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: oxycodone attending: chief complaint: colovesicular fistula major surgical or invasive procedure: placement of left-sided ureteral stent, sigmoid colectomy, takedown of colovesicular fistula, mobilization of splenic flexure and diverting loop ileostomy. history of present illness: the patient is a 59-year-old woman, with copd on steroids with enlarging thoracic aortic aneurysm, colovesicular fistula from diverticulitis, as well as lung lesion, who presented for management of diverticulitis. cystoscopy revealed a small bladder mass that seemed external on the left side. ct and mri and also confirmed that there is diverticulitis in the left colon with involvement of the bladder. past medical history: thoracic aortic aneurysm hypertension hyperlipidemia asthma/copd mild renal insufficiency, proteinuria hx of cva (transient visual disturbance) right lung nodule hypothyroidism glucose intolerance, ? due to prednisone use polymyalgia rheumatica/ giant cell arteritis (currently on steroid taper) : total abdominal hysterectomy for uterine cancer + ppd s/p removal of colon polyps presumed uti, s/p course of cipro (completed on ) tonsillectomy s/p c-section arthritis involving neck and spine social history: patient is divorced with a 24 year old son. she lives alone. she is employed as a clinical social worker. etoh: none recently tobacco: patient has smoked 35-40 years, half a pack to 1ppd. she quit in recreational drug use: denies family history: mother with abdominal aortic aneurysm no history of colorectal cancer physical exam: on discharge: 98.9 69 133/66 16 98% ra general: appears well, nad cv: rrr resp: ctab, no distress abd: soft, nontender, nondistended, incisions c/d/i, stoma pink with liquid stool ext: no peripheral edema pertinent results: 05:35am blood wbc-10.1 rbc-3.55* hgb-11.1* hct-32.9* mcv-93 mch-31.2 mchc-33.6 rdw-13.9 plt ct-339 05:30am blood glucose-106* urean-15 creat-0.9 na-140 k-4.3 cl-104 hco3-28 angap-12 echo (): the left atrium is mildly dilated lvef 70%. focal wall motion abnormality cannot be fully excluded. the abdominal aorta is markedly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. renal us (): no evidence of hydronephrosis kub ( & ): multiple dilated loops of small bowel with air-fluid levels likely suggestive of a postoperative ileus; however, obstruction cannot be ruled out. ct abd/pelvis (): 1. dilated fluid-filled loops of small bowel up to 5 cm with multiple air-fluid levels and a gradual transition point in the proximal ileum but without any upstream fecalization. this appearance is likely related to an underlying ileus with the decompressed distal ileum related to lack of contrast progression at the time of exam. 2. streaky opacities in the right middle lobe with some more peripheral centrilobular nodules likely reflect a combination of atelectasis and mild infectious bronchiolitis. 3. no findings of abscess within the abdomen or pelvis. normal appearance to the loop ileostomy and colocolonic anastomosis site. submucosal fatty deposition within the ascending colon is nonspecific and may reflect chronic inflammation or secondary to patient body habitus and steroid use. brief hospital course: ms. was admitted on after undergoing sigmoid colectomy with coloproctostomy and diverting loop ileostomy for colovesicular fistula and diverticulitis without complications. due to the length of her case and low urine output in pacu, patient was transferred to the icu extubated for volume resuscitation and monitoring. her course is detailed below by system: 1. neuro: patient was neurologically at baseline throughout her stay. her pain was initially controlled with an epidural catheter which was dced on pod#4. patient was then transitioned from iv to po pain meds as she was tolerated po intake. 2. cv: while in icu, patient was fluid resuscitated for low urine output, however sbp was normal throughout. patient developed an increasing o2 requirement on pod#2 and an echo was performed to assess for chf secondary to resuscitation. echo showed a normal ef and no signs of fluid overload. she was maintained on home medications when taking po. 3. resp: patient was extubated in the or and had increased o2 requirement on pod#2. cxr performed at that time showed mild atelectasis b/l but no signs of pneumonia. o2 was gradually weaned and patient's o2 sats were >95% on room air at the time of discharge. she was given nebulizer treatments for her copd. 4. gi: patient's ostomy was pink and protubertant throughout stay. her diet was advanced from clears to regular when passing flatus. however, on pod5, patient had an episode of bilious emesis. she was made npo and started on iv fluids. kub was performed revealing an ileus. due to continued nausea, abdominal distension, and emesis, an ng tube was placed on pod#8 with 900 cc of bilious return. patient was encourage to ambulate and minimize narcotics and reglan was started. due to prolonged npo status, a picc line was placed and tpn started. a ct abdomen was performed to investigate prolonged ileus and revealed ileus with no clear sbo or fluid collections. once distension had resolved, patient's ngt was clamped for 6 hours with no nausea or distension. ngt was removed and she was started on clear liquids. she was advanced to regular diet when ostomy had good output and gas, which she was tolerating at the time of discharge. 4. renal/gu: patient had low urine output perioperatively and was fluid resuscitated in icu. her cr peaked at 2 on pod#1 with fena of 1%. renal us was performed with no evidence of hydronephrosis. with continued resuscitation, cr trended downward. once transferred to the floor (pod#4), patient was diuresed with iv lasix back to baseline weight. cr at discharge was 0.9 5. heme/id: patient was on heparin sc and venodyne boots for dvt prophylaxis. she was given 24 hours of periop antibiotics. 6. endo: patient was given stress dose steroids perioperatively and then resumed on home dose when taking po. she was kept on an insuline sliding scale and her levothyroxine was continued. dispo: patient was evaluated by physical therapy with recommendations for discharge home. she worked with the inpatient stoma nurse and received education. medications on admission: albuterol prn fluticasone 110 2 puffs spiriva 18 daily atenolol 50mg daily hctz 25mg irbesartan 300mg daily wellbutrin er 150mg daily prozac 40mg daily levothyroxine 250mg daily prednisone 5mg daily aspirin 325mg daily b vitamins calcium vitamin d augmentin 875mg twice daily discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 3. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 4. levothyroxine 125 mcg tablet sig: two (2) tablet po daily (daily). 5. bupropion hcl 150 mg tablet extended release sig: one (1) tablet extended release po qam (once a day (in the morning)). 6. fluoxetine 20 mg capsule sig: two (2) capsule po daily (daily). 7. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 8. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 9. irbesartan 150 mg tablet sig: two (2) tablet po daily (). 10. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 11. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain for 5 days: do not drink alcohol or drive a car while taking this medication. . disp:*30 tablet(s)* refills:*0* 12. vitamin b complex oral 13. calcium 500 oral 14. vitamin d oral discharge disposition: home with service facility: americare at home inc discharge diagnosis: diverticulitis with colovesicular fistula. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital after a sigmoid colectomy for surgical management of your diverticulitis. you have recovered from this procedure well and you are now ready to return home. samples from your colon were taken and this tissue has been sent to the pathology department for analysis. you will receive these pathology results at your follow-up appointment. if there is an urgent need for the surgeon to contact you these results they will contact you before this time. you have tolerated a regular diet, passing gas and your pain is controlled with pain medications by mouth. you may return home to finish your recovery. please monitor your bowel function closely. if you have any of the following symptoms please call the office for advice or go to the emergency room if severe: increasing abdominal distension, increasing abdominal pain, nausea, vomiting, inability to tolerate food or liquids, prolonges loose stool, or constipation. you have a new ileostomy. the most common complication from a new ileostomy placement is dehydration. the output from the stoma is stool from the small intestine and the water content is very high. the stool is no longer passing through the large intestine which is where the water from the stool is reabsorbed into the body and the stool becomes formed. you must measure your ileostomy output for the next few weeks. the output from the stoma should not be more than 1200cc or less than 500cc. please record the output of your ileostomy on the flow sheet provided to you by the nursing staff. if you find that your output has become too much or too little, please call the office for advice. the office nurse or nurse practitioner can recommend medications to increase or slow the ileostomy output. keep yourself well hydrated, if you notice your ileostomy output increasing, take in more electrolyte drink such as gatoraide. please monitor yourself for signs and symptoms of dehydration including: dizziness (especially upon standing), weakness, dry mouth, headache, or fatigue. if you notice these symptoms please call the office or return to the emergency room for evaluation if these symptoms are severe. you may eat a mosified regular diet with your new ileostomy. however it is a good idea to avoid spicy foods. you have a long vertical incision on your abdomen that is closed with staples. this incision can be left open to air or covered with a dry sterile gauze dressing if the staples become irritated from clothing. the staples will stay in place until your first post-operative visit at which time they can be removed in the clinic, most likely by the office nurse. please monitor the incision for signs and symptoms of infection including: increasing redness at the incision, opening of the incision, increased pain at the incision line, draining of white/green/yellow/foul smelling drainage, or if you develop a fever. please call the office if you develop these symptoms or go to the emergency room if the symptoms are severe. you may shower, let the warm water run over the incision line and pat the area dry with a towel, do not rub. please monitor the appearance of the ostomy and stoma and care for it as instructed by the wound/ostomy nurses. the stoma (intestine that protrudes outside of your abdomen) should be beefy red or pink, it may ooze small amounts of blood at times when touched and this should subside with time. the skin around the ostomy site should be kept clean and intact. monitor the skin around the stoma for buldging or signs of infection listed above. please care for the ostomy as you have been instructed by the wound/ostomy nurses. you will be able to make an appointment with the ostomy nurse in the clinic 7 days after surgery, you will have a visiting nurse at home for the next few weeks helping to monitor your ostomy until you are comfortable caring for it on your own. currently your ileostomy is allowing the surgery in your large intestine to heal, which does take some time. you will come back to the hospital for reversal of this ileostomy at a time decided on dr. or that is safe to do so. you will follow-up in the clinic, and the surgeon will decide when will be the best time for your second surgery. until this time there is healthy intestine that is still functioning as it normally would and it will produce mucus and some may leak or you may feel as though you need to have a bowel movment and you may sit on the toilet and empty this mucus, it is normal. no heavy lifting for at least 6 weeks after surgery unless instructed otherwise by dr. . you may gradually increase your activity as tolerated but clear heavy excersise with dr. . you will be prescribed a small amount of the pain medication hydromorphone. please take this medication exactly as prescribed. you may take tylenol as recommended for pain. please do not take more than 4000mg of tylenol daily. do not drink alcohol while taking narcotic pain medication or tylenol. please do not drive a car while taking narcotic pain medication. you have an appointment with thoracic surgery as listed below to evaluate your lung, please keep this appointment. thank you for allowing us to participate in your care! our hope is that you will have a quick return to your life and usual activities. good luck! followup instructions: call and schedule appointment with dr. in days. call with questions, concerns and to make this appointment. provider: , md phone: date/time: 3:30 on the clinical center . procedure: parenteral infusion of concentrated nutritional substances ureteral catheterization open and other sigmoidectomy repair of fistula involving bladder and intestine retrograde pyelogram exteriorization of small intestine central venous catheter placement with guidance diagnoses: polymyalgia rheumatica unspecified acquired hypothyroidism thoracic aneurysm without mention of rupture hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified other and unspecified hyperlipidemia paralytic ileus other diseases of lung, not elsewhere classified chronic obstructive asthma, unspecified diverticulitis of colon (without mention of hemorrhage) abscess of intestine intestinovesical fistula postprocedural fever 

Answer: The patient is high likely exposed to