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: patient recorded as having no known allergies to drugs attending: chief complaint: 1. increased abdominal pain 2. increase erythema and warmth around ostomy site major surgical or invasive procedure: : exploratory laparotomy, left colon resection, revision the reciting of colostomy, excisional debridement of the abdominal wall and vac placement. history of present illness: patient is a 59-year-old female who presents with one week of spreading erythema and warmth around the ostomy. her ostomy has been function. she denies nausea or vomiting. she started to have increasing pain. the pain became too intense so she came the emergency department. she has not been checking her temperature but she had night sweats two nights ago. she noticed that she was getting dizzy so she check her blood pressure was low so that was another reason that she came to the emergency department. she has not had her colostomy reversed previously because her surgeon did not feel comfortable with all her medical problems. past medical history: pmh: 1. diverticulitis 2. osteoarthritis 3. osteoporosis 4. pulmonary fibrosis 5. severe rheumatoid arthritis . psh: 1. right hip replacement 2. end colostomy for diverticulitis 5 years ago. 3. hand surgery social history: lives with her son. she experimented with smoking many years ago for a year off and on. she used to abuse alcohol for pain relief but has not had a drink since she started taking pain medications. family history: mother had pancreatic cancer physical exam: physical examination: on admission: vital signs: t 98.5 hr 88 bp 138/82 rr 16 o2 sat 96 general: no acute distress lungs: clear to auscultation bilaterally cardiac: regular rate and rhythm, s1/s2 abdomen: soft, nondistended, tender over an diffuse area of erythema which is warm and fluctuant. the ostomy is pink and not retracted or prolapsed rectal: normal tone, no gross blood, guaiac negative on discharge: vs: t 97.4, hr 95, bp 144/86, rr 18, o2 sat 96% ra general: calm, cooperative. nad cv: rrr, s1/s2, no m/r/g, no carotid bruit lungs: ctab abdomen: ruq ostomy is pink, patent. midline incision and old luq ostomy sites covered with sponge dressing and vac drain attached to suction. ext: normal distal pulses neuro: aaox3, perrl, cranial nerves ii-xii grossly intact pertinent results: 09:46pm glucose-190* urea n-26* creat-1.3* sodium-142 potassium-4.5 chloride-113* total co2-18* anion gap-16 09:46pm wbc-19.7* rbc-3.64* hgb-10.7* hct-32.2* mcv-89 mch-29.5 mchc-33.3 rdw-15.6* 09:46pm plt count-374 09:46pm pt-11.2 ptt-17.5* inr(pt)-0.9 10:40pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:45am blood wbc-11.1* rbc-3.29* hgb-9.4* hct-29.0* mcv-88 mch-28.4 mchc-32.2 rdw-15.2 plt ct-395 07:45am blood plt ct-395 07:50am blood glucose-75 urean-14 creat-0.9 na-141 k-4.4 cl-102 hco3-29 angap-14 07:50am blood calcium-8.9 phos-2.9 mg-1.3* 12:58 am swab abdominal wound. gram stain (final ): 3+ (5-10 per 1000x field): polymorphonuclear leukocytes. 3+ (5-10 per 1000x field): gram positive rod(s). 2+ (1-5 per 1000x field): yeast(s). 2+ (1-5 per 1000x field): gram positive cocci. in pairs and clusters. 2+ (1-5 per 1000x field): gram negative rod(s). smear reviewed; results confirmed. wound culture (final ): due to mixed bacterial types (>=3) an abbreviated workup is performed; p.aeruginosa, s.aureus and beta strep. are reported if present. susceptibility will be performed on p.aeruginosa and s.aureus if sparse growth or greater.. hafnia alvei. moderate growth. sensitivities: mic expressed in mcg/ml _________________________________________________________ hafnia alvei | ampicillin------------ 16 r ampicillin/sulbactam-- 16 r cefazolin------------- =>64 r cefepime-------------- <=1 s ceftazidime----------- 4 s ceftriaxone----------- <=1 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s levofloxacin----------<=0.12 s meropenem-------------<=0.25 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s anaerobic culture (preliminary): anaerobic gram negative rod(s). moderate growth. beta lactamase positive. brief hospital course: the patient was admitted to the general surgical service for evaluation of the aforementioned problem. on , the patient underwent exploratory laparotomy, left colon resection, revision the reciting of colostomy, excisional debridement of the abdominal wall and vac placement, which went well without complication (reader referred to the operative note for details). vac was originally placed on 125 mmhg suction. after a brief, uneventful stay in the pacu, the patient arrived on the floor npo, ng tube to low wall suction, on iv fluids and antibiotics, with a foley catheter and a ostomy bag in place, and dilaudid pca for pain control. the patient was hemodynamically stable. . post-operative pain was initially well controlled with dilaudid pca, which was converted to iv and later to oral pain medication when tolerating clear liquids. the ng tube was discontinued on pod# 1, and the patient was started on sips of clears on pod# 1. diet was progressively advanced as tolerated to a regular diabetic diet by pod# 5. the foley catheter was discontinued at midnight of pod# 4. the patient subsequently voided without problem. vac dressing was changed q72h during hospital stay, and wound started to heal nicely. new ostomy site is pink and patent. . during this hospitalization, the patient ambulated early with assistance, and then independently, was adherent with respiratory toilet and incentive spirometry, and actively participated in the plan of care. the patient received subcutaneous heparin and venodyne boots were used during this stay. the patient's blood sugar was monitored regularly throughout the stay; sliding scale insulin was administered when indicated. patient blood sugar was elevated secondary to steroid therapy for rheumatoid arthritis and pulmonary fibrosis. patient declined to have insulin teaching during this hospitalization per patient's nurse. patient was verbaly instructed to follow diet recommendations, patient's pcp was , and follow up appointment was scheduled. patient was instructed about sign and symptoms of diabetis, and diet recommendations was given. patient verbalized understanding. labwork was routinely followed; electrolytes were repleted when indicated. . at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: 1. ativan 1 mg po daily prn anxiety 2. prednisone 25 mg po daily 3. fluoxetine 20 mg po daily 4. lisinopril 20 mg po daily 5. trazodone 50 mg po qhs prn insomnia 6. oxycodone 15 mg po q4-6 hours prn pain discharge medications: 1. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 2. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 3. lorazepam 0.5 mg tablet sig: 1-2 tablets po q8h (every 8 hours) as needed for anxiety. 4. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 5. prednisone 5 mg tablet sig: five (5) tablet po daily (daily). 6. gabapentin 300 mg capsule sig: one (1) capsule po q12h (every 12 hours). disp:*60 capsule(s)* refills:*0* 7. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 8. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 4 days. disp:*8 tablet(s)* refills:*0* 9. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 4 days. disp:*12 tablet(s)* refills:*0* 10. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 11. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* discharge disposition: home with service facility: home health care discharge diagnosis: 1. perforated parastomal hernia. 2. diverticulitis s/p end colostomy 3. severe rheumatoid arthritis discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: general discharge instructions: please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. incision care: * you will continue to have sponge vac dressing in your wounds which will be changed by vna service. followup instructions: 1. provider: , date/time: 1:45 pm location: associates internal medicine address: , , , phone: . 2. provider: , md phone: date/time: 1:45. , , , . procedure: other and unspecified partial excision of large intestine nonexcisional debridement of wound, infection or burn permanent colostomy closure of stoma of large intestine diagnoses: anemia, unspecified cellulitis and abscess of trunk unspecified essential hypertension long-term (current) use of steroids perforation of intestine depressive disorder, not elsewhere classified osteoporosis, unspecified postinflammatory pulmonary fibrosis osteoarthrosis, unspecified whether generalized or localized, site unspecified rheumatoid arthritis diverticulosis of colon (without mention of hemorrhage) fistula of intestine, excluding rectum and anus other colostomy and enterostomy complication infection of colostomy or enterostomy 

Answer: The patient is high likely exposed to