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: iodine; iodine containing / codeine / strawberry attending: chief complaint: acute on chronic abdomina pain major surgical or invasive procedure: exploratory laparotomy, lysis of adhesions, drainage of peritonitis. gastroscopy, jejunostomy history of present illness: pt is a 44y/o female with a history of gastroplasty in , revision to roux-en-y gastric bypass in , and partial gastrectomy for ulcers in the gastric pouch and a fistula from the gastric pouch to the gastric remnant 3/. she now has a 3 day history of worsening abdominal pain and emesis after having one month history of abdominal pain which prompted two visits to the emergency room prior to the visit the prompted admission and emergent surgery. she stated that she does not want to return to the hospital where she originally recieved her gastric bypass revision and re-revision and partial gastrectomy. past medical history: as per hpi obesity anxiety/depression social history: pt denies tobacco, alcohol or recreational drug use. family history: noncontributory physical exam: temp: 98.0 hr: 58 bp: 117/59 rr: 16 sao2: 97% on ra gen: pt appears uncomfortable, frequently rocking heent: ncat, eomi chest: lcta b/l cv: rrr, nl s1, s2 gi: soft, nt, nd, gu: no cvat musculoskeletal: no c/c/e skin: no rash neuro: speech fluent, non-focal psych: nl mood/mentation pertinent results: 11:59pm glucose-126* urea n-8 creat-0.5 sodium-136 potassium-4.2 chloride-104 total co2-22 anion gap-14 11:59pm calcium-8.9 phosphate-2.8 magnesium-1.5* 11:59pm wbc-13.6* rbc-4.59 hgb-13.1 hct-38.3 mcv-83 mch-28.4 mchc-34.1 rdw-13.9 11:08am lactate-2.1* 08:50am alt(sgpt)-32 ast(sgot)-32 alk phos-92 amylase-47 tot bili-0.8 08:50am lipase-23 brief hospital course: pt was admitted with a presumptive diagnosis of localized perforation. she was initially managed non-operatively, until her pain worsened and her hr increased to 140s. she was then taken to the or for exploration/lysis of adhesions, washout, drain placement and jejunostomy placement. finding included peritonitis with biliary fluid in the upper abdomen and pelvis. postoperatively she improved, but was noted to have a hoarse voice. she was maintained on tpn, kept npo. tube feeds were started through her j-tube and after several days, was titrated up to a goal rate of 90cc/hr. she was then taken for an ugi swallow to eval for possible leak of her g-j and j-j anastamoses. pt choked on the gastrographin and the study was aborted when contrast was noted in the trachea. speech and swallow and ent evaluated her for hoarseness and inability to swallow. they determined that she was unable to tolerate liquids by mouth (solids were not evaluated since pre-pyloric leak had not been excluded) and that she had a paralysis of her right vocal cord. pt was mainitained npo until her voice had noticably improved on pod 15 at which time she was cleared with speech and swallow and tried with soft solids. after tolerating soft solids, she was discharged home with vna to cycle her tube feeds at night and to follow up with ent and dr. . medications on admission: protonix 40mg po qd zofran 40mg po qd percocet elixir discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed for pain: please administer via j tube. disp:*qs x 1 month ml(s)* refills:*0* 2. omeprazole 40 mg packet sig: one (1) packet po once a day: please dissolve powder in water as directed and administer via j tube. disp:*qs x 1 month packets* refills:*2* 3. impact/fiber liquid sig: ninety (90) ml po per hour: please administer impact with fiber at 2/3 strength, 90cc/hour per j tube for 12 hours a day (cycle at night). disp:*qs x 1 month ml* refills:*2* 4. colace 100 mg capsule sig: one (1) capsule po twice a day: please take as long as you are taking the percocet. disp:*60 capsule(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: peritonitis, perforated viscus vocal cord paralysis with improvement clinical aspiration with improvement prior to discharge hypovolemia requiring fluid rescucitation discharge condition: stable discharge instructions: please take medications and tube feedings as prescribed. you may shower, covering j tube with a dressing. no bath or swimming. no heavy lifting (10 pounds) for 8 weeks. please call your doctor if you experience persistent nausea/vomiting, diarrhea/constipation, fever >101.5, redness, swelling, or foul discharge at wound site. followup instructions: please see dr. (general surgery) in one week. upon discharge, please call dr. office at to schedule an appointment. please see dr. (ear, nose, throat) in one week. upon discharge, please call dr. office at to schedule an appointment. if dr. would like you to have a video swallow study, you can schedule that by calling at the speech clinic. procedure: other enterostomy other endoscopy of small intestine enteral infusion of concentrated nutritional substances other lysis of peritoneal adhesions other incidental appendectomy diagnoses: other postoperative infection asthma, unspecified type, unspecified pneumonitis due to inhalation of food or vomitus peritoneal adhesions (postoperative) (postinfection) unilateral paralysis of vocal cords or larynx, partial 

Answer: The patient is high likely exposed to