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: nasonex / ibuprofen / aspirin / aspartame / bufexamac / celecoxib / floctafenine attending: chief complaint: abdominal pain / incarcerated spigelian hernia major surgical or invasive procedure: exlap, 30 cm small bowel resection history of present illness: pt is 85 y/o f with h/o crohn's disease, right hemicolectomy in for colon cancer, cad, afib who presents with abd pain concerning for ischemic bowel. pt initially presented to osh one week ago with complaints of chest pain and was ruled out for mi. pt developed some ruq abd pain a few days into her admission, but her abd pain acutely worsened 2 days ago and was associated with nausea and vomiting. her abdomen was also noted to be tympanitic. she had a ng tube placed for her symptoms, which was subsequently pulled. kub initially was nonspecific. she had a repeat kub yesterday which showed some dilated small bowel loops and wbc count increased to 25 with 26% bands. on admission it was noted that her cr had increased to 3.4 and urine output decreased. her abd pain continued to worsen and pt was noted to have severe tenderness on right side on exam with rebound tenderness and guarding. ngt was placed again today with 1 liter output. pt was ordered for ct scan but apparently pt refused study because of claustrophobia. for concern for need for operation, pt was transferred to for further management. past medical history: cad s/p angioplasty afib htn copd asthma gallstones diverticulosis crohn's colon ca s/p right hemicolectomy hysterectomy nephrectomy hernia repair social history: no etoh or smoking. pt lives by herself. family history: breast cancer and cva. physical exam: avss general: a&o x3, nad cv: rrr chest: ctab abd: s/nt/nd; incision with small amt peri-incisional erythema, improved from previous ext: wwp pertinent results: 06:24am blood wbc-7.9 rbc-3.80* hgb-10.5* hct-32.5* mcv-86 mch-27.5 mchc-32.2 rdw-13.7 plt ct-202 05:05am blood wbc-10.5 rbc-4.05* hgb-11.2* hct-34.4* mcv-85 mch-27.7 mchc-32.7 rdw-13.7 plt ct-228 09:03pm blood wbc-10.5 rbc-4.15* hgb-11.5* hct-35.4* mcv-85 mch-27.7 mchc-32.5 rdw-13.9 plt ct-233 04:54pm blood wbc-24.7*# rbc-4.96 hgb-14.1 hct-40.0 mcv-81* mch-28.4 mchc-35.2* rdw-13.6 plt ct-323 05:30pm blood pt-13.6* ptt-33.6 inr(pt)-1.2* 07:20am blood glucose-98 urean-26* creat-0.8 na-139 k-3.9 cl-103 hco3-26 angap-14 06:40am blood glucose-96 urean-30* na-144 k-3.6 cl-107 hco3-33* angap-8 04:54pm blood glucose-138* urean-87* creat-4.0*# na-139 k-4.7 cl-93* hco3-32 angap-19 02:09am blood alt-17 ast-23 ck(cpk)-37 alkphos-72 totbili-0.7 10:54pm blood alt-17 ast-22 ck(cpk)-31 alkphos-65 amylase-61 totbili-0.7 11:51am blood ck(cpk)-29 05:05am blood ck(cpk)-31 09:03pm blood ck(cpk)-29 11:51am blood ck-mb-2 ctropnt-<0.01 05:05am blood ck-mb-2 ctropnt-less than 09:03pm blood ck-mb-2 ctropnt-<0.01 07:20am blood calcium-7.9* phos-3.2 06:40am blood albumin-2.6* calcium-8.3* phos-3.4 mg-2.1 iron-27* 06:24am blood calcium-8.1* phos-3.7 mg-2.2 06:40am blood caltibc-235* ferritn-238* trf-181* 06:40am blood triglyc-162* 02:09am blood digoxin-2.0 . echo : normal ef, moderate tr, mod pulm htxn. . diagnosis: small intestine; resections (a-o): full thickness mucosal necrosis with acute inflammation and associated transmural edema and hemorrhage (see comment). serosal acute inflammation. serosal adhesions. addendum: no fungal organisms are identified on a gms stain. four reactive lymph nodes are identified in the submitted mesenteric fa clinical: 85 year old woman with peritonitis. exploratory laparotomy, lysis of adhesions and small bowel resection . brief hospital course: ms. was admitted on to the icu for managment of abdominal pain which was concerning for ischemic bowel. due to claustrophobia, patient was unable to undergo ct scan, however her exam and history were highly concerning for ischemic bowel and after discussion with the patient and family, it was decided to go ahead with surgery. she underwent an exploratory laparotomy and lysis of adhesions on the day of admission, and at that time she was found to have an incarcerated spigelian hernia with necrotic small bowel. the necrotic bowel was resected and patient was managed postoperatively in the icu. initially she required ventilatory support and low-dose levophed. she was treated empirically with vancomycin and zosyn peri-operatively. creatinine was elevated to 4 perioperatively but decreased with iv fluids. on , patient was extubated and out of bed to a chair. her wbc count was 12 and she was afebrile. she was in atrial fibrillation but rate controlled. on , she was transferred from the icu to the floor and tpn was started. on , she conitinued to auto-diurese. her pulse oximetry decreased to 88% on room air and she was re-started on 2l o2 by nc. she complained of left-sided chest pain, similar to the type she has at home for which she normally takes sl nitroglycerin. she was given sl nitro x2 and refused iv morphine, stating her pain was better. ekg showed afib, cxr showed no acute change, and cardiac enzymes were negative x3 over the next 24 hours. on , she was re-started on her home pain medications and the o2 was weaned succesfully to room air. on , a picc line was placed for continued tpn, patient reported passing flatus, and diet was started on clears and advanced to regular diet. on , patient was tolerating a regular diet. her abdominal incision was noted to be mildly erythematous, and she was started on cipro and flagyl empirically. on , patient was doing well, out of bed to chair. tpn was discontinued in the morning and she was screened for rehab. the incisional erythema was stable/decreased from the previous day, and the inferior aspect of the wound was opened centimeters and a small amount of serosanguinous fluid was expressed and sent for culture. on , patient's blood sugars stable overnight off of tpn for 24hrs. surgical status continues to be stable. abdominal incision continues with moist saline packing with decreased erythema. contact dr. office with concerns regarding incision. she will continue with po cipro/flagyl for another 8 days. po intake has been adequate. continue to monitor po intake at rehab. medications on admission: amilodipine-benazepril 5/20mg 1 tab po daily aspirin 81mg po daily digoxin 250mcg po daily lasix 40 mg daily imodium 2mg po bid toprol 25 mg ursodiol 300 mg daily prilosec 20 mg daily immodium prn mvi 1 tab po daily vit b6 50mg po daily discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 2. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. ursodiol 300 mg capsule sig: one (1) capsule po daily (daily). 6. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 8. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 10 days. 9. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 10 days. 10. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 11. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 12. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 13. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 14. pyridoxine 50 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: oaks long term care facility - discharge diagnosis: incarcerated spigellian hernia, necrotic small bowel, status post exploratory laparotomy, 30 cm small bowel resection discharge condition: stable discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in 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. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . incision care: -your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. tpn orders: -check you blood sugars 4 times per day, at the same time each day. -treat with insulin injections as indicated. -check serum sodium levels at rehab and adjust tpn as needed; sodium levels were borderline high during this admission. followup instructions: 1. please follow-up with dr. to get your staples removed in please call his office for an appointment: . 2. follow-up with your pcp, . in 1 week or as needed. . wound cultures are pending at time of discharge. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other partial resection of small intestine suture of laceration of large intestine other lysis of peritoneal adhesions repair of other hernia of anterior abdominal wall diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis other postoperative infection cellulitis and abscess of trunk congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation percutaneous transluminal coronary angioplasty status accidental puncture or laceration during a procedure, not elsewhere classified regional enteritis of unspecified site peritoneal adhesions (postoperative) (postinfection) personal history of malignant neoplasm of large intestine chronic obstructive asthma, unspecified hypovolemia acute vascular insufficiency of intestine removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation peritonitis (acute) generalized other ventral hernia with obstruction chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to