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: 62 year old woman with morbid obesity with approximately two month history of left lower quadrant pain. she presented to dr. clinic. the patient denied any associated symptoms of fevers, nausea, vomiting, constipation or diarrhea. the patient states that she did note unintended weight loss of approximately 28 pounds over the past two months. a subsequent ct scan revealed a very large, ill-defined mass, occupying the pelvis, encroaching and abutting her uterus and sigmoid colon. her past medical history was also significant for noninsulin dependent diabetes mellitus, relatively well-controlled; hypertension and hypothyroidism. medications on presentation: on presentation to dr. clinic on the for work-up of this mass, medications were as follows: aspirin, levoxil, accupril, hydrochlorothiazide and nifedipine. physical examination: on physical examination, the patient appeared fatigued but in no acute distress. vital signs were stable. sclera were anicteric. chest was clear to auscultation. cardiac examination revealed regular rate and rhythm without masses. abdomen was massively obese with a large pannus and mild panniculitis. there was a small umbilical hernia which was easily reducible. palpation of the left lower quadrant revealed a diffuse mass in the left lower quadrant. examination was limited by the patient's body habitus. rectal examination revealed no masses and was guaiac negative. ct scan revealed a very large mass, appreciated both on physical examination and on cat. despite good oral contrast administration, the exact origin of the mass is not clear; whether the mass was from the colon, the uterus or from the ovaries was not clear. as a result, the patient was informed that it would be prudent for her to go to the operating room with dr. and dr. , the gynecologic oncology surgeon, to resect the pelvic mass. the patient was informed at the time that there was the possibility of resection of the colon, the uterus and the ovaries, depending on the additional work-up and assessment performed in the operating room. the operation took place on the . the preoperative diagnosis was a pelvic mass. postoperative diagnosis was a left adnexal abscess. procedure was examination under anesthesia, loa, total abdominal hysterectomy and bilateral salpingo-oophorectomy, cystoscopy with bilateral ureteral catheter placement and removal postoperative; sigmoid colectomy with reanastomosis. dr. of gynecology/oncology and dr. , general surgery, and dr. urology participated. surgical findings were large left adnexal mass with abscess adherent to the sigmoid and left pelvic side wall with necrotic tissue; normal sized uterus with intrauterine device. sigmoid colon with necrotic tissue at serosa. the specimens sent off were uterus, cervix, portion of necrotic tissue of pelvic side wall, sigmoid. the patient was transferred to the intensive care unit. the patient was transferred intubated, receiving nine liters of intravenous fluids, three units of packed red blood cells plus another unit in the post anesthesia care unit. postoperatively, the patient was sedated with pinpoint pupils bilaterally. lungs were clear to auscultation bilaterally anteriorly with good air movement. cardiovascularly, the patient had s1 and s2, regular rate, no murmurs, rubs or gallops. dressings were clean, dry and intact. - drain with serosanguinous drainage. no bowel sounds. extremities were positive for venodynes. 1+ dorsalis pedis pulses bilaterally. extremities were warm. during admission, the patient was noted to have arterial blood gases of mixed respiratory alkalosis and metabolic acidosis. the patient still continued to oxygenate well and was continued on the path of weaning fi02 as tolerated per arterial blood gases. bicarbonate and ptt were continued. intravenous fluids were continued and laboratory studies were checked and followed closely. on postoperative day number one, hospital day number two, the patient remained intubated. bicarbonate and the gtt were added. intravenous fluids was bolused for continued good urinary output. the patient became hypotensive so required the addition of neo and vasopressin. physical examination was unchanged from prior except for addition of crepitus in the left lower quadrant. it was thought that the hypotensive episode was likely due to vessels given the abscess removal but also due to acute blood loss and cardiogenic shock were possibilities. continued intravenous hydration and neo and vasopressin were used for goal map of 60 were continued. the patient had a pulmonary artery catheter placed for closer monitoring. infectious disease consult was obtained. they recommended continued antibiotic regimen with flagyl, fluconazole. they also agreed that the hypotension could have been caused due to the sepsis. the etiology of the abscess was unclear but they seemed to agree with the hypothesis that prolonged intrauterine device placement was the possible cause of this. the following day, the patient was prepared to transfer to the surgical intensive care unit for further management. vigorous volume resuscitation was continued to provide good urinary output and bicarbonate repletion continued for tsh greater than 7.35. the patient was transferred on postoperative day number one to the surgical intensive care unit, status post exploratory laparotomy and incision and drainage of the abdominal wall abscess. the patient had been aggressively resuscitated in the medical intensive care unit with a lactate of 7.6 which had dropped down to 2.2 in the surgical intensive care unit status post resuscitation. the patient started to get better, requiring fewer pressors. the patient's culture grew out sparse pseudomonal growth and the infectious disease fellow continued recommended dose of vancomycin and clindamycin for antibiotic coverage. by postoperative day number four, the patient improved to the point where she was off pressors. urinary output increased. creatinine dropped to 0.7. the same day the infectious disease fellow recommended discontinuing clindamycin and zosyn and start levaquin and flagyl for therapy. on the same day, plastics were brought on board for evaluation and to take the patient back to the operating room in the following several days to close the abdominal wall. though the patient's respiratory status improved to the point where there was discussion of extubation, due to the impending operating room date, the patient remained intubated. on postoperative day number eight, the patient was taken back to the operating room by plastics for closure of the abdominal wound. the patient was placed on a vac for suction post procedure. on original operation day nine, the patient was finally extubated after being taken by plastics to the operating room for wound closure, which occurred without any complications. the patient was placed on a vac dressing which was to be continued for three to five days. incomplete report -- cut off! , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn other cystoscopy other removal of both ovaries and tubes at same operative episode excision or destruction of peritoneal tissue other lysis of peritoneal adhesions reopening of recent laparotomy site ureteral catheterization open and other sigmoidectomy transfusion of packed cells peritoneal lavage other and unspecified subtotal abdominal hysterectomy diagnoses: other postoperative infection other specified septicemias septic shock infection and inflammatory reaction due to other genitourinary device, implant, and graft chronic inflammatory diseases of uterus, except cervix endometriosis of uterus acute salpingitis and oophoritis abdominal actinomycotic infection 

Answer: The patient is high likely exposed to