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: penicillins attending: chief complaint: abdominal pain, nausea and vomiting major surgical or invasive procedure: exploratory laparotomy, lysis of adhesions, small bowel resection history of present illness: 21m w history of uc s/p tac w jpouch and ostomy reversal complicated by recurrent sbos s/p ex-lap loa returns with abdominal pain and nausea/vomiting similar to prior sbos. stated he was feeling well until 4-5pm when he ate dinner, then had sudden abdominal pain and nausea. dry heaves at home, none since arrival to ed. no fevers or chills. last bm today, normal, no blood. no flatus since pain started. pain was , now improved after receiving morphine. past medical history: ulcerative colitis, diagnosed in . he has been treated with asacol, prednisone, 6-mercaptopurine and most recently remicade. social history: freshman college student at . he lives at home with his family. he is no longer smoking, he is wearing a nicotine patch family history: he has 3 paternal uncles with cancer. multiple family members with ulcerative colitis or cancer. physical exam: avss nad rrr no m/r/g ctab no w/r/r abd: soft nt nd +bs, incisions c/d/i no erythema ext: wwp pertinent results: axr : single loop of dilated small bowel in the mid abdomen with an air-fluid level, with a paucity of small bowel gas elsewhere. findings are non-specific, but abnormal, given the paucity of small bowel gas, but are suspected to reflect partial or early small bowel obstruction. axr : small bowel obstruction stable from prior. 07:45am wbc-6.3 rbc-4.02* hgb-7.9* hct-26.7* mcv-66* mch-19.7* mchc-29.6* rdw-14.5 07:45am calcium-8.3* phosphate-3.3 magnesium-1.8 07:45am glucose-71 urea n-8 creat-0.8 sodium-139 potassium-3.8 chloride-105 total co2-28 anion gap-10 brief hospital course: pt. admitted for treatment of sbo on ; conservative management with npo, ivf, nasogastric decompression. abdominal exam remained stable with diffuse tenderness. on hd4 patient's exam remained stable in the morning but became progressively more concerning in the afternoon. he became increasingly agitated and began exhibiting bizarre behavior. his urine output dropped precipitously. the patient was taken to the operating room emergently for an exploratory laparotomy revealing three feet of necrotic small bowel. this bowel was resected and a primary anastomosis was performed. the patient did well post-operatively and on pod4 the nasogastric tube was removed and the patient's diet was advanced given evidence of flatus and return of bowel function. due to a history of difficulty voiding following foley catheter removal, the patient was started on flomax prior to removal of the foley. at time of discharge, the patient is tolerating a regular diet, pain is well-controlled, the patient has voided following foley catheter removal, and he is ambulating. medications on admission: adderall discharge medications: 1. dilaudid 4 mg tablet sig: 0.5 -1 tablet po q3h as needed for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: small bowel obstruction, strangulated small bowel, ulcerative colitis, status post abdominal colectomy, ileostomy, ; ileoanal pouch with diverting ileostomy , ileostomy closure , recurrent small bowel ostructions status post exploratory laparotomy and lysis of adhesions discharge condition: good discharge instructions: 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. * 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. . followup instructions: follow up with dr. in weeks. call ( to schedule an appointment. procedure: other partial resection of small intestine other lysis of peritoneal adhesions diagnoses: long-term (current) use of steroids personal history of tobacco use ulcerative colitis, unspecified acute vascular insufficiency of intestine intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) 

Answer: The patient is high likely exposed to