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 attending: chief complaint: abdominal pain major surgical or invasive procedure: none history of present illness: year-old female with chf, htn, chronic constipation, osteoporosis w/ h/o orif for hip fracture, now presents from home to with diffuse, crampy, sometimes sharp progressive abdominal pain x several days and severe constipation. she reports no bowel movement for "ages," unsure for how long. denies fevers, chills, nausea, vomitting. reports chronically poor appetite and poor po intake of late. denies chest pain, shortness of breath, palpitations, diaphoresis. denies cough or uri symptoms. chronic trouble with initiating urination but no dysuria or urinary frequency. in the ed, afebrile and initially vital signs stable with ct of abdomen showing markedly distended stool filled rectum (11 cm). she was manually disimpacted with some relief. however, her lactate came back at 5.8 and her blood pressure proceeded to drop to a nadir of 48/palp, for which a femoral central line was placed and levophed was started. she responded well to the levophed with her systolic blood pressure coming up to 90s-100s. in an extensive discussion with dr. and dr. , ms. clearly expressed that she did not want aggressive or heroic measures or treatment and is dnr/dni. she agreed to pressors or medications to treat her blood pressures but would not want cardiac catheterization in the case of a heart attack or further invasive measures. however, a femoral line was placed in the emergency department. past medical history: 1. chf, echo ('): ef 40-45%, 1+ar, 2+mr (likely silent mi with focal wall motion abnormality) 2. hypertension 3. gerd 4. hypothyroid 5. osteoporosis 6. r hip fracture in s/p orif 7. left cataract surgery 8. detrusor instability 9. chronic constipation "since she was a child" social history: lives alone at home with daytime health aide. son visits daily no etoh or tobacco family history: mother-diabetes physical exam: vital signs: temp(current): 93.6 bp: 95/61 on 0.2 mcg/kg/min hr: 95 rr: 23 o2sat: unable to read due to hypothermia gen: thin elderly woman in nad heent: temporal wasting, dry mucous membrane chest: decreased breath sounds at bilateral bases, otherwise clear heart: distant heart sounds, regular rate and rhythm, no murmurs, rubs or gallops appreciated abd: soft, nondistended. diffusely tender, but most tender in the lower quadrants and in the left upper quadrant. no rebound or guarding. extr: 2+ pitting edema of right lower extremity and 1+ pitting edema of left lower extremity. 1cm stage 1 left coccyx sacral decubitus ulcer neuro: alert and oriented to hospital, year , coming up. pertinent results: 02:15am lactate-5.8* 11:30pm glucose-125* urea n-30* creat-1.3* sodium-139 potassium-4.4 chloride-103 total co2-13* anion gap-27* 11:30pm alt(sgpt)-18 ast(sgot)-26 ck(cpk)-65 alk phos-162* amylase-199* tot bili-0.9 11:30pm lipase-17 11:30pm ck-mb-notdone ctropnt-0.07* 11:30pm tot prot-5.0* albumin-2.8* globulin-2.2 11:30pm wbc-9.3# rbc-4.50 hgb-15.1# hct-45.4# mcv-101*# mch-33.5* mchc-33.3 rdw-14.9 11:30pm neuts-66 bands-20* lymphs-8* monos-4 eos-0 basos-0 atyps-0 metas-2* myelos-0 11:30pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-1+ microcyt-normal polychrom-normal burr-2+ 11:30pm plt count-409# 11:30pm pt-14.1* ptt-93.8* inr(pt)-1.3 ct of abdomen and pelvis: markedly distended stool filled rectum (11 cm). moderate bilateral effusions and associated atelectasis. large hiatal hernia. no aaa. limited for vascular structures. compared to ekg at 11:23 pm:sinus tachycardia with left axis deviation, poor r wave progression, new t wave inversions in i and v4-v6, nl intervals, ekg at 5:21 am: nsr a 89bmp, nl intervals, , o/w unchanged from ekg last echocardiogram (): views are technically suboptimal. lv systolic function appears focally depressed with probably thinned and akinetic inferior and inferolateral basal segments. lvef 40-45%. mild as, 1+ ar 2+ mr, moderate pulmonary artery systolic hypertension. brief hospital course: year-old female presented with sepsis secondary to bowel microperforation. the patient was initially treated with levofloxacin and flagyl. she was given aggressive ivfs for rescusitaion and started on levophed for pressor support. her blood pressure continued to require increased support, and additional pressors were added to her regimen. she also presented with elevated cardiac enzymes suggestive of demand ischemia in the setting of underlying coronary artery disease. she presented with an anion gap metabolic acidosis thought to be due to her lactic acidosis. she also presented with coagulopathy; dic labs were negative. the patient continued to decompensate, becoming progressively hypotensive and tachycardic despite antibiotics, bowel regimen, ivfs and pressors. on the second day of hospitalization, decision was made with two of ms. ' three sons, one of whom served as her health care proxy, to withdraw care. blood pressure continued to decline and she had periods of tachyarrhythmia. ms. on . medications on admission: metoprolol 50 mg po bid levothyroxine 50 mcg po qd pantoprazole 40 mg po q24h aspirin 325 mg po qd oxybutynin chloride 5 mg po bid patient unsure of whether she was on medications for constipation. discharge medications: none discharge disposition: discharge diagnosis: sepsis discharge condition: deceased discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified diagnoses: esophageal reflux congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis unspecified acquired hypothyroidism perforation of intestine constipation, unspecified osteoporosis, unspecified septic shock pressure ulcer, lower back 

Answer: The patient is high likely exposed to