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: lisinopril attending: chief complaint: abdominal pain, nausea, vomiting major surgical or invasive procedure: exploratory laparotomy, resection of 1.5m of small bowel, adhesiolysis, end-end anastomosis on history of present illness: ms. is a 61-year-old african american lady with hep-c, liver fibrosis and a prior history of small bowel obstruction requiring laparotomy, lysis of adhesions and small bowel resection. she now presented with a complete small-bowel obstrucion and abdominal pain. she was well until 1400 on when she developed abdominal pain that progressed. she aslo notes that she stopped passing flatus. her last bowel movement was at 1400 that was loose in character but no melena or hematochezia. she presented to the emergency department for further evaluation. past medical history: 1. chronic kidney disease- baseline creatinine 1.4-1.8 2. type 2 diabetes mellitus- dx age 30, followed at , on lantus 9u daily and humalog ss, + nephropathy, a1c 12.9% 7/16, h/o hypoglycemic seizure 3. hypertension- on atenolol and nifedipine xr 4. hepatitis c- previously followed by hepatology, treated w/ rebetron with no response, liver biopsy with stage 2 fibrosis and grade inflammation, last vl 600k in , last afp wnl, last ruq us in with no mass, acute hepatic failure as below 5. chronic pancreatitis- presumed etoh 6. polysubstance abuse history- etoh, cocaine 7. history of acute hepatitis- , unintentional tylenol overdose 8. s/p total abdominal hysterectomy in 9. s/p small bowel resection and lysis of adhesions for sbo on . social history: patient works as a nurse. lives with a friend in , sister lives next door. history of heavy etoh use, but last drink 6 months ago. history of cocaine use, last use 6 months ago. she has a 7 pack-year h/o smoking before quitting 30 years ago. family history: htn runs in the family. physical exam: on admission: temp 96.2, hr 74, bp 177/91, rr 20, o2 sat 98% on room air gen: appears somewhat uncomfortable heent: anicteric sclera, dry mucus membranes cv: rrr pulm: clear bilaterally abd: distended, tympanitic and tense, tender to palpation, no rebound tenderness, (+) voluntary guarding, well-healed midline scar, hypoactive bs ext: cool to touch gu: normal tone, guaiac (-) on discharge: temp 98.4, hr 67, bp 135/75, rr 18, o2 sat 96% on room air gen: no acute distress, alert and oriented cv: rrr pulm: clear bilaterally abd: soft, nondistended, incisional tenderness, incision clean and without erythema or drainage ext: warm, no edema, 2+ pulses pertinent results: admission labs: 12:53am blood wbc-5.5 rbc-4.60 hgb-14.5 hct-43.4 mcv-94 mch-31.5 mchc-33.5 rdw-15.4 plt ct-153 12:53am blood plt ct-153 12:20pm blood pt-12.2 ptt-26.4 inr(pt)-1.0 12:53am blood glucose-480* urean-22* creat-2.2* na-137 k-4.6 cl-103 hco3-19* angap-20 12:53am blood alt-36 ast-30 ld(ldh)-309* alkphos-268* amylase-89 totbili-0.4 12:20pm blood calcium-8.4 phos-7.0*# mg-2.0 03:04pm blood glucose-306* lactate-6.6* na-138 k-4.7 cl-113* peaked wbc on : 12:36am blood wbc-25.3*# rbc-3.90* hgb-11.7* hct-35.5* mcv-91 mch-30.0 mchc-33.0 rdw-15.9* plt ct-42* discharge labs: 05:00am blood wbc-14.6* rbc-3.43* hgb-10.4* hct-31.1* mcv-91 mch-30.2 mchc-33.3 rdw-16.3* plt ct-192 05:00am blood plt ct-192 05:00am blood glucose-140* urean-16 creat-1.5* na-137 k-3.8 cl-102 hco3-28 angap-11 05:00am blood alt-17 ast-29 alkphos-248* totbili-1.6* 12:36am blood lipase-5 05:00am blood calcium-7.8* phos-2.9 mg-1.6 02:03am blood lactate-1.3 hcv viral load: 717,000 iu/ml. c.diff toxin: positive brief hospital course: patient was evaluated at the emergency department. a contrast ct scan of the abdomen was obtained and revealed moderate-to-severe small-bowel obstruction displaying extensive fecalization with a few loops of distal terminal ileum appearing slightly decompressed. no focal transition point was identified. air and stool is noted within the large bowel. there was no evidence of pneumatosis or free air. transplant surgery service was obtained. the patient required large doses of narcotics to control pain. on physical exam she was becoming more confused and less alert. her abdominal exam was significant for severe diffuse pain and guarding. initial white count was 5.5. given her concerning physical findings, she was emergently taken to the operating room. free air was found upon entering the abdomen. she had a 1.5 meter section of ischemic/necrotic non-viable bowel. this was resected and a primary anastomosis was fashioned. for surgical details please see dictated operative report from . she was transferred to the icu for further care. central access was obtained intraoperatively. on pod 1 patient required large volume resuscitation. swan-ganz catheter was placed for monitoring of cardiac function and for guidance in fluid resuscitation. she was initially placed on insulin and required pressors. she was transfused 2 units of prbcs for post-op anemia and hypotension. these were subsequently weaned off. her urine output improved, as did her blood pressure. on pod 2 she developed thrombocytopenia. hit antibodies were sent and heparin was stopped. once she became adequately resuscitated and started mobilizing fluid, she was diuresed with furosemide. she tolerated this well. on chest radiography she exhibited a small to moderate right pleural effusion that improved with diureses. this fluid collection was not sampled or drained. her ventilator requirement improved and she was extubated on pod 5 and tolerated extubation. post operatively she exhibited low grade temps. she was continued on ciprofloxacin and flagyl. her bowel function returned and progressed to large volume diarrhea. this occurred in the setting of fevers and rising white count. c.diff was sent. she was prophylactically started on po vancomycin. subsequent stool samples returned positive for c.diff toxin. she was continued on po vanco and iv flagyl. her mental status improved. narcotic requirement was decreased and she remained hemodynamically stable. she was transferred to a skilled nursing floor from the icu on pod 7. while on the floor her diet was slowly advanced from clear liquids to a regular house diet, she tolerated this well. her diarrhea subsided and she is now having regular formed bowel movements. on pod 11 cipro was discontinued and she is to finish an additional 2 weeks of po vanc and flagyl for c.diff. on pod 10 she was started on 9units of lantus insulin qpm due to blood sugars in the 200s. a physical therapy consult was obtained and their recommendation is discharge home with home physical therapy. ms. is declining home physical therapy. she is given a prescription for all of her home medications. she states that she does not need glucometer supplies at this time. she is discharged in good condition with appropriate follow up with drs. and . medications on admission: atenolol, calcium, colchicine, doxazosin, epi-pen, humalog, lantus, nifedipine, ultram discharge medications: 1. vancomycin 250 mg capsule sig: one (1) capsule po every six (6) hours for 2 weeks. disp:*56 capsule(s)* refills:*0* 2. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. nifedipine 90 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). disp:*30 tablet sustained release(s)* refills:*2* 4. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 2 weeks. disp:*42 tablet(s)* refills:*0* 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. insulin glargine 100 unit/ml solution sig: nine (9) units subcutaneous at bedtime: inject 9 units subcutaneously every evening. disp:*qs units* refills:*2* 8. insulin lispro 100 unit/ml solution sig: per sliding scale units subcutaneous four times a day: dose based on home sliding scale. disp:*qs units* refills:*2* discharge disposition: home discharge diagnosis: ischemic/gangrenous small bowel post-op anemia post-op hypotension c.diff colitis discharge condition: good discharge instructions: call your physician if you experience: - fever > 101.5 - persistent abdominal pain not relieved by your medication - persistent nausea or vomiting - severe abdominal distension - inability to eat or drink - increasing redness, warmth, foul smelling drainage from your incision - if you have worsening diarrhea that does not improve resume your home medications. follow up with your primary care physician regarding your blood sugar control. you may shower and pat your abdomen dry. do not take tub baths or swim. continue to take your antibiotics for 2 more weeks. followup instructions: follow up with your surgeon dr. on monday . call his office at ( to schedule your appointment. follow up with dr. in weeks. he is a liver physician. his office at ( to schedule your appointment. follow up with your primary care physician weeks. md, procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other partial resection of small intestine insertion of endotracheal tube other lysis of peritoneal adhesions pulmonary artery wedge monitoring monitoring of cardiac output by other technique transfusion of packed cells transfusion of other serum injection of other anti-infective diagnoses: acidosis other iatrogenic hypotension thrombocytopenia, unspecified other postoperative infection unspecified pleural effusion cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia acute kidney failure, unspecified unspecified septicemia severe sepsis other, mixed, or unspecified drug abuse, unspecified unspecified viral hepatitis c without hepatic coma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified personal history of tobacco use hypopotassemia chronic kidney disease, unspecified pulmonary collapse long-term (current) use of insulin intestinal infection due to clostridium difficile other ascites encephalopathy, unspecified urinary complications, not elsewhere classified chronic pancreatitis acute vascular insufficiency of intestine diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled volvulus intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) family history of other cardiovascular diseases 

Answer: The patient is high likely exposed to