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: morphine / nsaids (non-steroidal anti-inflammatory drug) / aspirin attending: chief complaint: abdominal pain, pneumoperitoneum major surgical or invasive procedure: 1. exploratory laparotomy. 2. enterotomy repair, distal ileum. 3. adhesiolysis. 4. closure of duodenal ulcer with patch, omentum. history of present illness: 61f transferred from an outside hospital with free air and abdominal fluid. she had undergone a previous gastric bypass 10 years earlier, which was subsequently complicated by perforated ulcer. she had recovered from that was advised to not take nonsteroidals antiinflammatory medications; however, after a knee surgery she resumed nonsteroidals, and by her report, has had chronic abdominal pain for at least 1 month. she presented this admission with acute worsening abdominal pain and ct findings consistent with recurrent perforated peptic ulcer. past medical history: pmh: htn, mv prolapse, oa, djd, venostasis psh: hysterectomy ', tonsillectomy, lap appy ', arthroscopy ', repair of perforated peptic ulcer ', rygb and ccy ', social history: she quit smoking in and uses alcohol occasionally. family history: non-contributory physical exam: 98.9 98.7 89 129/60 18 97%ra gen: nad, a&ox3 cv: rrr pulm: ctab abd: soft, appropriately tender, non-distended ext: warm and well-perfused incision: c/d/i, prior drain sites with no evidence of infection neuro: grossly intact pertinent results: 01:57am blood wbc-0.8* rbc-2.77* hgb-7.6* hct-25.4* mcv-92 mch-27.6 mchc-30.1* rdw-15.8* plt ct-114* 05:35am blood wbc-6.1 rbc-2.72* hgb-7.2* hct-24.1* mcv-88 mch-26.5* mchc-30.0* rdw-16.6* plt ct-316 05:35am blood glucose-97 urean-16 creat-0.6 na-136 k-3.9 cl-106 hco3-22 angap-12 05:06am blood alt-265* ast-366* ld(ldh)-407* alkphos-455* totbili-1.9* dirbili-1.3* indbili-0.6 05:35am blood alt-189* ast-148* alkphos-422* totbili-1.1 dirbili-0.6* indbili-0.5 brief hospital course: the patient was admitted for surgical repair of a likely perforated peptic ulcer. she tolerated the procedure well; please see the separately-dictated operative note for details. following the procedure, she was transferred to the ticu for close monitoring, and transferred to the floor on pod#3. neuro/pain: the patient was taken to the ticu postoperatively, and was sedated and intubated; sedation was weaned as she was extubated pod#1. the patient was maintained on iv pain medication in the immediate post-operative period and later transitioned to po narcotic medication with adequate pain control. a social work consult was called for assistance with coping. the patient was also noted at times to appear confused and distractable; she was indeed maintained on her home antidepressant, and a psychiatry consult was eventually requested. it was thought that her mental status changes were due to resolving delirium, and indeed by the day of discharge, her mental status was reassuring. cardiovascular: the patient was hemodynamically stable. her vitals signs were monitored. initially, in the ticu, she was mildly tachycardic, thought to be secondary to hypovolemia. she was maintained on iv fluids until tolerating sufficient po intake. respiratory: the patient was transferred postoperatively to the ticu, intubated. she was extubated the next day, without event. she was stable room air. gastrointestinal: following the procedure, the patient was npo. she was started on tpn on pod#1, and this was continued to pod#8, when she demonstrated sufficient tolerance of a bariatric stage 3 diet. her tolerance of the diet was halting at first, secondary to occasional nausea and emesis, but these issues appeared to resolve with minimization of her narcotic pain medication. on pod#8, her lfts were noted to have risen, and these were trending downward after discontinuation of the tpn. she had 3 abdominal drains in place after the procedure, and these were discontinued sequentially prior to discharge beginning on pod#6. a nasogastric tube was discontinued on pod#3. by the day of discharge, the patient was passing flatus and having bowel movements. genitourinary: the patient's urine output was closely monitored in the immediate post-operative period. a foley catheter was placed intra-operatively and removed on pod#5, and she was able to void. the patient's intake and output was closely monitored. the patient's creatinine was 0.6 on the day of discharge. heme: in the postoperative period, the patient was noted to be pancytopenic. a hematology consult was obtained, and it was thought that this was likely due to bone marrow suppression in the setting of her infection. she was initially placed on neutropenic precautions; over the remainder of her course, her cell counts trended upward and the neutropenic precautions were discontinued on pod#6. id: the patient was initially on vancomycin and cefepime due to concerns about polymicrobial infection in the setting of intestinal perforation. after consultation with infectious disease, and per the organisms' sensitivities, her antibiotics were changed to ciprofloxacin, and this was discontinued on pod#6; she showed no signs of infection after this. endocrine: the patient remained stable from an endocrine standpoint. prophylaxis: the patient was maintained on subcutaneous heparin and compression boots. she was encouraged to ambulate and she worked with physical therapy. incentive spirometry was encouraged. she was on a ppi. on the day of discharge, she was sent home in stable condition, tolerating a bariatric stage 3 diet, ambulating, with bowel function, and pain well-controlled. she was encouraged to call or return to the ed if she had any concerning symptoms. medications on admission: prozac 40', modafinil 200', iron 65 sr', mvi w/ minerals'', ibuprofen prn discharge medications: 1. fluoxetine 20 mg/5 ml solution sig: ten (10) ml po daily (daily). disp:*600 ml* refills:*2* 2. oxycodone 5 mg/5 ml solution sig: 2.5 - 5 ml po q8h (every 8 hours) as needed for pain: no alcohol or driving. disp:*100 ml* refills:*0* 3. omeprazole 2 mg/ml suspension for reconstitution sig: forty (40) mg po twice a day. disp:*qs for 1 month * refills:*1* 4. modafinil oral 5. multivitamin liquid sig: one (1) po once a day. discharge disposition: home with service facility: bayada nurses inc. discharge diagnosis: perforation of peptic ulcer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted for surgical repair of a perforation of part of your intestine. you have recovered from this and are ready to go home to finish your recovery. during your hospitalization, you were followed by hematology for a brief period of low blood cell counts, and you were seen by psychiatry, too. you were evaluated by physical therapy, and they recommended continued physical therapy as an outpatient. you are tolerating a bariatric stage 3 diet. please continue this diet until your follow-up with dr clinic. * do not take non-steroidal anti-inflammatory medications (including but not limited to ibuprofen, naproxen, and aspirin) please call your doctor or go to the emergency department if: * you experience new chest pain, pressure, squeezing or tightness. * you develop new or worsening cough, shortness of breath, or wheezing. * you are vomiting and cannot keep down fluids, or your medications. * if 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 an unusual discharge. * your pain is not improving within 12 hours or is not under control within 24 hours. * your pain worsens or changes location. * you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. * you develop any other concerning symptoms. general discharge instructions: * please resume all regular home medications, unless specifically advised not to take a particular medication (for example, do not take ibuprofen, naproxen, or aspirin). * please take any new medications as prescribed. * please take the prescribed analgesic medications only as needed. you may not drive or operate heavy machinery while taking narcotic analgesic medications. you may also take acetaminophen (tylenol) as directed, but do not exceed 4000 mg in one day. * please get plenty of rest, continue to walk several times per day, and drink adequate amounts of fluids. * avoid strenuous physical activity and refrain from heavy lifting greater than 10 lbs., until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. * please also follow-up with your primary care physician. incision care: * please call your surgeon or go to the emergency department if you have increased pain, swelling, redness, or drainage from the incision site. * avoid swimming and baths until cleared by your surgeon. * you may shower and wash incisions with a mild soap and warm water. gently pat the area dry. * if you have staples, they will be removed at your follow-up appointment. * if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: please call dr office to confirm your follow-up appointments for . you will see dr at 1130am, and then a bariatric dietician at 1230pm. call . please call your pcp to make follow-up appointment. procedure: parenteral infusion of concentrated nutritional substances other lysis of peritoneal adhesions suture of duodenal ulcer site suture of laceration of small intestine, except duodenum central venous catheter placement with guidance diagnoses: other iatrogenic hypotension anemia, unspecified mitral valve disorders unspecified essential hypertension hyposmolality and/or hyponatremia depressive disorder, not elsewhere classified sepsis accidental puncture or laceration during a procedure, not elsewhere classified osteoarthrosis, unspecified whether generalized or localized, site unspecified accidents occurring in residential institution septicemia due to escherichia coli [e. coli] other alteration of consciousness incisional ventral hernia with obstruction bariatric surgery status accidental cut, puncture, perforation or hemorrhage during surgical operation adjustment disorder with mixed anxiety and depressed mood chronic or unspecified gastric ulcer with perforation, without mention of obstruction other pancytopenia 

Answer: The patient is high likely exposed to