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: this is a 77 year old female with a past medical history significant for atrial fibrillation, coronary artery disease, status post coronary artery bypass graft and hypertension, who presented to the emergency department with a one day history of acute onset of abdominal pain and nonbilious, nonbloody emesis. the abdominal pain was sharp, localized to the epigastrium, and nonradiating. the patient described some loose bowel movements throughout the day. she denies any chills or fevers at home. she denies any history of nonsteroidal anti-inflammatory drug use or peptic ulcer disease. the patient denies any relationship of the pain to food intake. in the emergency department, the patient spiked a fever to 103 degrees fahrenheit and the abdominal pain intensified and became generalized and constant. she was evaluated by the emergency department physicians at which time a ct scan of the abdomen and pelvis was obtained along with plain radiographs of the abdomen. the plain radiographs of the abdomen were nondiagnostic. the ct scan of the abdomen showed free air along the lateral border of the duodenum and in the mesentery of the right colon. the right colon appeared very thickened with free fluid running down the right gutter into the pelvis. a general surgery consultation was obtained. upon evaluation, the patient was found to have acute abdomen. the patient was taken to the operating room urgently after adequate resuscitation and the administration of intravenous antibiotics. physical examination: on physical examination, the patient had a fever of 103 degrees, tachycardia to the 120s, blood pressure 130/70, respiratory rate 20, and oxygen saturation 98%. she was alert and oriented and conversant. the lungs were clear bilaterally. the heart was regular rate and rhythm. the abdomen was rigid with rebound in all four quadrants. she had active bowel sounds. she was heme negative on rectal examination. she had no cyanosis, clubbing or edema. laboratory data: on admission, she had a white blood cell count 7.1, hematocrit 47.2, platelets 321,000. the differential on the white count was 53% bands. her amylase was 138, lipase 346, alt 28, ast 36, alkaline phosphatase 75, bilirubin 0.9. medications on admission: 1. digoxin. 2. lasix. 3. pravachol. 4. zestril. 5. atenolol. hospital course: the patient was admitted to the general surgery service with urgent exploratory laparotomy. the patient was found in the operating room to have a perforated second and third portion of the duodenum. the right colon was thickened with abscess formation. the patient underwent a right hemicolectomy and ileostomy. in addition, the ulcer was treated with primary closure and placement of duodenoscopy tubes, gastrostomy, jejunostomy and cholecystostomy tube. the patient postoperatively was maintained on antibiotics including ampicillin, ceftriaxone, flagyl and fluconazole. she was maintained in the intensive care unit throughout her hospitalization. her postoperative care was eventful for prolonged intubation, congestive heart failure needing to be maintained on milrinone and atrial fibrillation. her nutritional status was supported by tpn followed by slowly advanced enteral feedings to jejunostomy. she was placed on impact three quarter strength and slowly increased to her goal rate. in addition, around postoperative day six, she spiked a temperature which required further evaluation. the evaluation included ct scan of the abdomen. there was no evidence of abscess formation or leak on the cat scan. however, - amylase was sent which was as high as 77,000, consistent with a large pancreatic fistula. the pancreatic fistula is being maintained and controlled with the - drains that were placed intraoperatively. her atrial fibrillation was being maintained on amiodarone drip and two attempts at electrical conversion. on postoperative day fourteen, she was extubated, however, maintained in the intensive care unit for close observation for cardiac and respiratory issues. she was weaned off the milrinone on postoperative day fifteen. however, on postoperative day seventeen, she was reintubated for some respiratory distress. however, within hours of her reintubation, the patient was requiring large amounts of vasopressors and large volumes of crystalloid resuscitation. antibiotics were reinitiated. on physical examination, her abdomen was very markedly distended and tense. of note, her - drains had a large amount of tube feeds in the bulb suctions. it was felt that there was a possibility of a large intestinal leak, however, this was not proven. the family was notified of the events and the poor prognosis. she was then made comfort care only and on , the family withdrew support and the patient expired shortly thereafter. , m.d. dictated by: medquist36 d: 11:26 t: 20:24 job#: procedure: parenteral infusion of concentrated nutritional substances other electric countershock of heart thoracentesis pulmonary artery wedge monitoring open and other right hemicolectomy other small-to-large intestinal anastomosis other cholecystostomy other gastrostomy ileostomy, not otherwise specified diagnoses: pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation heart valve replaced by other means alkalosis chronic or unspecified duodenal ulcer with perforation, without mention of obstruction 

Answer: The patient is high likely exposed to