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: erythromycin / keflex attending: chief complaint: nausea and vomiting major surgical or invasive procedure: laparoscopic lysis of adhesions and laparoscopic repair of incisional hernia. exploratory laparotomy, repair of small bowel enterotomy. history of present illness: 78 yo f s/p laparoscopic paraesophageal hernia repair w/ gastroplasty and nissen fundoplication in by dr. , now presenting with nausea and vomiting. symptoms started 2 days prior to presentation, with nausea and progressively worsening abdominal distension. she has had multiple episodes of dry-heaving without vomiting, starting yesterday. she has been able to tolerate only small amounts of clear liquids since onset of symptoms. her last regular bm was 2 days ago. she has not been passing flatus since that time. she normally moves her bowels every 2-3 days. she also complains of some diffuse, crampy abdominal pain, more so on the l. she denies any fevers or chills. she denies prior episodes similar to this in the past. her only prior abdominal surgery was the hiatal hernia repair. she also complained of some epigastric pain when seen in clinic earlier today. a barium swallow was performed this afternoon, which was essentially normal. past medical history: gout,htn social history: she does not smoke or drink. family history: her mother is alive and well at age and her father died of coronary artery disease in his 50's. physical exam: pe: 97.6 96 143/71 18 99ra gen: nad. a&ox3. heent: anicteric. tacky mucosal membranes. neck: no jvd. no lad. no tm. cv: rrr. pulm: ctab. abd: soft. distended. tympanitic. mild to moderately tender diffusely, more so in l hemi-abdomen. no guarding, rebound, or other signs of peritonitis. no hernias. rectus diastasis appreciated with straining. no palpable masses. dre: normal tone. no masses. no gross or occult blood. ext: warm and well perfused. no peripheral edema. neuro: motor and sensation grossly intact. pertinent results: 05:26am blood wbc-7.4 rbc-2.60* hgb-7.7* hct-23.4* mcv-90 mch-29.8 mchc-33.1 rdw-16.0* plt ct-503* 05:26am blood glucose-119* urean-44* creat-1.0 na-138 k-4.4 cl-106 hco3-26 angap-10 03:01am blood alt-7 ast-14 alkphos-79 totbili-0.3 05:26am blood albumin-2.5* calcium-8.8 phos-4.2 mg-2.1 iron-24* esophagus: impression: free passage of barium from the esophagus to the stomach, with the extrinsic mass effect from the fundoplication appreciated and appearing intact. no evidence for recurrent hernia. ct abd/pelvis impression: 1. partial small-bowel obstruction. we are not able to clearly identify the transition point but likely is in ileum in the right lower quadrant. there is no evidence of bowel ischemia. 2. there is left lateral abdominal wall hernia containing small . this is not the site of obstruction. 3. small amount of ascites. 4. large renal cyst in the right kidney. 5. bilateral plural effusions with adjacent atelectasis at the lung bases. brief hospital course: the patient was admitted to the surgical service. her diet was npo, ivf for hydration, foley catheter placed, ng tube for decompression. she was treated expectantly until when the patient failed to respond to compression she was taken to the operating room on for laparoscopic lysis of adhesions and laparoscopic repair of incisional hernia. while in the recovery room the patient has experienced increasing abdominal pain associated with hypotension and low urine output. the pain is increasing and the patient has required much more volume than one would expect. concern for small bowel injury was raised. the patient is brought back to the operating room for exploration. she underwent an exploratory laparotomy, repair of small bowel enterotomy. following surgery, she was transferred to the icu intubated, she had an ng tube in place, foley catheter in place, diet was npo, ivf for hydration and empirically started flagyl, vancomycin, ciprofloxacin. she required intermitted pressor support. she was extubated on . she had a central line placed for access on . tpn was started she was transferred to the floor on for continued monitoring. - clamping trials of the ng tube was started, residuals were low and the ng tube was removed - diet advanced to sips but had some nausea and diet remained at npo with tpn continued for nutrition. - the patient began passing gas and having bowel movements, her diet was advanced to sips she tolerated sips well and was advanced to a clear liquid diet, antibiotics were discontinued. - diet advanced to a regular diet, placed on all po medications tolerating a regular diet, tpn stopped, continued to work with physical therapy who recommended rehabilitation medications on admission: allopurinol 300' hctz 25' lisinopril 5' lovastatin 80' risedronate 5qwk caltrate 600' discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily): hold sbp<100. 3. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily): hold sbp<100. 4. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. tablet(s) 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). discharge disposition: extended care facility: - discharge diagnosis: primary diagnoses: small bowel obstruction and incidental incisional hernia. small bowel injury secondary diagnoses: pmh: hypertension, gout, hypercholesterolemia psh: transvaginal partial hysterectomy, laparoscopic paraesophageal hernia repair w/ gastroplasty and nissen fundoplication discharge condition: stable discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * if you are vomiting and cannot keep in 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. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or becoming progressively worse, or inadequately controlled with the prescribed pain medication. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. incision care: *you may shower. pat incision dry. *avoid swimming and baths until further instruction at your followup appointment. *leave the steri-strips on. they will fall off on their own, or be removed during your followup. *please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: please follow-up with your primary care doctor for a questionable area found in your breast on your chest x-ray. please call the office of dr. to arrange a follow up appointment in weeks at procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances exploratory laparotomy pulmonary artery wedge monitoring laparoscopic lysis of peritoneal adhesions suture of laceration of small intestine, except duodenum incisional hernia repair diagnoses: other postoperative infection unspecified essential hypertension unspecified septicemia hyposmolality and/or hyponatremia severe sepsis gout, unspecified accidental puncture or laceration during a procedure, not elsewhere classified incisional hernia without mention of obstruction or gangrene septic shock other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation urinary complications, not elsewhere classified oliguria and anuria intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) other suppurative peritonitis 

Answer: The patient is high likely exposed to