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 the present illness: ms. is a 57-year-old extremely obese female who weighs approximately 420 pounds with a past medical history significant for insulin-dependent diabetes mellitus, who presented to the emergency room with upper abdominal pain. her symptoms began a few days prior to admission. she complained of crampy upper abdominal pain, nausea, and vomiting. she reported no fevers or chills or diarrhea at the time. the patient originally went to an outside hospital and was sent to the secondary to her obesity. in the emergency room, given her abdominal symptoms, an ultrasound was attempted; however, it was of a poor quality due to the patient's size. a ct of the abdomen was attempted as well but again the findings were inconclusive and incomplete because of her obesity. she was then discharged home after she was tolerating an oral diet. the patient, however, soon thereafter returned to the hospital with symptoms of crampy upper abdominal pain, nonradiating. she complained of nausea and vomiting. she had no fevers, no chills, no diarrhea. she complained of no shortness of breath. she had a bowel movement the day prior to admission and was passing flatus one day prior to admission but none since. allergies: the patient has no known drug allergies. admission medications: insulin 70/30 75 units in the morning and 85 units of humulin in the afternoon. past medical history: 1. insulin-dependent diabetes mellitus. 2. meniere's disease. 3. psoriasis. 4. morbid obesity. 5. ventral hernia. past surgical history: none. social history: no history of smoking or alcohol. physical examination on admission: vital signs: temperature 97.2, heart rate 72, blood pressure 159/58, respiratory rate 18, 97% on 2 liters. general: the patient is an obese woman, alert and pleasant in no apparent distress. cardiovascular: regular rate and rhythm. lungs: clear to auscultation bilaterally but the sounds were distant. abdomen: obese with the area of tenderness in the mid right abdomen. bowel sounds present. extremities: warm, well perfused with signs of known psoriasis. laboratory studies: white count 10.6, hematocrit 42.6, platelets 365,000, neutrophils 74%. sodium 143, potassium 4.0, bun 8, creatinine 0.5. imaging: as mentioned previously, a cat scan of the abdomen was obtained which was inconclusive due to the patient's size. in addition, an ultrasound of the right upper quadrant was attempted but again could not be performed because of technical limitations. hospital course: the patient was admitted to the general surgery service secondary to the repeated episode of crampy abdominal pain with nausea and vomiting. a nasogastric tube was placed. her symptoms appeared to be suggestive of partial small bowel obstruction. however, other etiologies such as gallbladder, pancreatitis, and gastritis could not be ruled out. the patient continued to make good urine. her symptoms improved somewhat. her nausea and vomiting almost disappeared. she actually had a bowel movement on hospital day number three and was passing gas. her laboratories remained stable and all electrolytes were repleted regularly. a barium swallow test was attempted; however, due to the patient's size it had to be abandoned. the patient continued to have the nasogastric tube. she continued to pass flatus. the nasogastric tube was removed around hospital day number six and her diet was advanced from sips to clears to full liquids which she appeared to tolerate fairly well. the patient also continued to have a significant amount of diarrhea. clostridium difficile was sent which returned back negative. in addition, the patient again became nauseous and was not able to tolerate a full diet. dr. was consulted as a second opinion regarding possible surgery to fix the patient's known ventral hernia. in addition, gastroenterology consult was obtained and their findings were also concerning about a partial small bowel obstruction given a known ventral hernia. on , the patient underwent exploratory laparotomy, lysis of adhesions, reduction, mesh repair of the umbilical hernia. the procedure was without any complications. the blood loss was approximately 200 cc. the patient was successfully extubated and transferred to the intensive care unit for closer monitoring. the patient did well in the intensive care unit. her heart rate and blood pressure remained stable. her oxygen supplementation was weaned as tolerated. she was successfully extubated on postoperative day number two. she was placed on lovenox for dvt prophylaxis. her hematocrit remained stable as well. on the regular floor, the patient's diet was advanced from sips to clears and eventually to a regular diet which she tolerated well. physical therapy was consulted which followed the patient during her hospitalization. she was cleared by physical therapy to go home when clinically ready. the patient was placed on prophylactic kefzol. she was doing well with her diet and was discharged to home on . the - drains remained intact and were putting out less and less serosanguinous fluid; however, there was still significant output which warranted leaving the - drains intact. condition on discharge: good. discharge destination: home with visiting nurse services. discharge diagnosis: 1. high-grade partial small bowel obstruction. 2. status post exploratory laparotomy, lysis of adhesions, reduction and mesh repair of the umbilical hernia. 3. umbilical hernia. 4. morbid obesity. 5. insulin-dependent diabetes mellitus. 6. psoriasis. discharge instructions: the patient is to receive visiting nurse services and - drain care. follow-up: the patient is to follow-up with her surgeon, dr. , as scheduled. discharge medications: 1. protonix 40 mg p.o. q.d. 2. colace 100 mg p.o. b.i.d. 3. percocet one to two tablets p.o. q. 4-6 hours p.r.n. pain. 4. insulin per regular regimen. 5. lovenox 40 units q. 12 hours for seven days. , m.d. dictated by: medquist36 procedure: other lysis of peritoneal adhesions other and open repair of umbilical hernia with graft or prosthesis diagnoses: morbid obesity diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) umbilical hernia with obstruction 

Answer: The patient is high likely exposed to