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: is a 77 year-old white female with a past medical history significant for colon carcinoma status post sigmoidectomy in who presents with a 5.6 cm infrarenal abdominal aortic aneurysm found on workup for her colon cancer. her initial cat scan in revealed her aneurysm to be approximately 4 cm in diameter with subsequent ct scanning this year revealing a significant enlargement to 5.6 cm. she had a full course of chemotherapy and radiation therapy and her last colonoscopy revealed no recurrent cancerous lesions. her hepatic workup was negative for any liver involvement. she is a fairly active individual and was referred for the repair of the abdominal aortic aneurysm. she has a history of known coronary artery disease, which has been managed conservatively. she has a 60% right ca and 90% mid circumflex lesion. she does admit to shortness of breath, but no angina and denied any history of coronary artery disease. she was seen by dr. for evaluation of her preoperative coronary artery disease. he decided that she had no previous angiographic evidence of progression of her coronary artery disease and in view of her mild stable symptoms and it was reasonable to proceed with her aneurysm surgery with the usual perioperative precautions without any intervention at that time. she was noted to have a 58% ejection fraction on cardiac catheterization. she was evaluated for a endoluminal stent graft, however, was not a candidate possibly due to her femoral and iliac disease. past medical history: significant for sigmoid and colon cancer managed with surgery, chemotherapy and x-ray therapy. hypertension, coronary artery disease, nicotine abuse in the past that had ceased since , as well as hyperlipidemia. past surgical history: colon resection, appendectomy, left salpingo-oophorectomy and splenectomy. preoperative laboratories: cat scan with a 5.5 cm abdominal aortic aneurysm starting just below the renal arteries and ending at the iliac bifurcation. her iliac arteries appeared to be heavily calcified. cardiac catheterization revealed 58% ejection fraction, normal left main coronary artery, mild narrowing of approximately 50% stenosis at the ostium of the left anterior descending coronary artery, left circumflex artery with a 60% stenosis before the origin of the first major marginal. the right coronary artery had an osteal lesion at approximately 68% and a sequential 80% lesion in the mid vessel at the site where the vessel is calcified and tortuous. there was slight prolapse of the posterior mitral valve leaflet without evidence of regurgitation. chest x-ray revealed slight ventricular enlargement without evidence of heart failure. electrocardiogram revealed nonspecific lateral st segment changes, but otherwise normal sinus rhythm. her white blood cell count was 10.1 with a hemoglobin of 13.2, hematocrit 42.1, platelet count 341. potassium blood sugar was 85. bun 18, creatinine 0.6, potassium 4.6. other electrolytes were within normal limits. hospital course: the patient was admitted to where she underwent open repair of her abdominal aortic aneurysm with an aortobifemoral bypass. details of this procedure are dictated in a separate operative note. the patient was subsequently transferred up to far nine in the vascular intensive care unit where she was monitored for any hemodynamic changes, drop in urine output, and cardiac events. she did well until postoperative day number three when it was noted that she had an elevated white blood cell count to be approximately 20.2. her hemoglobin and hematocrit had also dropped from 33 to 29.6 and a rectal examination was performed due to her history of colon ca, which was guaiac negative. she was essentially asymptomatic and denied any history of fevers or chills, nausea, vomiting or abdominal pain. she did have a low grade fever of approximately 100.7. a stool was sent for c-difficile. on postoperative day number four her white count did drop to 15.5 and she continued to do well. she was afebrile at that time and no active issues were going on. she was evaluated by physical therapy and got out of bed and the swan-ganz catheter was discontinued. on postoperative day number four at approximately 1:00 in the morning she went into a rapid atrial fibrillation and dropped her blood pressure. she was somewhat nauseated at the time and feeling lightheaded. she responded rather well with beta blockade and with cardizem 25 mg intravenous bolus. she then dropped her rate severely down into the 40s and was prepared for pacing. she did respond spontaneously though without need for pacing. she was seen by cardiology who started her on a cardizem drip at 5 cc per ml to be titrated slowly. they were advised not to give any bolus of cardizem after that. she ruled out for a myocardial infarction as per enzyme criteria. her blood pressure did remain somewhat low being less then 100 and one unit of packed red blood cells was transfused. she responded very well to this. she did remain in atrial fibrillation for the next several days going in and out of normal sinus rhythm. she was started on a heparin drip with ptt being monitored anywhere between 50 and 60. it was noted though after three days of anticoagulation that she begin to have epistaxis and hematuria. the heparin was subsequently discontinued after an echocardiogram. the echocardiogram failed to reveal any kind of mural thrombus present and it was decided by cardiology that she could be maintained on oral aspirin rather then chronic anticoagulation. she continued to do well and remained in normal sinus rhythm. she was transferred out to the floor and off monitor. she was evaluated by physical therapy and due to the events was thought to need rehabilitation. on postoperative day number nine, the patient again had a fever of 100.1 and an elevated blood cell count to 15.6. it was noted by the nurse that the urine was quite cloudy and slightly foul smelling. a urinalysis and urine culture were obtained, which grew out e-coli. this was susceptible to bactrim and she was subsequently started on this twice a daily. it should also be noted she was discontinued off her cardizem drip and advised by cardiology to remain on her atenolol. she was then evaluated by dr. who was concerned about an intra-abdominal process due to her history of the colon cancer as well as her new aortic graft. a repeat cbc was obtained that morning and revealed the white blood cell count to have risen to 20.5. a cat scan with contrast was then performed who ruled out an intra-abdominal abscess. this was negative for any kind of abscess or perforation and only revealed gallstones without evidence of gallbladder wall thickening as well as a left flank hematoma beneath her kidney, which was expected secondary to her aortic surgery and the retroperitoneal incision. her bactrim was discontinued and she was started on levaquin and flagyl to cover for any kind of occult infection or c-diff. she continued to do well over the weekend and her white count dame down and she is currently afebrile. at this time the patient is doing quite well and is feeling much better. she has had three bowel movements over the weekend, which she feels has resolved some of her discomfort and she is able to ambulate without difficulty at this time. she has been cleared by physical therapy to go home. she no longer has any urinary symptoms and her urine has come back clean. she has been discontinued from her antibiotics and will go home with visiting nurse this evening. discharge medications: ambien 5 mg po q.h.s., colace 100 mg po q.d., dulcolax 10 mg per rectum prn, senokot two tabs po q.d., atenolol 50 mg po b.i.d., zantac 150 mg po b.i.d., norvasc 2.5 mg po q.d., ecotrin 325 mg po q.d., potassium chloride 40 milliequivalents po prn and she will be sent home on percocet one to two tabs q 4 to 6 hours prn pain. condition on discharge: stable and progressing well. discharge diagnoses: 1. abdominal aortic aneurysm with need for repair. 2. proximal atrial fibrillation currently resolved and in sinus rhythm. 3. elevated temperature and white blood cell count secondary to urinary tract infection. 4. hypertension. 5. colon cancer. 6. anemia with the need for blood transfusion currently resolved. , m.d. dictated by: medquist36 procedure: aorta-iliac-femoral bypass resection of vessel with replacement, aorta, abdominal diagnoses: urinary tract infection, site not specified cardiac complications, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of large intestine abdominal aneurysm without mention of rupture other second degree atrioventricular block 

Answer: The patient is high likely exposed to