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: penicillins / erythromycin base / demerol attending: chief complaint: abdominal pain, nausea/vomiting major surgical or invasive procedure: none history of present illness: patient is a 67 yo woman with pmhx sig. for ovarian cancer, radiation enteritis, and frequent admissions for sbos (last admission in early ) who presents for nausea/vomiting and abdominal pain for the past 24 hours. she notes her belly has been "gurgling" loudly for a few days prior to the onset of pain. he describes the pain at 8/10 in severity like a band across her mid-abdomen. it does not radiate. she reports that her diarrhea is slightly improved but still quite frequent at bms/day. the dto has helped. she fevers or chills. she reports that her po intake has been quite poor because when she eats she has either nausea, pain or diarrhea. she has continued to loose weight. she does not tolerate ensures/boost. these symptoms are the exact symptoms she gets with her previous sbos. . in ed, vitals were 97.3 70 123/95 22 100% ra. kub was non specific. mg was 1.0. patient given dilaudid 1mg iv x1, compazine 10mg iv x1, mg 4g iv x1, and 1l of ns. on transfer from ed to floor, vitals were t 97.2 p 62 bp 163/96 rr 15 sa 02 98%. . on floor, patient was somnolent, but arousable and followed commands. she had a bowel movement on arrival to the floor. ros: , chills, night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, shortness of breath, chest pain, brbpr, melena, hematochezia, dysuria, hematuria. past medical history: - multiple admissions for partial sbo, usually managed conservatively, most recently - - multiple small bowel obstructions - recent hip fracture mssa osteomyelitis on , on daptomycin for 6 weeks, recently discharged from rehabilitation in early -h/o mrsa bacteremia (), (), (), complicated by l2-l3 discitis/osteomyelitis, failed 4 month course of vancomycin, resoved with surgical intervention with l2, l3 partial corpectomy/debridement on followed by 3 month course of vancomycin - c.diff colitis , neg c.diff toxin -c.parapsilosis line-associated bsi () -p.vulgaris pyelonephritis w/ bilat hydronephrosis dx , treated with meropenem-->ciproflox -ovarian cancer: dx in , stage iv metastatic to liver, s/p tah-bso, adriamycin, and xrt -chemotherapy-associated cardiomyopathy, last echo in with ef of 50% -iron deficiency anemia -hyperlipidemia -chronic kidney disease -osteoporosis -hypothyroidism -h/o rue brachial thrombus, picc associated, in -depression -tonsillectomy, adenoidectomy -appendectomy social history: patient lives with her husband, has 2 grown sons, and 3 grandchildren. she was a nurse until 6 months ago. she is a remote smoker. no etoh, recreational drug use. walks with a walker at baseline secondary to hip pain. family history: breast cancer in maternal grandmother. prostate cancer in maternal grandfather. physical exam: vs - temp 95.5 f, bp 138/90, hr 82, r 18, o2-sat 100% ra gen: cachetic woman, nad, does appear older than age heent: perrla, eomi, mm slighty dry, sclera anicteric neck: no cervical or supraclavicaluar lad cardiovascular: rrr, normal s1/s2, no murmurs, rubs, or gallops respiratory: ctab no w/r/c abd: normal active bowel sounds, firm with voluntary guarding, diffusely tender, no rebound, non distended extremities: no c/c/e, 2+ dp and radial pulses bilaterally neurological: somnolent but arousable, cn ii-xii intact, moving all extremities, will follow commands. pertinent results: 06:29am blood igg-800 iga-110 igm-53 02:36am blood triglyc-131 hdl-35 chol/hd-3.5 ldlcalc-60 02:36am blood %hba1c-5.5 eag-111 05:27am blood calcium-8.4 phos-3.5 mg-1.2* 06:16pm blood ck-mb-3 ctropnt-0.01 01:31pm blood alt-8 ast-15 ld(ldh)-269* alkphos-121* totbili-0.3 05:07am blood glucose-84 urean-12 creat-1.5* na-136 k-4.0 cl-107 hco3-22 angap-11 05:01am blood ret aut-1.1* 05:07am blood pt-27.4* inr(pt)-2.7* 05:07am blood wbc-10.5 rbc-2.91* hgb-8.4* hct-25.9* mcv-89 mch-28.9 mchc-32.5 rdw-15.3 plt ct-545* imaging: ekg - nsr 60, nl axis and intervals. +pvc. lvh with reciprical changes in st seg in v1, v4 & v5 c/w prior. kub - - impression: no evidence of intestinal obstruction or perforation. repeat upright views recommended to exclude intramural gas in the upper abdomen. cta head and neck 1. well-defined defect in temporal branch of left mca at m1-m2 junction, likely secondary to embolism or thrombus. there is distal reconstitution via collaterals. 2. large area of ischemia with a small area of evolving infarct in the left mca territory. 3. stable enlarged left parotid gland. mri head findings: there are foci of restricted diffusion seen in the left basal ganglia and subinsular region extending to the periventricular white matter. small foci of restricted diffusion are also seen in the left thalamus and left posterior temporal region. mild periventricular changes of small vessel disease are seen. there is no evidence of midline shift, mass effect, or hydrocephalus. there is no evidence of acute or chronic blood products. impression: acute left-sided infarcts as described above, predominantly involving the left insular region and basal ganglia region. echo no evidence of a patent foramen ovale/atrial septal defect seen after intravenous injection of agitated saline at rest and with maneuvers. u/s neck impression: limited internal jugular vein ultrasound demonstrates no thrombus bilaterally. brief hospital course: 67 year-old female with ovarian cancer s/p chemoradiation, radiation enteritis c/b frequent sbos admitted with abdominal pain. hospital course complicated by sialadenitis and cva. 1. abdominal pain: the patient reported the symptoms were similar to her previous partial small bowel obstructions. no evidence of sbo. symptoms improved rapidly with bowel rest, intravenous fluids, anti-emetics, and pain control. abdominal pain recurred, with diarrhea, a few days into the hospital course; given history of c. difficile, she was treated empirically with vancomycin po. antibiotics stopped after c. difficile toxin returned negative. 2. sialadenitis/neck cellulitis: the patient developed left neck swelling at the angle of the jaw and a surrounding erythema of the skin. ultrasound showed sialadenitis. the swelling tenderness and cellulitis initially improved with intravenous vancomycin and metronidazole, but acutely worsened on hospital day 8. ct neck was without evidence of abscess or obstructing stone. ent was consulted, and recommended broadening coverage with ciprofloxacin and frequent use of sialogogues. infection subsequently improved. as directed by infectious disease consult service, she was discharged with additional 7 days of therapy on levofloxacin and flagyl until . 3. acute ischemic stroke: on hospital day 11 patient was found unresponsive with stable vital signs. she was mute and had gaze deviation to the left. a code stroke was called. emergent ct scan revealed left mca occlusion. symptoms improved prior to administration of tpa. she was transferred to the icu for further management. in the icu patient was stable, and pressures were allowed to autoregulate. mri was done which showed acute infarcts in the left temporal, left insular, and left thalamus. exam was significantly improved and she was transferred to the floor. on the floor she was started on coumadin, with inr's difficult to regulate likely due to drug-drug interactions with flagyl. 4. history of right septic hip: prior to hospitalization patient was planned for thr. given antibiotic initiation for above infection could affect hip aspirate results, the orthopedic team requested aspiration of the hip under flouroscopic guidance prior to initiation of antibiotics. this was done on and revealed no growth. she should follow up with dr. in the next 3-4 weeks for further management. 5. acute on chronic renal failure: the patient's cr increased to 1.7 with pre-renal labs and history. it returned to her baseline of 1.3-1.4 with intravenous hydration. 6. anemia: she received 2 units of prbc during this admission given fatigue. please consider colonoscopy or egd for further evaluation. despite her anemia she had a retic count of 1.1. contact: dr. ( medications on admission: 1. nystatin-triamcinolone 100,000-0.1 unit/g-% cream sig: one (1) appl topical (2 times a day) as needed for perineal pruritis. 2. butorphanol tartrate 10 mg/ml spray, non-aerosol sig: spray nasal every four (4) hours as needed for pain. 3. sertraline 100 mg tablet sig: 1.5 tablets po once a day. 4. levothyroxine 175 mcg tablet sig: one (1) tablet po once a day. 5. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 6. furosemide 20 mg tablet sig: one (1) tablet po once a day as needed for leg swelling. - not taking recently 7. carvedilol 25 mg tablet sig: one (1) tablet po twice a day. 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h as needed for pain. 9. opium tincture 10 mg/ml tincture sig: one (1) drop po once a day as needed for diarrhea. discharge medications: 1. levothyroxine 175 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. sertraline 50 mg tablet sig: three (3) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 3. sodium chloride 0.9 % 0.9 % solution sig: ten (10) ml injection prn (as needed) as needed for line flush: flush with 10ml daily and prn per lumen. disp:*300 ml* refills:*2* 4. nystatin-triamcinolone 100,000-0.1 unit/g-% cream sig: one (1) appl topical (2 times a day) as needed for perineal pruritis. disp:*1 tube* refills:*2* 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: cause drowsiness. do not drive when taking this medication. disp:*20 tablet(s)* refills:*0* 7. carvedilol 25 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 8. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po q8h (every 8 hours) as needed for nausea. disp:*20 tablet, rapid dissolve(s)* refills:*0* 9. warfarin 2 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 10. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 7 days. disp:*21 tablet(s)* refills:*0* 11. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* 12. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service discharge diagnosis: abdominal pain acute kidney injury on chronic kidney disease sialadenitis acute ischemic stroke (left middle cerebral artery) discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). neuro: no focal deficits discharge instructions: you were admitted to on with abdominal pain, nausea, vomiting, and dehydration. you improved with intravenous fluids and resting your stomach. your symptoms may be due to intermittent small bowel obstruction. you also recieved a blood transfusion to help your fatigue. during the hospital stay you developed sialadenitis/parotitis, which is an infection of the glands in your face. you were treated with 3 antibiotics for this. you will also need to see an infectious disease doctor. on your expected day of discharge you developed symptoms of a stroke with weakness, and inability to speak. an mri showed a bloickage in one of the main arteries supplying the left side of your brain, however you quickly recovered. you likely had a small clot which passed on its own and was dissolved. we made the following changes to your medications: we started you on coumadin to prevent further clots, you should not take this medicine on your day of discharge due to an inr of 2.7 (your goal is ), but it has been rising quickly. you will take 2mg as prescribed starting on . followup instructions: you have an appointment to receive hip xrays xray (scc 2) phone: date/time: 9:25 you have an appointment with an orthopaedic surgeon , md phone: date/time: 9:45 you have an appointment with an ent doctor , location: & llc/ ent address: , , , phone: appointment: , :45 *please arrive by 11:15* you have an appointment with your pcp . on at 2:00 you have an appointment with an infectious disease , md phone: date/time: 12:00 you have an appointment with a stroke neurologist dr. on at 3:30. phone procedure: venous catheterization, not elsewhere classified arthrocentesis diagnoses: other primary cardiomyopathies anemia of other chronic disease acute kidney failure, unspecified other specified intestinal obstruction depressive disorder, not elsewhere classified nausea with vomiting other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) osteoporosis, unspecified antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use personal history of venous thrombosis and embolism abdominal pain, other specified site diarrhea dehydration cerebral artery occlusion, unspecified with cerebral infarction personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health irritable bowel syndrome pyogenic arthritis, pelvic region and thigh sialoadenitis personal history of methicillin resistant staphylococcus aureus personal history of malignant neoplasm of ovary other postablative hypothyroidism cellulitis and abscess of neck 

Answer: The patient is high likely exposed to