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, nasuea and constipation major surgical or invasive procedure: sigmoidectomy, end colostomy (hartmans pouch), r salpingoophrectomy, tah, removal of pelvic mass history of present illness: 22 y/o lmp with trisomy 13 mosaic, cardiomyopathy transferred from hospital overnight with a new pelvic mass. she originally presented to osh with signs of distress abdominal pain, nasuea and constipation. ct scan there revealed a right pelvic mass measuring 10.6 cm. the was also evidence of partial large bowel obstruction. she was subsequently transferred to for further management. . in the ed, the patient was without nausea/vomiting. she has passed liquid stool. she is now voiding without difficulty. she has not required any pain medications. ultrasound was an inadequate study. general surgery and ob/gyn were consulted. past medical history: trisomy 13 mosaicism mentral retardation - nonverbal at bl cardiomyopathy - unknown status. had echo last at (pending). pda (congenital, closed per mother without or) "slow heartbeat" aspiration pna neck anatomic deformity with inverted crichoid/hypoid. pt assists herself with her fingers on the outside of her throat to pass food. . gyn history: lmp: , regular menses with cramping ob history:g:0 . past surgical history: fundoplication social history: social history: no t/etoh/iv drugs family history: breast cancer physical exam: bp: 113/53 hr 89 rr 17 ox sat 96% on ra gen: female in bed, eyes open, tracks to voice in nad heent: perrl, eomi (not to commands), mmm cv: tachy with no m/r/g lung: cta no w/r/r; upper airway noises abd: soft distended, tender, guarding ext: no edema, clubbing or cyanosis neuro: alert, nonverbal, cn ii-xii intact pelvic (per ob): normal external genitalia with an anteverted uterus pertinent results: 03:30am blood wbc-9.2 rbc-3.94* hgb-10.3* hct-32.1* mcv-82 mch-26.2* mchc-32.1 rdw-14.0 plt ct-172 08:33am blood wbc-13.7* rbc-3.48* hgb-9.8* hct-30.1* mcv-87 mch-28.1 mchc-32.4 rdw-16.7* plt ct-618* 03:56am blood glucose-98 urean-26* creat-0.4 na-135 k-4.6 cl-104 hco3-27 angap-9 03:56am blood amylase-340* 03:56am blood lipase-716* 03:56am blood calcium-9.0 phos-4.6* mg-1.9 05:25pm blood caltibc-273 ferritn-137 trf-210 02:23am blood triglyc-194* 03:30am blood ca125-43* 02:04pm blood digoxin-1.2 . pelvis, non-obstetric 3:33 am impression: non-diagnostic examination as described above. large deep pelvic cystic complex cystic mass partially visualized with a second possibly cystic structure in right pelvis . specimen submitted: fs right tube and ovary, uterus & cervix, left colon, sigmoid colon, pelvic cyst wall, appendix. procedure date tissue received report date diagnosed by dr. . /hw diagnosis: i. right fallopian tube and ovary (a-i): marked acute and chronic salpingitis with abscess formation, necrosis, and marked dilation of the tube. paratubal cyst. no ovarian tissue seen. ii. sigmoid colon (j-q): unremarkable colonic mucosa. serosa with congestion and mild acute serositis. iii. left colon (r-v): unremarkable colonic mucosa. mild acute serositis. iv. uterus and cervix (w-ac): unactive-type endometrium with focal breakdown. unremarkable cervix. v. pelvic cyst wall (ad): benign squamous-lined cyst. vi. appendix (ae): acute serositis with inflammatory infiltrate into muscularis propria. focal acute cryptitis, otherwise unremarkable mucosa. . cta chest w&w/o c&recons, non-coronary 11:40 am impression: 1. no pulmonary embolism. 2. multifocal airspace opacities predominantly in the right upper lobe, but also seen in the right middle lobe, lingula, and left lower lobe. primary consideration is a multifocal pneumonia, but asymmetric pulmonary edema could have this appearance as well. 3. right lower lobe collapse, secondary to mucus plug in the proximal right lower lobe bronchus. 4. small bilateral pleural effusions. 5. moderate distention of the azygous and hemiazygous veins with contrast, raises suspicion for thrombus in the superior vena cava, especially with catheter in place in the svc, though no definite sign of this is seen. . chest (portable ap) 4:47 am findings: as compared to the previous examination, the pre-existing multifocal opacities show further regression and are barely visible on today's examination. today's examination shows no evidence of pleural effusion. otherwise no relevant changes, the size of the cardiac silhouette is also unchanged. . ct abdomen w/contrast 3:47 pm medical condition: 22 year old woman s/p sigmoidectomy, end colostomy, r salpingoophorectomy, tah, now with tachycardia, desaturation, and rising wbc count reason for this examination: eval for pe, pneumonia, intra-abdominal fluid collection, po and iv contrast 1. limited evaluation of the pulmonary arteries as above due to patient motion. no evidence of central pulmonary embolism. 2. interval improvement in bilateral pneumonia with residual patchy opacities in the posterior lobes. 3. three fluid collection in the right abdomen and pelvis as above. 4. abnormal enhancement pattern of the liver. thrombus in the splenic vein and possibly smv/splenic vein confluence. nonvisualization of the portal vein and smv. nonopacification of the hepatic veins. further evaluation with doppler ultrasound is recommended to better assess patency of the portal and hepatic veins. 5. diffuse dilatation of small and large bowel, likely related to postoperative ileus. . video oropharyngeal swallow 9:09 am impression: aspiration with thin consistency barium. brief hospital course: this is a 22 year old nonverbal female with h/o mosaic trisomy 13 and cardiomyopathy (ef=35%) who was xfer'd from osh with r pelvic mass and dilated large bowel. she is s/p tah/rso, drainage of pelvic cyst, sidmoid colon resection with end colostomy and pouch, and appendectomy on *)neuro - nonverbal at baseline, but able to understand some. her pain seemed well controlled *)pulm - she was difficult to wean- continued lasix, dig. shw was hypoxemic post-op requiring 60-80% high flow. initial thought that she might have an intracardiac shunt causing hyupoxemia given relatively normal cxr. but cta showed rll collapse as well as rul > lul ground glass (no pe) and small b/l pleural effusions. she then required hi flow face mask, suctioning q4h. she was eventually weaned to ra. a cxr on showed rll atelectasis. she had a rising wbc and a repeat cta on was doen to look for any abscess or infectious process. this showed no pe, interval improved b/l pna and no worisome infectious fluid collections. she was treated for pna and her wbc quickly improved. *)cv she was tachycardia/hypotensive in pacu. she received ivf resuscitation and the hypotension resolved. the tachycardia persisted - volume vs. cardiomyopathy vs pain. her hct was stable at 29.5. her home meds were restarted for cardiomyopathy - digoxin, enalapril and lasix. she had an intra-op echo - ef 35%, echo l atrium mildly dilated. no asd. the estimated ra pres is 0-10mmhg. lvef= 30-35%. nl rv. nl a valve. nl mr w/ trivial regurg. she had post-op tachycardia, likely due to hypovolemia. she was gently repleated with ivf and had resolution of her tachycardia. *)id she had a temp to 102.4 in pacu. she was started on zosyn empirically. bld: corynebacterium fluid: e.coli (pan sensitive) she was started on vanc/cefepime on for aspiration pneumonia *)gi/fen: she was npo with ivf and a ngt. a picc was placed and tpn started. the ngt was then clamped. her ostomy began putting out gas and then some stool. on she had a swallow strudy and she was allowed - pureed solids and thin liquids. due to the pneumonia, a repeat video swallow was performed and showed that she was aspirating thin liquids and occasional thickened liquids. she was allowed honey thickened liquids. the family declined a peg tube and felt that once she was home, they would be able to help feed her more effectively. medications on admission: enalapril 10', digoxin 0.25', lasix 10', sertraline 50', miralax discharge medications: 1. cefepime 2 gram recon soln sig: two (2) g injection q12h (every 12 hours) for 4 days: last dose . disp:*7 g* refills:*0* 2. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 4 days: last dose . disp:*11 tablet(s)* refills:*0* 3. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) g intravenous q 12h (every 12 hours) for 4 days: last dose . disp:*7 g* refills:*0* 4. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 5. furosemide 20 mg tablet sig: 0.5 tablet po daily (daily). 6. enalapril maleate 5 mg tablet sig: two (2) tablet po daily (daily). 7. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 10. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). disp:*120 tablet(s)* refills:*2* 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. disp:*45 tablet(s)* refills:*0* 12. picc picc care per protocol. please remove picc after last dose of antibiotics. discharge disposition: home with service facility: home therapies discharge diagnosis: pelvic mass post-op aspiration pneumonia post-op rll collapse and pleural effusion discharge condition: good discharge instructions: discharge instructions: -it is ok wash your abdominal incision. no baths or swimming. -keep incision clean and dry. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. . please call your doctor or return to the er for any of the following: * 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. * 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. * 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 on iv antibiotics thru . followup instructions: please follow-up with dr. in 3 weeks. call to schedule an appointment. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other incidental appendectomy open and other sigmoidectomy exteriorization of large intestine biopsy of peritoneum other unilateral salpingo-oophorectomy intra-abdominal manipulation of large intestine other and unspecified total abdominal hysterectomy culdotomy diagnoses: other primary cardiomyopathies pulmonary collapse pneumonitis due to inhalation of food or vomitus ulcerative colitis, unspecified unspecified intestinal obstruction unspecified intellectual disabilities other suppurative peritonitis anomalies of intestinal fixation patau's syndrome abdominal or pelvic swelling, mass, or lump, other specified site 

Answer: The patient is high likely exposed to