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: the patient is a 49-year-old woman with a history of crohn's disease for about 12 years. she is status post billroth type ii gastrotomy with subsequently multiple abdominal surgeries, including a roux-en-y for biliary drainage. these surgical interventions were all the consequence for initial peptic ulcer disease treatment. she was recently discharged on , from for nausea, vomiting, abdominal pain, fevers, and bacteremia for which she is currently still under treatment. she presented again to the emergency room with worsening nausea and vomiting with diarrhea and biliary emesis. she was originally scheduled for a revision of her roux-en-y by dr. on . after emergency room evaluation, she was admitted initially to the medicine service for management. past medical history: 1. peptic ulcer disease status post billroth ii, roux-en-y to common bile duct, times two revisions of gastrojejunostomy secondary to anastomotic stenosis, status post microperforation leading to abdominal abscess, status post egd and small bowel follow through which showed short roux limb with reflux into the stomach and stenosis in the efferent limb. 2. anemia of chronic disease. 3. vre. 4. chronic tpn. 5. history of fungemia. 6. history of vertebral fracture with steroid use. 7. osteoporosis. 8. femoral fracture. 9. appendectomy. 10. cholecystectomy. 11. chronic diarrhea. allergies: the patient is allergic to sulfa. medications on admission: lasix 10 mg q.d., dilaudid 8 mg q.3-4 hours p.r.n., ativan, protonix 40 mg q.d., ............... 1 g q.i.d., compazine 10 mg q.d., vitamin d 50,000 u every friday, fentanyl patch 225 mcg q.72 hours, continued zosyn 4.5 g q.4 hours for bacteremia. physical examination: general: on admission exam showed a middle-aged woman in no acute distress. vital signs: she was afebrile with a temperature of 98.4??????, heart rate 77, blood pressure 105/52, respirations 12, oxygen saturation 98% on room air. head: nontraumatic. pupils equal, round and reactive to light. extraocular movements intact. heart: normal rate and rhythm with normal heart sounds. there was no murmur. lungs: clear to auscultation bilaterally. abdomen: the patient had extensive surgical scars, diffusely tender without any rebound. extremities: no peripheral edema. laboratory data: on admission white blood cell count was 5.5, hematocrit 31, platelet count 309,000; sodium 139, potassium 3.9, chloride 105, bicarb 23, bun 15, creatinine 0.3, blood sugar 96. hospital course: the patient was admitted to the medical service with management of her symptoms of nausea and vomiting. during the course, a series of blood cultures and urinalyses were performed, and the result of these cultures remained negative. the patient's condition improved over approximately a week of the hospital stay. therefore, she was brought to the operating room on for a scheduled revision of her roux-en-y procedure. given the patient's history of her problems with biliary vomiting, inability to tolerate food intake since her gastric operations, and her multiple surgical procedures, and the most recent endoscopy showed that there was a finding of segment in the roux of only 8 or 9 cm long which probably led to significant reflux problems, she was then scheduled to have takedown of roux-en-y gastrojejunostomy of recreation of another roux-en-y gastrojejunostomy with feeding tube placed in the jejunum. the patient tolerated the procedure well. the operation had an estimated blood loss of 200 cc, and the patient was subsequently transferred to the postsurgical intensive care unit intubated and sedated. she remained in the sicu from on postoperative day #1 to on postoperative day #10 where she was successfully extubated on postoperative day #4. blood culture monitoring and sputum culture obtained in the unit showed that she had bacteremia with coag negative staph. in her sputum there was growth of pseudomonas. she was covered with intravenous antibiotics of vancomycin, ceftazidime and ciprofloxacin. her stay in the sicu was essentially noneventful where she remained on tube feeds and tpn. her drainage tubes provided adequate wound drainage. on postoperative day #10, she was found to have enough drainage where a cutaneous fistula was suspected. therefore, dr. of the surgical service was consulted, and based on their consultation, she was continued with close monitoring of her nutrition status, and her tpn and tube feeds were also adjusted according to her nutrition needs. over the course of the hospital stay, her surgical wound continued to improve with decreased level of drainage, and therefore, there was no surgical repair performed. she is somewhat difficult to manage for her pain control issues. she was placed on a prolonged time of patient-controlled anesthesia with dilaudid, and on the day prior to discharge, she was placed on her preadmission regimen of dilaudid by mouth with 8 mm every 3-4 hours as needed which appears to provide enough coverage for her pain issue. she is planned to be discharged to a rehabilitation facility where her nutritional status can be closely monitored and her wound care can be adequately provided. the plan is to continue her tube feeds and possibly continue tpn on an outpatient basis. discharge medications: clonidine tts-3 patch every tuesday, protonix 40 q.d., .................. 100 mcg t.i.d., ..................1 g q.i.d., cholestyramine 0.5 pack t.i.d., albuterol inhaler 4-6 puffs every 4 hours p.r.n., fentanyl patch 225 mcg/hr every 72 hours, zofran 2 mg p.r.n., promethazine 25 mg q.6 hours p.r.n., colace 100 mg b.i.d., zinc sulfate 200 mg q.d., insulin sliding scale, albuterol nebulizer every 4-6 hours as needed, dilaudid 8 mg q.4-6 hours p.r.n., tube feeds, tpn. condition on discharge: fair. discharge status: to rehabilitation facility with service. discharge diagnosis: status post revision of roux-en-y gastrojejunostomy. , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances other enterostomy rigid proctosigmoidoscopy revision of gastric anastomosis diagnoses: anemia of other chronic disease regional enteritis of unspecified site pneumonia due to pseudomonas bacteremia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation persistent postoperative fistula 

Answer: The patient is high likely exposed to