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 an 80 year-old female with history of hypertension, hyperlipidemia and bipolar disorder. she comes in with abdominal pain of less than 1 days duration. she describes the pain as sharp and epigastric and band-like in nature. she has had some nausea with a few episodes of vomiting without signs of hematemesis. she was found by social working writhing in pain at her group home. she, of note, has a long history of constipation but no recent diarrhea. she reports no chest pain, shortness of breath or other associated symptoms. otherwise, had been taking a normal diet for the last 2 days. past medical history: significant for hyperlipidemia, hypertension; history of ventricular fibrillation with cardiac arrest. she has a converting device in place. status post cholecystectomy. obsessive compulsive disorder, bipolar disorder and b-12 deficiency with a questionable allergy to sulfa and zoloft. physical examination: on admission, temperature was 99.4 fahrenheit; heart rate 84; blood pressure 108/64; respiratory rate 20 and breathing 97% on room air. general: she was a moderately distressed elderly appearing female. she was normocephalic, atraumatic. pupils were equally round and reactive to light. extraocular movements intact. oropharynx was clear and mucous membranes were moist. neck was supple with no lymphadenopathy. no masses or thyromegaly were appreciated. heart was regular rate and rhythm with no murmur, rub or gallop. normal s1 and s2, clear to auscultation bilaterally without wheezes, rales or rhonchi. abdomen was firm, diffusely tender with hypoactive bowel sounds and was severely distended. there were no signs of any rebound or guarding at this time and there were no masses palpated on exam. there was no hepatosplenomegaly. extremity exam revealed no clubbing, cyanosis or edema. neurologic exam revealed the patient to be alert and oriented to person and place but not time and occasionally seemed confused and disturbed by the situation at hand. her strength was throughout and her sensation was normal throughout. hospital course: at this time, the patient was further evaluated in the emergency department. a kidney, ureter, bladder film was performed that revealed marked dilation of the descending and transverse colon to 10.7 cm and then a distinct transition point in the descending colon. there was no free air and no dilated loops of small bowel. there was no air in the rectum. at this point, cecal volvulus was considered primarily with question of perforation. there was also free air on this film under the diaphragm on the right side, tracking down to the hip. also at this time, a cat scan was performed. an attempt was made to decompress with a rigid sigmoidoscope. this was unsuccessful. this was done by the gastroenterology service; thus, the patient required an emergent trip to the operating room. on the cat scan, there was also notable free air retroperitoneal and subcutaneous and a cecal volvulus with colon up to 15 cm. the patient was consented and brought to the operating room urgently after intravenous fluids and antibiotics were instituted. under general anesthesia, the procedure was performed which included a right colectomy, a repair of a sigmoid perforation, primarily an end ileostomy and an end transverse colostomy. the patient tolerated the procedure well under general anesthesia and received 4500 ml of crystalloid. she had a urine output of 345 ml during the case. a drain was also placed at this time and her estimated total blood loss was 250 ml. the right colon, at this time, was sent for pathology. in the immediate postoperative period, the patient's pain was fairly well controlled. her sedation was weaned and she was extubated on postoperative day number 2. she was placed on metoprolol at this time and she was continued on intravenous fluids and antibiotics. the electrophysiology service was also consulted for her converting device and suggested that she have an appointment as an outpatient in and that the device was indeed functioning normally after interrogation. the patient also had inpatient nutritional assessments at this time and they suggested she would likely need tpn. also, at this time, the psychiatry service was consulted. they suggested using haldol as needed for agitation. this recommendation was followed by the general surgery service. they also suggested starting klonopin when the patient was taking p.o. again. on postoperative day number 3, the patient continued to improve. she was on a nitro drip at this time for blood pressure elevation. she began to self diurese. on postoperative day number 4, it was determined that the patient would be made dnr/dni for the family. the nitro drip was weaned. she was continued on sips. the plan was for discharge to the floor in the next 1 to 2 days. on , postoperative day number 5, the patient was transferred to the floor. she was continued on hydration with intravenous fluids. on postoperative day number 6, the patient continued to progress well. she began to be seen by physical therapy. she was started on full liquids and her - drain was removed. she also had wicks in the wound. at this point, every other wick was removed and the wound looked clean, dry and intact without any signs of erythema or purulent drainage. also, at this time, a geriatrics consult was sought. they saw the patient on . following their recommendations, we began tylenol as a standing order, 1 gram 3 x a day and oxycodone 2.5 mg 3 x a day. they also suggested starting her back on her home medications which were klonopin 0.5 q. h.s. and lamictal 25 mg q. day. at this point, haldol was also discontinued. the patient continued to improve throughout the postoperative period. on , she was taking a regular diet. she was off all intravenous fluids and all intravenous medications. she was being followed by physical therapy. her confusion seemed to be improving though she continued to have occasional bouts of incontinence. this also began to improve as she resumed her home medication regimen. she was deeded fit for discharge to a rehabilitation facility. the case was discussed at length with her daughter, , who agreed with this plan. discharge instructions: the patient will be discharged to a having worsening pain, fevers, chills, nausea and vomiting, shortness of breath, chest pain, redness or drainage about the wounds or if there were any questions or concerns. the patient was to take medications as directed. discharge medications: metoprolol 12.5 mg p.o. b.i.d., oxycodone 2.5 mg p.o. q. 8 hours prn. lamictal 25 mg p.o. q. day. klonopin 0.5 mg p.o. q. h.s., acetaminophen 1000 mg p.o. t.i.d. escitalopram 5 mg p.o. q. day. seroquel 100 mg p.o. q a.m., 200 mg p.o. q h.s. pantoprazole 40 mg p.o. q. day. insulin per the sliding scale attached. heparin 5000 units subcutaneous t.i.d. disposition: the patient is to be discharged to rehab in stable condition. dr. procedure: venous catheterization, not elsewhere classified colostomy, not otherwise specified open and other right hemicolectomy other incidental appendectomy biopsy of lymphatic structure ileostomy, not otherwise specified suture of peritoneum automatic implantable cardioverter/defibrillator (aicd) check diagnoses: perforation of intestine acute vascular insufficiency of intestine volvulus 

Answer: The patient is high likely exposed to