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: history of present illness: this is a 72 year old female with a history of papillary serous ovarian carcinoma diagnosed in , status post exploratory laparotomy and drainage of ascites on , who presented to an outside hospital with small bowel obstruction. on initial surgery, unable to debulk secondary to extensive carcinomatosis. the patient is status post two cycles of carboplatin treatment, most recently . she was admitted to hospital with a three day history of nausea and vomiting, and inability to tolerate any p.o. nasogastric tube was placed and since then the patient denies any nausea and vomiting. she does report occasional crampy pain. no chest pain or shortness of breath. the patient is voiding well spontaneously. no dysuria or hematuria or hematochezia. the patient reports small bowel movements for two to three days. she also fell in the outside hospital, resulting in ecchymosis of the right hip, right knee and left arm. the patient states that she did have a ct scan twice and a kub which was compatible with small bowel obstruction. gastrogram enema revealed two obstructing lesions in the sigmoid. past medical history: 1. chronic obstructive pulmonary disease. 2. peptic ulcer disease/gastroesophageal reflux disease. 3. hiatal hernia. 4. hypothyroidism, status post partial thyroidectomy for multinodular goiter. 5. anemia. 6. depression. 7. ovarian carcinoma as per history of present illness. 8. history of small bowel obstruction in . 9. osteoarthritis. past surgical history: 1. bilateral hip replacement. 2. breast biopsy. 3. partial thyroidectomy. 4 exploratory laparotomy for small bowel obstruction in . social history: history of tobacco use times fifty years. she quit in . the patient was widowed since . she is a retired r.n. medications on admission: 1. bupropion 75 mg p.o. twice a day. 2. epogen 40,000 units q.week. 3. zofran intravenous q6hours p.r.n. 4. advair 250/50 one puff twice a day. 5. dulcolax suppositories pr twice a day p.r.n. 6. neupogen 300 mcg subcutaneously. allergies: no known drug allergies. physical examination: vital signs revealed temperature of 99.2, blood pressure 112/66, heart rate 109, respiratory rate 20, oxygen saturation 94% on two liters of oxygen. in general, the patient is in no acute distress, alert and oriented times three. chest is with decreased breath sounds and occasional expiratory wheezes. cardiovascular - tachycardic, no murmurs, rubs or gallops. the abdomen is soft, markedly distended, minimal diffuse tenderness to palpation, tympanitic areas, high pitched bowel sounds. extremities are without edema, notable for ecchymosis in the upper arm and right hip and right knee. neurologic examination is grossly intact throughout. nasogastric tube is draining thick brownish discharge. laboratory data: white blood cell count 16.0, hematocrit 28.9. sodium 129, potassium 3.9, blood urea nitrogen 12, creatinine 0.5. hospital course: the patient was admitted to the ob/gyn service, and her bowel obstruction was managed conservatively. she was followed by gastroenterology and surgery services. a colonoscopy revealed a tight 3.5 centimeter stricture in the midsigmoid colon. the sharp and abrupt angulation of the stricture prevented the deployment of a metal stent. the patient was managed conservatively and was started on clear liquids on . her hospital course was complicated by septic right knee joint for which she was started on vancomycin. on , the patient complained of difficulty breathing and was evaluated for a pulmonary embolus with a ct angiogram which showed no evidence of pulmonary embolus. the patient also had an episode of mild chest pain with tachypnea on , and she ruled out for myocardial infarction at that time. given her persistent recurrent episodes of tachypnea and tachycardia, the patient was started on advair, for possible chronic obstructive pulmonary disease flare worsened by gastroesophageal reflux disease. following another episode of shortness of breath with tachypnea to the mid 30s, the patient was transferred to the medical intensive care unit and started on intravenous solu-medrol. she was diuresed with intravenous lasix with substantial symptomatic improvement. she received cpap and nebulizers. she was finally transferred to the floor where she was continued on p.o. lasix. her respiratory function improved and the patient was considered ready for transfer to rehabilitation. on , the patient received a dose of carboplatin (725 mg). discharge status: to rehabilitation. condition on discharge: stable. discharge instructions: the patient should follow-up with her primary care physician and her oncologist. she should follow a low residue diet. she should have her tsh rechecked in three weeks, to readjust her synthroid dose (tsh found to be elevated during this hospitalization). she should have her complete blood count checked every day for three days after discharge and her potassium checked every other day for four days. it may be necessary to adjust her potassium chloride dose. precautions: methicillin resistant staphylococcus aureus. medications on discharge: 1. vancomycin one gram q12hours for eighteen days. 2. levothyroxine sodium 25 mcg p.o. once daily (the patient should have tsh rechecked in three weeks and the dose may have to be readjusted). 3. menthol-cetylpyridinium 2 mg lozenges one lozenge p.r.n. 4. tylenol elixir 325 to 650 mg p.o. q4-6hours p.r.n. 5. maalox 15 to 30ml p.o. four times a day. 6. fluticasone-salmeterol one disk one puff twice a day. 7. lorazepam 0.5 mg p.o. twice a day. 8. famotidine 20 mg p.o. twice a day. 9. chlorhexidine 50ml twice a day. 10. bupropion 150 mg p.o. twice a day. 11. paxil 20 mg p.o. once daily. 12. lasix 40 mg p.o. twice a day. 13. albuterol-ipratropium one to two puffs q6hours p.r.n. 14. iron sulfate 325 mg p.o. once daily. 15. heparin subcutaneous 5000 units subcutaneous injection q12hours. 16. potassium chloride 40 meq p.o. twice a day for two days (potassium level should be checked every other day). 17. prochlorperazine 10 mg p.o. q6hours p.r.n. 18. epogen 10,000 units three times per week. 19. prednisone taper; 40 mg once daily for two days, 30 mg once daily for two days, 20 mg once daily for the next two days and 10 mg once daily for the next two days. , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other incision with drainage of skin and subcutaneous tissue arthrocentesis flexible sigmoidoscopy flexible sigmoidoscopy injection or infusion of cancer chemotherapeutic substance diagnoses: congestive heart failure, unspecified toxic encephalopathy other specified intestinal obstruction obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure cellulitis and abscess of leg, except foot bacteremia secondary malignant neoplasm of retroperitoneum and peritoneum pyogenic arthritis, lower leg 

Answer: The patient is high likely exposed to