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: tetracycline analogues / scopolamine / iodine; iodine containing / terramycin attending: chief complaint: presence of colostomy after anal stenosis which has been repaired. major surgical or invasive procedure: laparotomy and colostomy takedown history of present illness: s/p advancement flap reconstruction of anal stenosis after wle for perineal paget's. colostomy still in place. has had knee surgery and is having significant pain in right knee. this pain is really limiting her activity and ambulation. preop'ed and consented as an outpatient for colostomy reversal past medical history: pmh: elevated lipids, depression, gerd, melanoma, sjogren's, asthma, diverting sigmoid colostomy for anal stricture s/p vulvectomy for pagets with adv flaps psh: hysterectomy, cervical fusion, laminectomy, fusion od 5 fingers, melanoma excised right thigh, right pretibial scc excises, right forearm scc that needs to be excised, hemorrhoidectomy, arthritis, sjogren's disease. social history: works at home as a writer. she writes copy for democratic politicians as well as writes short stories, poetry, music and historical videos. family history: non contributory physical exam: general: behavior appropriate, cooperative with care, no apparent distress neuro: a&ox3 cardiac: rrr, nsr on telementry, hr=91 pulmonary: no increased work of breathing, no respiratory distress, no cough abd: appears slightly round, c/o nauseax1, bmx1 lower extremity: pt. abulating in hallway with physical therapy, tolerates 40 ft of ambulation, +2 lower extremity edema. pertinent results: echo: the left atrium is mildly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity is unusually small. left ventricular systolic function is hyperdynamic (ef 80%). there is a mild resting left ventricular outflow tract obstruction. the gradient increased with the valsalva manuever. the right ventricular cavity is dilated with depressed free wall contractility. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. the tricuspid valve leaflets are mildly thickened. moderate to severe tricuspid regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. impression: hyperdynamic left ventricle with mild resting left ventricular outflow tract obstruction; dilated hypocontractile right ventricle with moderate-to-severe tricuspid regurgitation 06:20am blood wbc-10.3 rbc-3.50* hgb-10.4* hct-31.8* mcv-91 mch-29.7 mchc-32.7 rdw-13.1 plt ct-419 05:24am blood wbc-9.0 rbc-2.91* hgb-8.9* hct-26.6* mcv-92 mch-30.7 mchc-33.6 rdw-12.9 plt ct-355 03:11pm blood hct-27.8* 04:34am blood wbc-8.8 rbc-2.86* hgb-9.1* hct-26.1* mcv-91 mch-31.8 mchc-34.9 rdw-12.6 plt ct-281 06:55am blood wbc-7.8 rbc-3.27* hgb-10.3* hct-31.2* mcv-95 mch-31.6 mchc-33.2 rdw-12.5 plt ct-222 03:14pm blood hct-32.3* 04:34am blood neuts-75.4* lymphs-15.2* monos-6.2 eos-2.9 baso-0.2 06:20am blood plt ct-419 05:24am blood plt ct-355 05:24am blood pt-13.0 ptt-24.6 inr(pt)-1.1 04:34am blood plt ct-281 04:34am blood pt-12.7 ptt-25.2 inr(pt)-1.1 06:20am blood glucose-107* urean-21* creat-1.1 na-140 k-4.5 cl-104 hco3-23 angap-18 05:24am blood glucose-134* urean-19 creat-1.1 na-140 k-4.3 cl-109* hco3-23 angap-12 03:11pm blood glucose-121* urean-17 creat-1.0 na-142 k-3.6 cl-107 hco3-24 angap-15 02:02am blood glucose-120* urean-15 creat-1.1 na-141 k-3.6 cl-106 hco3-24 angap-15 03:11pm blood ck(cpk)-452* 04:34am blood ck(cpk)-623* 03:11pm blood ck-mb-18* mb indx-4.0 ctropnt-0.18* 04:34am blood ck-mb-24* mb indx-3.9 ctropnt-0.22* 06:20am blood calcium-8.8 phos-3.1 mg-2.0 05:24am blood calcium-8.2* phos-2.1* mg-2.1 03:11pm blood calcium-9.0 phos-2.4* mg-2.3 02:02am blood calcium-8.8 phos-1.5*# mg-1.8 brief hospital course: the patient was admitted to the inpatient after a colostomy takedown to reverse the patient's colostomy originally placed after repair of rectal stricture. the patient tolerated this procedure well, however pain management for this patient was a challenge and the acute pain service was consulted. the patient's pain was managed with pca narcotics as well as an epidural. the patient ambulated the postoperatively and pain was controlled on po medications after discontinuing the epidural and pca however return of bowel function was prolonged. the patient had intermittent nausea and a small amount of emesis prior to passing gas. on pod 4 after her colostomy takedown, the patient was noted to be tachycardic to the 160's on a vs check. at that time, her sbp was in the 140's and she was sating well. ekg was performed and showed afib with rvr. she was mildly symptomatic with some slight dyspnea and some palpitations. she received multiple doses of iv metoprolol with transient improvement in hr to 80s and drop in bp to 108. she then received iv diltiazem with hr improvement to the 80s and sbp to the 120s. during her icu course, her regimen of po diltiazem was adjusted. she was also started on po metoprolol. initially, when given po metoprolol and po diltiazem, ecg showed atrial flutter with 4:1 conduction. doses were adjusted, and she eventually converted to sinus rhythm. while in the icu, the patient was also diuresed with iv lasix, given signs of fluid overload on exam. there was some concern for possible dvt, as well, given her unilateral le swelling. however, she had recently had a negative leni performed at . she was started on aspirin while she was in the icu. anticoagulation with coumadin was also discussed and should be further addressed by the patient's pcp. after this icu stay, the patient was transferred back to the inpatient for further monitoring. the patient did not have any recurrence of rapid atrial fibrillation and remained rate controled on the regimen of dilitiazem and lopressor. the patient was started on an aggressive bowel regimen and was able to have a bowel movement prior to discharge. the patient should continue therapy with anal dilation device after discharge. physical therapy evaluated the patient during her inpatient stay and recommended a rehabilitation facility to increase the patient's strength and maintain safety. however, the patient had done so well with physical therapy she was able to return home with the assistance of physical therapy. medications on admission: pravastatin 40 daily asa 81 fluoxetine 20 ativan 0.5 daily prilosec 20 daily tylenol lisinopril 10 daily hctz 12.5 daily discharge medications: 1. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day). 2. saliva substitution combo no.2 solution sig: thirty (30) ml mucous membrane tid (3 times a day) as needed for dry mouth. 3. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eye. 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) puff inhalation q6h (every 6 hours) as needed for wheeze, sob. 5. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). 6. heparin (porcine) 5,000 unit/ml solution sig: 5,000 units injection tid (3 times a day). 7. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 9. oxycodone 5 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 11. diltiazem hcl 60 mg tablet sig: one (1) tablet po qid (4 times a day). 12. colace 100 mg capsule sig: one (1) capsule po twice a day. 13. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 14. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po twice a day as needed for constipation. 15. polyethylene glycol 3350 17 gram/dose powder sig: seventeen (17) grams po daily (daily). discharge disposition: home with service facility: discharge diagnosis: presence of colostomy after anal stenosis which has been repaired. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital after your colostomy takedown. during this procedure your rectum was examined becaise of your anal stenosis whic has been repaired. you tolerated this procedure well and have tolerated a regular diet. you were able to have a bowel movement prior to leaving the hospital. it is important that you continue to take miralax daily as well as use the anal dilation kit to ensure that your anal stenosis continues to resolve. you will be admitted to a rehabilitation facility as your family will not be able to provide care for the next few days and you have required increased help with walking which will be provided by physical therapy at this facility. it is important that you monitor your bowel function closely. please monitor the number and consistancy of your stool. if you go for more than 2 days without having a bowel movement please call the office, if you develop nausea, abdominal distension, increased abdominal pain, vomiting, or inability to tolerate food and liquids please call the office or seek medical attention. continue to take adequate amounts of food through small frequent meals and keep yourself adequately hydrated. your hospital stay was complicated by an occurance of atrial fibrillation which caused you to be admitted to the intensive care unit for one day. you have been started on a new medication fo rthis condiiton call diltiazem. please take this medication exactly a prescribed. it is important that you make a follow-up appointment with your outpatient cardiologist to discuss further managment of this condition including the possiblity of the need to thin your blood to prevent blood clots from this arrythmia. youhave an abdominal incision which may be left open to air. you may cover this area with a dry dterile dressing if there is a amount of clear/pink drainage from the site. please watch for any signs or symptoms of infection and call the office if they are noticed including: pink/reddness at the incision line, green/white drainage at the incision line, fever, or foul odor from wound. call or go to the emergency if severe. followup instructions: you will need to follow up with your cardiologist after discharge. please call to make an appointment. you should also discuss starting coumadin for anticoagulation for your atrial fibrillation with your cardiologist. procedure: closure of stoma of large intestine diagnoses: unspecified essential hypertension atrial fibrillation asthma, unspecified type, unspecified personal history of malignant melanoma of skin attention to colostomy sicca syndrome 

Answer: The patient is high likely exposed to