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: sulfa (sulfonamides) / zithromax / zocor attending: chief complaint: abdominal pain, nausea, vomiting x 3 weeks major surgical or invasive procedure: 1. exploratory laparotomy. 2. splenic flexure takedown. 3. left colectomy. 4. open cholecystectomy. 5. right oophorectomy. 6. end colostomy, hartmann's. 7. transgastric jejunostomy. history of present illness: 78 year old female with three week history of abdominal pain, nausea, vomiting. patient states that she began taking an new medication for cholesterol, which was known to cause constipation, and since beginning the medication she has had increased abdominal pain. the pain is constant in the left upper quadrant and is not related to bowel movements. she has had firm, hard bowel movements the last of which was two days ago. has been passing flatus. developed nausea with vomitng last night, persisting into this morning. no fevers, or chills. no blood per rectum. vomitus is described as dark in color. urinating normally. past medical history: htn, hypothyroidism, h/o left lower extremity radiculopathy and claudicant symptoms with a component of low back pain social history: lives with daughter and family; daughter is a medical professional. non-smoker. no alcohol. family history: non-contributory physical exam: vs: t: 96.1 po, bp: 146/74, hr: 69, rr: 16, sao2: 96% ra gen: elderly female in nad heent: sclerae anicteric. o-p moist, intact. neck: supple. no lymphadenopathy. lungs: cta(b) cardiac: rrr w/o m/c/r abd: midline incision with staples ota c/d/i. g-j tube site intact, tubes patent. (l) ostomy: oval 1 x 1 inches, retracted with crease at 3 & 9 o'clock, reddish brown, moist, intact. appliance in place/intact. bsx4. soft/nt/nd. extrem: no c/c/e. skin: intact. neuro: a+ox3. non-focal/grossly intact. pertinent results: 11:04pm glucose-185* urea n-23* creat-1.1 sodium-140 potassium-3.2* chloride-105 total co2-23 anion gap-15 11:04pm calcium-9.7 phosphate-4.5# magnesium-1.2* 11:04pm wbc-10.9# rbc-3.67* hgb-9.9* hct-30.1* mcv-82 mch-26.9* mchc-32.8 rdw-14.8 11:04pm plt count-335 11:04pm pt-16.6* ptt-36.2* inr(pt)-1.5* 09:41pm glucose-201* lactate-2.9* na+-136 k+-3.0* cl--102 09:41pm hgb-8.7* calchct-26 o2 sat-97 . abd/pelvic ct with contrast: 1. pneumoperitoneum, with the splenic flexure/descending colon the most likely source. while acute perforated diverticulitis is a likely consideration, associated with a small pericolonic abscess, a perforated carcinoma cannot be excluded. 2. large pelvic adnexal cystic lesion likely represents a tumor of ovarian epithelial origin, though it is unclear from which ovary this lesion arises. 3. rim calcified left renal cysts warrants attention on follow-up studies. 4. severe thoracolumbar degenerative change with disc osteophyte complex at l4/5 producing severe spinal canal narrowing. 5. rim calcification of the gallbladder fundus is of uncelar etiology or clinical significance. partial porcelain gallbladder is a consideration, otherwise this may be the result of prior inflammatory conditions. brief hospital course: the patient was admitted to the general surgical service for evaluation and treatment of abdominal pain, nausea, vomiting. on , the patient underwent the above surgey, which she tolerated without complication (reader referred to the operative note for details). post-operatively, the patient was transferred to the sicu intubated on propofol, npo with a ng tube, g-j tube, and foley in place, on iv zosyn and flagyl, receiving iv fluid rescusitation. she initially received iv morphine, then iv dilaudid for pain with good effect. on , trophic tube feeds via the j-tube were started. later that day, the patient was extubated without problem. on , the ng tube was discontinued. the patient was transferred to the floor on sips taking home medications on maintenance iv fluids, continued on iv antibiotics. a foley remained in place; continued on trophic tube feeds via the j-tube, with the g-tube potion to gravity drainage. iv dilaudid prn was continued for pain control with good effect. ostomy nurse therapy consulted. the patient was hemodynamically stable. : complaint of shortness of breath with oxygen requirement of 2l to maintain sao2 95%; cxr revealed moderate (l) effusion. ascites leaking from incision. given iv lasix and nebulizer treatments with symptomatic improvement; respiratory toilet encouraged. ostomy teaching started. : weaned off supplemental oxygen with improving respiratory status. foley discontinued. tube feeds advanced with good tolerability. improved activity tolerance with pt. stoma with flatus. small aspect incision opened with serosang drainage; dsd applied. : diet advanced to clears; tube feeds advanced to goal 40ml/hr with good tolerability. g-tube capped. incisional wound healing very well. : diet advanced to regular. tolerating tube feeds at goal; tube feeds changed to cycled. discharge planning underway. : tolerating regular diet with fair pos and cycled tube feeds. stoma making liquid, brown stools. no events. patient and family ready for discharge with vna and pt. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet and cycled tube feeds, ambulating with assistance and a walker, voiding without assistance, and pain was well controlled. the patient and family received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: alendronate sodium 70 every monday, atenolol 100mg daily, cytomel 25mcg daily, hctz 25mg daily, prednisone 20mg daily (>1yr) discharge medications: 1. vitamin a 10,000 unit capsule sig: two (2) capsule po daily (daily). disp:*60 capsule(s)* refills:*2* 2. miconazole nitrate 2 % cream sig: one (1) appl topical (2 times a day) as needed for rash. disp:*60 grams* refills:*2* 3. atenolol 100 mg tablet sig: one (1) tablet po once a day. 4. liothyronine 25 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po qam. 6. alendronate 70 mg tablet sig: one (1) tablet po qmon (every monday). 7. prednisone 5 mg/5 ml solution sig: twenty (20) ml po once a day: via j-tube. disp:*qs 1 month* refills:*2* 8. cipro 500 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 9. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 7 days. disp:*21 tablet(s)* refills:*0* 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain: do not exceed 4gm acetaminophen daily. disp:*40 tablet(s)* refills:*0* 11. tylenol 325 mg tablet sig: 1-2 tablets po every six (6) hours as needed for fever or pain. discharge disposition: home with service facility: vna discharge diagnosis: 1. perforated left colon. 2. chronic cholecystitis. 3. right ovarian mass. discharge condition: stable discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *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. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. g-j tube care: *please look at the site every day for signs of infection (increased redness or pain, swelling, odor, yellow or bloody discharge, warm to touch, fever). *you may shower; wash the area gently with warm, soapy water. *keep the insertion site clean and dry otherwise. *avoid swimming, baths, hot tubs; do not submerge yourself in water. *make sure to keep the drain attached securely to your body to prevent pulling or dislocation. *follow tube feed and flushing instructions as outlined in orders. monitoring ostomy output/prevention of dehydration: *keep well hydrated. *replace fluid loss from ostomy daily. *avoid only drinking plain water. include gatorade and/or other vitamin drinks to replace fluid. *try to maintain ostomy output between 1000ml to 1500ml per day. *if ostomy output >1 liter, take 4mg of imodium, repeat 2mg with each episode of loose stool. do not exceed 16mg/24 hours. followup instructions: please call ( to schedule a follow-up appointment with dr. (surgery) in 2 weeks. procedure: other enterostomy open and other left hemicolectomy temporary colostomy enteral infusion of concentrated nutritional substances cholecystectomy other unilateral oophorectomy diagnoses: acidosis polymyalgia rheumatica unspecified essential hypertension long-term (current) use of steroids acute kidney failure, unspecified unspecified acquired hypothyroidism calculus of gallbladder with other cholecystitis, without mention of obstruction osteoporosis, unspecified unspecified intestinal obstruction diverticulitis of colon (without mention of hemorrhage) other and unspecified ovarian cyst abscess of intestine 

Answer: The patient is high likely exposed to