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 / aspirin attending: chief complaint: large bowel obstruction major surgical or invasive procedure: exploratory laparotomy subtotal colectomy end ileostomy gj tube placement central venous line placement open tracheostomy history of present illness: 77f copd presenting with 10 days of constipation & obstipation. she has more recently developed abdominal distension & in the last 24 hours diffuse, sharp abdominal pains. she reports fevers, chills, nausea & a decreased appetite, but denies vomiting. ros signif only for mild shortness of breath. past medical history: htn osteoporosis copd on 2l home o2 diastolic chf (ef >=55 in ) anxiety/depression chronic lbp/rib pain breast lumps s/p tah iron deficiency anemia social history: lives alone w/ cat in . + tob 1 ppd x 60 yrs. no etoh/illicit drugs. daughter very involved. was at for rehab since last discharge 2/. dnr/dni family history: sister (76) w/ cad physical exam: markedly cachectic elderly female, in distress from abdominal pain. t 100.1, p 130 reg, 180/80, rr 28, 96% 5l fast rate, no murmurs, no jvd coarse breath sounds tense, distended abdomen, diffusely tender with peritoneal signs guaiac negative 2+/+ pulses pertinent results: in ed: 26% bands, kub stool throughout colon with dilated right colon. ct shows no passage of contrast thru colon but free air within peritoneal cavity postop cxr: diffuse bilat infiltrates brief hospital course: ms presented to the ed on in need of an immediate surgical intervention. after an extensive discussion with her & her daughter, , she opted for an exploratory laparotomy, fully aware of the likelihood of a protracted hospital stay with placement of tracheostomy and feeding tubes. an exploratory lap was performed, where a markedly dilated ascending & transverse colon filled with inspissated stool was found. there was a perforation near the splenic flexure with spilled stool, and a subtotal colectomy was performed with an end ileostomy, distal pouch & feeding tube placement. she was sent to the sicu, intubated. the rest of her hospital stay can be reviewed in an organ based approach. neuro: she was immediately sedated postop with propofol. her pain was controlled with codeine & tylenol and ultimately with tylenol alone. she was given trazodone qhs to help with sleep. psych was consulted for mild postop delirium. before discharge, she was alert and oriented. cv: cardiology consulted for twi on pod6. ce neg x3. echo wnl. hypertension treated with lopressor & hydralazine. resp: this was ms ' major problem. despite being extubated on pod2, she required frequent chest pt, suctioning & neb treatments postop. she cleared well & was lucid two times, and was sent to the floor, only to bounce back twice in respiratory distress. the first of these decompensations was due to pneumonia, and the second from volume overload/chf, for which she was reintubated on . she underwent an open tracheostomy on , and her dependence on mechanical ventilation was gradually weaned. at the time of discharge, she is currently on cpap 40%o2, peep 5 and ps 10. fen: ms takes lasix at home, but is not lasix dependent. her baseline weight of ?45kg was severely low for her height, and she is obviously malnourished. she was sustained perioperatively with tpn and eventually tolerated tube feeds via the j port of her tube. her presenting albumin was 1.8, and on , it had risen slightly to 2.2. on the day of discharge it has risen to 2.4. gi: her colostomy was functional soon after surgery, and she was switched from tpn to tube feeds at that time. she tolerated these without complication. she receives protonix for gi prophylaxis. her abdominal incision was left open because of the stool within the peritoneal cavity at the time of surgery. this was eventually treated with a vac dressing (last changed ). this was taken off the day before discharge. her wound is shallow and clean with nice granulation tissue. heme: she required several rbc transfusions during her admission for iron deficiency anemia but also for blood loss anemia. she is being prophylaxed against dvt with sq heparin. id: she was kept on 1 week of abx postop because of gross stool spillage during her case. when she returned to the sicu with pneumonia, she was treated with a 10 day course of levaquin with improvement. no positive cultures. on , the foley was changed. endo: sliding scale. dispo: do not resuscitate. her health care proxy is her daughter, . medications on admission: advair lasix discharge disposition: extended care facility: discharge diagnosis: large bowel bstruction constipation copdchf htn respiratopry failure vent assoc pneumonia s/p appy s/p tah malnutrition hyperalimentation hypokalemia hypomagnesemia discharge condition: good discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction followup instructions: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances other and unspecified partial excision of large intestine temporary tracheostomy other gastroenterostomy without gastrectomy transfusion of packed cells replacement of tracheostomy tube ileostomy, not otherwise specified other immobilization, pressure, and attention to wound diagnoses: pneumonia, organism unspecified acidosis congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified perforation of intestine acute on chronic diastolic heart failure hypopotassemia constipation, unspecified acute respiratory failure osteoporosis, unspecified unspecified intestinal obstruction nutritional marasmus other tracheostomy complications 

Answer: The patient is high likely exposed to