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: penicillins / codeine attending: chief complaint: abdominal pain, vomiting major surgical or invasive procedure: right chest tube placement at bedside history of present illness: 49 year old female with history of cervical cancer status post multiple (?26) abdominal surgeries for tah/bso and complications resulting in colostomy and urostomy presented to osh on with one day of abdominal pain and vomiting. per osh report, also experienced chills, fevers, and decreased colostomy output. noted to have wbc count 13.5. abdominal ct was consistent with obstruction. in osh received ns 1l, cipro iv, and narcotics for pain control. received narcan and was intubated "due to airway concern" - overdose on narcotic analgesics; abg 7.20/73/77 on nc 4 lpm, anion gap 17. also had r subclavian, ng tube placed. . in the ed, t 98.4, hr 126, bp 137/100, rr 14, 99% on ac ventilation. received propofol gtt, flagyl 500mg iv x1, and morphine 4mg iv. past medical history: past medical history: - cervical ca s/p tah/bso w/incidental appy and damaged bladder (), s/p mult procedures repair ending in urostomy and colostomy - depression - ?hepatitis . social history: lives with boyfriend. on disability due to multiple abdominal surgeries/complications. denies alcohol, drug, or tobacco use. family history: noncontributory physical exam: tmax: 37.7 ??????c (99.9 ??????f) tcurrent: 36.1 ??????c (97 ??????f) hr: 106 (105 - 118) bpm bp: 145/91(105) {113/56(70) - 156/104(115)} mmhg rr: 19 (14 - 28) insp/min spo2: 98% gen: well-appearing, well-nourished, heent: eomi, sclera anicteric, no epistaxis or rhinorrhea, mmm neck: no jvd, trachea midline cv: rrr, no m/g/r, normal s1 s2, radial pulses +2 pulm: coarse breath sounds diffusely abd: multiple surgical incision scars; colostomy and urostomy bags in place; hypoactive bowel sounds; soft, not distended; difficult to assess for tenderness ext: no c/c/e neuro: responds to few questions (e.g. are you in pain?); moves all 4 extremities. skin: r subclavian in place and dressed; no jaundice, cyanosis, or gross dermatitis. no ecchymoses. . at discharge: vitals: 98.9, 81, 107/53, 18, 96% on ra gen: nad, a/ox3 cv: rrr, no m/r/g resp: ctab abd: soft, nd, slightly tender to palpation. +bs, passing flatus, +stool ostomy: stoma beefy red, viable with liquid yellow effluence urostomy: conduit intact with clear yellow urine extrem: no c/c/e pertinent results: 04:32am blood wbc-9.7 rbc-3.35* hgb-11.8* hct-33.9* mcv-101* mch-35.3* mchc-34.9 rdw-13.6 plt ct-223 07:24pm blood neuts-81.9* lymphs-14.2* monos-3.3 eos-0.3 baso-0.3 04:32am blood pt-12.8 ptt-25.8 inr(pt)-1.1 04:32am blood glucose-95 urean-10 creat-0.7 na-144 k-3.3 cl-106 hco3-29 angap-12 04:32am blood alt-43* ast-39 ld(ldh)-216 alkphos-143* totbili-1.1 04:32am blood calcium-8.7 phos-2.3* mg-1.9 12:17am blood type-art rates-/14 po2-124* pco2-50* ph-7.33* caltco2-28 base xs-0 intubat-intubated vent-controlled 07:32pm blood lactate-1.3 04:50am blood wbc-6.6 rbc-3.02* hgb-10.9* hct-30.4* mcv-101* mch-36.1* mchc-35.8* rdw-13.3 plt ct-232 05:34am blood glucose-92 urean-5* creat-0.7 na-140 k-3.9 cl-106 hco3-28 angap-10 05:34am blood calcium-9.0 phos-3.3# mg-2.1 . brief hospital course: 49 year-old female with history of cervical cancer and many abdominal surgeries s/p colostomy and transferred from osh for further management of suspected small bowel obstruction. admitted to medical icu. . # abdominal pain, nausea ?????? surgery involved. at this time diagnosis of sbo suspected, although surgeons are waiting to see ct abdomen from osh to solidify diagnosis. supported by large number of abdominal surgeries patient has had (-> risk for adhesions). also with mildly elevated transaminases and alk phos. differential also includes gastroenteritis, cholecystitis, cholangitis. mildly febrile and with leukocytosis. given history of possibile pneumobilia on ct at osh hospital, ddx also includes biliary-enteric anastomosis or fistula. ?history of hepatitis. - intially npo - ngt to low continuous suction, removed and started on sips - hydrate with ivf until adequate po - pain control (minimize narcotics) . #pneumothorax: pt had ptx most likely line placement at osh. chest-tube was placed and almost complete resolution of ptx. -chest tube to suction until - placed to waterseal -chest tube removed without complication . # respiratory failure ?????? pt previously intubated for hypercarbic respiratory failure. likely secondary to narcotics. pt successfully extubated and on 4l nc on . # pt with hct of 33.9 down from 38.1. likely dilutional from fluids and blood loss from chest tube placment. . # acute renal failure ?????? creatinine 0.7 today, much improved from admission. history of vomiting and poor po intake, this may be secondary to dehydration. urine output >30 cc per hour. - continue to hydrate - maintain uop >30cc/hr . # uti - ua with positive nitrite, trace ketones, >50 wbcs, and many bacteria. given one dose of ciprofloxacin in ed. given that patient has ileostomy, she will likely always have a 'dirty' ua. - hold off on treating at this time as may just be a contaminant - follow urine culture . patient was successfully extubated in icu. continued with confusion. restraints applied. remained npo with ivf. mental status cleared slowly. transferred to stone 5 for further management on . . -pt pulled ngt out due to agitation r/t naroctic medications. maintained in 2 point restraints overnight. mental status much improved in morning. ostomy with gas but no stool. kub repeated-resolving ileus. . -abdomen slightly distened. started on clear liquids. tolerating well. no n/v. right chest tube removed at bedside, uncomplicated. cxr completed 2 hours after, lungs clear, no evidence of pneumothorax. ostomy rn contact to assist with management of leaking ostomy and urostomy. assisted oob with nursing. ambulated without assist. lives independently with boyfriend. diet advanced to regular food in evening. tolerated well. . -continues to tolerate regular food. ostomy and urostomy putting out adequate amounts of urine/stool. pain well controlled with oral medication. abdominal pain decreased. ostomy continues to leak even with efforts of ostomy rn due to patient's anatomy. plan for discharge home today with vna for continued management of ostomy appliance and skin assessment. medications on admission: seroquel 25mg po bid zantac 150mg po qhs cymbalta 60mg po bid discharge medications: 1. quetiapine 25 mg tablet sig: one (1) tablet po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po hs (at bedtime). 3. duloxetine 30 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po bid (2 times a day). 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever or pain: not to exceed 4gm per day. . 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation for 1 months: take with hydrocodone. disp:*60 capsule(s)* refills:*0* 6. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 2 weeks: do not exceed 4000mg of acetaminophen in 24hrs. disp:*45 tablet(s)* refills:*0* 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation: take with hydrocodone. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: nursing services discharge diagnosis: primary: small bowel obstruction post-extubation confused related to medications right pneumothorax-chest tube inserted. uti acute renal failure . secondary: depression, hepatitis c, cervical ca, tah/bso-bladder injury (urostomy & colostomy) discharge condition: stable tolerating a regular diet adequate pain control with oral medication 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 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. . 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. md if output greater than 2 liters or under 500ml in 24 hours. . urostomy: -continue with urostomy managment prior to admission. . diet: -continue with a low residue diet until your follow-up appointment with your pcp. to hand out provided to you by nursing for guidance. followup instructions: 1. follow-up with pcp, . in 1 week and as needed. md, procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: urinary tract infection, site not specified chronic hepatitis c without mention of hepatic coma acute posthemorrhagic anemia acute kidney failure, unspecified acute respiratory failure iatrogenic pneumothorax other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation dehydration drug-induced delirium personal history of malignant neoplasm of cervix uteri colostomy status intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) other specified analgesics and antipyretics causing adverse effects in therapeutic use other cystostomy 

Answer: The patient is high likely exposed to