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: past medical history: 1. parkinson disease followed by dr. of the department of neurology. 2. hypertension. 3. chronic constipation. allergies: none. medications on admission: 1. aspirin 325 mg p.o.q.d. 2. atenolol 25 mg p.o.q.d. 3. dulcolax 10 mg p.o.b.i.d. 4. elavil 25 mg p.o.q.h.s. 5. hydrochlorothiazide 25 mg p.o.q.d. 6. lactulose 30 cc q.i.d. 7. ....................25 mg p.o.q.d. 8. sinemet 25/100, one tablet p.o.b.i.d. social history: the patient denies alcohol or tobacco use. she lives in an apartment downstairs from her son. physical examination: examination revealed the following: 96.6, heart rate 77, blood pressure 157/80, respiratory rate 28. the patient is nontoxic-appearing. she is an elderly and pleasant female in no acute distress. heent: temporal wasting. eomi. perrla. oropharynx moist. neck: supple without lymphadenopathy. chest: chest was clear anteriorly. heart: regular rate and rhythm with normal s1 and s2. abdomen: abdomen is massively distended and firm, but nontender. she has minimal bowel sounds. rectal: examination is trace guaiac positive per emergency room. there is soft stool in the vault. laboratory data: initial labs revealed the sodium of 136, potassium 3.2, chloride 100, bicarbonate 24, bun 42, creatinine 1.1, glucose 142. white blood cell count 10.2, hematocrit 40.8, platelet count 344,000 (differential 75% polys, 9% bands, 7% lymphs, 0 eosinophils). kub: kub revealed extensive stool in distended colon, no free air and no pneumatosis. hospital course: this is a 70-year-old woman with parkinsonism, who was admitted with obstipation. the patient was on the medical floor from admission until . she underwent manual disimpaction several times and received soapsuds enema but with only modest results. however, she required transfer to the micu due to hypotension and depressed mental status and hypernatremia and hypokalemia. in the icu, the hypernatremia and hypokalemia were resolved with free water boluses and aggressive electrolyte repletion. the mental status cleared. on , the patient returned to the medical floor. repeat kubs showed that he colon was still full of stool. the patient required frequent manual rectal stimulation and frequent enemas (tap water alternating with milk and molasses), which ultimately decompressed her colon. the major effective treatment was manual rectal stimulation which would result in large volumes of liquied stool. repeat ct scan of her colon on , showed no obstruction of the bowel and empty colon, which was felt by the department of radiology to be thick and concerning for clostridium difficile. the patient had been treated with broad spectrum antibiotics in the medical intensive care unit as she had an elevated white count and fever concomitant with her hypotension and there was concern for sepsis. the antibiotics were discontinued on , after 14 days of levofloxacin and flagyl. repeat assay for clostridium difficile were negative. the patient's bowel motility improved slowly. she had been maintained on tpn in the micu and she was slowly able to advance her diet without difficulty. she was evaluated by the speech and swallow departments, who felt that she had no pathology with swallow. at the time of this dictation, the patient is tolerating a full liquid diet without difficulty. the gastrointestinal service followed the patient closely and recommended erythromycin as a promotility as reglan was contraindicated in the patient with parkinsonism. the patient also was placed on b.i.d. colace and miralax q.d. finally, the movement disorder service was consulted on this patient with parkinsonism. the medical service increased the dosing of her sinemet from one tablet b.i.d. to one tablet q.i.d. with only mild improvement. at the time of this dictation, movement disorder services consultation is still pending. condition on discharge: the patient is discharged to an acute rehabilitation facility in good condition. she will be followed by dr. for her parkinsonism. she will be maintained on her current bowel regimen, which should be titrated to one formed stool q.d. electrolytes should be followed to prevent recurrent hyponatremia. she should followup with her primary care physician, . in one to two weeks. discharge diagnoses: 1. obstipation. 2. parkinsonism. 3. hypotension. discharge medications: as noted, medications will be added in an addendum to this discharge summary. , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances diagnoses: unspecified essential hypertension hypopotassemia paralysis agitans other constipation hyperosmolality and/or hypernatremia other impaction of intestine 

Answer: The patient is high likely exposed to