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: sulfa (sulfonamide antibiotics) attending: chief complaint: patient admitted with abdominal pain. major surgical or invasive procedure: status post ex laparotomy for small bowel resection for internal hernia. history of present illness: patient presented with 2 days of abdominal pain. accompanied with nausea and vomiting. or for closed loop obstruction with concern for strangulated bowel. past medical history: pmh: depression psh: c-section : paxil 40 social history: lives with husband and son. family history: non applicable physical exam: on discharge: afebrile, vss gen: nad a+ox3 cvs: reg pulm: no resp distress abd: soft/approp tender/non-distended. staples intact from surgical incision except for middle portion there is 2-3cm opening of skin packed. le: no lower limb edema pertinent results: 12:15am blood wbc-6.5 rbc-3.54* hgb-11.0* hct-32.5* mcv-92 mch-31.0 mchc-33.8 rdw-13.2 plt ct-202 06:25am blood wbc-8.9 rbc-3.15* hgb-9.8* hct-29.0* mcv-92 mch-31.1 mchc-33.7 rdw-13.3 plt ct-202 06:50am blood wbc-9.0 rbc-2.96* hgb-9.3* hct-27.5* mcv-93 mch-31.4 mchc-33.8 rdw-13.3 plt ct-192 03:45pm blood wbc-7.0 rbc-3.12* hgb-9.7* hct-28.4* mcv-91 mch-30.9 mchc-33.9 rdw-13.6 plt ct-326# 07:20am blood wbc-5.9 rbc-2.76* hgb-8.4* hct-25.0* mcv-90 mch-30.2 mchc-33.5 rdw-13.6 plt ct-344 09:55am blood wbc-4.8 rbc-2.69* hgb-8.3* hct-24.0* mcv-89 mch-31.0 mchc-34.7 rdw-13.8 plt ct-292 06:40am blood wbc-8.7# rbc-3.69*# hgb-10.9*# hct-32.7*# mcv-88 mch-29.5 mchc-33.4 rdw-14.4 plt ct-443* 10:05pm blood hct-27.1* 11:35pm blood wbc-8.2 rbc-2.88* hgb-9.0* hct-25.6* mcv-89 mch-31.2 mchc-35.0 rdw-14.7 plt ct-365 06:34am blood wbc-8.3 rbc-3.42* hgb-10.3* hct-30.1* mcv-88 mch-30.0 mchc-34.1 rdw-14.8 plt ct-342 09:34am blood hct-28.8* 02:27pm blood hct-29.1* 05:18pm blood hct-28.4* 09:15pm blood wbc-5.5 rbc-4.56# hgb-13.6# hct-39.2# mcv-86 mch-29.9 mchc-34.8 rdw-14.9 plt ct-223 03:48am blood wbc-11.4*# rbc-4.81 hgb-14.1 hct-40.6 mcv-84 mch-29.4 mchc-34.9 rdw-15.2 plt ct-247 10:07am blood hct-38.7 08:09pm blood hct-32.4* 01:05am blood hct-32.7* 10:34am blood hct-29.9* 08:49pm blood hct-32.0* 04:06am blood wbc-9.4 rbc-4.14* hgb-12.4 hct-36.4 mcv-88 mch-29.8 mchc-34.0 rdw-15.0 plt ct-247 04:50am blood wbc-7.8 rbc-4.19* hgb-12.9 hct-37.2 mcv-89 mch-30.8 mchc-34.8 rdw-14.8 plt ct-310 10:28am blood wbc-8.8 rbc-4.43 hgb-13.0 hct-39.3 mcv-89 mch-29.2 mchc-33.0 rdw-14.1 plt ct-452* 04:48am blood wbc-7.9 rbc-4.21 hgb-12.3 hct-37.5 mcv-89 mch-29.2 mchc-32.8 rdw-13.9 plt ct-489* 10:19am blood wbc-7.7 rbc-4.03* hgb-12.3 hct-36.4 mcv-90 mch-30.5 mchc-33.7 rdw-13.5 plt ct-516* 12:15am blood glucose-190* urean-14 creat-0.7 na-139 k-3.9 cl-105 hco3-25 angap-13 06:40am blood glucose-129* urean-8 creat-0.6 na-135 k-3.8 cl-100 hco3-25 angap-14 10:19am blood glucose-130* urean-13 creat-0.7 na-137 k-4.3 cl-100 hco3-29 angap-12 06:34am blood alt-134* ast-87* alkphos-106* amylase-107* totbili-0.6 09:15pm blood alt-82* ast-72* ld(ldh)-160 alkphos-89 amylase-117* totbili-0.8 03:44am blood alt-108* ast-104* alkphos-68 totbili-0.5 04:50am blood alt-68* ast-45* alkphos-155* totbili-0.6 06:34am blood lipase-214* 09:15pm blood lipase-112* 12:15am blood calcium-7.2* phos-3.9 mg-1.4* 06:25am blood calcium-7.4* phos-3.3 mg-2.6 06:50am blood calcium-8.1* phos-1.6*# mg-2.0 07:20am blood calcium-8.2* phos-2.7 mg-1.9 09:55am blood calcium-7.9* phos-2.7 mg-1.8 06:40am blood calcium-8.7 phos-3.9 mg-2.1 11:35pm blood calcium-7.8* phos-3.3 mg-1.9 06:34am blood albumin-2.6* calcium-7.5* phos-3.2 mg-1.9 iron-33 cholest-106 09:15pm blood albumin-1.7* calcium-7.3* phos-3.0 mg-1.3* 03:48am blood calcium-6.9* phos-3.4 mg-1.2* 05:35pm blood calcium-7.4* phos-3.9 mg-1.7 03:44am blood calcium-7.1* phos-2.7 mg-1.6 04:06am blood albumin-2.2* calcium-7.0* phos-2.9 mg-1.8 04:50am blood calcium-7.8* phos-3.6 mg-2.0 05:58am blood calcium-7.9* phos-4.2 mg-1.9 07:03am blood albumin-2.6* calcium-8.4 phos-4.5 mg-2.0 iron-29* 04:48am blood calcium-8.3* phos-4.1 mg-1.9 10:19am blood calcium-8.6 phos-4.6* mg-1.8 07:42pm blood type-art po2-190* pco2-33* ph-7.44 caltco2-23 base xs-0 intubat-intubated 09:24pm blood type-art po2-362* pco2-37 ph-7.39 caltco2-23 base xs--1 04:00am blood type-art po2-154* pco2-33* ph-7.46* caltco2-24 base xs-1 10:52am blood type-art po2-72* pco2-40 ph-7.47* caltco2-30 base xs-4 intubat-not intuba 07:42pm blood hgb-12.3 calchct-37 brief hospital course: patient taken to or for with closed loop obstruction with concern for strangulated bowel for exploratory laparotomy on . intraoperatively patient found to have: meckel diverticulum with volvulus and gangrene of the distal ileum. patient underwent: procedure: 1. exploratory laparotomy. 2. adhesiolysis. 3. ileocolic resection and ileocolonic anastomosis. post operatively the patient the patients course was complicated by a fever on to 101.4 and she was pancultured. blood cultures showed no growth and urine culture grew enterobacter aerogenes. cxr showed atelectasis however pna could not be ruled out. patient had nausea and poor po intake, kub showed ?ileus vs small bowel obstruction and was very distended. ng was placed but patient self-dc'ed the ng and refused another tube. she also had large melanotic stool and hct was checked:27.1->25.6, patient agreed to have ng placed, and after being transfused 2 units hct went to 30.1 however continued melena her hct continued to drop as low as 24. 2 large bore iv's were placed and she was fluid resuscitated in addition to recieving prbc's. she underwent colonoscopy on which showed blood in rectal vault and patient was taken to or as it was believed this was most likely a bleed from the anastamotic site. patient was found intraoperatively to have sbo and underwent loa and had revision of ileocolic anastomosis in hopes to resolve her bleeding. post operatively she was transferred to the icu and remained intubated overnight. in the icu she was weaned to extubation and nutrition support was given via tpn. she was also given iv abx. on cxr showed no pna and improvement in dilation of bowels. when the patient was stable she was transferred out of the icu to the floor and continued to improve. once she had bowel function her ng was removed and her diet was advanced slowly and she was continued on tpn. her abdomen was softer and she tolerated her diet. her abdominal staples were removed, and it was noticed that she did have some drainage from the middle portion of her surgical site and this was opened and packed. by time of discharge patient had been off tpn and tolerating regular diet, pain was controlled on po meds. she was ambulating and feeling much stronger. she will have vna for dressing changes and will follow up in clinic. medications on admission: paxil 40 discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 2. paroxetine hcl 20 mg tablet sig: two (2) tablet po daily (daily). 3. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnosis: sbo, post operative bleeding discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. please call your doctor or return to the emergency room if you have any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * 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. * 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. * please resume all regular home medications and take any new meds as ordered. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower 48 hours after surgery, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: provider: . - please call to make an appointment two weeks after discharge. provider: , md (psychiatry) phone: date/time: 9:40. location: , , . procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other lysis of peritoneal adhesions other lysis of peritoneal adhesions open and other right hemicolectomy other small-to-large intestinal anastomosis flexible sigmoidoscopy revision of anastomosis of small intestine diagnoses: urinary tract infection, site not specified acute posthemorrhagic anemia depressive disorder, not elsewhere classified hemorrhage complicating a procedure other disorders of plasma protein metabolism acute vascular insufficiency of intestine volvulus intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms meckel's diverticulum 

Answer: The patient is high likely exposed to