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: patient recorded as having no known allergies to drugs attending: chief complaint: abdominal pain, nausea, vomiting x 2days. major surgical or invasive procedure: exploratory laparotomy, right inguinal hernia repair, and small bowel resection - . history of present illness: the pt is a 76 year-old woman with cad and parkinson's disease, who was admitted with abdominal pain, found to have an incarcerated right inguinal hernia with small bowel obstruction. she was reportedly brought in to due to decreased urine output, and was found to be lethargic and jaundiced, with a mottled abdomen. she was also reportedly hypotensive, as low as 68/38. she had an abdominal ct which showed an sbo and incarcerated inguinal hernia, as well as left lower lobe infiltrates. she was intubated, and transferred to for further evaluation and treatment. past medical history: parkinson's disease, cad, s/p hysterectomy social history: lives at home with her husband. family is very supportive. family history: non-contributory. physical exam: on admission: vs: 98.8 114 150/60 18 100% ac 100% gen: intubated, sedated heent: ngt with bilious contents lungs: decreased bs (l) base, otherwise cta. cor: tachy, regular abd: soft, suprapubic catheter patent, incarcerated (r) femoral hernia. extrem: no edema, + pulses . at discharge: vs: 98.8 po, 82, 158/84, 22, 95% ra gen: pleasant in nad. heent: sclerae anicteric. o-p clear. neck: supple. lungs: cta(b) cor: rrr abd: (r)inguinal incision with steri-strips c/d/i. suprapubic catheter patent/intact draining clear, yellow urine. bsx4. soft/nt/nd. extrem: no c/c/e neuro: a+ox3. interacts appopriatley. mild mask facies. minimal cogwheeling. ambulates with assistance. back to baseline. pertinent results: on admission: 10:19pm type-art po2-109* pco2-40 ph-7.44 total co2-28 base xs-2 10:19pm freeca-1.03* 10:10pm glucose-151* urea n-97* creat-3.6* sodium-138 potassium-3.5 chloride-99 total co2-26 anion gap-17 10:10pm albumin-2.6* calcium-7.8* phosphate-5.9*# magnesium-2.2 10:10pm vanco-<1.9 10:10pm wbc-4.0# rbc-3.38* hgb-10.2* hct-30.0* mcv-89 mch-30.2 mchc-34.1 rdw-13.9 10:10pm plt count-214 10:08pm pt-12.7 ptt-21.8* inr(pt)-1.1 08:04pm type-art po2-158* pco2-43 ph-7.42 total co2-29 base xs-3 08:04pm glucose-131* lactate-1.6 na+-135 k+-3.2* cl--96* 08:04pm hgb-10.2* calchct-31 08:04pm freeca-1.08* 07:08pm type-art temp-36.5 po2-218* pco2-38 ph-7.45 total co2-27 base xs-3 07:08pm glucose-141* lactate-1.5 na+-136 k+-3.0* cl--96* 07:08pm hgb-11.6* calchct-35 05:38pm lactate-2.4* . prior to discharge: 04:39am blood wbc-10.2 rbc-3.32* hgb-9.8* hct-30.0* mcv-90 mch-29.6 mchc-32.8 rdw-13.8 plt ct-212 04:39am blood plt ct-212 07:01am blood glucose-98 urean-18 creat-0.7 na-142 k-3.9 cl-109* hco3-26 angap-11 07:01am blood calcium-6.7* phos-2.7 mg-1.6 . diagnostics: cxr: et tube tip is in standard position 3.5 cm above the carina. the ng tube tip is in the stomach. the stomach is slightly distended. right ij catheter tip is in the lower svc. cardiac size is top normal. left lower lobe consolidation is unchanged. improved linear atelectasis in the left mid hemithorax. increase in right perihilar and right inferior opacities. impression: consolidation in the left lower lobe favor pneumonia over atelectasis, correlate clinically. . ecg: sinus rhythm. left atrial abnormality. occasional premature atrial contractions. no previous tracing available for comparison. intervals axes: rate pr qrs qt/qtc p qrs t 90 174 100 400/452 9 41 -33 . ecg: sinus rhythm. baseline artifact. since the previous tracing of the rate is slower. much of the pattern on was artifactual in a different manner. the rate is now slower. clinical correlation is suggested. intervals axes: rate pr qrs qt/qtc p qrs t 72 152 94 44 . ap cxr: findings: as compared to the previous examination, the monitoring and support devices have been removed, except for a right central venous access line. today, the tip of the line projects over the right atrium. the pre- existing left lower lobe opacity, still suggestive of pneumonia, is unchanged in extent and density. there appears to be a small left reactive effusion. otherwise no relevant radiographic changes. the size of the cardiac silhouette is unchanged, unchanged appearance of the right lung. . ap cxr: impression: ap chest compared to , 9:13 a.m. right internal jugular line has been repositioned to the mid-to-low svc. left lower lobe atelectasis is improved, small left and possible small right pleural effusion are still present. no pneumothorax or mediastinal widening. heart size normal. . pathology: specimen submitted: right femoral hernia sac, small bowel. diagnosis: 1. hernia sac, right femoral (a): hernia sac with acute inflammation, fibrin, and focal fat necrosis consistent with focal ischemic changes. 2. small bowel, resection (b-d): small intestinal mucosa with ischemic changes consistent with obstruction, see note. note: definitive necrosis not seen at specimen margin. clinical: small bowel obstruction, incarcerated right inguinal hernia. gross: the case is received fresh in two parts, both labeled with the patient's name, ", ", and the medical record number. part 1 is additionally labeled "right femoral hernia." it consists of a piece of glistening pink soft tissue with attached adipose tissue measuring 7.4 x 5.8 x 1.3 cm. the glistening tissue appears slightly hemorrhagic. the fat is serially sliced to reveal adipose tissue with areas of possible hemorrhage. the specimen is represented in cassette a. part 2 is additionally labeled "small bowel." it consists of an unoriented segment of small bowel that measures 17 cm in length by approximately 3.7 cm in diameter. there is a small portion of attached mesentery that measures 9.5 x 0.9 x 0.9 cm. the central portion of the segment of small bowel appears constricted and necrotic (red black serosa). this strictured/necrotic area measures 2.8 x 2.8 cm. one end appears to have a section of grossly normal small bowel that measures 2.5 cm in length x approximately 2.1 cm in diameter. there are two staple lines present measuring 2.6 and 3.4 cm. the specimen is opened to reveal yellow brown fecal material and a diffusely erythematous mucosa with an area of possible necrosis measuring 6.7 x 5.4 cm. in addition, there is a white plaque-like lesion on the mucosa (?ulceration) measuring 0.8 x 0.6 cm. the specimen is represented as follows: b = representative sections of margin, c = representative sections of grossly necrotic/erythematous mucosa, d = ulcer. brief hospital course: the patient was admitted to the general surgical service on for evaluation and treatment of a small bowel obstruction and right inguinal hernia. she was transferred from intubated, hypotensive in acute renal failure. an ij and a-line were placed, pre-operative valaution completed, and she was brought to the operating room the same day, where she underwent exploratory laparotomy, right inguinal hernia repair, and small bowel resection. the surgery went well without complication (reader referred to the operative note for details). she received a single dose of iv vancomycin post-operatively. after a brief, uneventful stay in the pacu, the patient was admitted to the sicu npo and intubated, with an ng tube to low suction, on iv fluids and empiric iv zosyn, and a fentanyl drip for pain control. the suprapubic urostomy was to gravity with improved urine output. the patient was hemodynamically stable off pressors. . the patient remained stable overnight in the sicu, and was extubated on pod#1. she was made npo except her medications, which were slowly re-introduced with good tolerability. on pod#2, she was transferred to the inpatient floor. on the floor, neurology continued to follow the patient, and both physical and occupation therapy were consulted. . neuro: the patient was transition from a fentanyl drip to morphine iv prn the day after surgery with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications with continued good effect. neurology was consulted on pod#1 regarding management of the patient's parkinson's disease post-operatively, especially while npo. their recommendations were appreciated and followed. she was placed on cogentin 1mg iv bid while npo. once extubated, she was restarted on her home medications, especially anti-parkinsonian. on the morning of pod#3, the patient experienced an episode of hypersomnulence and was difficult to arouse, but was arousable to sternal rub. her vital signs were stable, she was afebrile, ecg and cxr were unremarkable. lab results were remarkable for an electrolyte imbalance consisting of potassium of 3.0, sodium 152, chloride 110. renal functions were improved, but still elevated with a creatinine of 2.5. sodium went as high as 158, and potassium as low as 2.7. gentle free water repletement with d5w and potassium repletement per protocol were started. situation was complicated by poor sleep the night before and disruption of her anti-parkinsonian medications due her somnulence. the hypersomnulence resolved and mental status returned to baseline later that afternoon with repletement of electrolytes and free water. she remained neurologically intact the remainder of the admission. by discharge, the patient was on her regular home medication regimen. . cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. she did not require pressors in the sicu. she was given metoprolol 5mg iv q6hours prn for hypertension, which was converted to home doses of altase and norvasc when tolerating pos and after medication dosages were verified. . pulmonary: the patient remained stable from a pulmonary standpoint. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged and adhered to throughout hospitalization. cxr revealed improvement with the (l)ll atelectasis. . gi/gu/fen: post-operatively, the patient was made npo with iv fluids. on pod#4, the patient was started on sips of clears. her diet was progressively advanced to a soft solid regular diet by pod#6 with good tolerability and appetite. given the parkinson's disease and family report of choking on liquids pre-hospitalization, speech language pathology was consulted prior to starting a diet. initially, nectar thickened liquids and ground solids was recommended, but upgraded to soft solid diet with thin liquids by pod#6. patient's intake and output were closely monitored. urine output via the suprapubic urostomy remained adequate. upon admission, the patient experienced acute renal failure with a bun/creatinine initally 115/5.2. the patient's renal functions progressively improved over the course of the admission with iv fluid rescusitaion and electrolyte repletement, with the patient's renal functions completely normalizing by pod#6 (bun 18/ creatinine 0.7). post-operative hypernatremia and hypokalemia were corrected by gentle free water and electrolyte repletement as discussed above. . id: the patient's white blood count and fever curves were closely watched for signs of infection. empirically, she received one dose of iv vancomycin post-operatively and four days of iv zosyn. her (r) inguinal incision remained clean and intact. she was not discharged on any antibiotics. . endocrine: the patient's blood sugar was monitored throughout her stay; sliding scale insulin was required while the patient received free water repletement with iv d5w, but no longer needed at the time of discharge. . hematology: the patient's complete blood count was examined routinely; no transfusions were required during this admission. . prophylaxis: the patient received subcutaneous heparin, and venodyne boots were used during this stay. the patient ambulated early and frequently with assistance and a walker. physical therapy worked with the patient throughout the admission, recommending rehabilitation post-discharge. occupational therapy was also consulted. . at the time of discharge on , the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular soft solid diet, ambulating with a walker and assistance, urine output via the urostomy was good, and pain was well controlled mostly with acetaminophen. the patient and her family participated in the plan of care. she was discharged to an extended care facility for rehabilitation prior to returning home. the patient and family received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: 1. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime): given at 10pm. 2. ramipril 5 mg capsule sig: one (1) capsule po daily (daily). 3. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 4. citalopram 10 mg tablet sig: one (1) tablet po qam: given at 5am. 5. seroquel 25 mg tablet sig: one (1) tablet po at bedtime: given at 10pm. 6. xanax 0.5 mg tablet sig: one (1) tablet po three times a day: given at 12noon, bedtime and during the night at home. 7. pramipexole 1.5 mg tablet sig: one (1) tablet po once a day: given at 5am. 8. requip xl 12 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po once a day: given at 7am. 9. requip xl 8 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day: given at 7am. 10. sinemet cr 25-100 mg tablet sustained release sig: one (1) tablet sustained release po q5am, 10am, 4:30pm, & 10pm. 11. sinemet cr 25-100 mg tablet sustained release sig: 1.5 tablet sustained releases po q7am, 1:30pm, & 7:30pm.: tablet can be scored. 12. tasmar 100 mg tablet sig: one (1) tablet po q5am, 4:30pm, & 7:30pm and 2 (two) tablets orally q7am, 10am, & 1:30pm. discharge medications: 1. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime): given at 10pm. 2. ramipril 5 mg capsule sig: one (1) capsule po daily (daily). 3. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 4. citalopram 10 mg tablet sig: one (1) tablet po qam: given at 5am. 5. seroquel 25 mg tablet sig: one (1) tablet po at bedtime: given at 10pm. 6. xanax 0.5 mg tablet sig: one (1) tablet po three times a day: given at 12noon, bedtime and during the night at home. 7. pramipexole 1.5 mg tablet sig: one (1) tablet po once a day: given at 5am. 8. requip xl 12 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po once a day: given at 7am. 9. requip xl 8 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day: given at 7am. 10. sinemet cr 25-100 mg tablet sustained release sig: one (1) tablet sustained release po q5am, 10am, 4:30pm, & 10pm. 11. sinemet cr 25-100 mg tablet sustained release sig: 1.5 tablet sustained releases po q7am, 1:30pm, & 7:30pm.: tablet can be scored. 12. tasmar 100 mg tablet sig: one (1) tablet po q5am, 4:30pm, & 7:30pm and 2 (two) tablets orally q7am, 10am, & 1:30pm. 13. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours. 14. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. 15. senna 8.6 mg tablet sig: one (1) tablet po twice a day as needed for constipation. 16. dilaudid 2 mg tablet sig: one (1) tablet po every four (4) hours as needed for for severe breakthrough pain only. discharge disposition: extended care facility: hospital - discharge diagnosis: 1. small bowel obstruction 2. right inguinal hernia 3. post-operative electrolyte imbalance 4. parkinson's disease 5. acute renal failure discharge condition: good 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 is 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. *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: provider: , md (surgery). phone: (. time/date: at 2:00pm. location: 3, . . please call ( to arrange a follow-up appointment with dr. (pcp) in weeks. . please arrange a follow-up appointment with dr. (neurology) in the next 1-2 months. procedure: venous catheterization, not elsewhere classified other partial resection of small intestine other unilateral femoral herniorrhaphy diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified hypopotassemia chronic kidney disease, unspecified pulmonary collapse paralysis agitans other and unspecified angina pectoris other postprocedural status hyperosmolality and/or hypernatremia other alteration of consciousness other artificial opening of urinary tract status femoral hernia with obstruction, unilateral or unspecified (not specified as recurrent) 

Answer: The patient is high likely exposed to