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: sulfur / norvasc attending: addendum: see below chief complaint: abdominal pain major surgical or invasive procedure: none history of present illness: 84 f with pmhx of renovascular htn c/b nstemi now s/p renal stents, gout and h/o crohn's disease who presented to the ed on with rlq pain for approx 2 days. she denies any nausea/vomiting/diarrhea or constipation but has not been taking po well and felt dehydrated. initial vs on arrival to the ed: t 97.6 bp 116/63 hr 84 rr 20 sats 97% on ra. pt was noted to have a leukocytosis with bandemia and underwent a ct abd which showed inflammation in the terminal ileum likely consistent with crohns flare. she was noted to be guaic negative with normal lactate and was given 2l of ivf prior to admission to the floor. . on arrival to the floor, pt was reporting rlq pain, decreased appetite and general lethargy. she denied any fevers, chills, n/v/d/c and had her last bm approx 24hrs ago which was soft but non-bloody. past medical history: -crohn's disease -accelerated hypertension -renal artery stenosis, s/p stents to renal arteries in -gout -b12 deficiency . past surgical history -fibrous tumor requiring abd rescection in -s/p appendectomy at age 9 and tonsillectomy at age 21 social history: divorced and lives alone. pt has many supportive friends and does not smoke cigarettes, denies any etoh. daughter is likely her health care proxy, but not officially appointed. family history: (+) cad father died at age 53 of cad after having rheumatic fever as a child. physical exam: vs: 97.0 126/60 80 16 95%ra gen: alert and oriented to person, place and situation; no apperent distress heent: no trauma, pupils round and reactive to light and accomodation, no lad, oropharynx clear, no exudates cv: regular rate and rhythm, no murmurs/gallops/rubs pulm: clear to auscultation bilaterally, no rales/crackles/rhonchi gi: soft, non-tender, non-distended; no guarding/rebound ext: no clubbing/cyanosis/edema; 2+ distal pulses; pneumoboots in place derm: no lesions appreciated pertinent results: ct abdomen w/contrast impression: 1. moderate amount of free air within the abdomen of undetermined source, which is a new finding when compared to study. 2. bowel wall thickening and wall enhancement of colon and ileum. these findings are consistent with an inflammatory process, namely crohn's disease flare and/or ischemic enteritis. diffuse pericolic fat stranding and inflammatory changes are noted within the abdomen and pelvis. 3. interval increase of fluid collections in the pelvis. fluid collection with associated pocket of air is seen within the pelvis (3:59), which is concerning for an abscess formation. 4. interval increase of bilateral pleural effusions and atelectasis. 5. stable splenic hypodensity, which likely represents a splenic infarct. 6. moderate hiatal hernia. 7. stable appearance of bilateral renal cysts and multilobular, septated left renal cyst. brief hospital course: 84 y/o with crohns disease initially p/w rlq pain for 2 d; ct with terminal ileal inflammation concerning for crohns flare. hospital course has been complicated, first by episodes of afib with rvr, second with pt developing episode of acute gib, and most recently with pt developing perforated viscous with an acute abdomen. pt was trasferred to the icu, but was determined that pt is not a surgical candidate, and that pt would not want surgery anyway. . morning , pt became hypotensive and very tachycardic to 170's, with evidence of ischemic changes on telemetry. i called and discussed pt's current clinical condition with her hcp (). pt was already dnr/dni based upon decisions in the icu, and after further repeat discussion with hcp (daughter ) a move with comfort measures oriented therapy was initiated. she was provided morphine iv, which she frequently declined, as she denied discomfort. she denied hunger or thirst. . palliative care consult was placed, and meds were changed to concentrated morphine solution 5mg q2hr prn, along with oral ppi therapy. a signed dnr/dni order was signed by hcp and placed in the chart. discussion with the patient's family undertaken, and family was informed that a time course is unpredictable, though patient's prognosis is grim with high mortality. patient may continue in current condition for days to weeks. . diagnoses: # perforated viscous # crohn's flare with terminal ileal inflammation # acute gi bleed, with anemia due to acute blood loss # atrial fibrillation with rvr # renovascular htn - bp as above medications on admission: carvedilol 12.5mg calcium 500+d protonix 40mg daily aspirin 325mg daily lisinopril 40mg daily isosorbide mononitrate 30mg daily colchicine 0.6mg daily discharge medications: 1. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 2. morphine concentrate 20 mg/ml solution sig: five (5) mg po q2h (every 2 hours) as needed for pain, labored breathing. disp:*1 bottle* refills:*0* discharge disposition: extended care facility: care center of discharge diagnosis: primary: crohns flare delirium paroxysmal atrial fibrillation and flutter perforated viscous with abscess . secondary: cri renovascular disease discharge condition: mental status: clear and coherent. level of consciousness: lethargic but arousable. activity status: bedbound. discharge instructions: you were admitted with a crohns flare and you were evaluated by our gastroenterologists. you have been treated with antibiotics. unfortunately, during your hospitalization, you had a rupture of your intestine. you were evaluated by surgery, but you decided that you did not want surgery for this issue, with the understanding that this will likely be a terminal condition. comfort oriented care was instituted along with palliative consult visit. your pain has been well controlled. your family is also aware of your current condition, and you and they have decided to move you to skilled nursing facility closer to your family, with request for hospice evaluation. followup instructions: none md procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified arthrocentesis diagnoses: acidosis thrombocytopenia, unspecified toxic encephalopathy acute posthemorrhagic anemia unspecified protein-calorie malnutrition atrial fibrillation perforation of intestine atrial flutter hypopotassemia atherosclerosis of renal artery old myocardial infarction encounter for palliative care hemorrhage of gastrointestinal tract, unspecified hyperosmolality and/or hypernatremia other and unspecified coagulation defects acute gouty arthropathy chronic kidney disease, stage ii (mild) regional enteritis of small intestine unspecified renovascular hypertension 

Answer: The patient is high likely exposed to