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: prozac attending: chief complaint: abdominal pain and rectal bleeding major surgical or invasive procedure: sigmoidoscopy sigmoid colectomy. history of present illness: 35 yo f with no significant past medical history originally presented to on after an episode of llq abdominal pain, syncope, and bright red bloody diarrhea while at daughter's cheeleading practice at approximately 8pm on . she notes that she was additionally having nausea without vomiting while in the bathroom with her brbpr. prior to her syncope and bloody diarrhea, patient had been feeling well without and fevers. she did have about 4 days of upper respiratory infectious symptoms prior to presentation here, including right sided sinus congestion and some sore throat. denied odynaphagia or dysphagia. denies ingestion of any raw seafood or undercooked meats. denies sick contact with anyone with infectious diarrhea symptoms. . in the emergency department, vitals at presentation were: t afebrile, hr 104, bp 102/70, hr r4, o2sat 100% ra. had been transferred from ed and was reported to have brbpr immediately upon arrival to the ed. was crying from severe abdominal pain and received dilaudid iv. ct abd/pelvis which showed sigmoid bowel wall thickening and stranding. was subsequently started on ciprofloxacin and metronidazole. additionally had pantoprazole iv bolus as well as a drip that was started. hct was 34.4 at presentation down from 37 at and patient was transfused 2 units prbc. coags were stable in the ed. she had hypotension in the ed with bp down to 80/40s. she received 4l of ns ivf. hr fell to 88. gi was consulted in the ed and advised an ng lavage, though this was not performed prior to transfer. vitals prior to transfer to the icu were: t afebrile, hr 88, bp 89/54, o2sat 100% ra. . past medical history: 1) pyelonephritis 2) s/p appendectomy social history: single mother with 3 children aged 16, 12, and 8. reports that her primary job is taking care of her children and attending the multitude of extracurricular activities. tobacco: currently 5 cigarettes daily and attempting to quit. etoh: rare illicits: distant marijuana use, no ivdu history. family history: patient does not know history of her father. mother generally well. denies any family history of diarrhea or inflammatory bowel disease. physical exam: vs: t 97, hr 97, bp 95/63, rr 18, o2sat 100% gen: appears to be in extreme discomfort, clutching left lower abdomen heent: perrl, eomi, oral mucosa moist, sclera anicteric, no conjunctival pallor neck: supple, jvp flat pulm: ctab card: rr, nl s1, nl s2, no m/r/g abd: bs+ (hypoactive), soft, local press and rebound tenderness and guarding in left flank and llq, denies tenderness of ruq or rlq, bed sheets visibly soiled with maroon stool and blood clots ext: no c/c/e skin: no rashes neuro: oriented x 3, moving all extremities, non-focal psych: tearful, admits to anxiety and fright regarding clinical staus pertinent results: admission labs 10:11pm hct-31.7* 05:47pm lactate-0.8 05:47pm freeca-1.14 05:40pm wbc-5.8 rbc-4.05* hgb-12.1 hct-35.5* mcv-88 mch-29.9 mchc-34.1 rdw-14.4 05:40pm plt count-129* 02:35pm hct-32.9* 11:00am urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg 11:00am urine color-yellow appear-clear sp -1.034 11:00am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.5 leuk-neg 10:37am glucose-86 urea n-13 creat-0.7 sodium-137 potassium-3.9 chloride-108 total co2-23 anion gap-10 10:37am calcium-7.8* phosphate-2.3* magnesium-1.6 10:37am wbc-6.7 rbc-4.11* hgb-12.3 hct-36.1 mcv-88 mch-29.9 mchc-34.0 rdw-14.3 10:37am neuts-63.6 lymphs-27.9 monos-4.8 eos-2.9 basos-0.8 10:37am plt count-133* 10:37am pt-13.1 ptt-25.3 inr(pt)-1.1 06:03am lactate-1.7 06:03am hgb-13.0 calchct-39 05:57am glucose-92 urea n-13 creat-0.7 sodium-137 potassium-4.1 chloride-110* total co2-19* anion gap-12 05:57am alt(sgpt)-14 ast(sgot)-19 ld(ldh)-136 alk phos-47 tot bili-0.7 05:57am albumin-3.3* 05:57am wbc-8.9 rbc-4.16* hgb-12.6 hct-36.1 mcv-87 mch-30.4 mchc-35.0 rdw-13.9 05:57am plt count-144* 01:00am lactate-0.9 01:00am hgb-12.1 calchct-36 12:47am hcg-<5 12:47am wbc-6.5 rbc-3.81* hgb-11.8* hct-34.4* mcv-90 mch-31.0 mchc-34.3 rdw-12.4 12:47am pt-14.9* ptt-28.4 inr(pt)-1.3* 06:33 4.9 3.40* 10.3* 29.9* 88 30.4 34.6 13.1 147* source: line-rt portacath differential neuts bands lymphs monos eos baso atyps metas 10:25 66.5 25.2 4.3 3.2 0.7 source: line- piv basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 06:33 147* renal & glucose glucose urean creat na k cl hco3 angap 06:33 711 5* 0.6 137 4.0 104 24 13 ct abd/pelvis : segment of sigmoid colon demonstrating mild hyperenhancement of the mucosa and internal high density material that may represent hemorrhage, may represent the earliest signs of colitis, infectious or inflammatory in etiology. no evidence of associated abscess, perforation or venous thrombosis. cta pelvis : abnormal area of colon at level of proximal sigmoid - distal descending colon cocerning for intra-luminal hematoma or mass. no evidence of microperforation or abscess. proximal sigmoid colon, mass, biopsy (a): adenocarcinoma, submucosa not present to evaluate for invasion. additional levels examined. : sigmoid colon, segmental resection: invasive adenocarcinoma; see synoptic report. colon and rectum: resection synopsis (includes transanal disk excision of rectal neoplasms) staging according to american joint committee on cancer staging manual -- 7th edition, macroscopic specimen type: sigmoidectomy. specimen size: greatest dimension: 15.2 cm. additional dimensions: 5.1 cm x 2.1 cm. tumor site: sigmoid colon. tumor configuration: exophytic (polypoid). infiltrative. tumor size:greatest dimension: 5.4 cm. additional dimensions: 3.4 cm x 2.2 cm. macroscopic tumor perforation: not identified. microscopic histologic type: adenocarcinoma. histologic grade: low-grade (moderately differentiated). histologic features suggestive of microsatellite instability intratumoral lymphocytic response (tumor infiltrating lymphocytes): mild. peri-tumoral lymphocytic response (tumor infiltrating lymphocytes): mild. extent of invasion primary tumor: pt3: tumor invades through the muscularis propria into the subserosa or the nonperitonealized pericolic or perirectal soft tissues. regional lymph nodes: pn0: no regional lymph node metastasis. lymph nodes number examined: 33. number involved: 0. distant metastasis: pmx: cannot be assessed. margins margin 1: uninvolved by invasive carcinoma: distance of tumor from closest margin: 21 mm. margin 2: uninvolved by invasive carcinoma: distance of tumor from closest margin: 77 mm. circumferential (radial) margin: uninvolved by invasive carcinoma: distance of tumor from closest margin: 38 mm. treatment effect: no prior treatment. lymphatic small vessel invasion: present (focal); intramural. venous (large vessel) invasion: absent. perineural invasion: present. tumor deposits (discontinuous extramural extension): not identified. type of polyp in which invasive carcinoma arose: adenoma. brief hospital course: 35 yo f with no significant past medical history presented on to after an episode of llq abdominal pain, syncope, and bright red bloody diarrhea of acute onset. her hematocrit was 38.7. she was transferred to for further management. ms. was admitted to the micu for close monitoring and serial hematocrits. given ct findings of sigmoid thickening and stranding, was intially concerning for infectious or inflammatory cause of her lower gi bleeding. she was being treated for bacterial causes with ciprofloxacin and metronidazole initially. a flexible sigmoidoscopy was performed and revealed a mass in descending colon that was friable and bleeding. the surgical service was consulted for further evaluation. her hematocrit remained stable during her icu stay. cea level was elevated at 8.3. based on her sigmoidoscopy results she was taken to the operating room on and underwent a sigmoid colectomy. she tolerated the procedure well with minimal blood loss and returned to the pacu in stable condition. she maintained stable hemodynamics and her pain was controlled with an epidural catheter infusion of bupivicaine and a dilaudid pca. during her post-operative course, she continued to complain of abdominal pain and was re-assessed by the acute pain service who readjusted her pain medicine regimen. she had the epidural catheter discontinued on and she has continued with her oral pain medication. her vital signs are stable and she is tolerating a regular diet. she was evaluated by the physical therapy service for assessment with ambulation and for the present time is more comfortable with a rolling walker. her pain medication was increased to every 3 hours ( oxycodone 10mg )and is effective. her picc line was removed on and she will follow up in the acute care clinic in 2 weeks as well as the clinic to discuss her pathology report. medications on admission: takes "all-natural dexatrin" diet pills discharge medications: 1. miconazole nitrate 2 % cream sig: one (1) appl vaginal hs (at bedtime) for 7 days. 2. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours): as needed for pain. 3. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 4. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. disp:*42 tablet(s)* refills:*1* 5. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 6. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 7. colace 100 mg capsule sig: one (1) capsule po twice a day. 8. outpatient physical therapy out patient physical therapy for gait training and balance discharge disposition: home discharge diagnosis: proximal sigmoid colon mass discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down 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 experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. 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. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *your staples will be removed at your follow-up appointment. followup instructions: provider: . , : date/time: 11:00 provider: , md phone: date/time: 11:00 call the acute care clinic at for a follow up appointment in weeks. procedure: closed [endoscopic] biopsy of large intestine open and other sigmoidectomy large-to-large intestinal anastomosis diagnoses: other iatrogenic hypotension hypotension, unspecified hemorrhage of rectum and anus malignant neoplasm of sigmoid colon 

Answer: The patient is high likely exposed to