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 / penicillins / cipro / adhesive tape attending: chief complaint: ilesotomy takedown major surgical or invasive procedure: a ileostomy closure with lysis of adhesions and ileocolonic anastomosis placement of picc line history of present illness: the patient is an 82-year-old female with stage iia (t3, n0, m0) cecal carcinoma status post right hemicolectomy and end ileostomy on by dr. who presented with worsening of ileostomy retraction, stenosis and skin breakdown. she was seen by stoma nurses at home who expressed concern that there was nothing to be done to further prevent leakage and undermining of her stoma. she denied abdominal pain, nausea, vomiting, had just a pulling feeling on her skin near her ostomy and was still having ostomy output 8 times in 24 hours. after review of the risks and benefits with the patient regarding an ileostomy closure, she gave her consent and she was brought to the operating room. past medical history: pe in polymyalgia rheumatica chronic abdominal pain of presently unclear etiology pvd with cr 1.3 in hypertension hypothyroidism hypercholesterolemia gerd osteoarthritis glaucoma chronic abdominal pain h/o diverticulitis treated with antibiotics stage iia (t3, n0, m0) cecal carcinoma . surgical history: right hemicolectomy and end ileostomy on l fem- bypass at tubal ligation hysterectomy back surgery hemorrhoid surgery cataracts b/l social history: lives in her own apartment in nh. independent in her adl's. has 2 sons and 1 daughter. denies tobacco use, etoh consumption, and illicits family history: denies family history of ibd or chronic abdominal pain. mother had borderline dm and died of a heart attack. father with heart disease, 1 son with heart disease. denies family history of vascular disease. physical exam: preoperative visit pe on : vitals: t: 97.2; hr: 66; bp: 140/76; rr: 12; sat: 100% ra gen: a&o, nad cv: rrr, no m/g/r pulm: clear to auscultation b/l, no w/r/r abd: soft, nondistended, nontender, no rebound or guarding, ostomy retracted with some erythema on skin inferiorly, +gas/stool in bag ext: no le edema, le warm and well perfused physical exam on discharge: vitals: t: 97.8; hr: 80; bp: 176/60; rr: 20; sat: 97% ra gen: a&o, nad cv: rrr, no m/g/r pulm: clear to auscultation b/l, no w/r/r abd: soft, nondistended, nontender, no rebound or guarding, vertical midline incision with some fibrinous exudate at base being packed with dry dressings, ostomy over transverse incision where prior ileostomy was, drainage continues to be low ouput and no skin breakdown ext: mild le edema, le warm and well perfused pertinent results: 01:56pm wbc-18.4*# rbc-4.15* hgb-10.8* hct-32.6* mcv-79* mch-26.1* mchc-33.2 rdw-15.5 01:56pm plt count-347 09:31am pt-10.8 ptt-23.8* inr(pt)-1.0 01:56pm glucose-139* urea n-57* creat-1.7* sodium-140 potassium-5.3* chloride-103 total co2-24 anion gap-18 01:56pm calcium-8.7 phosphate-5.9*# magnesium-1.7 ecg: sinus rhythm. there is a late transition which is probably normal. there are small r waves in the inferior leads consistent with possible infarction. compared to the previous tracing of st-t wave changes are no longer present and inferior r waves are smaller. echo: the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is dilated with normal free wall contractility. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is severe pulmonary artery systolic hypertension. there is no pericardial effusion. ct abd and pelvis: 1. status post recent ileostomy takedown with right lateral abdominal wound and underlying subcutaneous fluid collection, which could be a postoperative seroma, given timeframe. 2. right hemiabdominal enterocolonic anastomosis without definite evidence of leak. however, oral contrast has not yet reached the anastomosis, limiting assessment. consider delayed exam. small amount of associated pneumoperitoneum and fluid are likely postoperative. 3. small fat-containing incisional hernia. ct abd and pelvis: 1. no extraluminal oral contrast identified; however, there is increased extraluminal gas compared to next preceding study suggesting an anteriorly located bowel wall leak given the intraluminal air-fluid level seen at the anastomosis and continuation of extraluminal gas with small bowel loop. surrounding inflammatory changes evident though no focal fluid collection identified. 2. stable trace perihepatic ascites. 3. stable small right pleural effusion with compression atelectasis. cxr ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study of . the left-sided picc line has been pulled back by a few centimeters and is now seen to terminate just below the level of the carina. this implies a pull-back by approximately 5 cm. the present termination point corresponds to the mid portion of the svc and excludes the possibility of mechanical contact with cardiac structures. no other new cardiopulmonary vascular abnormalities are identified. brief hospital course: the patient was taken to the operating room electively for ileostomy takedown and subsequently admitted to the surgical floor. intra-operatively extensive lysis of adhesions was performed to take down the hartmans. she tolerated the procedure well, was extubated and brought to the pacu in stable condition. in the pacu her uop was noted to be marginally low and she was sent to the floor npo and with ivf. she was started on clindamycin post operatively. on pod 1 she was transferred to the icu with acute kidney injury. pre renal according with fena, creatinine 1.9 from 1.3 . patient was given ivf resuscitation with crystalloids and albumin. u/o increased to 30-40 cc/h. creatinine remained stable. she had an echo performed that showed ef >55% but severe pulmonary htn. at this time she was on pca for pain control and her abdominal incision dressings were dry. she was restarted on steroids, which she had been taking every other day, at her home dose. on pod 2 and 3 she continued to have marginal but improved uop and was given boluses intermittently and 1 unit of prbcs for hct 22.3. her respiratory status remained stable on exam and by cxr and she was transferred back to the floor on pod2. she was advanced in her diet and was switched to po medications. on pod 4 her wound developed some erythema and a few staples were removed and swab was done and small amount of fluid expressed. this swab was sent for micro and eventually grew proteus and enterococci. at this time the clindamycin was stopped and she was started on vancomycin and cefpodoxime. through pod 4 into 5 she had an acute increase in oxygen requirement that responded well to nebulizer treatment but in this setting her wound was noted to have more induration and most of the remaining staples were removed. the fascia was intact on exam but more murky fluid was expressed and the wound was packed. at this point her antibiotics were changed to vancomycin and ceftriaxone. she had a ct scan done on pod 5 that showed no evidence of contrast extravasation at the anastamosis however there was extraluminal air near the anastamosis that could represent a leak. she was placed on iv medications and was made npo in this setting. an ostomy appliance was placed over the old ileostomy site incision, which had the higher output compared to the midline incision. a picc line was placed on pod 6 and patient was started on tpn and kept npo. by pod8 the fistula output began to decrease significantly. the ostomy nurse and appropriate wound care supplies were provided. tid dry dressing changes continued to her surgical wound site and iv vancomycin and ceftriaxone continued for a total 7 day course to be completed . she went to rehab with ostomy appliance over fistula site for skin protection and dry antimicrobial packing in midline surgical incision. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. physical therapy was to evaluate mobility who recommended rehab when medically cleared. ambulating was encouraged throughout her hospital stay. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating with assistance, and making adequate urine via foley catheter. her pain was well controlled. she is being discharged to an extended care facility to continue her recovery and physical therapy. medications on admission: amlodipine 5mg daily, atenolol 50mg daily, levothyroxine 25 mcg daily, pantoprazole 40mg daily, prednisone 5mg every other day, simvastatin 20mg daily, mvi, asa 81mg daily discharge medications: 1. insulin regular human 100 unit/ml solution sig: one (1) inj injection asdir (as directed): per attached insulin sliding scale. 2. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day). 5. methylprednisolone sodium succ 1,000 mg recon soln sig: two (2) mg intravenous daily (daily). 6. levothyroxine 200 mcg recon soln sig: 12.5 mcg intravenous daily (daily). 7. acetaminophen 1,000 mg/100 ml (10 mg/ml) solution sig: one hundred (100) ml intravenous q 8h (every 8 hours). 8. pantoprazole 40 mg recon soln sig: one (1) recon soln intravenous q24h (every 24 hours). 9. metoprolol tartrate 5 mg/5 ml solution sig: five (5) ml intravenous q6h (every 6 hours). 10. ceftriaxone in dextrose,iso-os 1 gram/50 ml piggyback sig: fifty (50) ml intravenous q24h (every 24 hours) for 1 doses: last dose of course to be completed in pm of . 11. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous prn (as needed) as needed for line flush. 12. hydromorphone (pf) 1 mg/ml syringe sig: 0.125-0.25 mg injection q3h (every 3 hours) as needed for breakthrough pain. 13. sodium chloride 0.9 % 0.9 % parenteral solution sig: three (3) ml intravenous daily (daily) as needed for line flush. discharge disposition: extended care facility: - discharge diagnosis: 1. ileostomy stricture 2. enterocutaneous fistula 3. acute kidney injury 4. acute blood loss anemia 5. surgical wound infection discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital to have your ileostomy reversed. postoperatively you developed an enterocutaneous fistula. this is a common complication postoperatively that occurs when there is communication between your bowel and your skin. because of this, you should not eat or drink anything until your follow up appointment and you will receive nutrition through your picc line. you are now being discharged to rehab to continue your recovery from this procedure. activity: do not drive until you have stopped taking pain medicine and feel you could respond in an emergency. you may climb stairs. you may go outside, but avoid traveling long distances until you see your at your next visit. don't lift more than lbs for 6 weeks. (this is about the weight of a briefcase or a bag of groceries.) this applies to lifting children, but they may sit on your lap. you will need to stay out of bathtubs or swimming pools for a time while your incision is healing. ask your doctor when you can resume tub baths or swimming. your bowels: constipation is a common side effect of medicine such as percocet or codeine. if needed, you may take a stool softener (such as colace, one capsule) or gentle laxative (such as milk of magnesia, 1 tbs) twice a day. you can get both of these medicines without a prescription. if you go 48 hours without a bowel movement, or have pain moving the bowels, call your . pain : it is normal to feel some discomfort/pain following abdominal surgery. this pain is often described as "soreness". your pain should get better day by day. if you find the pain is getting worse instead of better, please contact your . you will receive a prescription from your for pain medicine to take by mouth. it is important to take this medicine as directied. do not take it more frequently than prescribed. do not take more medicine at one time than prescribed. your pain medicine will work better if you take it before your pain gets too severe. remember to use your "cough pillow" for splinting when you cough or when you are doing your deep breathing exercises. if you experience any of the folloiwng, please contact your : - sharp pain or any severe pain that lasts several hours - pain that is getting worse over time - pain accompanied by fever of more than 101 - a drastic change in nature or quality of your pain followup instructions: department: general surgery/ with: , md when: thursday at 2:15 pm with: acute care clinic building: lm bldg () campus: west best parking: garage name: , md specialty: primary care address: , ste#403, , phone: please discuss with the staff at the facility a follow up appointment with your pcp when you are ready for discharge. procedure: parenteral infusion of concentrated nutritional substances closure of stoma of small intestine other lysis of peritoneal adhesions other small-to-large intestinal anastomosis insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: other chronic pain polymyalgia rheumatica esophageal reflux pure hypercholesterolemia other postoperative infection long-term (current) use of steroids acute posthemorrhagic anemia acute kidney failure, unspecified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other chronic pulmonary heart diseases peripheral vascular disease, unspecified unspecified glaucoma chronic kidney disease, unspecified peritoneal adhesions (postoperative) (postinfection) surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation personal history of malignant neoplasm of large intestine streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site fistula of intestine, excluding rectum and anus other specified disorders of skin persistent postoperative fistula personal history of pulmonary embolism other colostomy and enterostomy complication 

Answer: The patient is high likely exposed to