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: amoxicillin / erythromycin base / sulfa (sulfonamides) attending: chief complaint: patient presented with abdominal pain at , ct scan revealed free air. patient was transferred to . major surgical or invasive procedure: status post marginal ulcer repair history of present illness: this patient is a 42 year old female who complains of abd pain. went to ed this am for abd pain ,has free air to abd per ct at bypass site.rec,d fentanyl 50 per amb enroute. had flagyl iv appears uncomfortable my hpi: transfer from . presnted there w/ diffuse abdominal pain that started this am. at osh, ct demonstrated free air. pt is s/p gastric bypass in here by dr. . per osh ct, increased air at anastamosis, suggestive of perforation. received abx, ivf, analgesia at osh. en route & at osh had decreased sbp to 60, now improved w/ ivf. past medical history: hypertension, dyslipidemia, asthma, and obstructive sleep apnea on cpap. social history: she denies any alcohol, drug or tobacco abuse. she states she quit smoking three weeks ago. family history: non-contributory physical exam: temp:97.5 hr:88 bp:98/65 resp:20 o(2)sat:98 normal constitutional: uncomfortable head / eyes: normocephalic, atraumatic, pupils equal, round and reactive to light, extraocular muscles intact ent / neck: oropharynx within normal limits chest/resp: clear to auscultation cardiovascular: regular rate and rhythm, normal first and second heart sounds gi / abdominal: soft, nondistended, diffusely tender, + rebound, + guarding gu/flank: no costovertebral angle tenderness musc/extr/back: no cyanosis, clubbing or edema skin: no rash, warm and dry neuro: speech fluent psych: normal mood, normal mentation pertinent results: 12:25pm blood wbc-19.7*# rbc-5.07 hgb-9.7*# hct-33.7* mcv-67*# mch-19.1*# mchc-28.6*# rdw-17.3* plt ct-452*# 12:23pm blood wbc-12.3* rbc-3.82* hgb-7.4* hct-25.2* mcv-66* mch-19.4* mchc-29.5* rdw-17.5* plt ct-381 06:10am blood wbc-5.1 rbc-4.24 hgb-8.2* hct-27.7* mcv-65* mch-19.2* mchc-29.4* rdw-18.4* plt ct-355 12:25pm blood plt smr-high plt ct-452*# 02:07am blood pt-13.5* ptt-26.1 inr(pt)-1.2* 06:10am blood plt ct-355 12:25pm blood glucose-76 urean-18 creat-0.8 na-141 k-4.6 cl-108 hco3-21* angap-17 02:07am blood glucose-90 urean-10 creat-0.7 na-140 k-4.1 cl-107 hco3-26 angap-11 06:20am blood glucose-99 urean-4* creat-0.6 na-138 k-4.0 cl-103 hco3-29 angap-10 12:25pm blood lipase-35 03:34am blood lipase-12 12:39pm blood lactate-3.0* 05:01pm blood calcium-8.0* phos-3.6 mg-1.5* 01:43pm blood calcium-8.3* phos-2.6* mg-1.8 06:10am blood calcium-8.7 phos-4.3 mg-2.1 brief hospital course: patient transferred from with abdominal pain and free air noted on ct scan. patient went to the operating room where a closure of marginal ulcer,omental patch, gastrostomy and takedown of gastroenteric fistula was performed. initially postop patient was monitored very closely in the intensive care unit. pain control was difficult to achieve with use of ketamine. on postoperative day 3 patient was transferred to the floor. ppi and antibiotics were continued intravenously and patient's labs were closely monitored. on postoperative day 5 patient was started on a bariatric diet. r arm cellulitis was noted and patient started on warm packs and vancomycin. on postoperative day 6 r arm celluilitis improved and patient progressed to a bariatric stage 3 diet. we will discharge her to home today with oral protonix, keflex for cellulitis and follow up with dr. in one week. medications on admission: lisinopril 10 qd, symbicort discharge medications: 1. keflex 500 mg capsule sig: one (1) capsule po four times a day: please take for one week. disp:*28 capsule(s)* refills:*0* 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 3. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain. disp:*300 ml(s)* refills:*0* 4. colace 50 mg/5 ml liquid sig: ten (10) ml po twice a day. disp:*500 ml* refills:*0* 5. multivitamin tablet sig: one (1) tablet po twice a day. discharge disposition: home with service facility: homecare discharge diagnosis: perforated marginal ulcer discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. please call your doctor or return to the emergency room if you have any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in 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 have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: please follow up with dr. in one week at building . please call to make an appointment. procedure: other gastrostomy closure of other gastric fistula suture of gastric ulcer site diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension asthma, unspecified type, unspecified other and unspecified hyperlipidemia 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 cellulitis and abscess of upper arm and forearm infection and inflammatory reaction due to other vascular device, implant, and graft bariatric surgery status other specified disorders of peritoneum unspecified peritonitis fistula of stomach or duodenum chronic or unspecified gastrojejunal ulcer with perforation, without mention of obstruction 

Answer: The patient is high likely exposed to