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: no known allergies / adverse drug reactions attending: chief complaint: abdominal pain major surgical or invasive procedure: exploratory laparotomy, abdominal washout and for perforated ulcer history of present illness: 85f w/ h/o of chronic naproxen use for arthritis, presented to earlier today for worsening abd pain that started on tuesday. pain was sharp and located on l abd. denied ever having this pain before. pain worsened over next few days and became more diffuse but patient was tolerating po's and passing flatus until earlier today where she had nausea and minimal emesis and has not passed flatus. at osh, she had ct abd w/ po contrast that caused more abd pain. she was transferred to for possible gastric perforation. she denies f, c, cp, sob, hematemesis, brbpr, recent weight loss, prior egds. last c-scope 3 yrs ago w/ only diverticulosis. past medical history: diverticulosis, htn, hypercholesterolemia, hypothyroidism social history: lives alone, no tobacco, no etoh family history: noncontributory physical exam: temp 97.9 hr 68 bp 139/79 rr 20 o2 sat 98% ra gen: a&o, nad heent: no scleral icterus, mucus membranes moist cv: rrr, no m/g/r pulm: clear to auscultation b/l, no w/r/r abd: diminished bowel sounds, mildly firm, nondistended, +ttp diffusely, more localized at epigastrium, +guarding, no palpable masses ext: no le edema, le warm and well perfused pertinent results: admission labs: 11:59pm glucose-119* urea n-25* creat-1.7* sodium-137 potassium-4.7 chloride-107 total co2-20* anion gap-15 11:59pm wbc-19.6* rbc-4.21 hgb-12.1 hct-37.1 mcv-88 mch-28.8 mchc-32.7 rdw-13.8 11:59pm plt count-191 11:59pm pt-13.2 ptt-28.2 inr(pt)-1.1 labs during hospital stay: 04:55am blood wbc-10.0 rbc-4.00* hgb-11.3* hct-33.8* mcv-85 mch-28.2 mchc-33.4 rdw-14.0 plt ct-229 11:59pm blood neuts-82* bands-4 lymphs-7* monos-7 eos-0 baso-0 atyps-0 metas-0 myelos-0 11:59pm blood hypochr-normal anisocy-normal poiklo-normal macrocy-normal microcy-normal polychr-normal 04:55am blood plt ct-229 04:55am blood glucose-93 urean-17 creat-1.0 na-136 k-2.8* (potassium repleted on morning of thisresult) cl-101 hco3-28 angap-10 brief hospital course: she was admitted to the acute care surgery team and taken to the operating room for exploratory laparotomy, abdominal washout, patch-omental patch repair of anterior duodenal ulcer, and placement of drain. iv zosyn was started. postoperatively she was taken to the icu for close hemodynamic monitoring due to postoperative hypotension where she required neo gtt. she received fluid resuscitation as well. once stable the neo was weaned off and she was extubated and transferred to the floor the following day. upon transfer to the floor she progressed as expected. her diet was re-introduced slowly for which she has been able to tolerate and home medications restarted with exception of naprosyn. her jp drain output has been followed very closely as well and on day of discharge had put out approx 200 cc's in the previous 24 hours. the decision was made to keep the jp in place and to follow up in clinic in a week to assess removal. a record of her daily outputs should accompany her to her follow up appointment. the iv antibiotics were stopped after she developed a macular pruritic rash on her extremities; this improved immediately following stopping the zosyn. her fluid volume status was noted to be positive for several liters requiring diuresis with lasix iv based on her exam and chest radiographs. she also required intermittent repletion of her potassium with this diuresis. for her le edema were applied. she was evaluated by physical therapy and is being recommended for short term rehab after her acute hospital stay. she was discharged to rehab on and will follow up in the clinic in 1 week. medications on admission: atenolol 12.5', amlodipine 2.5', benicar 20', naproxen 500'', levothyroxine 75', statin qhs (?name/dose) discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 2. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 3. atenolol 25 mg tablet sig: 0.5 tablet po daily (daily). 4. amlodipine 2.5 mg tablet sig: one (1) tablet po daily (daily). 5. olmesartan 20 mg tablet sig: one (1) tablet po daily (). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. acetaminophen 325 mg tablet sig: two (2) tablet po tid (3 times a day). 8. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 9. oxycodone 5 mg tablet sig: 0.5 tablet po q4h (every 4 hours) as needed for pain. 10. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: house nursing home - discharge diagnosis: perforated duodenal ulcer postoperative hypotension secondary to hypovolemia pleural effusion hypokalemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital with a perforated ulcer requiring an operation to repair this. following your surgery your dietary intake was placed on hold for a few days and then slowly restarted. now that you are able to tolerate a diet we are preparing for your discharge. during your hospital stay you were found to have some excess fluid in your body requring that you be given a diuretic to get rid of the excess fluid. once your body weight returns to normal it is likely you will no longer need this medication. you may resume your home medications with the exception of any nsaid's (non steroidal anit-inflammatory agents) and/or aspiring containing products. followup instructions: follow up in next thursday in acute care surgery clinic to evlaute your wounds and to possibly remove your jp drain. upon discharge from the hospital please call for an appointment. please also follow up with your primary care providers following discharge from the hospital or rehabilitation facility. you or your family will needto call for an appointment. procedure: suture of duodenal ulcer site diagnoses: pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified acquired hypothyroidism hypopotassemia dermatitis due to drugs and medicines taken internally peritoneal abscess penicillins causing adverse effects in therapeutic use antirheumatics [antiphlogistics] causing adverse effects in therapeutic use chronic or unspecified duodenal ulcer with perforation, without mention of obstruction 

Answer: The patient is high likely exposed to