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 major surgical or invasive procedure: : laparascopic repair of gastric ulcer history of present illness: 55f w/ h/o carotid stenosis/le claudication and diverticulosis (last c-scope ~ 1 yr ago @ osh) presents with an acute onset of epigastric pain 4 hours prior to arrival in ed. she was seen at and was reportedly hypotensive initially to sbp 80s. upright cxr showed a question of bowel gas vs free air below left diaphragm. there was no ct scanner available at due to power outage and so patient was transferred here for further eval/management. the patient reports recent h/o of nausea vomiting (from "some stomach bug") and diarrhea x2 days (described as "dark" but no brbpr) but wasn't sure about passing flatus recently. she denies fevers or chills, nausea/vomiting, hematemesis, history of gi bleeds/diverticulitis, cp, sob. past medical history: past medical history: htn, hypercholesterolemia, diverticulosis (last c-scope ~1yr ago), carotid stenosis, le claudication past surgical history: tonsillectomy social history: lives in w/ husband, occupation is assistant to husband in furniture business, +tobacco smoking h/o ~35yrs on/off, social etoh, no ivdu family history: n/c physical exam: on admission: physical exam: vitals: 96.5 104 106/79 20 98% 4l nasal cannula gen: a&o, nad heent: no scleral icterus, mucus membranes moist cv: tachycardic, regular rhythm, no m/g/r pulm: clear to auscultation b/l, no w/r/r abd: hypoactive bowel sounds, soft, mild distension, +ttp midepigastrium/luq w/ focal rebound, no palpable masses ext: no le edema, le warm and well perfused pertinent results: labs: 07:05am blood wbc-7.4 rbc-3.30* hgb-11.0* hct-31.4* mcv-95 mch-33.4* mchc-35.2* rdw-13.4 plt ct-567* glucose-94 urean-8 creat-0.4 na-143 k-3.9 cl-105 hco3-29 angap-13 calcium-8.8 phos-3.5 mg-2.3 02:42pm blood gastrin-pnd 10:01am blood vanco-6.9* 03:29am blood type-art po2-111* pco2-33* ph-7.45 caltco2-24 base xs-0 01:18am blood pt-13.7* ptt-34.2 inr(pt)-1.2* 01:18am blood probnp-988* 01:33am blood lactate-0.9 04:15pm blood wbc-10.1 rbc-4.19* hgb-14.5 hct-40.0 mcv-95 mch-34.6* mchc-36.2* rdw-13.5 plt ct-433 neuts-85* bands-1 lymphs-10* monos-4 eos-0 baso-0 atyps-0 metas-0 myelos-0 hypochr-1+ anisocy-occasional poiklo-occasional macrocy-1+ microcy-normal polychr-occasional stipple-occasional how-jol-occasional pappenh-1+ pt-11.9 ptt-20.8* inr(pt)-1.0 glucose-106* urean-15 creat-0.9 na-136 k-4.7 cl-101 hco3-23 angap-17 alt-18 ast-20 alkphos-67 amylase-159* totbili-0.7 lipase-58 calcium-9.7 phos-4.8* mg-1.6 glucose-98 lactate-1.6 na-135 k-4.2 cl-102 10:53pm blood hgb-12.1 calchct-36 hgb-13.8 calchct-41 10:53pm blood freeca-1.25 imaging: : cxr: impression: pneumoperitoneum. please correlate with ct abdomen ct abd & pelvis with contrast: impression: pneumoperitoneum with active intraperitoneal spillage of oral (water soluble) contrast, likely secondary to a perforated duodenal ulcer. please note, given the mural edema and mucosal irregularity in the gastric antrum, malignancy cannot be excluded. : impression: cta chest w&w/o c&recons, non-coronary: impression: 1. no evidence of pulmonary embolism. 2. multifocal consolidations concerning for pneumonia. 3. new bilateral pleural effusions and bilateral lower lobe atelectasis. : ecg: impression: sinus rhythm. possible septal myocardial infarction, age indeterminate. low voltage in the limb leads. no previous tracing available for comparison : chest (portable ap): impression: since , there is mild interval worsening of the pulmonary edema. again, stable left lung base atelectasis and bilateral mild pleural effusions. : impression: normal upper gi without evidence of leak. brief hospital course: ms. presented to an osh with acute onset epigastric pain and hypotension. an upright cxr was obtained at the osh suggested a possible bowel gas pattern under the left diaphragm versus free air. the patient was subsequently transferred to the emergency department for further management. an abdominal ct scan was obtained and revealed pneumoperitoneum with active intraperitoneal spillage of oral (water soluble) contrast attributed to a perforated duodenal ulcer. intravenous fluids, pain, and nausea medication were administered. intravenous ciprofloxacin was also administered. the patient was then taken emergently to the operating room where a perforated gastric ulcer was identified and a laparascopic repair of the perforated gastric ulcer was performed. there were no adverse events in the operating room; please see operative note for details. pt was extubated, taken to the pacu until stable, then transferred to the surgical intensive care unit for further management. the patient remained in the intensive care unit until pod 4. she was then transferred to the general surgical for observation. neuro: the patient was alert and oriented throughout her hospitalization; pain was initially managed with a dilaudid pca. pain medication was transitioned to oral oxycodone once tolerating a diet. cv: the patient required intraoperative pressors, which were resumed on pod0, in addition to a fluid bolus, in the sicu due to hypotension. pressors were discontinued on pod2. additionally, a lasix drip was initiated on pod1 due to. .; the lasix drip was transitioned to intravenous dosing on pod 4 and discontinued on pod 9; electrolytes were repleted prn. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirometry were encouraged throughout hospitalization. gi/gu/fen: she was initially kept npo. patient's intake and output were closely monitored. id: the patient's fever curves were closely watched for signs of infection, of which there were none. heme: the patient's blood counts were closely watched for signs of bleeding, of which there were none. prophylaxis: the patient received subcutaneous heparin and dyne boots were used during this stay; she was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: toprol xl 200 mg daily amlodipine 5 mg daily lisinopril 20 mg daily aspirin 81 mg daily cilostazol 100 mg lovastatin 40 mg daily ambien 5 mg q hs prn aspirin 81 mg daily caltrate + d 600 mg- 400 mg glucosamine 1000 mg daily discharge medications: 1. oxycodone 5 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain. disp:*50 tablet(s)* refills:*0* 2. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours): do not exceed 3000 mg per 24 hour period. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 7. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*30 capsule(s)* refills:*0* 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po once a day. 9. cilostazol 100 mg tablet sig: one (1) tablet po twice a day. 10. lovastatin 40 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: perforated gastric ulcer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital with abdominal pain. an abdominal ct scan was obtained and was suspicious for an intestinal perforation , therefore, you were taken to the operating room and subsequently underwent a laparascopic repair of a perforated gastric ulcer. you recovered in the hospital and are now preparing for discharge to home with the following instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down 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. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications except for the following changes: 1. stop toprol xl(extended releas metoprol). a new prescription for twice daily metoprolol has been provided to you. please notify your primary care provider of this change. please seek immediate medical attention if you experience a severe headache, blurred vision, weakness, difficulty speaking and/ dizziness. 2. please take 20 mg lisinopril daily (current home dose 40 mg daily). please follow the above instructions regarding your blood pressure. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: please contact the acute care service to make a follow-up appointment within 2 weeks. provider: () lmob (nhb) phone: date/time: 12:30 provider: ,equipment lmob (nhb) phone: date/time: 12:30 provider: () lmob (nhb) phone: date/time: 1:15 md procedure: venous catheterization, not elsewhere classified other repair of stomach diagnoses: acidosis unspecified essential hypertension peripheral vascular disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure ventilator associated pneumonia accidents occurring in residential institution diverticulosis of colon (without mention of hemorrhage) chronic or unspecified gastric ulcer with perforation, without mention of obstruction 

Answer: The patient is high likely exposed to