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: patient recorded as having no known allergies to drugs attending: chief complaint: abdominal pain major surgical or invasive procedure: 1. exploratory laparotomy. 2. extensive lysis of adhesions. 3. segmental small-bowel resection with primary anastomosis. 4. repair of enterotomy history of present illness: the patient is a 69-year-old lady with a history of ulcerative colitis and colectomy/ileoanal anastamosis/j-pouch in at clinic. she presents with complaints of abdominal pain, mostly left sided as well as nausea and small amounts of emesis since yesterday morning. reports she has not had any episodes of small bowel obstructions in the past. reports last bowel movement was yesterday morning and that she does not pass gas secondary to her prior surgery. of note she was seen by her gastroenterologist on with complaints of lower abdominal pain. she has been treated with a one month course of protonix. she was also worked up for pouchitis in and was treated with flagyl. her last sigmoidoscopy was at that time and included biopsies, which were unremarkable. past medical history: past medical history: ulcerative colitis (since ), fibromyalgia past surgical history: colectomy and ileoanal anastomosis, j-pouch ( clinic), benign breast biopsy, tah/bso () social history: the patient was a former smoker but stopped over 30 years ago. she does drink wine with dinner and maybe glasses after dinner. she has 1 cup of coffee a day. family history: remarkable for a mother, who died in her 80s from an acute myocardial infarction. she does not know her father's medical history. her brother had complications of congestive heart failure. no other family members have had an idiopathic inflammatory bowel disease physical exam: temp 96.1 hr 87 bp 143/82 rr 17 o2 sat 95ra gen: a&o, nad heent: no scleral icterus, mucus membranes moist cv: rrr, no m/g/r pulm: clear to auscultation b/l, no w/r/r abd: distended and tympanitic throughout, tender to palapation in left mid-abdomen, voluntary guarding, no rebound dre: refusing ext: no le edema, le warm and well perfused pertinent results: 11:55am wbc-9.8 rbc-3.98* hgb-11.3* hct-33.6* mcv-84 mch-28.3 mchc-33.6 rdw-14.4 11:55am neuts-85.5* lymphs-10.4* monos-3.4 eos-0.6 basos-0.1 11:55am plt count-307 11:55am pt-12.3 ptt-23.6 inr(pt)-1.0 11:55am glucose-135* urea n-17 creat-0.7 sodium-139 potassium-3.9 chloride-105 total co2-24 anion gap-14 chest cta : 1. no evidence of pulmonary embolism. 2. airway thickening and patchy opacities right upper and middle lobes consistent with bronchopneumonia. 3. small to moderate, bilateral pleural effusions with adjacent, compressive atelectasis. 4. oblong, 5mm perifissural nodule on the right has a benign appearance. according to society guidelines, in a low risk patient 12 month interval follow is recommended versus 6 month follow-up in a high risk patient. brief hospital course: mrs. was evaluated by the acute care service in the emergency room and based on the ct scan from the referring hospital and her exam she was taken to the operating room urgently for an exploratory laparotomy as her small bowel was completely obstructed. she tolerated the procedure well and returned to the pacu in stable condition. she maintained stable hemodynamics after extubation and her pain was controlled with dilaudid. following transfer to the surgical floor she did well for about 24 hours then developed problems with desaturation, confusion and rapid atrial fibrillation. she was subsequently transferred to the icu for further management. her atrial fibrillation was initially controlled with iv lopressor and eventually an amiodarone drip. serial ekg's and enzymes were drawn which were negative and her rate was eventually controlled. the cardiology service was consulted and recommended weaning the amiodarone and using oral lopressor. her chest xray showed some new right perihilar consolidation suspicious for pneumonia or aspiration but she was afebrile with a normal wbc. her respiratory status improved with nebulizers and incentive spirometry. she did have a cta to rule out pe which was negative. after returning to the surgical floor she began to make progress. she was tolerating a regular diet without any nausea or fullness and her abdominal wound was healing well. her pain was controlled with tylenol and oxycodone and she was up and walking though fatigued easily. the physical therapy service evaluated her and recommended home pt at discharge to help her get back to her baseline. she also remained in nsr for 48 hours prior to discharge. after a longer than expected hospital course she was discharged to home on 12// and will have vna services along with follow up in the clinic in 2 weeks. medications on admission: vitb12, prozac 10', omperazole 20', imitrex 100', trazadone 50 qhs, ca/vitd3, mvi discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever/pain. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 5. prozac 10 mg capsule sig: one (1) capsule po once a day. 6. calcium 500 + d 500 mg(1,250mg) -400 unit tablet sig: one (1) tablet po once a day. 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. discharge disposition: home with service facility: vna of discharge diagnosis: 1. complete small bowel obstruction 2. atrial fibrillation 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. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *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. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. 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. *if you have staples, they will be removed at your follow-up appointment or by the vna. followup instructions: call the acute care clinic at for a follow up appointment in weeks. call dr. for a follow up appointment in weeks. md procedure: other partial resection of small intestine other lysis of peritoneal adhesions suture of laceration of small intestine, except duodenum central venous catheter placement with guidance diagnoses: atrial fibrillation ulcerative colitis, unspecified myalgia and myositis, unspecified delirium due to conditions classified elsewhere intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) 

Answer: The patient is high likely exposed to