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: amoxicillin / lovenox attending: chief complaint: hypotension after exploratory laparotomy major surgical or invasive procedure: ct guided drainage of abdominal abscess history of present illness: 75 f s/p umbilical hernia repair on for incarcerated umbilical hernia c/b intra-abdominal bleed s/p ex-lap now transferred from osh for further management the patient had undergone repair of her umbilical and was recovering from this when she became hypotensive. a ct was performed that demonstrated significant amount of blood in the abdomen. the patient was taken to the or for an emergent exploratory laparotomy. postoperatively she had a ph of 7.03 and was then transferred to > past medical history: pmh: htn, hl, oa, obesity, cad (no mis), tia, niddm, af on coumadin, copd, osa, etoh abuse. psh: hysterectomy, tha, umbilical hernia repair as above social history: + tobacco remote + etoh family history: non contributory physical exam: temp 99.2 123af bp 127/69 rr 20 100 cmv 400x17p5@40% alert, responds appropriately, intubated. ctab irreg irreg abd soft, diffusely tender, no rebound/guarding. 1+ edema ble pertinent results: ct abd/pelvis : 1. no findings of bowel obstruction. small-to-moderate sized fluid collection within the subcutaneous tissues and peritoneal cavity along the lateral right abdominal wall/flank. this appears predominantly simple by hounsfield unit attenuation and contains internal locules of gas, presumably related to the recent surgery. there is incomplete rim enhancement and underlying superinfection not excluded. if there remains a high clinical concern for infection, collection should be amenable to percutaneous aspiration. 2. moderate atherosclerotic disease and marked mitral annular calcification. 3. moderate right and small left pleural effusion. trace pericardial effusion. mild amount of intra-abdominal ascites. 4. high-density material within the gallbladder may reflect vicarious excretion of previously administered intravenous contrast or biliary sludge. the gallbladder is moderately distended, likely related to n.p.o. status. however, if there remains a high clinical concern for acalculous cholecystitis, suggest correlation with hida examination. 5. significant bladder distention at time of examination. please correlate for any clinical symptoms of urinary retention. small amount of gas within the bladder likely reflects recent instrumentation/foley catheter. 6. slight asymmetrical positioning of the femoral head within the acetabular component of the right hip arthroplasty. this may simply reflect patient positioning, but can be better assessed with dedicated pelvic radiograph to evaluate for uneven acetabular wear. 7. incompletely characterized left adrenal mass. in a patient without any history of malignancy, this is almost certainly a benign adenoma. current guidelines do suggest correlation with biochemistry to assess for a functional adenoma and repeat imaging in 12 months to exclude growth if there are no prior imaging is available to document stability. ct guided drainage of abdominal abscess : technically successful ct-guided aspiration and drainage of a right lateral abdominal collection yielding clear dark brownish red fluid suggestive of subacute to chronic hematoma/seroma. 6 french catheter left to bag and gravity drainage. specimen sent to microbiology for further analysis. 02:23pm wbc-32.2* rbc-3.12* hgb-10.1* hct-28.3* mcv-91 mch-32.4* mchc-35.8* rdw-16.5* 02:23pm plt count-232 02:23pm pt-24.6* ptt-33.5 inr(pt)-2.3* 02:23pm alt(sgpt)-780* ast(sgot)-1157* ld(ldh)-* ck(cpk)-633* alk phos-51 tot bili-0.8 02:23pm glucose-180* urea n-26* creat-1.6* sodium-137 potassium-4.3 chloride-102 total co2-24 anion gap-15 02:28pm lactate-4.6* 07:14pm wbc-31.9* rbc-3.12* hgb-10.2* hct-28.0* mcv-90 mch-32.5* mchc-36.3* rdw-17.2* 07:14pm glucose-137* urea n-30* creat-1.9* sodium-141 potassium-4.8 chloride-104 total co2-26 anion gap-16 07:14pm alt(sgpt)-956* ast(sgot)-1364* ld(ldh)-1619* alk phos-54 tot bili-0.7 07:38pm lactate-2.7* 1:56 pm peritoneal fluid peritoneal fluid. gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. fluid culture (preliminary): no growth. anaerobic culture (preliminary): no growth. 4/27/11wbc 12.1 hct 31.6 plt ct 418k brief hospital course: mrs. was evaluated by the acute care service in the emergency room and admitted to the sicu for further management. she was intubated and sedated and required voluminous fluid resuscitation to correct her acidosis. her renal function gradually improved and over a 24 hour period she was weaned and extubated from the respirator. her wbc on admission was 32k but that gradually decreased and she remained afebrile. her hematocrit drifted to 21 and following two units of packed red blood cells she stabilized. following transfer to the surgical floor she began to progress. she was gradually tolerating a regular diet but unfortunately failed two voiding trials requiring replacement of the foley catheter. her abdominal wound was healing well. she was evaluated by the physical therapy service who recommended a short term rehab prior to returning home to help increase her mobility and stamina. of note, she remained in rate controlled atrial fibrillation and her coumadin was not resumed due to her prior bleeding. her pcp can decide after she's fully recovered if she should resume it. she did have 1 episode of chest pain during her admission with negative enzymes and no ischemic changes on her ekg. this happened just prior her developing an abdominal wound collection. on her wbc started to rise again and she had increased abdominal pain. an abdominal ct was done which noted a fluid collection along the right flank and subsequently she underwent percutaneous drain placement which resolved her pain. she was also placed on cipro and flagyl. her diet was resumed and she was feeling much better. her drain is putting out about 50 cc of dark bloody fluid daily and her hematocrit is stable at 31. her creatinine is now down to her baseline of 0.5. the preliminary cultures on the abdominal fluid are negative. mrs. will be discharged to rehab on and will follow up in the clinic next week. medications on admission: , , fosamax, lopresser, fentanyl patch, percocet, nitro patch, senna, spiriva, vitd, betagen eye drops. discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for diarrhea. 3. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 4. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 5. heparin (porcine) 5,000 unit/ml solution sig: one (1) cc injection tid (3 times a day). 6. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for wheezing. 7. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours): for pain. 8. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours): thru . 9. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours): thru . 10. nitroglycerin 0.2 mg/hr patch 24 hr sig: one (1) patch 24 hr transdermal q24h (every 24 hours). 11. hydromorphone 2 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain. 12. betagan 0.5 % drops sig: one (1) drop ophthalmic once a day: both eyes. discharge disposition: extended care facility: - discharge diagnosis: 1. abdominal wound abscess 2. urinary retention 3. chronic atrial fibrillation 4. acute renal failure 5. acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you underwent a repair of your abdominal hernia which was complicated by bleeding into your abdomen. you underwent a exploration of your abdomen. you were transferred here because you had a large fluid requirement and abnormal electrolytes and there was a concern for infection. you were admitted to the intensive care unit for monitoring. your bleeding stopped and your electrolytes normalized. unfortunately your pain increased due to an abdominal abscess. the area has been drained and the tube will stay in for now. you will continue antibiotics until your follow up appointment. you will need a short term rehab stay prior to returning home to increase your strength and mobility. 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 , unless specifically advised not to take a particular medication. 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. * your staples will be removed at rehab. followup instructions: call the acute care clinic at for a follow up appointment in 1 week. bring a record of the daily drainage from your abdominal drain with you. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified percutaneous abdominal drainage arterial catheterization diagnoses: acidosis obstructive sleep apnea (adult)(pediatric) acute kidney failure with lesion of tubular necrosis other postoperative infection unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver chronic airway obstruction, not elsewhere classified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft hematoma complicating a procedure alcohol abuse, unspecified other and unspecified hyperlipidemia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation retention of urine, unspecified pressure ulcer, lower back obesity, unspecified peritoneal abscess pressure ulcer, stage ii 

Answer: The patient is high likely exposed to