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: this is a 67-year-old female with a history of metastatic rectal cancer who was admitted to the surgical service postoperatively after pelvic resection. past medical history: 1. hypertension. 2. hypercholesterolemia. 3. mitral valve prolapse. 4. right kidney hydronephrosis. 5. colon cancer; status post chemotherapy and radiation treatment. 6. hypothyroidism. 7. ovarian cancer. past surgical history: 1. anterior/posterior resection in . 2. supracervical hysterectomy and bilateral salpingo-oophorectomy. 3. multiple ventral hernia repairs. medications on admission: 1. synthroid 125 mcg p.o. once per day. 2. atenolol 25 mg p.o. once per day. 3. simvastatin 20 mg p.o. once per day. 4. detrol 4 mg p.o. once per day. 5. levaquin 250 mg p.o. once per day. 6. pepcid 20 mg p.o. once per day. allergies: no known drug allergies. social history: the patient use to smoke tobacco, but she quit many years ago. occlusion alcohol. no intravenous drug use. hospital course by issue/system: 1. surgical procedure: on hospital day one, the patient underwent an exploratory laparotomy, lysis of adhesions, cystoscopy, bilateral ureteral stent placement, left urethral catheter placement, resection of pelvic mass, left ureteroureterostomy, resection of presacral mass, and partial vaginectomy, and partial urethrectomy. this surgery was complicated by an estimated blood loss of approximately 9000 cc. intraoperatively, the patient received 10 liters of crystalloid fluids, 6 units of fresh frozen plasma, 13 units of packed red blood cells, and 2 units of platelets, and 2 units of cryoprecipitate. the patient had a large pelvic mass which was resected, a jj stent placed, - drain placed, and a central line placed. immediately postoperatively, the patient was transferred to the surgical intensive care unit, at which time she was still intubated. the patient was kept on a ventilator and continued to do well and was extubated on postoperative day one. she remained hemodynamically stable. the rest of this dictation will be done by system. 2. cardiovascular system: immediately postoperatively, after receiving a total of 10 liters of fluid, 6 units of fresh frozen plasma, 13 units of packed red blood cells, 2 units of units, and 2 units of cryoprecipitate the patient was hemodynamically stable. during the evening on postoperative day zero, the patient was found to have some blood pressures. her blood pressures were in the 60s to 80s systolic over 30 to 40 diastolic. her hematocrit was checked, at which time it was 26.3%. her coagulations were as follows; prothrombin time was 15.5, partial thromboplastin time was 47.5, inr was 1.6, and fibrinogen was 174. the patient's hypotension responded with a bolus of one liter of fluid. otherwise, she remained hemodynamically stable throughout her hospital course. after this point, her blood pressures remained stable; ranging between 130 to 160 systolic over 70 to 90 diastolic. 3. hematologic issues: as stated above, the patient received multiple blood products. her hematocrit initially postoperatively was 26.3%. she received another 2 units of packed red blood cells as well as 1 unit of fresh frozen plasma on postoperative day one. her hematocrit remained stable at 26% to 29%. her coagulations after receiving an additional unit of fresh frozen plasma remained stable. on her inr was 1, and prothrombin time was 12, and partial thromboplastin time and 30. 4. respiratory issues: initially postoperatively, the patient was transferred to the medical intensive care unit intubated on synchronized intermittent mandatory ventilation. she was on pressure support, and her fio2 was 50%. the patient was extubated on postoperative day one and was kept on 10-liter facial mask. her oxygen saturations were all above 95%. the patient was taken off the facial mask on postoperative day three and transferred to the regular hospital floor. after this point, there were no other respiratory issues. the patient remained on room air with oxygen saturations between 97% to 100%. 5. fluids/electrolytes/nutrition/gastrointestinal issues: immediately postoperatively, the patient was kept nothing by mouth. a pepcid intravenous drip 20 mg twice per day was given. the patient was able to tolerate a liquid diet by postoperative day two. she was further advanced, and by postoperative day three she was tolerating a regular diet. her ostomy site remained clean, dry, and intact. there was good coloring in this area. it was producing stool and gas as well. there were no complications with the ostomy site. 6. neurologic issues: the patient was initially intubated and was given bupivacaine sedation. the patient remained awake and alert throughout her hospital stay. she suffered no neurologic damage. she was mentating and answering questions appropriately immediately postoperatively. 7. infectious disease issues: the patient received three doses of prophylactic antibiotics with cefazolin 1 g q.8h. as well as flagyl 500 mg intravenously q.8h. she remained afebrile throughout her hospital course. however, on postoperative day six, she developed some urinary incontinence. at this time, urology recommended starting the patient on levaquin 250 mg times three days. the patient does have a history of chronic urinary tract infections. 8. urinary issues: initially postoperatively, the patient had a foley catheter placed. the foley catheter was draining clear/yellow urine without any complications. on postoperative day three, the foley catheter was removed. the patient was able to urinate well. the patient did complain of some urinary incontinence on postoperative day five. a urinalysis was obtained which was negative. the culture was still pending to date. given the fact that the patient has a history of chronic urinary tract infections, a urology consultation was obtained. a postvoid residual was checked and was found to be 100 cc. it was thought that her urinary incontinence was secondary to bladder spasms. she was placed on detrol-la 4 mg p.o. once per day as well as a prophylactic dose of levaquin 250 mg once per day times a total of three days. for her urinary stent, this was to remain in place until either the patient undergoes radiation treatment, or in four to six weeks the stent will be removed. medications on discharge: 1. synthroid 125 mcg p.o. once per day. 2. atenolol 25 mg p.o. once per day. 3. simvastatin 20 mg p.o. once per day. 4. detrol-la 4 mg p.o. once per day. 5. levaquin 250 mg p.o. once per day (times a total of three days). 6. pepcid 20 mg p.o. once per day or twice per day as needed. 7. percocet (a total of 60 tablets were dispensed). discharge diagnoses: 1. status post cystoscopy, left ureteral stent placement, resection of presacral mass, left ureteroureterostomy, partial urethrotomy, and partial vaginectomy. 2. hypertension. 3. hypercholesterolemia. 4. mitral valve prolapse. 5. right kidney hydronephrosis. 6. history of colon cancer; status post chemotherapy and radiation treatment. discharge instructions/followup: 1. the patient was to follow up with dr. in one to two weeks for a follow-up appointment. 2. the patient was to follow up with chemotherapy/radiation oncologist should she need further treatment. 3. the patient was to follow up with urology in one to two weeks for stent evaluation as well as incontinence problems. 4. the patient was to follow up with her primary care physician for any further medical needs. , m.d. dictated by: medquist36 procedure: other cystoscopy excision or destruction of peritoneal tissue ureteral catheterization retrograde pyelogram excision or destruction of lesion or tissue of abdominal wall or umbilicus obliteration and total excision of vagina partial ureterectomy diagnoses: pure hypercholesterolemia mitral valve disorders unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism secondary malignant neoplasm of other specified sites hydronephrosis personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus personal history of malignant neoplasm of ovary 

Answer: The patient is high likely exposed to