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: aspirin attending: chief complaint: pelvic mass. major surgical or invasive procedure: anterior pelvic exenteration, ileal ureteral conduit. history of present illness: this is a 66-year-old female with a history of pelvic tumor who underwent biopsy in the cystoscopy suite approximately 3 weeks prior to this procedure. pathology was significant for a poorly differentiated malignancy of uncertain origin. after appropriate discussion in the outpatient setting and consultation in the gyn oncology clinic, it was decided that surgical therapy would be the 1st initial step. the patient understood the risks and benefits, and decided to proceed. prior to proceeding to the operating room, the patient was correctly identified and consented appropriately. all questions were answered. past medical history: positive for stroke x2, anemia, asthma, hypertension, and abnormal uterine bleeding in addition to the aforementioned issues. . surgical history: she had thyroid surgery in the past. social history: she is a homemaker, smokes 1 pack a day. denies alcohol or substance abuse. family history: sister died of cancer in , type unknown, positive for hypertension, diabetes. pertinent results: 04:31am blood wbc-8.0 rbc-2.90* hgb-9.3* hct-27.9* mcv-96 mch-32.1* mchc-33.4 rdw-15.5 plt ct-321 05:30am blood wbc-7.5 rbc-2.83* hgb-9.2* hct-26.5* mcv-94 mch-32.4* mchc-34.6 rdw-15.5 plt ct-316 06:02am blood neuts-77.8* lymphs-18.6 monos-3.2 eos-0.3 baso-0.1 05:00am blood plt ct-369 01:30pm blood bleed t-7 05:00am blood glucose-77 urean-5* creat-0.5 na-138 k-4.0 cl-104 hco3-28 angap-10 04:31am blood glucose-118* urean-3* creat-0.5 na-139 k-4.1 cl-106 hco3-24 angap-13 04:42am blood calcium-7.7* phos-1.9* mg-1.8 02:15pm blood type-art temp-38.2 peep-5 po2-166* pco2-32* ph-7.37 caltco2-19* base xs--5 -/con intubat-intubated 03:00pm blood glucose-183* lactate-3.8* na-137 k-3.6 cl-111 calhco3-22 03:00pm blood hgb-11.8* calchct-35 03:00pm blood freeca-0.99* . . 10:35 pm blood culture venipunture. **final report ** aerobic bottle (final ): no growth. anaerobic bottle (final ): no growth. . . 10:24 am stool consistency: loose source: stool. **final report ** clostridium difficile toxin assay (final ): feces negative for c. difficile toxin by eia. reference range: negative. . . 4:03 pm swab source: abd wound. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. wound culture (pending): anaerobic culture (pending): . . brief hospital course: ms was admitted on . she was prepared and consented for surgery as per standard. in the operating room, estimated blood loss was 1500cc. she received 2 units of packed red blood cells and 5 litres of intravenous fluids in total. the surgery was done in conjunction with the gyn service. operative notes are available on omr. there were no complications during the surgery. however, the pt had transient hypotension during the procedure and was put on levophed. upon completion, ms was taken to the icu, where she was monitored closely. pt was transfered to the hemodynamically stable, not on pressors, and intubated. initially, she was drowsy, on propofol. in the , the following events occured: . . 1)respiratory status- pt extubated without events. is currently sating well on 3l nc. . 2)s/p cystectomy- transfused 1 u prbc yesterday for post-op hct drop 35.1 --> 32.8 --> 28.8. responded to hct of 30.5. started on dilaudid pca yesterday, and increased basal rate for pain control. pt has ileoconduit and continues to have adequate urine output. s/p cefazolin 1g iv q8 hrs x 3 doses for post-op prophylaxis. . 3) pt's bp stable, no longer on pressors, continue to monitor . 4)hypothyroidism- stable as outpt, continue levothyroxine 137.5 mcg . 5)asthma - albuterol/atrovent mdis prn. resume home meds (advair). . 6) pt npo, pt has ng tube. tube feeds were held as was expecting ngt to be d/c'd. will f/u c surgery regarding length of need for ngt. if pt continues to require ngt, will start tube feeds. will monitor lytes and replete prn . 7) access: piv. may d/c a-line as bps now stable, d/c central venous catheter. . . once ms was stable, she was then transfered to the floor (12 resiman) where she continued to progress. the ostomy nurse visited her to with changing her ostomy bag - an interpreter was required, and at first, ms did not make much of an effort to learn how to change her bag independently. upon discharge, this did not improve greatly, as ms was under the impression her bag would be changed for her on a regular basis. she was assigned a visiting nurse with ostomy and wound care upon discharge. . her pain was moderately well-controlled. she was using a pca for the intial 3 days on the floor but had difficulty understanding how to use it; hence, her pain levels ranged from minimal to extremely high. she was then switched on to iv morphine prn, and her pain was controlled better. . on , ms began to complain of abdominal pain and there was slight evidence of cellulitis at her midline incision. she was started on ancef, and the following day, three staples were removed to drain a potential seroma. upon opening the wound, no fluid was drained and no seroma to be found. the wound was packed with iodoform and changed twice daily from then on (wet to dry). ms stated her pain did decrease with this opening. a swab was taken from the wound. . ms complained of continous vaginal discharge, which the gyn service believed would decrease with time. she was given pads and mesh underwear upon discharge to with this discharge. . medications on admission: atenolol 20 qd, advair, albuterol, lipitor 20 qd, plavix 75 qd (stopped prior to or), naprosyn prn, levothyroxine 137 mcg discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for headache, pain, t > 101.0. disp:*50 tablet(s)* refills:*0* 2. keflex 500 mg capsule sig: one (1) capsule po four times a day for 7 days. disp:*28 capsule(s)* refills:*0* 3. dilaudid 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 4. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for wheezing. 5. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for wheezing. 6. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 7. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed for upset stomach. 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 10. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 11. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 12. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 13. cefazolin in dextrose (iso-os) 1 g/50 ml piggyback sig: one (1) intravenous q8h (every 8 hours). 14. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation for 10 days. disp:*20 capsule(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: pelvic mass. discharge condition: stable. discharge instructions: you are being prescribed a narcotic pain medication. do not drive or operate heavy machinery while taking this medication. it make you drowsy. contact a physician for fever >100.5, bleeding or increasing redness from incisions, difficulty swallowing or breathing, headache, nausea or vomiting, double or blurry vision, or any other concerns. please continue all home medications and those given to you by your surgeon. you have been given an antibiotic for which you must complete its entire course. followup instructions: please arrange a follow-up appointment with dr. by calling (. please arrange a follow-up appointment with dr. by calling (. procedure: venous catheterization, not elsewhere classified formation of cutaneous uretero-ileostomy pelvic evisceration division or crushing of other cranial and peripheral nerves regional lymph node excision transfusion of packed cells biopsy of pituitary gland, unspecified approach radical vulvectomy obliteration and total excision of vagina diagnoses: other iatrogenic hypotension tobacco use disorder other postoperative infection unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism asthma, unspecified type, unspecified disorders of phosphorus metabolism disorders of magnesium metabolism family history of diabetes mellitus malignant neoplasm of pelvis 

Answer: The patient is high likely exposed to