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: patient presented with nausea, vomiting and abdominal pain major surgical or invasive procedure: 1)exploratory laparotomy with extensive lysis of adhesions 2) small bowel resection 3) enteroenterostomy 4) transgastric feeding jejunostomy history of present illness: patient is an 88y.o. male who resides in a nursing home. patient has had abd pain for 2 days. a kub obtained at a imaging facility revealed ileus vs small bowel obstruction. pt began vomiting was brought to the ed. he is alert and orientated but is unable to give a good history. past medical history: 1. type ii diabetes. 2. chronic renal insufficiency. 3. sick sinus syndrome, status post pacemaker placement. 4. ventricular tachycardia (no details), status post aicd. 5. severe cardiomyopathy with an ef of %. social history: he lives in . his family is here. he receives most of his care at the west palm beach va. no tobacco. occasional etoh. family history: no family history, per the patient. physical exam: vitals:t-96.3 hr-62 bp-150/70 rr20 97%ra exam: awake, oriented, nad lungs: bilateral basilar crackles, bilateral breath sounds heart: irregularly irregular abd: soft, nondistended, nontender, lower midline incision x2, no pulsatile masses, gj tube in place extremities: le trace edema bilaterally, w/ hyperpigmentation and alopecia over b lower legs brief hospital course: is a very pleasant 88-year-old gentleman with a history of small bowel obstruction and previous surgery who presented with nausea, vomiting, abdominal pain. he had a ct scan that demonstrated a small bowel obstruction. a nasogastric tube was placed. plain films and repeat ct scan demonstrated no resolution of the bowel obstruction. the patient was admitted to the general surgical service for evaluation and treatment. through the son, a consent was obtained for exploratory laparotomy. pt went to the or for exploratory laparotomy with extensive lysis of adhesions, small bowel resection, enteroenterostomy and transgastric feeding jejunostomy. patient was admitted to the icu postoperatively for close monitoring. in the icu, patient with aicd, demand pacer (intermittently firing), beta blocked, sepsis cath with svv now downtrending with improved cvp suggest better hemodynamics with fluid resusitation. patient transferred to the regular nursing floor once stable. the patient arrived on the floor npo, on iv fluids with a foley catheter, and dilauded for pain control. the patient was hemodynamically stable. neuro: the patient received dilauded with good effect and adequate pain control. patient received very little dilauded and is discharged with out the need for narcotics. cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. npo, g-j tube in place. patient started on tube feeds and advanced to goal. id: the patient's white blood count and fever curves were closely watched for signs of infection. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating tube feeds at goal, and pain was well controlled. medications on admission: 1. coumadin 5 mg one p.o. q.d. 2. lasix 40 mg one p.o. q.d. 3. senna p.r.n. 4. imdur 30 q.d. 5. glyburide 2.5 mg one p.o. q.d. 6. digoxin 0.125 mg one p.o. q.d. 7. monopril 20 mg one p.o. q.d. 8. coreg 3.125 mg one p.o. b.i.d. 9. trazodone 27 mg one p.o. q.h.s. p.r.n. 10. levaquin 250 mg one p.o. q.d. 11. colace p.r.n. 12. multivitamin daily. 13. vitamin c daily. 14. cytotec 200 b.i.d. 15. niacin 500 b.i.d. 16. duo-nebs. 17. temazepam 15 p.o. q.h.s. p.r.n. 18. voltaren 500 t.i.d. discharge medications: albuterol 0.083% neb soln 1 neb ih q6h:prn wheezing insulin sc (per insulin flowsheet) sliding scale digoxin 0.125 mg po daily patient may resume all medications upon discharge. patient's coumadin was held due to fall risk and may be started as per physicians at care facility. patient's lasix held due to hypernatremia and may be started as per physicians at care facility. discharge disposition: extended care facility: bear nursing center discharge diagnosis: closed loop complete bowl obstruction acute on chronic renal failure cardiomyopathy with severe systolic dysfunction discharge condition: stable discharge instructions: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. followup instructions: please follow up with dr. in three weeks in clinic. please call ( to schedule an appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other enterostomy other partial resection of small intestine insertion of other (naso-)gastric tube other lysis of peritoneal adhesions small-to-small intestinal anastomosis suture of laceration of small intestine, except duodenum diagnoses: other primary cardiomyopathies congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified accidental puncture or laceration during a procedure, not elsewhere classified chronic kidney disease, unspecified accidental cut, puncture, perforation or hemorrhage during other specified medical care automatic implantable cardiac defibrillator in situ acute systolic heart failure abdominal aneurysm without mention of rupture sinoatrial node dysfunction hyperosmolality and/or hypernatremia delirium due to conditions classified elsewhere volvulus intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) 

Answer: The patient is high likely exposed to