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) / doxycycline attending: chief complaint: premalignant colonic lesions major surgical or invasive procedure: total abd colectomy with ileo-rectal anastomosis history of present illness: this is a 57yo female pod0 s/p total abd colectomy with ileo-rectal anastomosis presenting with asymptomatic hypotension.mrs was admitted to the general surgery service on to undergo an ileocolectomy for a large polyp of the cecum. ros: positive abdominal pain 0-1/10 negative fevers, chills, weight change, nausea, vomiting, diarrhea, constipation, melena, hematochezia, chest pain, shortness of breath, orthopnea, pnd, lower extremity edema, cough, urinary frequency, urgency, dysuria, lightheadedness, gait unsteadiness, focal weakness, vision changes, headache, rash or skin changes. past medical history: #ulcerative colitis => last flare greater than 8 years ago in the past previously treated with prednisone and asacol #elevated lipids. pshx: tubal ligation left knee surgery goiter removal (non-cancerout 5 years ago) breast lumpectomy (non-cancerous) social history: patient smokes pack of cigarettes per day for the last 40 years. denies etoh or illicit drug use. patient currently lives with her husband. family history: strong family history of uc and crohn's physical exam: vitals: t: 98.2 bp: 99/53, hr: 65 rr: 18 98% ra gen: well-appearing, well-nourished, no acute distress, laying supine in bed speaking in full sentences heent: eomi, perrl, sclera anicteric, mmm, op clear neck: no jvd, carotid pulses brisk, no bruits, no cervical lymphadenopathy, trachea midline cor: brady, reg rhythm, no m/g/r, normal s1 s2, radial pulses +2 pulm: anterior fields ctab, no w/r/r, no accessory muscle use abd: soft, midline incision: dressing in place with serosangious staining; no hematoma; no rebound, no guarding ext: no c/c/e, no palpable cords inc:abdominal midline incision with steri-strips clean,dry,intact neuro: alert, oriented to person, place, and time. cn ii ?????? xii grossly intact. moves all 4 extremities. skin: no jaundice, cyanosis, or gross dermatitis. no ecchymoses pertinent results: 02:23pm blood hct-34.6* 04:14am blood wbc-13.0* rbc-3.22* hgb-10.3* hct-29.6* mcv-92 mch-31.9 mchc-34.7 rdw-12.7 plt ct-274 08:32am blood hct-30.0* 03:24pm blood wbc-11.9* rbc-3.36* hgb-10.5* hct-30.8* mcv-92 mch-31.2 mchc-34.1 rdw-12.5 plt ct-295 05:27am blood wbc-10.0 rbc-3.09* hgb-9.9* hct-28.3* mcv-92 mch-32.2* mchc-35.1* rdw-12.7 plt ct-263 04:14am blood pt-13.6* ptt-28.5 inr(pt)-1.2* 04:14am blood glucose-102* urean-13 creat-0.7 na-140 k-4.1 cl-108 hco3-23 angap-13 03:24pm blood glucose-102* urean-15 creat-0.7 na-141 k-4.1 cl-109* hco3-25 angap-11 05:27am blood glucose-115* urean-14 creat-0.7 na-138 k-4.5 cl-109* hco3-24 angap-10 09:57pm blood cortsol-2.0 10:30am blood cortsol-21.6* 11:27am blood cortsol-26.4* 11:29am blood lactate-2.1* 08:31pm blood lactate-1.1 . micro: blood cultures: ngtd . ecg: bradycardia sinus rhythm at rate of 45, normal axis, pr nl, nl qrs, prolonged qt intervals, no st or t-wave changes. . cxr: history: colectomy, to assess for pneumonia. findings: in comparison with study of , there is a large amount of free intraperitoneal gas related to the recent colectomy. opacifications at both bases are most likely consistent with atelectasis, though in the appropriate clinical setting, the possibility of supervening pneumonia cannot be excluded. upper zones are clear and there is no evidence of vascular congestion. brief hospital course: on patient underwent elective total abdominal colectomy secondary to concern for premalignant lesions. according to surgical documentation procedure was uncomplicated. regarding operative i/os patient with 3l ivh/no documented blood, urine output: 115 cc. in the pacu post-op patient complained of abdominal pain. epidural placed and patient started on buprivane/hydromorphone epidural with bolus of 5cc, rate 10 cc/hr; pain persisted: patient received additional 5cc bolus as well as given 25mcg of iv fentanyl. patient received 10 cc/hr of bupivacaine/hydromorphone for 2hrs until epidural stopped at 6:20p secondary to persistent systolic blood pressure readings of 70-80, heart rate 40s. patient receive 1l + 500 cc bolus x2 with urine output in the hour preceding transfer 188 cc. random cortisol checked: 2; patient received 100 mg of iv hydrocortisone for concern for adrenal insufficiency. a cortisol stimulation test was done which was negative and was started on prednisone on . due to persistent sbp in 70s, mean arterial pressure of 50s decision made to transfer patient to the intensive care unit. on arrival to the intensive care unit, hypotensive with blood pressure: 70/40 and heart rates in the 40s with abdominal pain 0-1/10. however was asymptomatic and was mentating appropriately, she had no dizziness,lightheadedness or confusion. she was fluid resuscitated with a 1l ns bolus on arrival for a total of 6l of ivh with o2 sats 98% on 3l. was transferred from the intensive care unit to the surgical floor where she was relatively stable. she was tolerating clear liquids, however had bouts of nausea and migraines which progressively worsened after removal of the epidural catheter. the diet was advanced to regular in the evening. on s/p blood patch per acute care service and had improved symptoms of spinal headache. she had return of bowel function. on was started on imodium for increased bowel movemets. on is doing well,normotensive, has no migraines, no nausea and is tolerating a regular diet. she has been instructed to monitor bowel function closely and to titrate imodium and psyllium wafer as needed. she will start her prednisone taper tomorrow and will follow-up with dr. in 1 month. medications on admission: asacol 3.6 g', fosamax, glucosamine chondroitin, fish oil, lutein, mvi discharge medications: 1. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q4h (every 4 hours) as needed for headache. 2. calcium carbonate 200 mg (500 mg) tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day) as needed for indigestion. 3. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: do not drink alcohol or drive a car while taking this medication as it may cause drowsiness. disp:*40 tablet(s)* refills:*0* 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 7. loperamide 2 mg capsule sig: one (1) capsule po daily (daily). disp:*150 capsule(s)* refills:*6* 8. prednisone 5 mg tablet sig: one (1) tablet po once a day for taper dose days: take 5mg on , .then take 2.5mg on , then discontinue. . disp:*5 tablet(s)* refills:*0* 9. psyllium wafer sig: one (1) po once a day as needed for loose stool: take wafer and follow with a small amount of water. disp:*3 * refills:*3* discharge disposition: home discharge diagnosis: ulcerative colitis with dysplasia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the general surgery unit after your total abdominal colectomy with ileorectal anastomosis. you have recovered from this procedure well and you are now ready to return home.you have tolerated a regular diet, passing gas and your pain is controlled with pain medications by mouth. you may return home to finish your recovery. please monitor your bowel function closely. initially expect to have about bowel movements a day. you can slow down the bowel movements by taking imodium. you may take up to 8 mg immodium a day. if needed you may also take metamucil wafers, chew a wafer and follow with small amount of water. some loose stool and passing of small amounts of dark, old appearing blood are expected however, if you notice that you are passing bright red blood with bowel movments or having loose stool without improvement please call the office or go to the emergency room if the symptoms are severe. if you are taking narcotic pain medications there is a risk that you will have some constipation. please take an over the counter stool softener such as colace, and if the symptoms does not improve call the office. if you have any of the following symptoms please call the office for advice or go to the emergency room if severe: increasing abdominal distension, increasing abdominal pain, nausea, vomiting, inability to tolerate food or liquids, prolonges loose stool, or constipation. you have an abdominal incision please monitor the incision for signs and symptoms of infection including: increasing redness at the incision, opening of the incision, increased pain at the incision line, draining of white/green/yellow/foul smelling drainage, or if you develop a fever. please call the office if you develop these symptoms or go to the emergency room if the symptoms are severe. you may shower, let the warm water run over the incision line and pat the area dry with a towel, do not rub. please continue to walk as tolerated. no heavy lifting for at least 6 weeks after surgery unless instructed otherwise by your surgeon. you may gradually increase your activity as tolerated but no heavy exercising. you will be prescribed a small amount of the pain medication please take this medication exactly as prescribed. for mild pain you may take motrin/tylenol. do not take more than 4000 mg of tylenol daily. please call and schedule a follow-up appointment with dr. in 1 month. followup instructions: dr. in 1 month . procedure: spinal blood patch open total intra-abdominal colectomy diagnoses: other iatrogenic hypotension tobacco use disorder benign neoplasm of colon migraine, unspecified, without mention of intractable migraine without mention of status migrainosus spasm of muscle reaction to spinal or lumbar puncture universal ulcerative (chronic) colitis other acute postoperative pain other and unspecified local anesthetics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to