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: no known allergies / adverse drug reactions attending: chief complaint: vomiting, abdominal distention major surgical or invasive procedure: : exploratory laparotomy, lysis of adhesions (greater than 2 hours), and hartmann's procedure with mobilization of the splenic flexure. : exploratory laparotomy, extensive lysis of adhesions, intraoperative colonoscopy, repair of enterotomy. : exploratory laparotomy, feeding tube jejunostomy, abdominal washout. : abdominal washout, patch placement. : percutaneous tracheostomy. history of present illness: very pleasant m presents with nausea and vomiting over the past 24hrs in the absence of abdominal pain. he noted on questioning that his abdomen was prominently distended but it's notable that has a very soft abdomen without any rigidity or tenderness elicited on physical exam. notes no prior exacerbating or palliating factors and notes that that he was concerned that he might have eaten some "bad food" earlier. he arrives notably without an elevated wbc but elevated cr from baseline of 1.4 to 2.6 and a substantially elevated lactate 4.7. past medical history: diabetes dyslipidemia hypertension aortic stenosis hypercholesterolemia peripheral vascular disease hearing loss h/o elevated alkaline phosphatase past surgical history: multiple lower extremity podiatric debridements social history: lives at home with wife and son. no tobacco, etoh or drugs. very active at his church. moved from barbados in . family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: vs: 101.4 84 118/91 18 o2 sat not well monitored a+ox3 nad, responsive talkative and happy ctab softly distended, no tenderness, protuberant, no hsm mae pertinent results: 09:05pm glucose-203* urea n-75* creat-2.6*# sodium-136 potassium-5.4* chloride-99 total co2-22 anion gap-20 09:05pm alt(sgpt)-16 ast(sgot)-27 ld(ldh)-261* alk phos-326* tot bili-0.9 09:05pm lipase-24 09:05pm calcium-9.5 phosphate-4.8*# magnesium-2.7* 09:05pm wbc-9.7 rbc-4.27* hgb-12.9* hct-38.6* mcv-91 mch-30.2 mchc-33.3 rdw-13.6 09:05pm neuts-81.4* lymphs-13.2* monos-4.9 eos-0.1 basos-0.4 09:05pm plt count-201# 09:05pm pt-12.8 ptt-25.7 inr(pt)-1.1 08:57pm lactate-4.7* xr abdomen : there are multiple gas-distended loops of bowel throughout the upper abdomen, with paucity of bowel gas in the lower abdomen, particularly in the left lower quadrant and the rectum. there are also multiple air-fluid levels with step-ladder appearance, and the overall constellation of findings is concerning for small bowel obstruction. no free intraperitoneal air is seen. ct abdomen/pelvis : 1. high-grade small-bowel obstruction with distended small bowel to the level of the ileocecal valve. partially collapsed colon with residual air in the colon and rectum. 2. no evidence of ischemia including no evidence of pneumatosis, free air or portomesenteric venous gas. however, evaluation is limited without intravenous contrast. 3. small bilateral pleural effusions. 4. trabecular thickening of the l2 vertebral body and right proximal femur, likely consistent with paget's disease. ct abdomen/pelvis : 1. moderate-to-severe dilation of the entire small bowel loops with the exception of the short portion of the terminal ileum, with a decompressed large bowel. these findings are highly suggestive of a high grade small-bowel obstruction. although the transition point could not be accurately localized, it likely is within the right lower quadrant. 2. no evidence of pneumatosis, free air or portal venous gas. no evidence of abscess. 3. bilateral large pleural effusions, with associated basal atelectasis, worse since the prior study. 4. bony changes in l2 vertebral body and right proximal femur, stable and may represent paget's disease. ct face : minimal left maxillary and sphenoid sinus disease. no fracture. ct torso : 1. status post laparotomy, with unclosed postoperative ventral abdominal wall defect, and overlying mesh and dressings. there are multiple dilated loops of small bowel, without obvious transition point. this probably represents ileus, though partial small-bowel obstruction cannot be entirely excluded. 2. moderate bilateral pleural effusions, and dependent airspace opacity, left greater than right. this could represent atelectasis, but areas of superimposed infection or aspiration should also be considered, particularly at the left base. 3. no evidence of intra-abdominal abscess, or other definite ct evidence of intra-abdominal infection. 4. atherosclerotic vascular calcification, including coronary calcification, and aortic valvular calcification. moderate cardiomegaly. 5. stable bony changes in l2 vertebral body, and right proximal femur, probably representing paget's disease. brief hospital course: on , the patient was admitted to the acute care surgery service for small bowel obstruction. he was made npo, resuscitated with iv fluids, and ngt was placed. he failed to progress, and on , ct abdomen/pelvis showed high grade sbo, so he was taken to the operating room, where sigmoid volvulus was found and removed. he was admitted post-operatively to the sicu for control of atrial fibrillation on amiodarone gtt and close monitoring of his critical aortic stenosis. over the following several days, there was minimal output of flatus and stool from his colostomy, he was started on tpn on . his blood pressure was labile and required neo. on , ct abdomen/pelvis again showed high grade sbo and he underwent another exploratory laparotomy, loa, c-scope, and repair of enterotomy. his abdomen was left open. he was taken back to the operating room for repeated attempts at closure, and a patch was placed and progressively rolled at bedside until a vac sponge was placed on bowel. due to prolonged intubation, he underwent tracheostomy on . his abdominal wound started leaking enteric contents likely enterotomy on . his blood pressure remained labile and still required pressors. after a discussion with the family, he was made cmo on . he expired at 20:09 on . medications on admission: lisinopril 20mg daily, simvastatin 80mg daily, timolol maleate 0.5% 1 drop both eyes , detrol la 4mg sr qpm, aspirin 81mg daily discharge medications: n/a discharge disposition: expired discharge diagnosis: sigmoid volvulus, multisystem organ failure discharge condition: n/a discharge instructions: n/a followup instructions: n/a md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances temporary colostomy enteral infusion of concentrated nutritional substances temporary tracheostomy other lysis of peritoneal adhesions other lysis of peritoneal adhesions other repair of abdominal wall open and other sigmoidectomy bronchoscopy through artificial stoma other gastrostomy other incision of small intestine diagnoses: acidosis obstructive sleep apnea (adult)(pediatric) unspecified pleural effusion diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia severe sepsis aortocoronary bypass status aortic valve disorders atrial flutter percutaneous transluminal coronary angioplasty status accidental puncture or laceration during a procedure, not elsewhere classified paralytic ileus personal history of venous thrombosis and embolism do not resuscitate status atherosclerosis of native arteries of the extremities, unspecified volvulus fistula of intestine, excluding rectum and anus intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) non-healing surgical wound hernia of other specified sites without mention of obstruction or gangrene 

Answer: The patient is high likely exposed to