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: the patient is a -year-old female who had three to four days of abdominal pain described as intermittent and sharp. the patient has also had nausea and vomiting which has also lasted about three to four days, although the patient is not the best historian. the patient reports her vomiting is non bloody. the pain is not worse with food and currently she has no nausea. the patient is not hungry. she does complain of some leg pain also. she has not passed any stool since the day prior to presentation at which time she says she had a somewhat firm bowel movement. she is having flatus at this time. the patient also denies chest pain and shortness of breath. the patient denies fevers or chills or headaches. past medical history: 1. hypertension 2. hypothyroidism 3. abdominal abscess ? abdominal surgery 4. cataracts medications: 1. atenolol 50 mg po qd 2. synthroid 50 mcg po qd 3. maxzide 25/37.5 1 po qd 4. timolol maleate 0.75% one drop in each eye 5. alphagan 0.15% one drop each eye tid allergies: no known drug allergies. social history: lives by herself in a senior citizen's home. quit smoking about 21 years ago. denies alcohol use. initial physical exam: general: she is comfortable. vital signs: her blood pressure is high at 213/65. her heart rate is 62. respirations are 20. she is % on o2. this high blood pressure responded to nitroglycerin and hydralazine and her recheck blood pressure was 180/100. lungs: clear to auscultation bilaterally. heart: regular rate and rhythm. abdomen: soft, tympanic. it is somewhat distended, but no peritoneal signs. mild to moderately tender, non localizing. extremities: warm. she has bilateral palpable pulses. no ulcers. rectal: she has normal tone, no masses. she is guaiac negative. pertinent x-rays in emergency room: she received a kub which showed findings suggestive of an earlier partial small bowel obstruction. she also received a ct which showed complete small bowel obstruction with a transition point appearing to be in the right lower quadrant. there is a small amount of free fluid within the abdomen, but no masses or lesions identified. there were also diverticula throughout the colon without evidence of diverticulitis. pertinent labs: of note, the patient's creatinine upon presentation was up to 2.2 and her potassium was greater than 10. she had a troponin of 0.6, ck of 254 and an mb of 6. hospital course: on the morning of , the patient was taken to the operating room at which time she underwent exploratory laparotomy, lysis of adhesions and small bowel resection. the patient tolerated the procedure well. she had minimal blood loss. she received 1500 of crystalloid and had 210 of urine out in the operating room. pathology shows a segment of ileum with focal mucosal hemorrhage and serosal changes consistent with adhesions. the patient went to the post anesthesia care unit immediately after operation. she was placed on intravenous metoprolol and hydralazine prn for high blood pressure and she was also having troponins checked to rule out for a possible myocardial infarction. these troponins never raised around 1.7 and the level of 2 at which we consider a myocardial infarction has occurred. the patient's creatinine also came down to about 1.6 with good fluid resuscitation. the patient was placed on levofloxacin perioperatively. on postoperative day 1 while in the post anesthesia care unit, the patient was undergoing a central line placement. after informed consent had been obtained and the patient was sleepy but appropriate, the patient was placed in trendelenburg and the line went in without any problems. however, after the patient was sat back upright she was unresponsive. the patient was monitored with electrocardiogram, blood pressure in her a-line and sao2 throughout the procedure and neither showed any changes. on exam, her eyes were moving discordantly. her pupils were 2 mm and nonreactive. she was grimacing to pain, however she was not following commands or opening her eyes. a neurology consult was immediately obtained. she was intubated for airway protection and she was sent for stat head ct. the chest x-ray post line placement also showed it was in the correct position. the head ct showed no blood or mass effect. the patient received an eeg with only mild diffuse slowing and anything remarkable. neurology's recommendations were to obtain an mri to better evaluate the posterior circulation which was also done which showed no evidence of occlusion in any of the major intracranial vessels or stenosis. over the next day, the patient was slowly regaining her consciousness and was extubated and she soon returned to her baseline most likely without any focal deficits. neurology's final recommendations for her becoming acutely somnolent in the post anesthesia care unit and with a negative work up felt that it was possible that the combination of recent surgery and possible pain ............... for encephalopathic picture although it was unusual for this to occur as acute as it did. the patient was transferred to the floor on postoperative day 3 after a short stay in the intensive care unit. she continued to have a nasogastric tube to suction in place and kept npo awaiting return of bowel function. on postoperative day 4, the nasogastric tube was discontinued. on postoperative day 5, the patient was started on clear liquids as she passed some flatus. she had also been on tpn throughout this time which was continued and by postoperative day 7 the patient was ready for discharge. discharge condition: patient stable, however somewhat deconditioned. physical therapy and occupational therapy consults recommended. discharge to a rehabilitation facility for the patient to regain her physical mobility and strength. discharge status: to a rehabilitation facility, most likely . discharge diagnoses: small bowel obstruction, status post exploratory laparotomy, lysis of adhesions and small bowel resection discharge medications: 1. metoprolol 50 mg po bid 2. enalapril 10 mg po qd 3. levothyroxine 50 mcg po qd 4. timolol maleate 0.25% 1 drop each eye 5. brimonidine tartrate 0.15% 1 drop each eye tid follow up plans: 1. the patient was to follow up with dr. in one to two weeks. 2. the patient's primary care physician, . , was contact and the patient was to follow up with him for among other things to manage her hypertension. , m.d. dictated by: medquist36 d: 11:36 t: 11:41 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other partial resection of small intestine insertion of endotracheal tube other lysis of peritoneal adhesions diagnoses: hyperpotassemia unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified unspecified acquired hypothyroidism intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) 

Answer: The patient is high likely exposed to