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: history of present illness: the patient is a 46-year-old african-american woman that presented on to the emergency department complaining of abdominal pain, vomiting and chills. she was recently discharged home with vna services after she underwent a left below the knee popliteal bypass reverse saphenous vein graft on by dr. . it was described as an uneventful procedure which she tolerated well. she was transferred postoperatively to the vicu which was monitored over the next couple of days. she was then restarted on her immunosuppressant agents which she takes for past cadaveric renal transplant. through that time, she required transfusion as her hematocrit was dropping with no clear evidence of a bleeding source. on postoperative day 3 after this operation, she did need to be taken back to the operating room for reexploration in the operating room. a pulsatile arterial bleeder that appeared to be a branch of the common femoral artery was found and was oversewn with prolene suture. the patient then continued to improve and she was discharged to home on postoperative day 7. at the time of her discharge, she was afebrile and did not have any abdominal pain. however, the next morning at around 1 a.m., the patient then developed acute onset of sharp abdominal pain that localized in the periumbilical region with no radiation. she then went to the emergency department for further evaluation. past medical history: 1. systemic lupus erythematosus 2. dilated cardiomyopathy 3. mitral regurgitation 4. aortic insufficiency 5. end stage renal disease status post cadaveric renal transplant in 6. hypothyroidism 7. peripheral vascular disease 8. osteoarthritis 9. distant history of bipolar disease past surgical history: (as previously mentioned) 1. left femoral bk on 2. multiple av fistula placements 3. right femoral in the past medications: 1. calcitriol 2. colace 3. cellcept 4. cyclosporin 50 5. zantac 6. roxicet 7. methadone in the past 8. diltiazem 240 mg po q day 9. lopressor 25 mg po bid 10. prednisone 10 mg po q day allergies: the patient has an alleged allergy to heparin which is actually just bleeding secondary to heparin and erythromycin causes nausea. admission physical exam: vital signs: her temperature is 98.2??????. she is in obvious discomfort. she is tachycardic to 104. blood pressure is 105/58. abdomen: distended, firm. there is decreased bowel sounds, positive rebound, positive shake tenderness. imaging: ct scan showed a large 8 x 7 cm intraabdominal abscess with free air, thus the patient immediately went to the operating room for an ischemic colon. the patient underwent a total abdominal colectomy with end ileostomy. dr. , the surgeon of record, dr. and dr. are the first and second assistants. the findings included an ischemic perforated transverse colon. hospital course: the patient required an extended intensive care unit stay in which she was sustained on a respirator. she also suffered a small myocardial infarction postoperatively and cardiology was thus involved in her care. she was extubated on and seemed to be doing well at this time. she was, of course, npo up to this time and her prednisone 10 mg q day and cyclosporin 50 mg were restarted on . she was also started on sips at this time. throughout her stay in the intensive care unit, one of the major issues was constant spiking of fevers. the source was initially unclear, although her left thigh incision appeared to be erythematous. two small areas were opened up and the patient was sent to ultrasound for drainage of fluid collection around the staple line. this fluid grew out methicillin resistant staphylococcus aureus, thus the patient was started on vancomycin. the patient continued to spike fevers despite being put on vancomycin and she was re-cultured in several areas. on , her - culture that was collected grew out pseudomonas aeruginosa and infectious disease was consulted. in addition to being on vancomycin, she was started on imipenem, aztreonam and fluconazole. the aztreonam and imipenem is for double coverage of pseudomonas and the fluconazole is empiric therapy. renal continued to follow the patient's cyclosporin levels and was happy with the trough levels which were in the 150 range. the patient was placed on tpn for additional nutrition support. note: this is the end of the first dictation. an addendum will follow. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other and unspecified partial excision of large intestine temporary ileostomy other lysis of peritoneal adhesions aspiration of other soft tissue diagnoses: systemic lupus erythematosus other postoperative infection unspecified septicemia perforation of intestine cellulitis and abscess of leg, except foot peritoneal adhesions (postoperative) (postinfection) acute myocardial infarction of unspecified site, initial episode of care acute vascular insufficiency of intestine kidney replaced by transplant 

Answer: The patient is high likely exposed to