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: codeine attending: chief complaint: sbo, pneumonia, renal failure major surgical or invasive procedure: ng tube history of present illness: hpi: 87yo f with h/o dm and transferred from osh in with pneumonia, sbo, new onset afib, in micu for afib with rvr and hypotension which has now resolved. . patient initially presented to osh with complaint of abdominal pain and vomiting. she was diagnosed with a uti, pneumonia, and small bowel obstruction as well as acute renal failure, atria fibrillation, and acute mi. she was being managed medically with ngt to suction, not anticoagulated, and antibiotics prior to transfer to . . upon arrival to ed t 99.3 hr 94 bp 130/65 rr 20 99%3lnc. she was admitted to the medical floor where she went into afib/rvr with hr 150s, bp 90s/p. she was treated initially with metoprolol 5mg iv with transient improvement. she then received 17.5mg iv diltiazem. the patient then converted to a sinus rhythm with stable blood pressures. she was continued on the heparin drip and ready for transfer to floor. . past medical history: * dm type ii * hypertension * anxiety/depression * djd * h/o arrhythmia * recurrent utis; last hospitalization * oa s/p right hip replacement * ckd (baseline creatinine not known) . social history: social hx: - lives in , widow, has 24hr home aide - nonsmoker - no etoh . family history: family hx: not elicited . physical exam: pe: t 98.2 hr 92 bp 166/68 rr 16 98%2l via nc i/o 24 hours 2.9/1.4; since midnight 3.1/1.9 gen: nad, pleasant, a&ox2 (date) heent: perrl, anicteric, moist mucous membranes, ngt in place cv: rrr, no murmurs resp: crackles lef base, o/w cta abd: abd: +bs, soft, nontendner, minimal distension ext: no edema, 2+ dps neuro: not oriented, maew pertinent results: 08:18pm pt-16.3* ptt-150* inr(pt)-1.5* 07:42pm glucose-205* urea n-74* creat-1.3* sodium-148* potassium-4.0 chloride-116* total co2-19* anion gap-17 07:42pm calcium-8.6 phosphate-2.2* magnesium-2.8* 07:42pm wbc-13.0* rbc-3.44* hgb-10.4* hct-29.6* mcv-86 mch-30.1 mchc-35.1* rdw-13.9 07:42pm plt count-275 02:53pm ptt-55.8* 01:15pm type-art po2-145* pco2-26* ph-7.48* total co2-20* base xs--1 01:08pm glucose-126* urea n-85* creat-1.6* sodium-154* potassium-2.9* chloride-119* total co2-20* anion gap-18 01:08pm ck(cpk)-154* 01:08pm ck-mb-5 ctropnt-0.03* 01:08pm calcium-9.1 phosphate-1.9* magnesium-3.1* iron-49 01:08pm caltibc-200* ferritin-515* trf-154* 01:08pm caltibc-200* ferritin-515* trf-154* 01:08pm wbc-14.4* rbc-3.08* hgb-9.1* hct-26.6* mcv-87 mch-29.7 mchc-34.3 rdw-13.8 01:08pm plt count-386 01:08pm ret aut-1.4 10:21am urine hours-random urea n-1207 creat-54 sodium-less than 10:21am urine osmolal-587 10:21am urine color-yellow appear-clear sp -1.017 10:21am urine rbc-0 wbc-0-2 bacteria-none yeast-none epi-<1 08:07am type- comments-green 08:07am lactate-1.6 07:50am glucose-419* urea n-92* creat-1.8* sodium-151* potassium-3.4 chloride-116* total co2-20* anion gap-18 05:00pm ck-mb-4 ctropnt-0.04* 05:00pm ck(cpk)-204* 05:00pm estgfr-using this 05:00pm glucose-381* urea n-91* creat-2.0* sodium-147* potassium-5.8* chloride-111* total co2-17* anion gap-25* 05:18pm glucose-336* na+-149* k+-5.8* cl--120* 06:41pm lactate-2.2* 09:15pm plt count-357 09:15pm neuts-84.1* bands-0 lymphs-8.8* monos-6.5 eos-0.1 basos-0.4 09:15pm wbc-13.2* rbc-4.03* hgb-11.8* hct-34.5* mcv-86 mch-29.2 mchc-34.1 rdw-13.7 01:13am k+-3.6 01:15am ck-mb-4 ctropnt-0.03* 01:15am ck(cpk)-118 01:15am glucose-294* urea n-96* creat-1.9* sodium-152* chloride-118* total co2-20* 07:27am urine granular-0-2 07:27am urine granular-0-2 07:27am urine rbc-0-2 wbc-* bacteria-mod yeast-none epi-0-2 07:27am urine blood-neg nitrite-neg protein-tr glucose-tr ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-tr 07:27am urine color-yellow appear-clear sp -1.021 07:30am plt count-284 07:30am wbc-13.2* rbc-3.85* hgb-11.3* hct-33.6* mcv-87 mch-29.3 mchc-33.6 rdw-13.9 echo: the left atrium is mildly dilated. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). transmitral doppler and tissue velocity imaging are consistent with grade i (mild) lv diastolic dysfunction. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). the left ventricular inflow pattern suggests impaired relaxation. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. also noted is a left pleural effusion. . * kub: note is made of nasogastric tube coursing down below the left hemidiaphragm terminating in the left mid quadrant probably in the stomach. the gastric gas is somewhat distended. there are two loops of dilated small bowel measuring up to 4 cm in the left lower quadrant. however, colon and rectal gas is identified. . * abd ct : 1. dilated loops of small bowel with a transition point seen in the right abdomen, with decompressed small bowel seen distal to the transition point to the teminal ileum. stool and gas seen throughout the colon. findings suggest early small bowel obstruction. 2. small left pleural effusion with associated atelectasis and consolidation, concerning for left lower lobe pneumonia. 3. low attenuation left adrenal nodule, incompletely characterized on this non-contrast study. 4. diverticulosis. . brief hospital course: a/p: 87yow with h/o dm and transferred from osh with afib/rvr, uti, pneumonia, sbo and gi bleed. . # afib/rvr: per pcp patient had afib on arrival to the osh 5 days ago and has a h/o "arrhythmia." with no known cad. afib likely occured in setting of acute infection and sbo with dehydration. converted to nsr since transfer to micu and currently hemodynamically stable. the patient was started on iv metoprolol and then converted to po metoprolol after the ng tube was removed. pt was initially started on aspirin but had to be discontinued due to her gi bleed. . # pneumonia: a retrocardiac/lll opacity on cxr. she received a 7 day course of levaquin. the patient's oxygen saturation was stable and the patient had no respiratory distress while in house. . # uti: the patient had a postive ua. she was initially treated with levaquin however cultures gew out e coli that was not sensitive to that antibiotic. the coverage was changed to ceftriaxone and her elevated wbc count resolved. . # sbo: no prior abdominal surgeries. by ct sbo appears in distal ileum, ?meckel's vs volvulus since the patient had not had any previous abdominal surgeries making adhesions a less-likely cause. surgery was consulted and involved in the patients care. an ng tube was placed in the emergency department and copious amounts of brown fluid was removed. the ng tube was in place for 8 days. bowel sounds returned and the pt began to pass flatus and have small bowel movements. the ng tube was removed and the patient was able to tolearte a diet. . # gi bleed: while hospitalized the patient had 2 episodes of maroon colored, guaiac positive stools. gi was consulted and scoped agreed to do a colonoscopy once the sbo resolved. she underwent a colonoscopy which revealed multiple diverticuli but no active bleeding and noted that the terminal ileum was patent. the gi service suggested a small bowel follow through study as an outpatient if the family and primary care provider were interested in further investigating the cause of the sbo. . # acute renal failure: pt had a cr of 2 on admission. after gentle hydration the cr returned to . her arf was likely due to dehydration and her uti. . # hypernatremia: likely hypovolemic due to sbo obsrtuction. she was hydrated with d5w to replace her free water loss. the hypernatremia resolved once the sbo resolved and the pt had normal sodium levels throughout her hospital stay. . # hyperglycemia: patient has a h/o type 2 diabetes. her diabetes was difficult to manage because of her nutritional status and receiving iv d5w. she was begun on a sliding scale of regular insulin and a small dose of lantus. the lantus was slowly increased over her hospital stay. once her ng tube was removed an the patient was started on a regular diet, her diabetes was better controlled. . # vaginal discharge: the patient was noted to have copious amounts of yellow vaginal discharge. she had a pessary in place. ob/gyn was consulted. the patient receieve a dose of diflucan for treatment of possible yeast infection. the pessary was removed. the discharge was cultured but was negative for bacterial growth and yeast. the pessary was left out and will need to be replaced as an outpatient. medications on admission: norvasc 10mg mvi klonopin 0.5mg po tid asa 81mg po daily vitamin b12 vitamin e vitamin c lantus 22 units hs mandelamine 400mg po daily protonix 40mg po daily ambien cr 10mg daily detrol la 4mg daily flaxseed oil tab 1000mg daily remeron 30mg daily discharge disposition: home with service facility: private care discharge diagnosis: small bowel obstruction pneumonia atrial fibrillation resolved urinary tract infection hypernatremia diabetes vaginal discharge discharge condition: vitals stable, afebrile followup instructions: follow up with your primary care provider in one week. dr has already spoken to him while you were in the hospital. he is aware of your current medical issues. md, procedure: insertion of other (naso-)gastric tube colonoscopy diagnoses: pneumonia, organism unspecified acidosis urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation depressive disorder, not elsewhere classified chronic kidney disease, unspecified anxiety state, unspecified alkalosis long-term (current) use of insulin hypovolemia hyperosmolality and/or hypernatremia diverticulosis of colon with hemorrhage unspecified intestinal obstruction hip joint replacement osteoarthrosis, unspecified whether generalized or localized, pelvic region and thigh leukorrhea, not specified as infective 

Answer: The patient is high likely exposed to