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: tylenol / sulfa (sulfonamides) / doxycycline / latex attending: chief complaint: abdominal pain, nausea major surgical or invasive procedure: exploratory laparotomy, cecopexy, appendectomy history of present illness: ms. is a 40 year old female with history of osteogenesis imperfecta and spinomuscular atrophy who comlaints of abdominal pain for the past day that has gradually increased in severity. she also complains of nausea, and has not passed flatus or bm recently, although she normally only has 1 bowel movement per week. per report, a ct scan at revealed cecal volvulus. she was transferred to the because it was thought that the icu at would be poorly equipped to take care of her. past medical history: oi, hypotonia, chronic pain, wheelchair bound, sinusitis, ? hx dvt, migraines, osteopenia social history: lives with her ex-husband , who is her caretaker and healthcare proxy. occasionally drinks etoh, denies tobacco. family history: noncontributory physical exam: on admission: vs: t 99.8, hr 98 bp 118/70, rr 18, o2 sat pending heent: nc/at chest: cta b/l heart: rrr no m/g/r abd: distended, hypoactive bs, soft, diffusely tender with some guarding, no rebound. rectal exam: guaiac negative pertinent results: ***** operative report: preoperative diagnosis: cecal volvulus versus closed loop small bowel obstruction. postoperative diagnosis: cecal volvulus. name of operations: 1. exploratory laparotomy 2. reduction of cecal volvulus. 3. cecopexy. 4. appendectomy. assistant: , md. anesthesia: general endotracheal. indications for procedure: is a 40-year-old woman with a history of muscular dystrophy and osteogenesis imperfecta who has a long chronic history of constipation. she presented to the emergency room with a several-day complaint of worsening diffuse abdominal pain without the passage of gas or stool for several days. she then developed nausea and emesis, and so presented to the emergency room. upon evaluation there, she a ct scan of the abdomen that demonstrated a large dilated loop of bowel in the pelvis suspicious for either a cecal volvulus or a closed loop small bowel obstruction. though she was nontoxic appearing with normal vital signs and a normal white blood count, she was diffusely tender with guarding and so an operation was recommended. however, there were no available icu beds at , and so the patient was offered transferred to the mc and she accepted. given her significant medical comorbidities, i explained to and her healthcare proxy, mr. , that any abdominal operation carried with it a very high risk, perhaps more than 50% of mortality as well as a substantial risk of morbidity. the patient understood these risks and consented to proceed. description of procedure in detail: the patient was identified in the preoperative holding area and taken to the operating room in conjunction with her health care proxy, mr. , and she was carefully positioned on the bed with all pressure points carefully padded. the patient indicated that she was positioned comfortably and so we carefully did not move her for the remainder of the procedure. mr. was then escorted out of the operating room. a surgical timeout procedure was performed. intravenous ancef was administered. the patient was sedated and a fiberoptic awake oral tracheal intubation was carried out by the anesthesia team. the patient was then placed under general anesthesia and paralyzed. an 8-french foley catheter was carefully placed with the return of clear yellow urine. pneumo boots were applied to both legs. a femoral arterial line was placed by the anesthesia team. her abdomen was widely sterilely prepped and draped in the usual fashion. a midline periumbilical incision was made and the fascia was opened in the midline. the peritoneal cavity was entered sharply without incident. intraoperative exploration showed some bland ascites. there was clearly evidence of a cecal volvulus with clockwise rotation of the cecum which was in the left mid-abdomen. the volvulus was reduced with counterclockwise rotation. the cecum was clearly viable as was the remainder of the colon and small intestine. we then systematically explored the abdomen. there was a normal stomach and duodenum. the ligament of treitz was identified in the small bowel was run all the way to the ileocecal valve. the small bowel showed no abnormalities and was clearly viable. there was no evidence of adhesions or masses. as noted, the entire cecum, ascending, transverse and descending colon were all viable. however, the cecum in particular, but the remainder of the colon was quite distended and filled with soft solid stool. similarly, the sigmoid colon and upper rectum were normal. given that the cecum was clearly viable and the wall was not particularly thin or edematous, i elected to proceed with a cecopexy rather than a bowel resection in this high-risk patient. i first wished to decompress the cecum and ascending colon somewhat and elected to do this through the appendiceal orifice. accordingly we elected to perform an open appendectomy. adhesions from the appendix to the cecum were taken down with the cautery. the appendiceal mesentery was then divided between schnidt clamps and ligated with 3-0 silk suture ligatures. the base of the appendix was then crushed. the appendix was excised and passed off the field. a 3-0 silk pursestring suture was placed around the base of the appendix on the cecum. a suction device was then placed through the open appendiceal stump and the gaseous distention was evacuated from the cecum and ascending colon; however, we could not completely decompress the colon as there was a large amount of formed stool throughout which was not readily amenable to removal. accordingly, the appendiceal stump was ligated with a 3-0 silk suture ligature. it was then dunked with the 3-0 silk pursestring and an additional 3-0 silk z stitch. the anterolateral wall of the cecum was then sutured to the right lateral abdominal wall with several 3-0 silk sutures placed through the tenia of the cecum and into the peritoneum of the right lateral abdominal wall. this positioned the cecum nicely in the right lower quadrant. there certainly was a lot of redundancy in the ascending and transverse colon, but we felt that by simply fixing the lead point the risk of recurrence should below. we elected not to place a cecostomy tube given the high morbidity and degradation and quality of life with such tubes. however, with the cecum adherent to the right lateral abdominal wall, we knew that postoperatively one could possibly be placed percutaneously if needed. intestinal contents were then returned to their natural position. the omentum was laid over the intestinal contents. our sponge and instrument counts reported as correct x2 by the nurse in charge. the fascia was closed with running #0 pds sutures. subcutaneous tissues were irrigated and the skin was closed with staples. a sterile dressing was applied. the patient tolerated the procedure well. there were no evident complications. she was transferred to the recovery room intubated, sedated and in stable condition as no icu beds were available at this time. fluids: one liter of crystalloid. blood products: none. urine output: none. estimated blood loss: was 25 ml. brief hospital course: ms. exploratory laparotomy with cecopexy and appendectomy on . the procedure was uncomplicated, but she was transferred to the icu for postoperative observation due to her multiple comorbidities. her potassium was repleted. she did well there and was transferred to the floor on pod 2. her postoperative course was relatively uncomplicated - chronic pain consult was called and her pain was controlled with po dilaudid and nsaids, she slowly regained her physical strength, and was advanced to regular diet by pod 5. a family meeting was called to discusse options for increased level of care at home, and her caretaker was given a list of companies to call to obtain a personal care assistant. she was able to ambulate with her wheelchair by pod 6. she was passing flatus and with an aggressive bowel regimen had a large bowel movement on pod 8. she was discharged home in good condition with services, and was able to arrange for a personal care assistant to start on . medications on admission: oxycodone 15 mg 4-5 times daily, necon daily, buspar 30 mg , zometa twice a year, albuterol inh prn, flonase , colace tid, mvi, ca, vitamin b, vitamin c discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: six (6) ml po bid (2 times a day): hold for loose/watery stool. disp:*360 ml* refills:*2* 2. oxybutynin chloride 5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for bladder spasm. disp:*30 tablet(s)* refills:*0* 3. levocarnitine 330 mg tablet sig: one (1) tablet po bid (). 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. magnesium hydroxide 400 mg/5 ml suspension sig: 30-180 mls po qhs (once a day (at bedtime)). 6. ibuprofen 200 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*100 tablet(s)* refills:*2* 7. necon 0.5/35 (28) 0.5-35 mg-mcg tablet sig: one (1) tablet po once a day. 8. buspar 30 mg tablet sig: one (1) tablet po twice a day. 9. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation every 4-6 hours as needed for wheezing. 10. flonase 50 mcg/actuation spray, suspension sig: one (1) spray nasal twice a day. discharge disposition: home discharge diagnosis: cecal volvulus osteogenesis imperfecta spinomuscular atrophy discharge condition: good tolerating regular diet ambulating with wheelchair pain controlled bowel function returned discharge instructions: please call your surgeon if you develop chest pain, shortness of breath, fever greater than 101.5, foul smelling or colorful drainage from your incisions, redness or swelling, severe abdominal pain or distention, persistent nausea or vomiting, inability to eat or drink, or any other symptoms which are concerning to you. no tub baths or swimming. you may shower. if there is clear drainage from your incisions, cover with a dry dressing. leave white strips above your incisions in place, allow them to fall off on their own. activity: no heavy lifting of items pounds until the follow up appointment with your doctor. medications: resume your home medications. you should take a stool softener, colace 100 mg twice daily as needed for constipation. you will be given pain medication which may make you drowsy. no driving while taking pain medicine. diet: you may resume your regular diet. followup instructions: call dr. office () to schedule a followup appointment in weeks from now. follow up with your primary care physician weeks for a postoperative visit. procedure: other incidental appendectomy intra-abdominal manipulation of large intestine other fixation of large intestine diagnoses: other chronic pain abdominal pain, unspecified site other ascites volvulus disorder of bone and cartilage, unspecified osteogenesis imperfecta hereditary progressive muscular dystrophy other acute postoperative pain 

Answer: The patient is high likely exposed to