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: acute on chronic abdominal pain major surgical or invasive procedure: exploratory laparotomy; patch perforated duodenal ulcer. history of present illness: 88f s/p pelvic irradiation for stage ic endometrial cancer and two recent admissions for intractable diarrhea without true resolution presents to the ed after ~1d of acute on chronic abdominal pain. she is unable to describe the pain as anything but diffuse without laterality and having no mollifying factors. the patient presented to the ed due to these concerns and due to her recent discharge for the medical service with a diagnosis of continued inflammatory/infectious colitis. while i was reviewing other films, i noted that the patient had free air on abdominal ct with concern for freely perforated diverticulitis with a known history of radiation enteritis. upon assessment she has +rebound some minimal amount of voluntary guarding and requires exploratory laparotomy for definitive source control of perforated hollow viscus. past medical history: past medical history: endometrial ca -stage ic, grade 3 -s/p surgery followed by pelvic radiotherapy radiation proctitis diverticulosis hypertension hyperlipidemia h/o cellulitis l leg . surgical history: bso-tah cataract surgery hernia repair left groin 3/. social history: lives alone; thinks she wil have a hard time living alone again. smoked 1.5 packs/day for 30 years. denies alcohol and illicit drugs. family history: niece died of ovarian cancer at 76, father died of mi at 62, one sister with breast cancer. physical exam: upon presentation to : vs:97.0 110 122/97 24 97 a+ox 3, nad, lethargic, slightly anxious ctab rrr soft, distended, tender diffusely with +rebound and some involuntary guarding, not rigid mae anasarca present pertinent results: 11:30pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-sm urobilngn-neg ph-5.0 leuk-neg 07:40pm glucose-223* urea n-21* creat-1.1 sodium-138 potassium-3.5 chloride-101 total co2-23 anion gap-18 07:40pm wbc-11.1* rbc-4.58 hgb-12.0 hct-38.3# mcv-84 mch-26.2* mchc-31.3 rdw-17.6* 07:40pm plt smr-very high plt count-611* imaging: cxr: low lung volumes. bibasilar opacities=effusion and atelectasis, l>r, increased from prior. mild-to-moderate cardiomegaly. cxr: bibasilar opacities and blunting of costophrenic sulci. mediastinal structures unchanged. ct abdomen/pelvis: impression: 1. free air in the abdomen with free fluid and peritoneal enhancement compatible with peritonitis. site of bowel perforation is most likely sigmoid colon. 2. persistent colitis. 3. small bilateral pleural effusions, lower lobe compressive atelectasis, increased from prior. 4. large hiatal hernia. brief hospital course: on hd 1 the patient was taken to the or for an exploratory laparotomy and patch for a perforated duodenal ulcer. she was hypotensive and developed atrial fibrillation during the case and was started on levophed. on pod 1, her hypotension and atrial fibrillation continued and her levophed was changed to neo-synephrine; a diltiazem drip was started as well. her heart rate responded appropriately to the calcium channel blocker. of note she failed a vent wean on pod 2, a lasix drip was started in attempt to diurese to aid in ventilation. on pod 3, the lasix drip was continued and she was started on acetazolamide for metabolic alkalosis. the neo-synephrine was weaned off as she was hemodynamically stable. she was extubated. on pod 4 narcotics were discontinued and the lasix drip was changed to oral lasix with adequate diuresis. she was transferred to the regular nursing unit. she was transferred to the floor on and was stable from a respiratory standpoint on 4l o2 via nasal prongs. however, she had a possible aspiration event on with a brief desaturation to the 60s. o2 sats stabilized with 60% o2 via shovel mask and she was transferred to the sicu for continued care. her respiratory status improved and she was transferred back to the regular floor. while on the floor she was noted with marginal nutritional intake; calorie counts were initiated and were calculated at lower than required amounts. nutritional supplements were added to her diet and her diet has improved but stills bears watching. her foley catheter remains in place after a failed voiding trial; while at rehab and once ore ambulatory another voiding trial should be attempted. she was again noted with a desaturation episode on hospital day 10 and was given a mucomyst treatment as she was having difficulty coughing up sputum that was previously noted as thick; she did require nasal tracheal suctioning with improvement in her respiratory status. a cxr was done as well which showed in comparison with study of lower lung volumes, continued prominence of the cardiac silhouette with bilateral pleural effusions and bibasilar atelectatic change, more prominent on the left, with no acute pneumonia, vascular congestion, or pneumothorax. she was continued on her nebs. she was evaluated by physical therapy and is being recommended for rehab after her acute hospital stay. medications on admission: simvastatin 40', mesalamin 1600''', creon 4 caps w meals, loperamide 4''', bismuth prn, opium tincture 2ml''', hydrocort 100'' pr discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours). 3. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 4. diltiazem hcl 30 mg tablet sig: one (1) tablet po qid (4 times a day). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 7. mesalamine 400 mg tablet, delayed release (e.c.) sig: four (4) tablet, delayed release (e.c.) po tid (3 times a day). 8. lipase-protease-amylase 12,000-38,000 -60,000 unit capsule, delayed release(e.c.) sig: one (1) cap po tid w/meals (3 times a day with meals). 9. hydrocortisone acetate 10 % (80 mg) foam sig: one (1) appl rectal daily (daily). 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). discharge disposition: extended care facility: re discharge diagnosis: perforated duodenal ulcer discharge condition: alert and oriented x2 activity status: out of bed with assistance to chair or wheelchair. discharge instructions: avoid heavy lifting, greater than 10 pounds. avoid tub baths; you may shower. no bending at waist. followup instructions: provider: , m.d. phone: date/time: 3:00 follow up with clinic in weeks; call for an appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours suture of duodenal ulcer site diagnoses: other iatrogenic hypotension unspecified pleural effusion unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation personal history of tobacco use personal history of malignant neoplasm of other parts of uterus pulmonary collapse other and unspecified hyperlipidemia alkalosis other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation unspecified hearing loss accidents occurring in residential institution diverticulosis of colon (without mention of hemorrhage) other specified diseases of pancreas foreign body in larynx inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation chronic or unspecified duodenal ulcer with perforation, without mention of obstruction 

Answer: The patient is high likely exposed to