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: carcinoma of the rectum major surgical or invasive procedure: exploratory laparotomy, lysis of adhesions (2.5 to 3 hours), low-low anterior resection with a coloproctostomy with hand-sewn anastomosis and feeding jejunostomy. history of present illness: 86m referred with a carcinoma of the rectum which was thought to be partially obstructing, but in fact as it turns out, it was his diverticulosis which was giving him the partial obstruction. his family noted that he had begun to fail over the past year and that he had some rectal bleeding. colonoscopy showed a lesion which was advertised as 16 cm, but in fact was 10 cm. he had previously had an abdominal aortic aneurysm and 2 hernias repaired with mesh which made things somewhat difficult. past medical history: open chole, aaa repair, sb resection, intestinal obstruction, loa ', l inguinal hernia repair, eczema, hypothyroid social history: married 20 pack-year h/o tobacco -quit 6 years ago 3 glasses of wine q night family history: non-contributory physical exam: per inpatient record: 98.5 64 146/72 18 94 ra nad a and o x3 rrr no mrg ctab soft, appropriately tender, +bs, nd wound c/d/i no c/c/e pertinent results: cbc 06:30am blood wbc-5.4 rbc-4.42* hgb-13.7* hct-40.0 mcv-90 mch-31.0 mchc-34.3 rdw-14.0 plt ct-259 02:15pm blood wbc-7.1 rbc-3.42* hgb-10.9* hct-30.4* mcv-89 mch-31.9 mchc-36.0* rdw-14.4 plt ct-170 07:31pm blood hct-35.6* 03:00am blood wbc-12.8*# rbc-3.65* hgb-11.6* hct-32.4* mcv-89 mch-31.7 mchc-35.8* rdw-14.6 plt ct-189 02:01pm blood hct-31.7* 03:07am blood wbc-14.4* rbc-3.59* hgb-11.2* hct-31.9* mcv-89 mch-31.3 mchc-35.2* rdw-14.6 plt ct-188 04:28am blood wbc-11.1* rbc-3.52* hgb-11.4* hct-31.5* mcv-90 mch-32.3* mchc-36.1* rdw-14.2 plt ct-200 03:33am blood wbc-8.0 rbc-3.44* hgb-10.9* hct-30.7* mcv-89 mch-31.8 mchc-35.6* rdw-14.1 plt ct-229 06:05am blood wbc-8.7 rbc-3.58* hgb-11.6* hct-32.0* mcv-89 mch-32.4* mchc-36.3* rdw-14.1 plt ct-289 06:55am blood wbc-10.7 rbc-3.74* hgb-11.5* hct-33.8* mcv-91 mch-30.8 mchc-34.0 rdw-14.0 plt ct-292 04:21am blood wbc-6.3 rbc-2.67*# hgb-8.0*# hct-31.0* mcv-116*# mch-30.2 mchc-25.9*# rdw-13.8 plt ct-212 07:09am blood wbc-8.7 rbc-3.42*# hgb-10.4*# hct-31.4* mcv-92# mch-30.5 mchc-33.2# rdw-14.0 plt ct-277 06:41pm blood wbc-8.0 rbc-3.39* hgb-10.7* hct-30.4* mcv-90 mch-31.5 mchc-35.2* rdw-13.8 plt ct-354 chemistries 06:30am blood glucose-94 urean-10 creat-0.9 na-141 k-3.8 cl-105 hco3-29 angap-11 02:15pm blood glucose-142* urean-7 creat-0.8 na-142 k-4.0 cl-112* hco3-21* angap-13 03:00am blood glucose-88 urean-10 creat-0.9 na-140 k-4.0 cl-108 hco3-24 angap-12 03:07am blood glucose-123* urean-19 creat-0.8 na-135 k-4.5 cl-106 hco3-23 angap-11 04:28am blood glucose-99 urean-19 creat-0.7 na-133 k-4.0 cl-102 hco3-23 angap-12 03:33am blood glucose-120* urean-20 creat-0.6 na-137 k-3.5 cl-104 hco3-26 angap-11 06:05am blood glucose-130* urean-21* creat-0.7 na-139 k-4.2 cl-103 hco3-27 angap-13 06:55am blood glucose-117* urean-21* creat-0.7 na-135 k-4.5 cl-99 hco3-29 angap-12 07:09am blood glucose-118* urean-23* creat-0.7 na-139 k-5.1 cl-103 hco3-30 angap-11 11:00am blood glucose-104 urean-24* creat-0.6 na-137 k-4.6 cl-103 hco3-28 angap-11 06:41pm blood glucose-102 urean-26* creat-0.8 na-138 k-4.4 cl-105 hco3-25 angap-12 07:56am blood glucose-97 urean-23* creat-0.7 na-137 k-4.6 cl-104 hco3-25 angap-13 coags 04:35am blood pt-15.1* ptt-33.7 inr(pt)-1.4* brief hospital course: patient was admitted on with t3n0 recti-sigmoid adenocarcinoma. he was taken to the operating room on by dr. and the surgical staff for a exploratory laparotomy, lysis of adhesions (2.5 to 3 hours), low-low anterior resection with a coloproctostomy with hand-sewn anastomosis and feeding jejunostomy. procedure was uncomplicated. post-operatively the patient did well, his pain was controlled with an epidural. on pod #1 he was out of bed, was given tpn, and made adequate urine. his hematocrit remained stable. he was seen and evaluated by radiation oncology. his jp drains continued to have serosanguinous drainage. his dressings were clean, dry, and intact. his pathology showed low grade adenocarcinoma with negative margins and 0/12 lymph nodes and therefore was not a candidate for xrt. he worked with physical therapy and made progress. a condom catheter was used for his incontinence. he was maintained on coumadin for dvt prophylaxis. on he was started on amp/gent/flagyl. on he ambulated well with pt, however with a decreased step length. patient had a gout flare during the admission and was started on indomethacin 25mg po tid. by he was tolerating a soft diet and was passing flatus. he moved his bowels on and his antibiotics were discontinued. on his jp drains were discontinued. his tpn was stopped. his coumadin was also stopped. he tolerated a regular diet which is to be supplemented by 30cc/hour of impact with fiber cycled overnight. he was started on iron treatment for his anemia and paxil for a depressed affect. his picc line was discontinued. his indomethacin was changed to a prn medication should he have an another gout flare. *note: m.d. composing discharge summary was only inolved in the care of the patient on . medications on admission: flomax .4 mg qd levothyr 50' benicar 20qd propranolol 20qd hydrocortisone cream discharge medications: ipratropium bromide neb 1 neb ih q6h:prn levothyroxine sodium 50 mcg po daily albuterol 0.083% neb soln 1 neb ih q6h:prn metoclopramide 5 mg po q6h benicar *nf* 20 mg oral daily hold for sbp<100 metoprolol 12.5 mg po bid hold for sbp <110, hr <55 ferrous sulfate 325 mg po daily mineral oil 15 ml po qd pantoprazole 40 mg po q24h paroxetine hcl 20 mg po daily hydrocodone-acetaminophen 1 tab po q4-6h:prn psyllium 1 pkt po bid tamsulosin hcl 0.4 mg po hs insulin sc sliding scale discharge disposition: extended care facility: the clipper home discharge diagnosis: rectosigmoid adenocarcinoma discharge condition: stable discharge instructions: m.d. for fevers, chills, nausea, vomitting, abdominal pain, redness or drainage from wound, questions or concerns. continue tube feeds through feeding j-tube, cycled overnight impact w/ fiber at 30cc/hour. please flush j-tube w/ 30 ml water before and after each feeding. please check blood chemistries/electrolytes on and twice weekly. please use venodynes to bilateral lower extremities at all times. do not change dressing. please leave dressing intact until follow-up appointment. please check finger sticks qid. followup instructions: follow-up with dr. next wedneday at the general surgery clinic. please call clinic to schedule/confirm . follow-up with primary care provider 1 week. please call clinic to schedule. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other enterostomy reconstruction of eyelid with hair follicle graft other local excision or destruction of lesion or tissue of skin and subcutaneous tissue diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances other lysis of peritoneal adhesions central venous pressure monitoring transfusion of packed cells other anterior resection of rectum large-to-large intestinal anastomosis transfusion of other serum rigid proctosigmoidoscopy simple excision of other lymphatic structure diagnoses: abnormal coagulation profile unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified gout, unspecified aortic valve disorders unspecified transient mental disorder in conditions classified elsewhere percutaneous transluminal coronary angioplasty status hemorrhage complicating a procedure disorders of phosphorus metabolism peritoneal adhesions (postoperative) (postinfection) iron deficiency anemia, unspecified other constipation personal history of venous thrombosis and embolism diverticulosis of colon (without mention of hemorrhage) scar conditions and fibrosis of skin malignant neoplasm of rectosigmoid junction 

Answer: The patient is high likely exposed to