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: patient recorded as having no known allergies to drugs attending: chief complaint: diarrhea for 3 days, nausea and now abdominal pain for 16 hours. major surgical or invasive procedure: exploratory laparotomy with lysis of adhesions right colectomy with hand-sewn two layer side to side ileotransverse colostomy. history of present illness: this is a year old female, with diarrhea for 3 days, nausea and now abdominal pain for 16 hours. she states that the pain is colic in nature and not radiated. she reports no fevers and emesis x 1. she has had 3 admissions this year, for dizziness, htn , and chf. a ct scan of the abdomen demonstrated pneumatosis of the ascending colon as well as portal venous gas. past medical history: hypertension, chronic dizziness since childhood, prior history of hyperkalemia, prior tia on aggrenox with known carotid artery disease, h pylori gastritis social history: lives with daughter & son-in-law. usually performs own adls with minimal assistance from daughter (with bathing). uses a cane to go out of the house. family history: mother with brain tumor. multiple relatives living into their 90s. physical exam: tm100 tc 99, hr 83, bp 163/70, rr 18, o2sat 99% on ra general: alert/oriented, nad heent: dry mmm, eomi, perrl neck: no jvd appreciated heart: rrr s1, s2, no m/g/r lungs: normal bs, no consolidation heard, no wheezing, abdomen: soft, sub-hepatic scar noted along luq, and midline nmild tenreness rlq no rebound rectal + guaiac stool no masses extremeties: no swelling, no erythema. skin: no rahses noted, pale pertinent results: 02:00pm blood wbc-10.2 rbc-3.90* hgb-12.1 hct-36.8 mcv-95 mch-30.9 mchc-32.7 rdw-14.4 plt ct-357 11:20am blood wbc-16.7*# rbc-3.43* hgb-11.4* hct-32.1* mcv-94 mch-33.3* mchc-35.6* rdw-13.8 plt ct-288 11:20am blood neuts-92.3* bands-0 lymphs-5.3* monos-2.2 eos-0.1 baso-0.1 05:20am blood glucose-83 urean-24* creat-1.3* na-135 k-4.2 cl-96 hco3-35* angap-8 11:20am blood glucose-176* urean-22* creat-1.6* na-131* k-3.7 cl-97 hco3-20* angap-18 08:50pm blood alt-64* ast-71* ld(ldh)-162 alkphos-57 amylase-74 totbili-0.6 05:20am blood calcium-8.3* phos-2.3* mg-2.3 01:45am blood calcium-9.7 phos-3.3 mg-1.9 08:57pm blood type-art po2-213* pco2-36 ph-7.32* caltco2-19* base xs--6 . ct abdomen w/o contrast 10:14 am medical condition: year old woman with hx of htn and acute onset abdominal pain reason for this examination: r/o mesenteric ischemia v/s pancreatitis impression: ascending colon ischemic colitis: pneumatosis intestinalis involving the ascending colon from the level of the cecum to the hepatic flexure with thick bowel wall and peripheral hepatic portal venous gas. no intra-abdominal free air. the remaining loops of large and small bowel are normal. . abdomen (supine & erect) 5:05 am impression: no evidence of obstruction. . specimen submitted: colon (right) procedure date tissue received report date diagnosed by dr. /nbh previous biopsies: egd (1). diagnosis: ileo-right colonic resection: 1. ileum and proximal margin: no diagnostic abnormalities recognized. 2. colon: a. acute ischemic infarction,focally transmural, with mural hemorrhage and edema, and acute pericolic inflammation. b. distal margin: no necrosis identified. c. eight pericolic lymph nodes: no diagnostic abnormalities recognized. d. no primary vascular thrombi identified. . cardiology report echo study date of patient/test information: indication: left ventricular function. hypotension. height: (in) 62 weight (lb): 199 bsa (m2): 1.91 m2 bp (mm hg): 152/44 hr (bpm): 85 status: inpatient date/time: at 13:20 conclusions: the left atrium is mildly dilated. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is mild pulmonary artery systolic hypertension. there is an anterior space which most likely represents a fat pad. impression: preserved global and regional biventricular systolic function. mild aortic regurgitation. mild pulmonary artery systolic hypertension. compared with the prior study (images reviewed) of , the findings are similar. . chest (pa & lat) 11:15 am medical condition: year old woman s/p right colectomy. now with confusion. history: status post right colectomy with confusion. question infection. findings: there are small bilateral pleural effusions that are new compared to the film from a week ago, the ng tube and et tube have been removed. midline skin staples are visualized. impression: no infiltrate but small bilateral pleural effusions are present. brief hospital course: she was admitted on with pneumatosis intestinalis and ct finding of portal vein gas. all this on the setting of abdominal pain, and diarrhea, guaiac positive stools, most likely from ischemic etiology. the patient was hemodynamically stable and afebrile. she was admitted to icu, and started on iv hydration and antibiotics. the afternoon of , she developed right sided peritonitis and had a wbc of 17,000. given the worsening exam, the decision was made to go to the or for an exploratory laparotomy. she was found to have an ischemic right colon with patchy transmural infarction of cecum. post-operatively she was stable and transferred to the sicu intubated. pod 5, she was transferred to the floor. pain: she received fentanyl in the sicu with good effect. after extubation, she received morphine and tylenol and was then switched to dilaudid. gi: she had a ngt that was putting out bilious drainage. the ngt was d/c'd pod 4. her diet was advanced slowly over the next few days and she was tolerating a regular diet at time of discharge. she had +flatus and +bm prior to discharge. abd: her wound was noted to have some slight erythema on pod 2. she continued with the antibiotics and the erythema improved. the staples were removed on pod 9. there was no redness or drainage and the incision was c,d,i. cv: she received 2 units of prbcs on pod 1 and her hct was stable in the low 30's. an echo was obtained pod 2 that showed lvef>55%. her hr was stable 80-100bpm with 1st degree av block. she was on lopressor iv for hr control. she was started back on her home medications (norvasc and aggrenox) on pod 4 and switched to po lopressor once taking in po's. resp: pod 1, she remained intubated. she was extubated pod 3. she continued to require o2 by nasal cannula and was encouraged to use the is and deep breathe. pod 9, she was 89% on ra and so will continue on supplemental oxygen. renal: she received lr boluses x3 on pod 1 for a low urine output. she then required daily diuresis thereafter and responded well to lasix. neuro: primarily italian speaking. confusion regarding location and date initially that cleared during her stay. id: she was on levofloxacin and flagyl for 5 days post-op. pt: she was seen by pt and they recommended a rehab facility. she was ambulating with a walker and assistance. medications on admission: omeprazole 40', celexa 20', aggrenox", meclizine 12.5"', norvasc 5', lopressor 25" discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. dipyridamole-aspirin 200-25 mg cap, multiphasic release 12 hr sig: one (1) cap po bid (2 times a day). 6. hydromorphone 2 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 7. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed): see sliding scale. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: ischemia of right colon with transmural infaction of cecum post-op hypovolemia discharge condition: good discharge instructions: * increasing pain * fever (>101.5 f) * inability to eat or persistent vomiting * inability to pass gas or stool * increasing shortness of breath * chest pain please resume all of your regular medications and take any new meds as ordered. continue to ambulate several times per day. followup instructions: provider: . phone: date/time: 12:00 procedure: open and other right hemicolectomy other small-to-large intestinal anastomosis transfusion of packed cells diagnoses: anemia of other chronic disease congestive heart failure, unspecified unspecified essential hypertension hypovolemia acute vascular insufficiency of intestine diastolic heart failure, unspecified first degree atrioventricular block unspecified peritonitis 

Answer: The patient is high likely exposed to