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: perforated colon for a colostomy takedown. major surgical or invasive procedure: : colostomy takedown with colorectal anstomosis : ex-lap and resection of old anastomosis, hartmenns procedure and colostomy : resection of colostomy and ileostomy : washout and drainage placement : reopen old laparotomy with drain placement and alloderm mesh placement history of present illness: the patient is a 65-year-old woman who has had a liver transplant. she presented with a perforated colon which was resected and a hartmann pouch was made. she comes today for takedown of the colostomy. past medical history: - htn - liver transplant in for hcv acquired from blood transfusions following an abortion (acquired liver is hepatitis b positive) - hep c (acquired hep c after blood transfusion in setting of abortion. her most recent hcv viral load is 5,000,000 copies per patient) - hep b (per patient her transplanted liver came from a donor who had been exposed to hepatitis b) - chronic kidney disease (peak cr=3.2) social history: patient is from , but currently resides in . she was spending time in with her husband visiting her children. she denies alcohol or tobacco use. she never smoked. family history: patient denies family history of malignancy or cardiac conditions. physical exam: vs: 96.9, 99, 110/56, 24, 100%, wt 50.3 kg general: nad heent: perrl, eomi card: rrr resp: cta bilaterally abd: soft, tender, wound vac extr: no edema, wwp, 2+ dps tubes: jp drains neuro: mae discharge exam: afebrile, vss no distress rrr lungs clear abdomen soft, nontender, nondistended, central abdominal wound closing with wound vac, ostomy functioning, two jp drains moves all extremities well pertinent results: on admission: wbc-8.1# rbc-3.61* hgb-10.0* hct-31.5* mcv-87 mch-27.8 mchc-31.8 rdw-16.3* plt ct-159 pt-14.6* ptt-45.9* inr(pt)-1.3* glucose-145* urean-23* creat-2.1* na-141 k-3.2* cl-116* hco3-16* angap-12 alt-14 ast-17 alkphos-191* totbili-0.4 calcium-8.3* phos-2.9 mg-1.1* on discharge: wbc-4.6 rbc-3.79*# hgb-11.2*# hct-34.1*# mcv-90 mch-29.6 mchc-32.8 rdw-17.2* plt ct-173 glucose-167* urean-56* creat-1.6* na-139 k-5.1 cl-108 hco3-23 angap-13 alt-20 ast-32 alkphos-237* totbili-0.4 calcium-8.4 phos-4.7* mg-2.1 caltibc-183* ferritn-1402* trf-141* tacrofk-6.3 05:57am blood wbc-4.7 rbc-3.87* hgb-11.5* hct-34.6* mcv-90 mch-29.7 mchc-33.1 rdw-16.9* plt ct-175 05:57am blood glucose-113* urean-74* creat-1.9* na-136 k-4.1 cl-106 hco3-22 angap-12 05:57am blood alt-33 ast-32 alkphos-299* totbili-0.5 05:57am blood albumin-3.0* 04:53am blood caltibc-183* ferritn-1402* trf-141* 05:00am blood tacrofk-9.4 brief hospital course: 65 y/o female who presents for elective reversal of her hartmanns procedure. she was taken to the or with dr , she had the hartmenns reversed and extensive lysis of adhesions. post operatively the patient was mildly confused, which has happened in post op situations before. she received 2 units rbcs for hct 24% on she was taken back emergently to the or with dr for resection of the old anastomosis, hartmenns procedure and colostomy due to developed profuse drainage out of the wound. the new colostomy was very shallow and the area was difficult to maintain and keep dry. on she went again to the or for resection of the colostomy as she had started to put out basically stool from her wound and there was concern for a bowel injury or dehiscence of the colon. upon exploration, the old fascial closure at the top had separated. there was a separation of the colostomy from the site with leakage of stool into the peritoneum. as the entire right colon did not look normal dr elected to resect the entire right colon and bring out an ileostomy. the ileum was taken out through the skin and the ostomy matured. the midline incision was closed but required an alloderm fascial closure to close the defect. on she was noted to be having increased drainage out of her abdominal incision and due to concern for intra-abdominal abscess which was uncontrolled, she was taken back again for exploratory laparotomy and washout. two new drains were placed, and the abdominal incision was attempted to be controlled with dressing changes. we also attempted vac placement which was putting out the same stool appearing drainage that was coming out the drains. on she was taken back one more time for reopening of the old laparotomy with removal of the old drains and two new drains placed and also alloderm mesh placement in the upper incisioal area. gauze dressings were placed which were staying dry, and once the skin started to heal, a vac was again placed to include the old ostomy site and the abdominal incision. the jp drains will remain in place to facilitate fistula formation. neuro: her mental status is clear. she is alert and oriented x 3. she is on her home dose of paroxetine and her affect is appropriate. her pain is well controlled and she only requires small doses of intermittent iv morphine. . cardiovascular: she is hemodynamically stable. her blood pressure is the low side of normal and she is on midodrine . . pulmonary: oxygen saturations are 100% on room air. . gastrointestinal: she does have an early fistula. two jp drains are in place to help facilitate drainage and formation of this fistula. her incisional was repaired with alloderm mesh which is exposed. a wound vac was placed over this mesh to help facilitate granulation and closure of the wound. the wound vac is also over the old ostomy wound. her ileostomy is functioning. she is to remain npo except for sips of tea and occasional ice chips. . genitourinary: her urine output is adequate with no issues. . fluid/electrolytes/nutrition: she is maintained on continuous tpn for nutrition. she should have her electrolytes check twice a week. she was acidotic with a low bicarbonate requiring a bicarbonate drip. the drip was discontinued and the acetate increased in her tpn. her bicarbonate is now normal. she should have her bicarbonate level monitored and the acetate in the tpn adjusted accordingly. . hematological: her hematocrit has remained stable at a range of 30-34. she is epoetin three times a week. . endocrine: her blood sugars have been well controlled. she is on sliding scale insulin while she is on tpn. . infectious disease: she was maintained on adefovir throughout her hospital stay. . immunosuppresion: she is on mmf 500mg and tacrolimus 1mg . she should have her cbc and her tacro level monitored and the results faxed to the transplant office. medications on admission: adefovir 10mg daily, cellcept 500mg ,protonix 40mg daily, paroxetine 40mg daily, xifaxan 400mg tid, prograf 2mg qam and 1mg qpm, calcium + vitamin d discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection (2 times a day). 2. adefovir 10 mg tablet sig: one (1) tablet po q72 hours (). 3. mycophenolate mofetil 200 mg/ml suspension for reconstitution sig: five hundred (500) mg po bid (2 times a day). 4. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for pruritus. 5. paroxetine hcl 20 mg tablet sig: two (2) tablet po daily (daily). 6. midodrine 5 mg tablet sig: one (1) tablet po bid (2 times a day). 7. epogen 10,000 unit/ml solution sig: one (1) ml injection once a week. 8. tacrolimus 1 mg capsule sig: two (2) capsule po q12h (every 12 hours): please give sublingual. open capsule and sprinkle powder under the tongue. 9. pantoprazole 40 mg recon soln sig: one (1) recon soln intravenous q12h (every 12 hours). 10. morphine sulfate 0.5 mg iv q6h:prn pain 11. heparin, porcine (pf) 10 unit/ml syringe sig: one (1) ml intravenous prn (as needed) as needed for line flush. 12. ondansetron hcl (pf) 4 mg/2 ml solution sig: four (4) mg injection q8h (every 8 hours) as needed for nausea. 13. prochlorperazine edisylate 5 mg/ml solution sig: ten (10) mg injection q6h (every 6 hours) as needed for nausea. discharge disposition: extended care facility: & rehab center - discharge diagnosis: hartmanns reversal for previous perforated colon anastomotic breakdown peritonitis intra-abdominal abscess uncontrolled fistula s/p liver transplant for hcv discharge condition: fair/stable alert and oriented orthostatic with ambulation and requires assist with walker when oob discharge instructions: please call dr office at for fever, chills, nausea, vomiting, increased abdominal pain, increased drainage from the vac, skin breakdown in the area of the vac, ostomy or drains. measure and record the drain output twice daily and more often as needed. this drainage has been thick and tan/green in consistency and color. continue labs once weekly on mondays to include cbc, chem 10, ast, alt, t bili, alk phos, trough prograf level. fax results to transplant clinic at followup instructions: , md phone: date/time: 8:00 , md phone: date/time: 8:00 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances open and other left hemicolectomy open and other left hemicolectomy temporary colostomy enteral infusion of concentrated nutritional substances percutaneous abdominal drainage percutaneous abdominal drainage temporary ileostomy other lysis of peritoneal adhesions open and other right hemicolectomy reopening of recent laparotomy site reopening of recent laparotomy site closure of stoma of large intestine other repair and reconstruction of skin and subcutaneous tissue open biopsy of liver other revision of stoma of large intestine diagnoses: other and unspecified noninfectious gastroenteritis and colitis other postoperative infection cellulitis and abscess of trunk chronic hepatitis c without mention of hepatic coma chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified peritoneal adhesions (postoperative) (postinfection) surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted liver surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution peritoneal abscess persistent postoperative fistula attention to colostomy infection of colostomy or enterostomy surgical operation with formation of external stoma causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to