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 / a.c.e inhibitors / avapro attending: chief complaint: nausea/vomiting, change of mental status major surgical or invasive procedure: exploratory laparotomy and lysis of adhesions. history of present illness: pt admitted through er with 3day complaint of abd pain and worsening nausea and vomiting. pt denied fever, chills, dysuria. pt denies any similar episodes of abdominal pain. brought to er from rehab for evaluation. past medical history: 1. coronary artery disease; status post myocardial infarction in . 2. diastolic congestive heart failure. 3. atrial fibrillation. 4. hypertension. 5. hypercholesterolemia. 6. gastroesophageal reflux disease. 7. esophageal stricture; status post dilation. 8. hypothyroidism. 9. status post right hip fracture approximately 10 years ago. 10. cerebrovascular accident approximately in . 11. peripheral vascular disease. 12. status post right femoral-popliteal bypass. 13. status post hysterectomy. 14. bronchiectasis. 15. aspiration pna. 16. anxiety/depression. social history: lives in the nursing home, denies tobacco or alcohol family history: non-contributory physical exam: physical exam on discharge: gen: elderly-appearing woman wearing oxygen face mask, respondiny appropriately and clearly to questions. cv: rrr pulm: crackles on r side, l clear abd: soft, nt, well-healing incision with staples, no erythema, induration, or drainage. ext: cool, clearly palpable pulses. pertinent results: 12:15am blood plt smr-very high plt ct-633* 03:25am blood pt-27.3* ptt-55.3* inr(pt)-4.7 04:58am blood pt-19.0* ptt-44.3* inr(pt)-2.3 brief hospital course: pt admitted through er for complaint of abd pain, nausea, and change in mental status. concern was greatest for superior mesenteric artery syndrome versus small bowel obstruction, based on pt's surgical history. ct scan revealed a high-grade obstruction, free fluid, and a transition point. this situation was explained to the patient, who verbalized good understanding and consented to the plan for operative management after a complete discussion of the risks and benefits and all her questions were answered. initially pt's inr was 4.7, and this was appropriately corrected with ffp. pt underwent an exploratory laparotomy, in which a strangulating band was lysed, and the bowel was deemed healthy and viable. she was transferred to the sicu post-operatively to optimize her pulmonary status. pt was extubated on without incident. pt was restarted on her lasix, as she began to exhibit signs of chf, and was maintained on nitroglycerin drips for bp control. pt did have occasional episodes of agitation, but her mental status cleared, her bp control was optimized, and she was transferred to the floor on . coumadin, a chronic medication for her atrial fibrillation, was restarted on . her mental status continued to improve, and her oral intake also improved. pt continued to have occasional desaturations to the high 80s, despite being on a facemask, although this significantly improved with nebulizer treatments. pt is likely to require home oxygen for some time. a chest x-ray from revealed no effusions or infiltrates. on pt continued to do well and was deemed suitable for transfer back to rehab's . medications on admission: 1. ipratropium bromide 0.02 % solution sig: one (1) inhaler inhalation q6h (every 6 hours) as needed. 2. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 3. nifedipine 60 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 6. trazodone hcl 50 mg tablet sig: 1.5 tablets po hs (at bedtime). 7. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 8. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 9. levothyroxine sodium 50 mcg tablet sig: one (1) tablet po daily (daily). 10. furosemide 80 mg tablet sig: one hundred (100) mg po qam. 11. furosemide 80 mg tablet sig: one (1) tablet po qpm. 12. atenolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 13. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). 14. warfarin sodium 1 mg tablet sig: one (1) tablet po once (once): this medication will be changed frequently based on your blood tests. 15. alprazolam 0.25 mg tablet sig: one (1) tablet po tid (3 times a day) as needed. discharge medications: 1. ipratropium bromide 0.02 % solution sig: one (1) inhaler inhalation q6h (every 6 hours) as needed. 2. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 3. nifedipine 60 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 6. trazodone hcl 50 mg tablet sig: 1.5 tablets po hs (at bedtime). 7. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 8. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 9. levothyroxine sodium 50 mcg tablet sig: one (1) tablet po daily (daily). 10. furosemide 80 mg tablet sig: one hundred (100) mg po qam. 11. furosemide 80 mg tablet sig: one (1) tablet po qpm. 12. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 13. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). 14. warfarin sodium 1 mg tablet sig: one (1) tablet po once (once): this medication will be changed frequently based on your blood tests. 15. alprazolam 0.25 mg tablet sig: one (1) tablet po tid (3 times a day) as needed. discharge disposition: extended care facility: for the aged - discharge diagnosis: small bowel obstruction discharge condition: good. discharge instructions: please continue to take all prescribed medications. please keep wound clean and dry, staples will be removed at your follow up visit. please continue to use oxygen therapy as needed. consult md or return to er if you develop fevers, chills, nausea/vomiting, abd pain, or other concerning symptoms. followup instructions: please see dr in 1 week for follow up and removal of staples. procedure: other lysis of peritoneal adhesions diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation dysthymic disorder old myocardial infarction long-term (current) use of anticoagulants late effects of cerebrovascular disease, hemiplegia affecting unspecified side bronchiectasis without acute exacerbation intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) 

Answer: The patient is high likely exposed to