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 59 year old female with a history of multiple hernia repairs now presenting with a massive ventral hernia and need of repair. she also has a history of congestive heart failure, status post catheterization in . she denies chest pain, pressure, palpitations. no fever, chills, nausea or vomiting prior to admission. past medical history: 1. congestive heart failure status post catheterization in . 2. multiple ventral hernia repairs. 3. insulin dependent diabetes mellitus for ten years. 4. hepatitis. 5. status post left femur fracture with rod placement. 6. status post debridement of decubitus ulcers. 7. charcot--tooth disease. medications on admission: 1. insulin 70/10, 10 units twice a day. 2. avandia 8 mg q. day. 3. lactulose 10 cc three times a day. 4. metamucil. 5. dulcolax p.r.n. 6. lopid 600 mg twice a day. 7. lasix 10 mg q. day. allergies: no known drug allergies. physical examination: blood pressure 117/50; pulse 76; temperature 98.7 f.; o2 saturation 96% on room air; respiratory rate 16. in general, in no apparent distress. lungs are clear to auscultation bilaterally. heart, normal s1, s2, grade ii/vi systolic murmur present. abdomen obese, soft, nontender, with a ventral hernia noted. extremities: swollen left lower extremity. laboratory: upon admission, white count 9.4, hemoglobin 9.3, hematocrit 26.9, platelets 279. sodium 144, potassium 4.9, chloride 110, bicarbonate 25, bun 23, creatinine 0.6. glucose 142. hospital course: the patient had an operative ventral hernia repair with mesh and component separation on , with dr. and dr. . she did well and was admitted to the sicu postoperatively as she was kept intubated and paralyzed in order to minimize intra-abdominal pressure. general surgery, plastics and the sicu team managed her care. acute pain service followed her closely for pain control recommendations on . she was extubated on . she was transferred to the floor. initially, she required 35% face mask in order to maintain o2 sats in the 90s. however, after a few days of aggressive pulmonary toilet including nebulizers and physical therapy, her o2 requirement was weaned to four liters nasal cannula. chest x-ray and ct scan to rule out a pulmonary embolism were normal. she was maintained on her outpatient lasix dose. she had no cardiovascular issues throughout her stay. her abdominal examination remained benign as she progressed. all four - drains were kept as they continued to drain approximately 70 to 80 cc of serosanguinous fluid on the day of discharge. they will be discontinued once they are draining less than 20 cc a day. the patient tolerated advancement of her diet as her bowel sounds returned after a few days and she had flatus and bowel movements. she was maintained on ancef and flagyl for prophylaxis. she remained afebrile throughout the course of her stay. she felt well on the day of discharge and she will be given dr. number in order to either follow-up with him or have his office refer her to someone closer to her home. discharge diagnoses: status post ventral hernia repair with mesh and component separation. discharge medications: 1. keflex 500 mg p.o. four times a day. 2. flagyl 500 mg p.o. three times a day. 3. percocet one to two tablets q. four to six hours p.r.n. for pain. 4. lasix 10 mg p.o. twice a day. 5. combivent nebulizers q. four hours and p.r.n. 6. zantac 50 mg p.o. three times a day. 7. heparin 5000 units subcutaneously three times a day. the heparin will be continued until patient is out of bed for most of the day without assistance. 8. regular insulin sliding scale. both keflex and flagyl will be continued for a ten day course. discharge instructions: 1. discontinue the foley catheter once patient arrives at rehabilitation facility. 2. strip - drains every four hours and record the output. 3. continue aggressive pulmonary toilet, i.e., out of bed, incentive spirometry and nebulizers. 4. call dr. office at , for follow-up next week. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other and open repair of other hernia of anterior abdominal wall with graft or prosthesis size reduction plastic operation diagnoses: congestive heart failure, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes incisional hernia without mention of obstruction or gangrene morbid obesity localized adiposity 

Answer: The patient is high likely exposed to