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: penicillins / reglan attending: chief complaint: ischemic bowel major surgical or invasive procedure: - 1. extended right colectomy. 2. right hepatic laceration treated with an argon beam coagulation and packing. 3. a bag closure. - 1. reopening of abdomen. 2. argon beam coagulation of liver laceration. 3. bag closure of the abdomen. - 1. reopening of abdomen. 2. cholecystectomy. 3. ileostomy. 4. removal of port-a-cath. history of present illness: 75f with scleroderma, gastric dysmotility, receiving chronic parenteral nutrition transferred from hospital after presenting with fevers and chills. during her hospitalization there, she became hypotensive. she was started on dopamine and aggressively volume resuscitated, receiving 5l prior to transfer. while here, she has continued to be hypotensive and has received an additional 2l of ivf. her pressor requirement has increased, as she now is requiring levophed and dopamine to maintain sbp >90. her ostomy output is now bloody. she reports not feeling well this weekend. last night she began having fevers and chills. she denies any chest pain or shortness of breath. she denies any dysuria or hematuria. she has diarrhea at baseline, which has not changed in volume of late. she does have a r-sided port in place, which she has had for the last 6 months to receive tpn. she denies any drainage or erythema around the port site. she does not receive any nutrition orally. past medical history: scleroderma gastric dysmotility l colectomy and end transverse colostomy for presumed sigmoid volvulus r-sided port-a-cath for tpn gastostomy h/o c. difficile colitis prior prolonged hospitalization for ? sepsis social history: lives at home, has an aide that comes in daily. she is a former smoker, quitting 8 months ago. rare etoh. she denies drug use. she has one daughter and 5 grandchildren. family history: non-contributory to current situation. physical exam: pe: 96.8 104 95/67 (on 0.21 of levo and 5 of dopamine) 20 100% on 6l nad. a&ox3. ill-appearing. anicteric. tacky mucosal membranes. trachea midline. no jvd, tm, or lad. tachycardic. regular. diminished bases. fair aeration. soft. distended. hypoactive bs. nt. dark/black blood in ostomy bad. stoma edematous/ischemic. gastrostomy w/ benign, clear output. clammy extremities. cyanotic digits. moving all 4. pertinent results: 11:10am pt-20.7* ptt-55.7* inr(pt)-1.9* 11:10am wbc-16.7* rbc-3.42* hgb-10.7* hct-32.7* mcv-96 mch-31.3 mchc-32.8 rdw-15.4 11:10am alt(sgpt)-64* ast(sgot)-193* ck(cpk)-335* alk phos-173* tot bili-3.1* 11:10am glucose-71 urea n-25* creat-1.1 sodium-145 potassium-3.7 chloride-119* total co2-10* anion gap-20 11:20am glucose-69* lactate-5.5* na+-145 k+-3.8 cl--122* tco2-10* ct ap: extensive circumferential bowel wall thickening extending from the colostomy affecting mainly the right colon, highly concerning for ischemic bowel, with small amount of extraluminal air. infection and inflammatory processes are much less likely. brief hospital course: operations/procedures: : to or 1. extended right colectomy. 2. right hepatic laceration treated with an argon beam coagulation and packing. 3. a bag closure. ; to or 1. reopening of abdomen. 2. argon beam coagulation of liver laceration. 3. bag closure of the abdomen. : to or 1. reopening of abdomen. 2. cholecystectomy. 3. ileostomy. 4. removal of port-a-cath. tunneled r central line (double lumen) placed by ir. brief hospital course: pt was promptly taken to the operating room for an extended right colectomy for ischemic colitis. bag was placed to close the abdomen with the intention of taking the pt back to the or for a 2nd look. the following day, the pt was taken back to the or. the small bowel appeared to be viable. there was oozing from a hepatic laceration and argon beam coagulation was performed. post-operatively, the pt remained critically ill. on she went back to the operating room with ? sepsis. currently patient is stable, white count has normalized. she will be discharged to a rehabilitation facility with trach, g-tube, ileostomy and foley. vac changes to abdomen will be done q 3 days. medications on admission: lyrica 150'', keppra 250', prevacid 30', iron 325', flagyl 250' x4d discharge medications: 1. insulin regular human 100 unit/ml solution : per sliding scale ml injection asdir (as directed). 2. miconazole nitrate 2 % powder : one (1) appl topical qid (4 times a day) as needed for skin folds. 3. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 4. pregabalin 75 mg capsule : two (2) capsule po bid (2 times a day). 5. escitalopram 10 mg tablet : one (1) tablet po daily (daily). 6. levothyroxine 25 mcg tablet : 1.5 tablets po daily (daily). 7. metoprolol tartrate 50 mg tablet : one (1) tablet po tid (3 times a day). 8. heparin (porcine) 5,000 unit/ml solution : one (1) ml injection (2 times a day). 9. outpatient lab work please follow lft's, amylase and lipase, and when trending down add fat back to tpn 10. tpn see additional sheet with current tpn 11. sodium chloride 0.9 % 0.9 % solution : ten (10) ml injection prn (as needed) as needed for line flush. discharge disposition: extended care facility: - discharge diagnosis: primary diagnosis: ischemic bowel secondary diagnosis: sepsis discharge condition: stable discharge instructions: 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. followup instructions: please follow up with dr. on , friday at 2:15. building . procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube fiber-optic bronchoscopy temporary ileostomy cholecystectomy temporary tracheostomy excisional debridement of wound, infection, or burn open and other right hemicolectomy reopening of recent laparotomy site reopening of recent laparotomy site incision with removal of foreign body or device from skin and subcutaneous tissue bronchoscopy through artificial stoma closure of laceration of liver closure of laceration of liver diagnoses: acidosis unspecified septicemia sepsis accidental puncture or laceration during a procedure, not elsewhere classified hemorrhage complicating a procedure acute respiratory failure calculus of gallbladder with other cholecystitis, without mention of obstruction hypovolemia other and unspecified infection due to central venous catheter acute vascular insufficiency of intestine colostomy status systemic sclerosis 

Answer: The patient is high likely exposed to