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 was admitted with one day of abdominal pain. the patient's pain began at 4 a.m. with acute onset and was of a nature that the patient had never experienced before. the pain was diffuse, but otherwise the characteristics were unknown. there was no ever reported radiation of the pain; no nausea, vomiting, fevers or chills. the patient had a bowel movement the prior day. there was no bright red blood per rectum or melena. the patient had had an upper respiratory infection and dry cough for seven days prior to admission. no recent antibiotics, shortness of breath or chest pain. past medical history: 1. coronary artery disease, status post myocardial infarction in ; status post right coronary artery stent; ejection fraction of 40%. 2. arthritis. 3. vertigo. 4. status post bilateral cataracts. 5. hypercholesterolemia. 6. nsaids gastritis. 7. depression. 8. anxiety. allergies: no known drug allergies. medications: 1. zoloft 50 mg q. day. 2. multivitamin. 3. lasix 20 mg q. day. 4. calcium. 5. vitamin d. 6. lipitor 20 mg q. day. 7. aspirin 81 mg q. day. 8. feso4 325 mg q. day. 9. potassium chloride 20 meq four times a day. 10. tylenol p.r.n. 11. benicar 20 mg q. day. physical examination: temperature 97.0 f.; pulse 83; blood pressure 160/43; respiratory rate 22; 98% on room air. in general, frail elderly female in no apparent distress pulling at her cover, awake, alert and oriented times one. lungs: expiratory wheezes, decreased breath sounds at bases bilaterally. cardiovascular: regular rate and rhythm; no murmurs, rubs or gallops. abdomen: soft, distended, nontender, hypoactive bowel sounds. no rebound, no guarding. rectal: normal tone, stool in vault, guaiac negative. laboratory: studies reveal white blood cell count 7.7, hematocrit 37.7, platelets 235; neutrophils 71%, bands zero. sodium 133, potassium 4.4, chloride 98, bicarbonate 27, bun 18, creatinine 0.8, glucose 120. calcium 9.2, magnesium 1.8, phosphorus 3.2. kub: no free air, single air fluid level in mid abdomen, no evidence of colonic obstruction. abdominal ct scan reveals multiple dilated loops of small bowel with associated stranding in mesentery and thickening of bowel wall representing a high grade small bowel obstruction with incarcerated internal hernia; small pericardial effusion; ascites. hospital course: upon admission, an nasogastric tube was placed with marked improvement in the patient's abdominal distention. the initial plan was to continue the nasogastric tube with intravenous fluids, however, later in the morning of , the patient's abdominal examination worsened with more tenderness in her lower quadrant and a repeat white blood cell count had risen from 7.7 to 12.6. it was therefore decided to take the patient to the operating room for exploration of a small bowel obstruction with possible ischemic small bowel. the patient underwent an exploratory laparotomy with small bowel resection and primary anastomosis. there were several adhesive bands noted in the right lower quadrant sidewall that were likely the source of an internal hernia which appeared to have spontaneously reduced, however, there was a 35 centimeter segment of jejunum intussuscepted that had infarcted. this portion of the jejunum was resected. please see dictated op note for further details. immediately postoperatively, the patient was taken to the surgical intensive care unit, intubated and sedated. she was medically stable and the plan was to wean the ventilator to extubation. she was on simv with 60% fio2 and a blood gas of 7.38, 32, and 211. the patient was placed on perioperative kefzol and flagyl and remained afebrile while in the intensive care unit. on postoperative day one, the patient's blood gas was 7.38, 30, 145, 18, negative five. because of the acidosis with base deficit, a renal consultation was obtained. the renal team recommended conservative management for what appeared to be a metabolic acidosis with respiratory alkalosis. they expected that it would correct slowly on its own which it did over the course of two days. the patient required a large amount of intraoperative fluids and by postoperative day one was positive 6.5 liters. on postoperative day two, the patient was extubated and had a blood gas of 7.3, 37, 120, 23, minus 2. the patient was positive another 2.2 liters for that day. the patient remained afebrile and the white count rose to 13.6. a chest x-ray was obtained which showed bilateral pleural effusions with atelectasis. on postoperative day three, the nasogastric tube was removed and the patient was okayed for floor status. the patient remained afebrile. her white blood cell count dropped slightly to 12.9. her last blood gas was 7.42, 35, 106, 23, zero, showing a resolution of her acid base. at this time, the patient was noted to be somewhat confused and an order was made to minimize the amount of morphine she received. prior to this time, the patient had been sedated sufficiently to be unable to assess her mental status. the patient ran a 95 cc surplus over the prior day leaving her positive approximately nine liters. she was noted to have coarse breath sounds and aggressive pulmonary toilet was continued from previous days. on postoperative day four at night the patient had a brief run of tachycardia. the rhythm was a junctional rhythm and an ekg was obtained which was unchanged from previous electrocardiograms showing normal sinus rhythm. the patient remained afebrile and heart rate was 72 and blood pressure 120/70. on examination, she was noted to have some moderate right quadrant tenderness with some slight distention. her lungs were clear and saturations were good at 96% on three liters of o2. the patient nevertheless remained confused and she her morphine dose was decreased to 0.5 q. three hours p.r.n. on postoperative day five, the patient remained afebrile with good heart rate and blood pressure but her saturations dropped to 93% on three liters. she was oriented times three and was noted to have crackles posteriorly. the patient was therefore begun on her lasix to help with diuresis and she appeared to be mobilizing fluids from the or. the patient's diet was advanced to sips which she tolerated well. a chest x-ray was also obtained which showed congestive heart failure with worsening effusions bilaterally; however, on the following day, postoperative day six, the patient was saturating at 94% on room air and her lung examination was clear in the posterior bases. she continued to have mild abdominal tenderness but had had three bowel movements. the patient was doing quite well. she was starting to ambulate on her own. later on, postoperative day six, while the patient was in the bathroom, she experienced a fall while being attended by three other people. the patient fell backwards on her occiput on the bathroom floor. following the fall, the patient's neurological examination was stable and she had no calvarial step-offs. the patient was put on bed precautions and was only allowed out of bed under supervision. the following morning a ct scan of the head was obtained which showed no acute bleeds and no midline shifts. on postoperative day seven, the patient continued to be poorly oriented as she was prior to her fall. her neurological examination was stable and her respiratory examination was noted for crackles in the posterior lung fields. the patient continued on a clear liquid diet and had moderate distention. later on postoperative day seven, the patient was advanced to a full liquid diet which she tolerated well. on postoperative day eight, a foley catheter was replaced in order to get a better handle on the patient's intakes and outputs. she continued to have crackles posteriorly and was moved to lasix 40 mg p.o. q. day. the patient's abdominal examination continued to be benign. her mental status was much improved. on postoperative day ten, the patient's mental status continued to clear. on postoperative day ten the patient's white blood cell count spiked to 14.7, but by postoperative day eleven, the white blood cell count was back down to 9.5. the patient was placed on all of her home p.o. medications except benicar. she continued to receive metoprolol in its absence. the patient's intravenous was hep-locked. her abdominal examination continued to be benign and her foley was taken out. a chest x-ray showed a decrease in the size of the effusion. the remainder of the hospital course is to be dictated at a later date. , m.d. procedure: other partial resection of small intestine insertion of other (naso-)gastric tube other lysis of peritoneal adhesions small-to-small intestinal anastomosis diagnoses: pure hypercholesterolemia percutaneous transluminal coronary angioplasty status old myocardial infarction acute vascular insufficiency of intestine intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) intussusception arthropathy, unspecified, site unspecified hernia of unspecified site without mention of obstruction or gangrene 

Answer: The patient is high likely exposed to