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: the patient is a year old female who was admitted to the medical service on , where she presented with a two day history of fatigue, malaise, and generalized weakness with a one to two day history of nausea and vomiting with coffee-ground emesis. the patient denied any hematemesis, melena or bright red blood per rectum at that time. she reported that her last bowel movement had been two days prior to admission and normal. she also complained of progressive weakness and has a history of peptic ulcer disease and gastritis, diagnosed in on esophagogastroduodenoscopy done at that time. before arriving at , the patient had presented to an outside hospital, where nasogastric lavage done at that time revealed 700 cc of coffee-grounds and no further emesis. her hematocrit on presentation was 36. she was admitted to the hospital with serial hematocrits, hydration and was scheduled to undergo an esophagogastroduodenoscopy the following day. however, prior to the esophagogastroduodenoscopy, she developed diffuse crampy abdominal pain. a nasogastric tube was placed at that time for 200 cc of bilious material. a kub done showed dilated loops of small bowel with air fluid levels. there was no free air on upright chest x-ray. an abdominal ct scan done showed free fluid in the pelvis with no free air, dilated loops of small bowel with a transition point in the left pelvis and distally collapsed small bowel. the patient was then transferred to the general surgery service, with plans to go to the operating room for an exploratory laparotomy. past medical history: 1. history of recurrent diverticulitis, status post sigmoid colectomy with a low anterior resection in . 2. history of peptic ulcer disease and gastrointestinal bleed. 3. status post total abdominal hysterectomy. 4. gastroesophageal reflux disease. 5. degenerative joint disease. 6. aortic stenosis. medications on admission: zoloft, prilosec, atenolol, zestril, ampicillin, aspirin. allergies: sulfa. physical examination: on initial physical examination, the patient was afebrile at 98.6, heart rate 70, blood pressure 200/80, respiratory rate 20 and oxygen saturation 93% on two liters. general: alert and oriented times three, in moderate distress. chest: clear to auscultation anteriorly. cardiovascular: regular rate and rhythm. abdomen: positive bowel sounds, mildly distended, diffuse tenderness worse in the left lower quadrant, positive guarding, positive percussion tenderness. rectal: guaiac positive with no stool in the rectal vault. extremities: warm. laboratory data: white blood cell count was 9.8, down from 16 on admission, hematocrit 30.6, platelet count 242,000, liver function tests normal and amylase 56, lipase 15. kub: as described above. upright chest x-ray: no free air. ct scan of chest: chronic interstitial changes, bilateral pleural effusion, right greater than left. abdomen ct scan: as described above. hospital course: the patient was taken to the operating room on the evening of , where she underwent an exploratory laparotomy with lysis of adhesions. intraoperatively, multiple adhesions were taken down and a clear transition point was identified in the mid-jejunum. the patient tolerated the procedure well. there was minimal blood loss, however, due to her cardiac history, she was transferred to the surgical intensive care unit for postoperative care. of note, the patient had been on levofloxacin and flagyl preoperatively for a presumed right lower lobe infiltrate which was identified on admission chest x-ray. she also received kefzol intraoperatively. she had been extubated in the operating room, however, her electrocardiogram showed some st depression so she was placed on a rule out myocardial infarction protocol. 1. neurologic: the patient was placed on subcutaneous morphine for pain control. she remained neurologically intact mostly, with the exception of some episodes of sun-downing, with confusion and agitation. however, she responded well to small doses of haldol and, by postoperative day number six, was fully clear, awake, alert and oriented times four. 2. cardiovascular: the patient's initial electrocardiogram showed some st segment depression and initial ck was negative at 51, however, troponin was elevated to 3.4. she underwent a transthoracic echocardiogram which showed moderate to severe depression in left ventricular systolic function with a left ventricular ejection fraction of 20% and mild to moderate aortic stenosis, moderate mitral regurgitation and severe pulmonary artery hypertension. the patient was placed on low dose beta blockers and intravenous hydralazine for blood pressure control. she continued to have elevated blood pressures and her beta blocker, ace inhibitor and hydralazine were titrated for effect. when she started taking orals, she was placed on enalapril, clonidine and lopressor with systolic blood pressures in the 160s. she had no episodes of chest pain throughout her hospitalization and remained otherwise stable from a cardiovascular standpoint. 3. respiratory: the patient was extubated in the operating room. she initially had low oxygen saturations, for which she was treated with chest physical therapy and gentle diuresis with lasix. she was eventually weaned to a nasal cannula with low oxygen requirement. 4. gastrointestinal: the patient was kept on nothing by mouth postoperatively, with a nasogastric tube in place. her nasogastric tube was discontinued on postoperative day number two. she continued to be nauseated with abdominal distention. on postoperative day number four, the patient was less distended. she was started on trial sips, which she tolerated well. 5. genitourinary: the patient had a foley catheter placed intraoperatively, with good urine output and no major renal issues throughout her hospital stay. 6. hematology: the patient's hematocrit remained stable and was 29.9 at the time of discharge. 7. infectious disease: the patient was placed on levofloxacin and flagyl preoperatively, however, postoperatively, no antibiotics were given. the patient remained afebrile with a normal white blood cell count. condition at discharge: the patient is afebrile, hemodynamically stable. her ambulation is somewhat limited. she is tolerating a regular diet. discharge status: the patient is currently awaiting acceptance at a rehabilitation facility. discharge diagnosis: 1. complete small bowel obstruction, status post exploratory laparotomy with lysis of adhesions. 2. aortic stenosis. 3. gastroesophageal reflux disease. 4. history of diverticulosis. 5. hiatal hernia. 6. degenerative joint disease. 7. history of peptic ulcer disease/gastrointestinal bleed. 8. cataracts. discharge medications: prilosec 30 mg p.o.q.d. aspirin 81 mg p.o.q.d. lopressor 50 mg p.o.t.i.d. hydralazine 20 mg p.o.q.4h. clonidine 0.1 mg p.o.q.12h. enalapril 10 mg p.o.b.i.d. percocet one to two tablets p.o.q.6h.p.r.n. discharge follow-up: the patient was instructed to follow up with dr. two weeks following discharge. , m.d. dictated by: medquist36 procedure: other lysis of peritoneal adhesions diagnoses: pneumonia, organism unspecified esophageal reflux hyposmolality and/or hyponatremia aortic valve disorders diaphragmatic hernia without mention of obstruction or gangrene hemorrhage of gastrointestinal tract, unspecified intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) 

Answer: The patient is high likely exposed to