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: heparin agents attending: chief complaint: 1. sigmoid diverticulitis, status post hartmann's procedure. 2. ventral hernia, status post repair with skin graft and mesh. 3. enterocutaneous fistula major surgical or invasive procedure: 1. takedown of colostomy with partial sigmoid resection and end-to-end colorectal anastomosis. 2. takedown of extensive intra-abdominal adhesions (total length of procedure 6 hours). 3. takedown of enterocutaneous fistula. 4. repair of enterotomy. 5. removal of mesh and skin graft 6. component separation 7. vac placement to abdomenal wall defect history of present illness: morbidly obese 56f s/p chole and oophorectomy for reportedly benign dz, complicated by postop sbo secondary to dense adhesions, presented to our er w/ a history of arthralgias, myalgias and fevers. she later acutely decompensated w/ hypotension and abdominal pain, ct scan at that time revealed evidence of a thickened sigmoid colon with air outside the colon as well as in the portal vein, then had () ex-lap, loa, ant rsxn of rectosigmoid and sbr. ex-lap and abd washout for abd sepsis, attempted closure. - another washout and attempted closure. - dexon mesh closure. - stsg 15x25 cm to abd wound. - tracheostomy. there is evidence (barium enema) of an enter-cutaneous fistula from the top of the rectal stump that empties in the right lower quadrant at the junction of the skin graft and normal skin. due to visceral edema at the time of her inital surgery surgery, the abdominal wall could not be closed primarily but the patient was treated with an open abdomen initially and subsequently skin graft. the patient also has had an enterocutaneous fistula between the tip of the hartmann's pouch and the skin in the right lower quadrant since the surgery. the patient now presents for takedown of the colostomy, excision of the skin graft and the mesh at the site of the ventral hernia, and takedown of enterocutaneous fistula to be followed by abdominal wall reconstruction by plastic surgery. past medical history: htn hypercholesterolemia h/o breat abscess depression social history: noncontributory family history: noncontributory physical exam: post op vs- 100.3, 80, 119/92, 11, 100% gen- nad lungs: intubated, cta heart: rrr, s1s1 gi: soft, morbidly obese, vac intact and working well neuro: sedated pertinent results: 05:41pm blood wbc-25.4*# rbc-4.48 hgb-13.8 hct-40.6 mcv-91 mch-30.8 mchc-34.0 rdw-14.0 plt ct-382 06:00am blood wbc-22.0* rbc-3.69* hgb-11.9* hct-34.0* mcv-92 mch-32.3* mchc-35.0 rdw-14.0 plt ct-296 05:41pm blood glucose-152* urean-10 creat-1.0 na-140 k-4.0 cl-105 hco3-22 angap-17 brief hospital course: the patient was admitted to on for a scheduled surgery. she had multiple operations performed at that time, including 1. takedown of colostomy with partial sigmoid resection and end-to-end colorectal anastomosis. 2. takedown of extensive intra-abdominal adhesions (total length of procedure 6 hours). 3. takedown of enterocutaneous fistula. 4. repair of enterotomy. 5. removal of mesh and skin graft. 6. component separation adn vac closure of abdominal wall defect. three different surgeons participated in her operation (dr. , dr. , and dr. please see operative notes for details). post operatively she was admitted directly to the icu. she was intubated and sedated on propofol. she was kept npo with an ng tube. she was given fluid with albumin for oliguria likely due to third spacing. she was kept on peri-operative gentamycin, flagyl, and kefzol. since she is hit positive, she was started on fondaperniox for dvt prophylaxis. on pod 1, her sedation was weaned and she was extubated. she was transferred to the floor later that night because she was doing very well with no issues. her pain was controlled with a pca. she was on iv lopressor for hr and bp control. pod 2 was her last day of antibiotics. she got out of bed to a chair. on pod 3 her foley was removed. her vac was changed by plastic surgery at the bedside. she passed flatus.on pod 4, we gave her hydralazine in addition to her lopressor for bp control. her ng tube was removed and she tolerated it well. she tolerated sips. she recieved toradol for better pain control. on pod 5, she was started on clears and her iv was hep-locked. on pod 6 she tolerated a regular diet. on pod 7 her vac was changed at the bedside by plastics. her central line was removed. on pod 8, she continued to do well. pain control was still an issues, however her pain was tolerable. she was tolerating a regular diet and ambulating. she was sent home with home pt and a vna for vac care at home. medications on admission: effexor 300', neurontin 300'', tramadol 12.5/12.5/50, toprol 200', clonidine .2''', ativan 0.5/1 discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 2. venlafaxine 75 mg capsule, sust. release 24hr sig: two (2) capsule, sust. release 24hr po bid (2 times a day). 3. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day). 4. metoprolol succinate 100 mg tablet sustained release 24hr sig: two (2) tablet sustained release 24hr po daily (daily). 5. clonidine 0.2 mg tablet sig: one (1) tablet po tid (3 times a day). 6. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 7. lorazepam 0.5 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 8. lorazepam 1 mg tablet sig: one (1) tablet po qnoon (). 9. tramadol 50 mg tablet sig: 0.25 tablet po q am and q noon (). 10. tramadol 50 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*0* 12. senna oral discharge disposition: home with service facility: greater vna discharge diagnosis: 1. sigmoid diverticulitis, status post hartmann's procedure. 2. ventral hernia, status post repair with mesh. 3. enterocutaneous fistula. discharge condition: good discharge instructions: please call or come to the ed with any fevers > 101, redness, warmth, drainage, or increasing tenderness by your incisions, any nausea, vomiting or diarrhea, or any other worrisome issues. you may shower- just disconect your vac first. do not tub bathe. diet as normal. activity as tolerated. followup instructions: provider: , md phone: date/time: 2:30 please call the office of dr. to schedule a follow-up in 1 week at (. md, procedure: graft of muscle or fascia excision or destruction of peritoneal tissue other lysis of peritoneal adhesions other open incisional hernia repair with graft or prosthesis open and other sigmoidectomy closure of fistula of small intestine, except duodenum closure of stoma of large intestine suture of laceration of small intestine, except duodenum diagnoses: pure hypercholesterolemia unspecified essential hypertension peritoneal adhesions (postoperative) (postinfection) incisional hernia without mention of obstruction or gangrene diverticulosis of colon (without mention of hemorrhage) fistula of intestine, excluding rectum and anus attention to colostomy 

Answer: The patient is high likely exposed to