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: abdominal distention after tripping/hitting head, increased abdominal distension major surgical or invasive procedure: 1. exlap 2. sigmoid resection 3. splenectomy 4. left pelvic mass resection 5. end colostomy 6. gj tube 7. right chest tube 1. exploratory laparotomy 2. sigmoid resection 3. splenectomy 4. left pelvic mass resection 5. end colostomy 6. gj tube 7. right chest tube history of present illness: the patient is a 78 year old female transferred from an outside hospital for possible liver laceration after a fall. upon presentation, she had been intubated at the osh, she had massive abdominal distention and was taken to the operating room for emergent laparotomy at which point a large intrabdominal mass was discovered and perforation of the sigmoid colon. past medical history: tia open hysterectomy physical exam: upon arrival to ed: intubated, sedated vitals: 101, 122/72, 99% on vent equal breath sounds severe abdominal distension on discharge: afebrile, avss nad rrr + 2/6 systolic murmur ctab belly non tender, non distended, wound vac in place with 125mmhg suction, wound with healthy granulation b/l lower extrem with decreased edema pertinent results: initial labs: 12:40am fibrinoge-283 12:40am pt-15.4* ptt-28.4 inr(pt)-1.4* 12:40am plt count-221 12:40am wbc-1.2* rbc-4.79 hgb-13.3 hct-41.3 mcv-86 mch-27.7 mchc-32.1 rdw-14.6 12:40am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 12:40am lipase-24 12:40am urea n-19 creat-0.8 12:48am freeca-1.42* 12:48am hgb-14.2 calchct-43 o2 sat-97 carboxyhb-2 met hgb-0 12:48am glucose-126* lactate-2.9* na+-143 k+-3.8 cl--108 tco2-18* 12:48am ph-7.12* brief hospital course: the patient is a 62 year old female who tripped on rug and bumped into a wall. one hour later, she had increasing abdominal pain, distention, with nausea and vomiting. she presented to hospital with hypotension in the 70's. a ct scan showed free air with large amounts of free fluid in her abdomen. she was transferred to over concern for liver avulsion with hemoperitoneum. hct at osh was 37. pt medflighted over to recieving 6 prbc and 4 ffp. on arrival to , the patient was intubated, with a systolic blood pressure in the 100's on levaphed gtt. our radiologists read the scan and did not think the fluid was consistent with blood. her abdomen became increasingly distended and she became hypertensive to the 200's despite coming off levaphed. she recieved 1 bag of platelets and was rushed into the or. intraoperatively, pt had large perforation of the sigmoid colon and approximately 22 liters of succus. after washout, it was discovered that the patient had a large ovarian mass (septated) fistulizing into her sigmoid colon causing the perforation. after abdominal decompression, she became normotensive, ultimately requiring levaphed near the end of the case. she returned to the or two separate times to re-explore the abdomen, debulk her tumor, remove the spleen, and resect the distal sigmoid colon. she had a diverting colostomy and gastrojejunostomy. she also had a left oophorectomy. she returned to the or on for controol of bleeding and underwent exploratory laparotomy and colostomy, gastrojejunostomy, secondary abdominal closure and right chest tube placement. an abdominal wound wound vac was applied. her pathology was remarkable for ovarian mucinous borderline tumor, intestinal type, measuring up to 25 cm. peritoneal fluid was sent for cytology which was negative for malignant cells. post-operatively, she remained intubated in critical condition, on levophed (until ) and with recurring atrial fibrillation (on amio gtt). she was covered with vanc and zosyn due to her grossly contaminated abdomen. she was diuresed with lasix and diamox. tube feeds were initiated. wound vac changes were done every 3-4 days continually throughout her hospitalization. she was extubated on . diuresis continued which she tolerated well. on , she was off pressors and stable enough to be transferred to the floor. on the floor, she continued to be diuresed. she was started on clear liquids and advanced to regular diet which she tolerated with some intermittent nausea. her wound vac was changed twice per week, and continued to demonstrate good healing and shrinking of wound. her nutrition status was not optimal and she was intermittantly requiring cycled tube feeds at night, which were stopped once she demonstrated improved nutrition intake. twice she spiked fevers. on she had a uti diagnosed by ua, treated with ciprofloxacin x 3 days. she had blood cultures, c diff toxin assays, and peritoneal fluid gram stain and culture which were negative. at the time of discharge, she was afebrile with stable vital signs. she was taking in adequate po nutrition and supplementing with ensure shakes. she was discharged in stable condition. medications on admission: plavix aspirin discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler : six (6) puff inhalation q4h (every 4 hours) as needed for wheeze. 2. heparin (porcine) 5,000 unit/ml solution : 5000 (5000) units injection tid (3 times a day). 3. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day) as needed for constipation. 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. metoprolol tartrate 25 mg tablet : one (1) tablet po tid (3 times a day): hold for sbp<100, hr<50. 6. amiodarone 200 mg tablet : one (1) tablet po tid (3 times a day). 7. oxycodone 5 mg tablet : 1-2 tablets po q4h (every 4 hours) as needed for pain: hold for sedation, rr<12. 8. aspirin 325 mg tablet : one (1) tablet po daily (daily). 9. multivitamin tablet : one (1) tablet po daily (daily). 10. ondansetron 4 mg tablet, rapid dissolve : one (1) tablet, rapid dissolve po q8h (every 8 hours) as needed for nausea. 11. furosemide 40 mg tablet : one (1) tablet po bid (2 times a day). 12. ferrous sulfate 300 mg (60 mg iron) tablet : one (1) tablet po daily (daily). 13. acetaminophen 500 mg tablet : 1-2 tablets po q 8 hours as needed for pain, fever: do not excede 3g tylenol in 24 hours (including oxycodone). 14. bisacodyl 10 mg suppository : one (1) suppository rectal daily (daily) as needed for constipation. discharge disposition: extended care facility: - discharge diagnosis: 1. perforation of sigmoid colon 2. ascites 3. ovarian mass 4. urinary tract infection discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: you were admitted to the hospital for perforation of your colon. you underwent exploratory laparotomy with splenectomy, resection of a pelvic mass, and resection of your sigmoid colon with creation of an end colostomy. you also had a gj tube placed for nutrition. you will need to have your abdominal wound vac changed every 3 days. you were admitted to the hospital for perforation of your colon. you underwent exploratory laparotomy with splenectomy, resection of a pelvic mass, and resection of your sigmoid colon with creation of an end colostomy. you also had a gj tube placed for nutrition. you will need to have your abdominal wound vac changed every 3 days. followup instructions: follow up with dr. in general surgery clinic in 2 weeks. call ( for an appointment. follow up with dr. in clinic. md procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances percutaneous abdominal drainage arterial catheterization colostomy, not otherwise specified other gastroenterostomy without gastrectomy reopening of recent laparotomy site total splenectomy open and other sigmoidectomy application of other wound dressing other unilateral oophorectomy diagnostic ultrasound of abdomen and retroperitoneum diagnoses: acidosis urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis atrial fibrillation perforation of intestine septic shock other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other ascites personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits fall from other slipping, tripping, or stumbling examination of participant in clinical trial injury to liver without mention of open wound into cavity laceration, unspecified other diseases of spleen unspecified peritonitis other and unspecified ovarian cyst other ill-defined conditions other specified disorders of intestine hypoglycemia, unspecified neoplasm of unspecified nature of other genitourinary organs hernia of other specified sites without mention of obstruction or gangrene unspecified noninflammatory disorder of ovary, fallopian tube, and broad ligament 

Answer: The patient is high likely exposed to