. social history: no use of tobacco or alcohol. nursing home report indicates alert and oriented at baseline. initial physical exam: vital signs - temperature 94.3, blood pressure initially 121/30, remeasured at 145/57, heart rate 80, sat 100. the gentleman was intubated and sedated. he had a regular rate and clear lungs bilaterally. he had a distended and tense abdomen. he had bilateral right greater than left lower extremity edema. this was consistent with his previous history of especially right-sided elephantiasis. the ct from outside hospital indicated a large amount of intraperitoneal fluid. he had a trauma line placed in his left groin in the trauma bay, and he was taken urgently to the or for suspected delayed onset of splenic bleed. hospital course: the gentleman was taken to the operating room on the and had an exploratory laparotomy, during which was noted a large splenic bleed. he had a splenectomy at that time. he had no other internal injuries noted. the patient was sent to the trauma sicu after the operation. he had a left subclavian and swan-ganz catheter placed secondary to decreasing urine output and rising creatinine preoperatively. opening pressures were within normal limits with a wedge of 17-23, cvp 10-16, cco with a ci greater than 3, svo2 77-83%. his initial postoperative crit was 26.1, and he was transfused with an additional 2 units of prbcs with repeat hematocrit of 34. he required calcium repletion, but his other lytes were within normal limits. the patient was initially hypothermic on presentation and was warmed gradually with a bear-hugger. the patient was extubated by evening on . the swan-ganz catheter was removed by , secondary to hemodynamic stabilization. he remained afebrile on cefazolin and levaquin. his ng tube was dc'd on , and he was taking small amounts of clear liquids without nausea or vomiting in the unit. he was transferred over to the floor on . on the floor, mr. was noted to have a moderate amount of abdominal distention with tympany. he had no abdominal pain and no nausea. his incision from the surgery remained intact with midline staples. there was also some serous drainage noted from the site of the left groin cordis that had been pulled, but this resolved over the next several days. he resolved chest pt q 4 h, as well as physical therapy to attempt to improve the deconditioning that had occurred while he was in the hospital. in addition, his abdominal exam was closely followed while he was on the floor. the patient continued to tolerate pos well; however, he remained distended. he reported that he was passing flatus, but had had no bowel movement in many days. dulcolax pr seemed to have no effect. a kub was checked on which just showed nonspecific bowel gas pattern with no evidence of obstruction or perforation. his amylase was 51, indicating no sign of pancreatic injury or inflammation. tsh was checked to see if inadequate treatment of his hypothyroidism might be contributing to his ileus, and it turned out to be 13. so, his dose of levothyroxine was upped from 50 mcg po to 75 iv with a plan to recheck a t4 in a couple of days. he had a small bowel movement on that day, the , but still remained quite distended. his abdominal exam was closely followed. his distention did not resolve by the following day, so a po and iv contrast abdominal ct was obtained in order to determine if there was sign of obstruction or abscess. the ct from the 21 showed no focally drainable collections, no findings to suggest bowel obstruction, a small amount of abdominopelvic ascites consistent with ex-lap, and mild distention of the gallbladder without any discrete fluid around it, and with some calculi. since there was no indication or obstruction or abscess, and the patient was still tolerating pos, it was assumed that this distention and lack of bowel movements was probably due to ileus. we continued a bowel regimen with po dulcolax, as well as tid ambulation to encourage return of bowel function. a free t4 was checked on the 23 which showed 0.9 at the lower end of normal, so his levothyroxine was increased to 100 qd. he was placed on lactulose which caused him to have several large quantity bowel movements, and so the lactulose was discontinued. the patient required occasional albuterol nebs in order to treat some mild expiratory wheezes. the patient also required a few doses of lasix 20 mg iv for fluid overload. lower extremity and scrotal edema improved with lasix. his k was repleted along with diuresis. the patient was noted to be very weak and continued to require pt and assist with ambulation. prior to discharge to rehabilitation, he was given the pneumococcal, meningococcal and h. flu vaccines. labs on admission: cbc showed a white count of 17, hematocrit 26, platelet count 185. coags were pt 12.5, ptt 27.9, inr 1.0. chem-7 - sodium 136, potassium 4.2, chloride 105, co2 22, bun 55, creatinine 2.2, and glucose 126. his ua was positive which was why he was placed on levaquin for 3 days for the urinary tract infection discharge condition: stable. discharge status: to rehabilitation unit. diagnosis: status post fall with delayed bleed from splenic laceration, status post exploratory laparotomy with splenectomy. discharge medications: 1. levothyroxine sodium 100 mcg po qd. 2. bisacodyl 10 mg po qd prn. 3. nystatin ointment applied up to qid prn. 4. famotidine 20 mg po qd. 5. prn tylenol 6. metoprolol 12.5 po bid. 7. docusate 100 mg po bid. 8. albuterol nebulizers q 6 h prn. 9. heparin 5,000 u subcu q 12 h. follow-up in 2 weeks with trauma clinic. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified insertion of endotracheal tube pulmonary artery wedge monitoring total splenectomy diagnoses: urinary tract infection, site not specified unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified paralysis agitans paralytic ileus injury to spleen without mention of open wound into cavity, massive parenchymal disruption accidental fall from commode other lymphedema 

Answer: The patient is high likely exposed to