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: lisinopril / plavix / actos attending: chief complaint: abdominal pain major surgical or invasive procedure: open cholecystectomy history of present illness: 73f with severe pulm htn, dm, pvd, on for cva with inr 5 presents with diffuse abdominal pain most prominent in ruq since sunday. patient states that pain has been severe and abruptly began sunday day, not precipitated by any event. pain at worst in now accompanied with nausea, intromittant nausea, and inability to take po. she has had low grade fever 99 but no chills. + diarrhea per baseline, + flatus, no jaundice, lite colored stools or dark urine noted. on presentation to the ed she was hypotensive in the 80s systolic with improvement to 110s with 2 l of fluid. she has never had similar pain in the past. past medical history: -htn -hyperlipidemia (hdl 50s and ldl 50s-70s on simvastatin 40) -heavy chronic smoking history -type ii diabetes (recent a1cs are in good range 6-7% on home metformin monotherapy after weight loss of 40lbs last year) -chronic left great toenail fungus/removal nail bed -s/p toe amputation (necrotic), c/b popliteal dvt (was tx with warfarin a/c until suffering a lgib (hgb 5) in , polyps removed, hgb stable at 9-10 since ) -appendectomy -tonsillectomy social history: ppd cigarettes, formerly 3/4-1ppd for 50 years (tried quitting with patch, chantix, cold , all without success; never tried nicotine inhalers). denies ivdu and etoh. she lives in with her husband, , who suffers from dementia. she is a retired receptionist. family history: one sister, age 66, with diabetes. one brother with diabetes. physical exam: temp 99.5 hr 78 bp 87/38 rr 16 o2 sat 98% ra gen: nad, a&ox3, no jaundice or scleral icterus cvs: rrr no m/r/g pulm: clear but decreased throughout precordium abd: firmness to ruq with diffusely tender abdomen, no rebound but mild voluntary guarding. ext: wwp, no cyanosis or edema. pertinent results: 12:35pm wbc-21.0*# rbc-5.30 hgb-14.6 hct-43.1 mcv-81* mch-27.5 mchc-33.8 rdw-15.4 12:35pm neuts-85.4* lymphs-9.8* monos-4.2 eos-0.2 basos-0.3 12:35pm plt count-322 12:35pm albumin-4.2 calcium-9.1 phosphate-3.9 magnesium-1.1* 12:35pm alt(sgpt)-11 ast(sgot)-14 alk phos-53 tot bili-0.6 12:35pm glucose-247* urea n-21* creat-1.5* sodium-130* potassium-3.9 chloride-89* total co2-26 anion gap-19 ct abd/pelvis : 1. findings concerning for mirizzi syndrome with gallstone impacted in the gallbladder neck, gallbladder wall edema, intrahepatic biliary ductal dilation. small volume free fluid is noted. please note, the possibility of early gallbladder perforation cannot be entirely excluded. please correlate clinically. 2. no excretion of contrast is seen from the kidneys which likely reflect borderline renal function and hydration is recommended and this recommendation has been discussed with dr. . 3. grade 1 anterolisthesis of l4 on l5, stable. cardiac echo : the left atrium is elongated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded (posterior wall may be hypokinetic). overall left ventricular systolic function is normal (lvef 60%). the right ventricular free wall is hypertrophied. right ventricular chamber size is normal. with borderline normal free wall function. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. there is no pericardial effusion. moderate pulmonary hypertension renal us : normal-appearing kidneys without hydronephrosis or other finding to explain declining renal function. please note, iv contrast administered during recent ct scan in the setting of borderline creatinine (1.4) has a risk on contrast nephropathy and this could account for acute renal failure - clincial correlation is advised kub : multiple loops of dilated small bowel and multiple fluid levels are present. there may be scattered gas within the colon, but disproportionately less than is seen in the small bowel. no free air is detected. although this may represent ileus, the disproportionate amount of air within small versus large bowel raises concern for an early or partial small-bowel obstruction. brief hospital course: mrs. was evaluated by the acute care team in the emergency room and her abdominal ct was reviewed. based on her severe abdominal pain and ct findings of a possible perforated gallbladder she was taken to the operating room urgently for cholecystectomy. on she underwent an open cholecystectomy after receiving fresh frozen plasma to reverse her inr of 5. she tolerated the procedure well and returned to the pacu in stable condition. she had adequate pain control but had some episodes of mild hypotension and low urine output which initially responded to fluid. following transfer to the surgical floor she maintained stable bp but her urine output continued to be 10-20cc/hr. she had a notable increase in her creatinine over the next 48 hours, peaking at 2.9. the renal service was consulted and felt that her was probably from atn due to sepsis or post op hypotension. in the mean time her valsartan and metformin were discontinued and she received gentle rehydration. she was also slow to have return of bowel function and actually had a kub done which was notable for post op ileus. she remained npo and was hydrated with iv fluids. a nasogastric tube was placed for gastric decompression and she eventually improved. once her tube was removed her diet was gradually advanced and tolerated well. her abdomen remained soft and she was making 1 liter of urine daily with a creatinine of 0.9 at discharge. per renal recommendations, she remains off of valsartan and metformin. currently her blood pressure is 130/70 and her blood sugars have been in the 100-150 range. her was resumed on at 2.5 mg daily. her inr prior to discharge was 1.0 and she will continue the current dose and have an inr checked at which point dr. will resume her dosing. after a long hospital course she was discharged home on able to tolerate a diabetic diet, walk independently and her abdominal wound was healing well. she will return for staple removal next week. medications on admission: xalatan 0.005 %, diovan 80 mg tab", fish oil 1,200 mg-144 mg-216 mg", atenolol 25 mg daily, albuterol sulfate hfa 90 mcg q 4-6 h prn , hydrochlorothiazide 25 mg, simvastatin 40 mg, omeprazole 20 mg, sertraline 150mg, warfarin 2.5 mg tab, 500 mg at lunch and 1000mg ", flovent hfa 110 mcg" discharge medications: 1. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 2. fluticasone 110 mcg/actuation aerosol sig: one (1) puff inhalation (2 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 4. sertraline 50 mg tablet sig: three (3) tablet po daily (daily). 5. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 7. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: two (2) tablet, chewable po tid (3 times a day). 8. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 9. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 10. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 11. 2.5 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: 1. acute cholecystitis with possible mirizzi syndrome, with gangrenous cholecystitis 2. acute kidney injury 3. post op ileus discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down 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 experience burning when you urinate, have blood in your urine, or experience a discharge. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. you had some trouble with your kidney function after surgery and the renal doctors recommend that remain off valsartan , metformin and all drugs in the ibuprofen family as they all have kidney effects. your kidneys are functioning normally now. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *your staples will be removed at your follow-up appointment. * your was started on at a lower dose as your inr was quite high when you were admitted. you should continue the at 2.5 mg daily but you will need your inr checked on monday at dr. office then she will adjust your dosing. * check your blood sugars prior to each meal and at bedtime. bring the results to your next appointment with dr. . your metformin was stopped due to the problems with your kidney function. although your kidney function is normal now, we advise you to remain off of it and discuss your options with dr. . * your valsartan has also been discontinued and you should have your bp checked next week in case any medications need to be added. followup instructions: call the acute care clinic at for a follow up appointment in 1 week. your staples will be removed at that time. call dr. for a follow up appointment next week to re evaluate your blood pressure, blood sugars and inr. provider: , md phone: date/time: 1:00 provider: lab phone: date/time: 10:00 provider: , md phone: date/time: 10:30 procedure: cholecystectomy diagnoses: tobacco use disorder acute kidney failure with lesion of tubular necrosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled primary pulmonary hypertension paralytic ileus calculus of gallbladder with acute cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to