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: shellfish attending: chief complaint: 71 year old female s/p laparoscopic ventral hernia repair on presents with nausea and vomiting and weakness. major surgical or invasive procedure: picc line placement 1. exploratory laparotomy. 2. lysis of adhesions (greater than 1 hour). 3. drainage of intra-abdominal abscess. 4. resection of small intestine (ileum 20 cm). 5. ileostomy creation. 6. cecal mucous fistula creation. 7. excision of infected prosthetic mesh. 8. appendectomy. 9. closure of abdomen with prosthetic mesh (vicryl). history of present illness: is a 71-year-old woman who underwent a laparoscopic hernia repair approximately a month ago. she developed abdominal pain, nausea, vomiting and symptoms consistent with ileus versus bowel obstruction. she was initially treated with nonoperative management. she developed abdominal pain as well as leukocytosis necessitating surgical treatment. past medical history: past medical history is significant for a possible heart attack, mitral valve prolapse, and a stroke in . she is uncertain as to whether she had a heart attack or not. she has had several echos of the heart, which have been negative. she has had stress test in the past. after her stroke in , she underwent an endarterectomy. diagnosed with ovarian cancer in . social history: social history: she smoked in the past, but denies tobacco use for the past 5 years. she denies iv drug use or alcohol. she lives alone and has four cats. family history: family history: she denies any family history of cancer. physical exam: 97.7 heartrate 144 blood pressure 80/60 respiratory rate 20 96% on room air. nad comfortable ncat slight anterior cervical lad rrr decreased breath sounds at right base abdomen: non-distended, normal active bowel sounds, soft, nontender throughout, well healing scars, no hernias rectal guiac negative, no masses, small amount of brown stool. pertinent results: 11:45pm blood wbc-19.7*# rbc-4.84 hgb-14.7 hct-43.6 mcv-90 mch-30.3 mchc-33.6 rdw-14.0 plt ct-289 04:50am blood wbc-18.2*# rbc-3.73* hgb-11.4* hct-34.6* mcv-93 mch-30.4 mchc-32.9 rdw-14.4 plt ct-264 04:31am blood wbc-10.3 rbc-2.89* hgb-9.0* hct-26.9* mcv-93 mch-31.2 mchc-33.5 rdw-13.9 plt ct-289 11:45pm blood glucose-145* urean-36* creat-1.0 na-129* k-4.4 cl-96 hco3-21* angap-16 04:26am blood glucose-187* urean-16 creat-0.5 na-139 k-2.9* cl-105 hco3-29 angap-8 04:42am blood glucose-120* urean-17 creat-0.6 na-138 k-4.4 cl-108 hco3-23 angap-11 11:45pm blood alt-15 ast-42* alkphos-75 totbili-1.2 05:06am blood alt-25 ast-23 alkphos-119* totbili-0.7 05:25am blood albumin-2.7* calcium-8.1* phos-2.1* mg-2.0 04:42am blood calcium-8.2* phos-3.7 mg-1.9 06:05am blood caltibc-147* ferritn-203* trf-113* 05:06am blood caltibc-131* ferritn-205* trf-101* 11:48pm blood lactate-3.2* 10:51am blood glucose-148* lactate-1.3 na-137 k-3.4* cl-99* ct scan 1. interval development of small bowel dilatation with relative decompression of distal ileal and large bowel loops, concerning for small-bowel obstruction. transitional point is not definitely identified. 2. interval development of right greater than left pleural effusions and perihepatic ascites. 3. bilateral adrenal nodules, previously characterized as adrenal adenomas.. 4. interval decrease in size of low-density fluid collection anterior to the anterior abdominal wall mesh. ct scan impression: 1. findings of persistent small-bowel obstruction, with transition point not definitely identified, but thought to be within distal ileum. 2. slight increase in size of right greater than left pleural effusions. 3. no evidence of drainable fluid collection in the abdomen or pelvis. brief hospital course: patient admitted on approx. one month after a laparoscopic ventral hernia repair. she complains of nausea, abdominal pain, heaving, unable to eat and vomiting. her last bowel movement was 2 days prior and was not passing flatus. an ngt was placed and she was kept npo. she became tachycardic and was bolused several times for low urine output. leukocytosis developed and ct scan showed r>l pleural effusions and bowel dilations. on hd3, some flatus developed and patient looked better. patient started receiving tpn through a picc line. on hd4, patient felt better and wanted to discontinue tpn, take out the ngt and eat a regular diet. however, tachycardia and leukocytosis continued and patient was no longer having flatus. on hd8, surgery was discussed with the patient, as no-operative management of the ileus/sbo has failed so far. 20 cm of necrotic small intestine was found upon operation along with right abdominal abscess. the following procedures were performed: 1) laparotomy, 2) lysis of adhesions, 3) drainage of intrabdominal abscess, 4) resection of small intestine, 5) ileostomy creation, 6) cecal mucous fistula, 7) closure with prosthetic mesh, 8) appendecomy, 9) excision of prosthetic mesh. the abdominal wound was left open for delayed closure at a later date. on pod0, patient was taken to the sicu. sedation was not reversed and patient was placed on cmv ventilation. patient was given pressors to sbp>100. antibiotics (zosyn, fluc, vanc) were started. pressors were weaned. on pod4, a delayed primary closure of the abdominal wound was performed. upon return to the sicu, the ventilator and sedation were weaned. pon pod7, patient was transferred to . a neurology consult was called to check patient's mental status. brain and cspine mri was ordered for hyperreflexia and was ordered for nerve conduction to be done on a outpatient basis. pt was consulted for discharge to rehab. current issues: 1. nutrition- tpn as well as a regular diet with ensure tid to be given at rehab. calorie counts of patient's diet last couple of days has been minimal. 2. neurology - patient is alert and orientated and has not been confused for the last 4 days. neurology has recommended to get the rest of the mri/ testing on a outpatient basis. those appointments have been made and are included in the discharge plan. 3. mobility/ostomy teaching - patient is being sent to a rehabilitation center to increase strength to preoperative level and to learn how to manage her ostomy by herself. 4. she will follow up with dr. on and will call and make an appointment with her oncology physician (dr. ) medications on admission: avapro 225', citalopram 40', asa 81', colace, percocet prn discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: four (4) puff inhalation q6h (every 6 hours) as needed. 2. spironolactone 25 mg tablet sig: one (1) tablet po bid (2 times a day). 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 4. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 8. loperamide 2 mg capsule sig: one (1) capsule po bid (2 times a day). 9. tpn please see tpn sheet. 10. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous daily and prn as needed for line flush. discharge disposition: extended care facility: - discharge diagnosis: bowel ischemia and necrotic ileum discharge condition: stable discharge instructions: you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. please call your doctor or return to the emergency room if you have 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. * 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. followup instructions: provider:. at 2:45 building . provider: on friday , at 8:30, on 8. provider: . and at 4 pm 8 . provider: mri phone: date/time: 4:55 4. provider: mri phone: date/time: 5:35 please follow up with your oncology physician and your primary care provider. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other partial resection of small intestine temporary colostomy temporary ileostomy other lysis of peritoneal adhesions other repair of abdominal wall other appendectomy excision or destruction of lesion or tissue of abdominal wall or umbilicus application or administration of an adhesion barrier substance diagnoses: mitral valve disorders other postoperative infection unspecified pleural effusion toxic encephalopathy unspecified essential hypertension perforation of intestine other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use dehydration acute vascular insufficiency of intestine peritoneal abscess infection and inflammatory reaction due to other internal prosthetic device, implant, and graft intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) other suppurative peritonitis personal history of malignant neoplasm of ovary polyneuropathy due to drugs 

Answer: The patient is high likely exposed to