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: patient recorded as having no known allergies to drugs attending: chief complaint: bilious output from drains following exploratory laparotomy with bowel resection and loop colostomy for sigmoid perforation major surgical or invasive procedure: : 1. laparotomy and extensive lysis of adhesions. 2. take down of transverse loop colostomy with resection of colostomy and creation of new end loop stoma. 3. jejunal resection with primary anastomosis. : temporary abdominal closure with patch. : abdominal wall closure with plication. history of present illness: mrs. is an 80 year-old female with a h/o mi x 2 s/p left inguinal hernia repair and left chest mass removal , who initially presented to dr. clinic on for follow-up after her left inguinal hernia repair with complaints of severe abdominal pain , nausea, diaphoresis and chills. she was admitted to hospital. a ct scan of her abdomen/pelvis performed on the day of admission was suggestive of diverticulitis and she was initially started on levaquin and flagyl. her initial admission wbc was 4.9. she was found to have peritonitis the following day and underwent exploratory laparotomy with bowel resection and loop colostomy for sigmoid perforation . she remained intubated overnight postoperatively and was extubated without difficulty the following day, however, was found to be have atrial fibrillation with hr in the 140s. attempts to treat her afib with digoxin were unsuccessful. she was transfused a total of 1 unit prbc for a hct of 27.6 since her last operation. she remained in afib. her abdominal cultures from the operating room were significant for e. coli, alpha strep, enterococcus, and anaerobes and she was switched to ampicillin, flagyl and gentamicin on . on her drains drains were noted to have bilious output and a ct scan was performed which showed minimal fluid around right lobe of the liver, a small 2cm fluid collection to the right of the rectum with no gross free air. she further underwent a barium enema the following day () which showed extensive diverticular disease proximal to surgical anastomosis in the pelvis. she reports continued pain localized to the left side of her abdomen without nausea. per her daughter and son, the day of admission was the first day that she had been alert and awake enough to carry a conversation. they report that she has had a 10 lb weight loss over 2 months with anorexia. they report that she has never had a stoppage in output from her ostomy but the concern of the bilious output from her drains that prompted her transfer to for further management. past medical history: pmhx: colon cancer, hypertension, mi x 2, last colonoscopy , extensive diverticulosis, macular degeneration pshx: s/p right hemicolectomy , exploratory laparotomy with bowel resection and loop colostomy, left breast lumpectomy and radiation, hysterectomy 35 years ago, fibroid resection, polypectomy, right ankle surgery social history: she previously worked as a lab tech. smoked but quit 25 years ago. drinks occasionally. family history: father died of als physical exam: vs 98.8 67 149/76 16 100ra gen alert, nad cv rrr pulm ctab abd soft, nd, no rebound/guarding, min tenderness to palpation wound staples intact ostomy ostomy pink/healthy, producing gas and stool pertinent results: on admission: labs: 143 | 104 | 37 / ---------------- 81 4.1 | 31 | 0.6 \ ca: 8.2 mg: 2.0 p: 4.6 \ 11.2 / 31.1 ------ 638 / 33.7 \ n:87.9 l:6.2 m:5.1 e:0.1 bas:0.6 wbc trend: 21.8, 17.6, 12.7, 11.7 pt: 15.3 ptt: 31.4 inr: 1.3 lactate:0.9 alt: 11 ap: 50 tbili: 0.4 alb: 3.1 ast: 20 ldh: 285 dbili: tprot: : lip: tsh:pnd microbiology: osh or: e. coli, alpha strep, enterococcus, and anaerobes drain cultures: pending imaging and studies: ct a/p with iv contrast and rectal contrast: tiny bubbles of air with the peritoneal cavity including adjacent to the dome of the liver, several tiny gas bubbles adjacent to the bladder and 2 tiny gas bubbles at the level of the falciform ligament in the liver and in the porta hepatis these changes could be postoperative. fluid in the pelvic peritoneal recesses and also about the liver, possibly postoperative. abnormal appearance of the mid sigmoid colon suggesting diverticulosis and possible diverticulitis with large amount of stool proximal to the junction of the mid and distal sigmoid. kub: nonspecific gas pattern, no free air. kub: ileus kub: distended loops of small bowel in the mid and left side of the abdomen, gas pattern nonspecific but partial small bowel obstruction distally is suspected. ct a/p: minimal fluid around right lobe of the liver. small 2cm fluid collection to the right of the rectum. no gross free air. kub: interval improvement in small bowel loop dilatation. barium enema: no bowel leak identified. extensive diverticular disease proximal to surgical anastomosis in the pelvis. osh or wound cx: e. coli, alpha strep, enterococcus, and anaerobes hospital: 05:29am blood wbc-10.6 rbc-3.31* hgb-9.7* hct-28.3* mcv-86 mch-29.5 mchc-34.4 rdw-14.4 plt ct-571* 10:16pm blood wbc-31.1* rbc-4.03* hgb-11.2* hct-33.7* mcv-84 mch-27.9 mchc-33.3 rdw-13.6 plt ct-638* 05:29am blood glucose-92 urean-22* creat-0.4 na-144 k-3.4 cl-110* hco3-25 angap-12 05:29am blood calcium-7.7* phos-2.9 mg-2.0 12:56am urine color-yellow appear-clear sp -1.017 12:56am urine blood-sm nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 10:31pm urine rbc-3* wbc-2 bacteri-none yeast-none epi-<1 blood culture, routine (final ): no growth. blood culture, routine (final ): no growth. blood culture, routine (final ): no growth. wound sample: gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. wound culture (final ): no growth. anaerobic culture (final ): presumptive peptostreptococcus species. rare growth. drain fluid: gram stain (final ): reported by phone to @ 1:48a . 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 2+ (1-5 per 1000x field): budding yeast. brief hospital course: patient transferred from an outside hospital, and taken emergently to the or. her intra-operative course was complicated due to a jejunal perforation, and extensive lysis of adhesions. a diverting colostomy was created, and her abdomen was left open with due to high risk of infection...she was transferred to the icu. the main events to her hospital course are summarized below: . events: : started dilt drip, started vanc/zosyn, started ppn, ngt/npo : s/p ex lap with primary jejunal anastamosis, open abdomen. : restarted tpn, echo - hypovolemia and tr. osh cvl d/c'd and new r sc cvl placed, weaned off neo, dilt gtt d/c'd, nsr. : dc ivf. restarted dilt drip for a fib with good rate control : 1u prbc. or for uneventful flap. increased dilt gtt. : extubated. diuresed on lasix gtt by 1pm--stopped. tpn given. : reintubated for increased work of breathing, progressive alkalosis. converted to nsr. : cont lasix diuresis, elemental feed started, tpn. continued digoxin, po diltiazem. : rle edema. bedside vac w/d. : brisk diuresis on lasix gtt/diamox, tfs held at mn for sunday or. pm diamox held acidosis. : takeback to or for abdominal closure. restarted elemental tf. : lul opacity. no vent weaning yet. resp alkalosis. : iv lopressor, dilt gtt. febrile, benign abd.->pancx. 2prbcs for anemia. : started vanc; dig bolus 0.5mg given x1 : extubated. weaned off diltazem drip and metoprolol titrated for rate control. intermittent escape pvcs. : d/c'd tpn, continued tube feeds : cardiac diet and ensure : in and out of rate-controlled afib, pt screened for rehab in vt : no events, ot screened and agreed with acute care rehab : no events : no events . at the time of discharge, the patient was tolerating regular diet, ambulating with assistance, voiding to the toilet, and passing flatus and stool via colostomy. she is severely deconditioned from her hospitalization, however, necessitating short-term rehabilitiation. medications on admission: meds at home: hydrocodone 1mg q4h, diovan 1mg daily, lorazepam 1mg , 161mg daily, fosamax weekly, vitamins, fish oil, glucosamine discharge medications: 1. morphine 10 mg/5 ml solution sig: 5-10 mg po q4h (every 4 hours) as needed for pain: please hold for rr<10. disp:*60 mg* refills:*0* 2. digoxin 250 mcg tablet sig: 0.25 mg po daily (daily). disp:*20 mg* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*2* 4. loperamide 1 mg/5 ml liquid sig: 2.5 ml po qid (4 times a day): hold if ostomy output < 1000cc. disp:*300 ml* refills:*2* 5. fosamax 70 mg tablet sig: one (1) tablet po once a week. disp:*0 tablet(s)* refills:*2* 6. diovan hct 80-12.5 mg tablet sig: one (1) tablet po once a day. disp:*0 tablet(s)* refills:*2* 7. glucosamine-chondroitin 250-200 mg capsule sig: three (3) capsule po once a day. disp:*0 capsule(s)* refills:*2* 8. lorazepam 1 mg tablet sig: one (1) tablet po twice a day as needed. disp:*0 tablet(s)* refills:*0* 9. avastin 25 mg/ml solution sig: one (1) injection intravenous every 4 to 5 weeks. disp:*0 * refills:*2* 10. fish oil 1,000 mg capsule sig: three (3) capsule po once a day. disp:*0 capsule(s)* refills:*2* discharge disposition: extended care facility: acute rehab discharge diagnosis: left inguinal hernia repair () complicated by sigmoid perforation repaired (), with subsequent jejunal perforation () and rapid afib, now s/p open abdomen closure discharge condition: stable, tolerating regular diet, voiding to the toilet, ambulating, mentating well, abdomen closed discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in 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. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . incision care: -your staples will be removed in 1 week. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. . monitoring ostomy output/prevention of dehydration: -keep well hydrated. -replace fluid loss from ostomy daily. -avoid only drinking plain water. include gatorade and/or other vitamin drinks to replace fluid. -try to maintain ostomy output between 1000ml to 1500ml per day. -if ostomy output >1 liter, take 4mg of imodium, repeat 2mg with each episode of loose stool. do not exceed 16mg/24 hours. followup instructions: 1. please return to see dr. in weeks. call to make an appointment. 2. please follow-up with your primary care physician as needed. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other partial resection of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances other lysis of peritoneal adhesions reopening of recent laparotomy site other repair of abdominal wall delayed closure of granulating abdominal wound small-to-small intestinal anastomosis other revision of stoma of large intestine diagnoses: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery other postoperative infection unspecified pleural effusion unspecified essential hypertension atrial fibrillation perforation of intestine personal history of malignant neoplasm of breast hypopotassemia acute respiratory failure alkalosis 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 old myocardial infarction personal history of malignant neoplasm of large intestine personal history of irradiation, presenting hazards to health diverticulosis of colon (without mention of hemorrhage) other specified bacterial infections in conditions classified elsewhere and of unspecified site, other anaerobes attention to colostomy abscess of intestine exudative senile macular degeneration 

Answer: The patient is high likely exposed to