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: patient recorded as having no known allergies to drugs attending: chief complaint: 1. abdominal pain 2. shortness of breath major surgical or invasive procedure: : cecectomy history of present illness: 72yo f presents with a 2-day history of abdominal pain. pain initially developed on in a periumbilical distribution. since that time, the pain has localized to the luq; though she complains of generalized severe pain throughout her abdomen, the pain is interrupted by especially painful knife-like sensations in the luq. she has noted worsening nausea in the past few hours, but has not yet vomited. her last meal was at onset of pain 2 days ago. she does not recall her last passing of flatus or stool, but believes she did not have a bowel movement in the last 24 hours. her last colonoscopy was two years ago, and negative. denies fevers or chills. past medical history: copd (emphysema and chronic bronchitis, not on home o2), hypercholesterolemia, breast cancer (t2n0, er positive), brain aneurysm psh: r breast lumpectomy ' social history: + tob, 2.5ppd x55y. social etoh. patient is retired, works as volunteer. family history: mother with lung cancer and mi, maternal uncle with cancer, and maternal aunt with mi. maternal gm with breast cancer physical exam: on admission: 98.4 / 98.4 92 132/52 18 97% on 2l nc patient oriented x3, nad but uncomfortable lungs have bilateral diminished breath sounds, slight wheezing on expiration. rrr, mild tachycardia abdominal exam showed soft, non-distended abdomen, with voluntary guarding. pain elicited most notably on moderate palpation in luq and periumbilical region. no rebound nor guarding. dre found no palpable abnormalities, nl tone, trace stool in vault, guaiac negative. wwp sans c/c/e on discharge: vs: 96.6, 80, 126/64, 16, 96 4l n/c gen: nad cv: rrr with occasional sinus tachycardia lungs: b/l diminished throughout abd: midline incision with surgical staples, c/d/i ext: warm, no c/c/e neuro: ao x 3 pertinent results: 07:35am glucose-133* urea n-6 creat-0.4 sodium-139 potassium-4.2 chloride-105 total co2-29 anion gap-9 07:35am calcium-7.6* phosphate-3.5 magnesium-1.5* 07:35am hct-41.5 04:36am pt-11.9 inr(pt)-1.0 03:50am urine color-yellow appear-clear sp -1.021 03:50am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 12:00am glucose-141* urea n-11 creat-0.5 sodium-134 potassium-4.7 chloride-95* total co2-28 anion gap-16 12:00am estgfr-using this 12:00am lipase-14 12:00am albumin-4.2 pathology examination name birthdate age sex pathology # , 72 female report to: dr. . gross description by: dr. . almashat/dif specimen submitted: . procedure date tissue received report date diagnosed by dr. . sepehr/ttl previous biopsies: sigmoid polyp/ok. sigmoid polyp. (not on file) diagnosis: , cecum, cecectomy: - unremarkable . - unremarkable small intestine. - one unremarkable lymph node. ekg: normal sinus rhythm. rsr' pattern in leads v1-v2 with qrs duration of 78 milliseconds. compared to the previous tracing of no diagnostic interval change. ct abd: impression: 1. cecum appears to be flipped and is in the left upper abdominal quadrant concerning for cecal volvulus in appropriate clinical setting. surgical consult recommended. 2. diverticulosis with no evidence of diverticulitis. 3. left adrenal nodule, incompletely characterized. mri recommended in a nonurgent setting. 4. gallbladder fundal thickening, likely adenomyomatosis. 5. calcified fibroid uterus. chest cta: impression: 1. new bilateral small- to moderate-sized pleural effusions with interlobular thickening suggest a degree of volume overload. in addition, area of bronchial plugging involving the right lower lobe with nonspecific consolidation that could relate to atelectasis and aspiration, though early pneumonia is not excluded. 2. severe emphysema. 3. no evidence of pulmonary embolism to the subsegmental levels. ekg: atrial fibrillation with rapid ventricular response at approximately 150. borderline low voltage. delayed precordial r wave progression, possibly normal variant. non-specific repolarization abnormalities. compared to the previous tracing of sinus tachycardia at a rate of 115 has given way to atrial fibrillation at a rate of 150. : chest xray: cardiomediastinal contours are normal. small bilateral pleural effusions larger on the left side are unchanged. the component of the pulmonary edema has resolved. persistent, unchanged opacities in the left lower lobe and lingula are consistent with infectious process. it is unchanged though from prior study. test name value reference range units 06:35 complete blood count white blood cells 8.2 4.0 - 11.0 k/ul performed at west stat lab red blood cells 3.95* 4.2 - 5.4 m/ul performed at west stat lab hemoglobin 12.1 12.0 - 16.0 g/dl performed at west stat lab hematocrit 38.0 36 - 48 % performed at west stat lab mcv 96 82 - 98 fl performed at west stat lab mch 30.7 27 - 32 pg performed at west stat lab mchc 31.9 31 - 35 % performed at west stat lab rdw 13.0 10.5 - 15.5 % performed at west stat lab basic coagulation (pt, ptt, plt, inr) platelet count 300 150 - 440 k/ul performed at west stat lab 06:35 renal & glucose glucose 101* 70 - 100 mg/dl if fasting, 70-100 normal, >125 provisional diabetes performed at west stat lab urea nitrogen 6 6 - 20 mg/dl performed at west stat lab creatinine 0.3* 0.4 - 1.1 mg/dl performed at west stat lab sodium 139 133 - 145 meq/l performed at west stat lab potassium 4.2 3.3 - 5.1 meq/l performed at west stat lab chloride 99 96 - 108 meq/l performed at west stat lab bicarbonate 34* 22 - 32 meq/l performed at west stat lab anion gap 10 8 - 20 meq/l chemistry calcium, total 8.3* 8.4 - 10.3 mg/dl performed at west stat lab phosphate 3.7 2.7 - 4.5 mg/dl performed at west stat lab magnesium 1.8 1.6 - 2.6 brief hospital course: general brief hospital course: the patient was admitted to the general surgical service for evaluation and treatment. on , the patient underwent cecectomy, which went well without complication (reader referred to the operative note for details). after a brief, uneventful stay in the pacu, the patient arrived on the floor npo, on iv fluids and antibiotics, with a foley catheter, and epidural analgesia for pain control. the patient was hemodynamically stable. neuro: the patient received dilaudid pca with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. patient continue to take 2-6 mg dilaudid po. cv: patient was stable from cardiac standpoint after surgery, with rrr and occasional sinus tachycardia. on patient developed an onset of rapid a-fib with hr up to 150s. patient was started on iv metoprolol, and she was reversed to regular rhythm. after been transitioned to po lopressor on , patient had several episodes of sinus tachycardia, which was resolved with iv lopressor. since the patient remained stable from a cardiovascular standpoint. she continued on metoprolol 25 mg tid. pulmonary: patient had a long history of copd and smoking. she denies use of supplemental o2 at home, but reported feeling sob with minimal activities. post surgery patient was on 3-4l o2 and on pod# 1 desaturated to 80s. patient was transferred in icu to r/o pe. chest ct was negative for emboli, but revealed b/l pulmonary edema. patient was started on nebulizers and chest pt. her pulmonary function improved and she was transferred back to the floor. currently patient continue to use 3-4l via nasal cannula with stable o2 sats 95-97%. patient advised to follow up with her pcp regarding home o2 use. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. diet was advanced when appropriate, which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. wound has staples, which need to be removed on and replaced with steri strips. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: lipitor discharge medications: 1. ipratropium bromide 0.02 % solution sig: one (1) inh inhalation q6h (every 6 hours) as needed for wheezing/sob. 2. levalbuterol hcl 0.63 mg/3 ml solution for nebulization sig: one (1) inh inhalation q6h () as needed for wheezing. 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain, fever. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 6. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal (2 times a day) as needed for constipation. 8. hydromorphone 2 mg tablet sig: 1-3 tablets po q3h (every 3 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 10. lipitor 10 mg tablet sig: one (1) tablet po at bedtime. discharge disposition: extended care facility: house rehabilitation & nursing center - discharge diagnosis: 1. cecal volvulus 2. copd 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: 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, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. 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 in rehab on *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery please call your doctor or nurse practitioner if you experience 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 is 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. followup instructions: follow up with your primary care doctor regarding a nodule on the upper part of your right lung that was seen on chest x-ray in weeks after discharge. . provider: , md phone: date/time: 2:00. 3, . provider: , md phone: date/time: 11:00 procedure: open and other cecectomy diagnoses: pure hypercholesterolemia tobacco use disorder cardiac complications, not elsewhere classified atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation personal history of malignant neoplasm of breast atrial flutter hypopotassemia peritoneal adhesions (postoperative) (postinfection) other diseases of lung, not elsewhere classified pulmonary congestion and hypostasis removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation volvulus 

Answer: The patient is high likely exposed to