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: patient recorded as having no known allergies to drugs attending: chief complaint: symptomatic rectal prolapse major surgical or invasive procedure: perineal proctectomy for rectal prolapse history of present illness: the patient is a -year-old gentleman with a history of metastatic hepatocellular carcinoma who had a markedly symptomatic rectal prolapse. he had difficult time sleeping, and he was incompetent of stool prior to surgery. he was scheduled for surgery last year, but with this was delayed. he responded to chemotherapy regimen for his hepatocellular carcinoma, and he requested a rectal prolapse surgery. risks and benefit of that surgery were discussed in detail. he understood that death was a risk. he signed a surgical consent, held his chemotherapeutic regimen for 6 weeks and was offered surgery following that. past medical history: pmh: met hcc, heart murmur, dm, htn, neuropathy, hiatal hernia, mild as/mr, lvh. pshx: liver rxn & ablation, partial gastrectomy & splenectomy for gib, t&a. social history: widower involved in many groups: masons, other social clubs family history: noncontributory physical exam: afebrile, vss gen: nad, resting comfortably in bed cv: rrr pulm: bibasilar crackles, no respiratory distress abd: soft, nt, large ventral hernia, well healed scar ext: 2+ edema b/l le extremities no c/c pertinent results: 02:28am blood wbc-17.6*# rbc-3.46* hgb-9.3* hct-29.8* mcv-86 mch-26.8* mchc-31.2 rdw-17.6* plt ct-435 08:36pm blood wbc-15.3* rbc-3.80* hgb-10.4* hct-33.2* mcv-87 mch-27.3 mchc-31.3 rdw-16.4* plt ct-415 11:20am blood wbc-12.5* rbc-3.37* hgb-9.2* hct-29.9* mcv-89 mch-27.4 mchc-30.8* rdw-16.6* plt ct-378 04:04am blood wbc-14.7* rbc-3.83* hgb-10.8* hct-33.3* mcv-87 mch-28.1 mchc-32.3 rdw-16.3* plt ct-386 05:15am blood wbc-13.0* rbc-3.60* hgb-9.8* hct-31.2* mcv-87 mch-27.2 mchc-31.4 rdw-16.5* plt ct-413 06:10am blood wbc-16.7* rbc-3.81* hgb-10.3* hct-32.8* mcv-86 mch-27.1 mchc-31.5 rdw-17.5* plt ct-426 08:36pm blood alt-195* ast-487* alkphos-973* totbili-0.5 04:04am blood alt-98* ast-261* ld(ldh)-177 alkphos-947* amylase-65 totbili-0.5 10:15am blood ck-mb-notdone ctropnt-<0.01 cxr: findings: metallic clips project over the middle upper abdomen. the lung volumes are low. the size of the cardiac silhouette is borderline. there is slight enlargement of the azygos vein. there also is subtle peribronchial cuffing and perihilar haziness, combined with moderate retrocardiac atelectasis. overall, these findings could be suggestive of moderate fluid overload. there is blunting of the left costophrenic angle, possibly caused by minimal pleural effusion. the right costophrenic angle shows no evidence of pleural effusion. there are no parenchymal opacities suggestive of pneumonia. moderate calcification of the aortic wall at the level of the aortic arch. cxr: findings: as compared to the previous examination, there is newly appeared blunting of the right costophrenic angle, suggestive of newly appeared mild pleural effusion. otherwise, the radiograph is unchanged. there are metallic clips projecting over the middle upper abdomen. there still is slight enlargement of the azygos vein. combined with subtle peribronchial cuffing and perihilar haziness, these findings are suggestive of moderate fluid overload. no focal parenchymal opacities suggestive of pneumonia. moderate calcification of the aortic wall at the level of the aortic arch. cxr: impression: minimal improvement in moderate degree of pulmonary edema. small bilateral pleural effusions cxr: findings: in comparison with the study of , the pulmonary vascularity is essentially within normal limits, as is the size of the cardiac silhouette. cxr: comparison: . as compared to the previous examination, there is a subtle increase in bilateral suprabasal atelectasis. there are no signs suggestive of overhydration, no evidence of pleural effusion and no focal parenchymal opacities suggestive of pneumonia. brief hospital course: the patient was admitted to the surgery service for post operative evaluation and treatment. neuro: the patient received dilaudid and tylenol with good effect and adequate pain control. when tolerating oral intake, immediately post operatively, the patient was transitioned to oral pain medications. cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. on , the patient had an episode of nausea and emesis, and an ecg was obtained, which did show some ectopy/irregular rhythm, and st changes for which cardiac enzymes were cycles, and were negative. pulmonary: the patient was stable initially from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirometry were encouraged throughout this hospitalization. the patient was put on levofloxacin on as he continued to have increased sputum (often green) and a rising white blood count post operatively. his white blood count decreased with the addition of levofloxacin. gi/gu/fen: post operatively, the patient's diet was advanced, which was tolerated well. mr. did have some coughing during eating initially, however passed a bed side swallow evaluation; he was, however, put on aspiration precautions. the patient began experiencing some diarrhea post operatively, which was sent for c. diff and was negative; he was put on flagyl for presumed c. diff, and should continue the medication until . he was also put on cholestyramine, and metamucil (and stool softeners were held) for diarrhea. the patient had occasional small amounts of blood from the rectum/surgical site. his hematocrit was closely monitored, however, and the blleding was not significant. the patient's intake and output were closely monitored, and ivf were adjusted when necessary. the patient's electrolytes were routinely followed during this hospitalization, and repleted when appropriate. id: the patient's white blood count and fever curves were closely watched for signs of infection. he was put on flagyl for presumed c.diff (though he was c. diff negative x 3), and levofloxacin for a respiratory tract infection. endocrine: the patient's blood sugar was monitored throughout this stay; insulin dosing was adjusted accordingly. hematology/oncology: the patient's complete blood count was examined routinely; 2 units of packed red blood cell transfusions were required during this stay. he continues to have a small amount of bleeding from the rectum, which is normal post operatively, especially in his case, as he has had much erosion to the area. his hematocrit should continue to be checked periodically following discharge, and has been routinely checked throughout this hospitalization. the patient's sorafenib should be held for six weeks following surgery, and was held during this hospitalization. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. medications on admission: nexavar (sorafenib)2 tabs qam, 1 qpm, metop 25 mg'', vit d 400', vit b50 complex 1'', mvi', erythromycin drops 0.5% ou qd, loperamide 2'', ranitidine 150'', phenytoin 200', hctz 25', glipizide 5'. discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed: hold for diarrhea, loose stools. 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po bid (2 times a day): hold for diarrhea, loose stools. 3. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 5. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po daily (daily). 6. hexavitamin tablet sig: one (1) cap po daily (daily). 7. insulin lispro 100 unit/ml solution sig: one (1) subcutaneous asdir (as directed): per sliding scale. 8. glipizide 5 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po daily (daily). 9. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed: hold for sedation, rr<12. 10. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 11. nystatin 100,000 unit/ml suspension sig: five (5) ml po tid (3 times a day) as needed for oral thrush. 12. potassium & sodium phosphates mg powder in packet sig: one (1) powder in packet po tid (3 times a day). 13. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 14. b complex vitamins capsule sig: one (1) tablet po daily (daily). 15. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 16. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 17. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) inhalation every 6-8 hours as needed. 18. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 19. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po bid (2 times a day). 20. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 21. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 22. ondansetron 4 mg iv q8h:prn 23. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day): continue until . 24. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) as needed for repiratory infection: continue until . 25. psyllium 1.7 g wafer sig: one (1) wafer po bid (2 times a day) as needed for loose stools. 26. cholestyramine-sucrose 4 gram packet sig: one (1) packet po twice a day as needed for diarrhea. 27. ondansetron 4 mg iv q8h:prn discharge disposition: extended care facility: northeast - discharge diagnosis: perineal proctectomy for rectal prolapse discharge condition: stable discharge instructions: incision care: keep clean and dry. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. . please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. * continue to ambulate several times per day. * no heavy ( lbs) until your follow up appointment. followup instructions: please follow up with dr. in weeks; call his office at ( to schedule an appointment procedure: other pull-through resection of rectum diagnoses: anemia, unspecified esophageal reflux unspecified pleural effusion unspecified essential hypertension diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes pulmonary collapse diaphragmatic hernia without mention of obstruction or gangrene diarrhea malignant neoplasm of liver, primary rectal prolapse 

Answer: The patient is high likely exposed to