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: past medical history: gastrointestinal dysmotility disorder, lyme disease, gastroesophageal reflux disease, failure to thrive. past surgical history: status post laparoscopic nissen fundoplication and feeding jejunostomy tube at . the patient takes no medicines at home. the patient reports a questionable history of allergy to penicillin. social history: not significant for alcohol or tobacco abuse. family history: noncontributory. physical examination: afebrile, vital signs stable, temperature of 96.8, heart rate 54, blood pressure 105/60, respiratory rate 16, breathing 100% on room air. awake, alert, times three in no apparent distress. cardiac exam: rate and rhythm regularly, slightly bradycardiac without murmurs or rubs. respiratory exam: clear to auscultation bilaterally. abdominal exam: distended and tympanitic, diffusely tender without evidence of guarding or rebound. well healed incision without evidence of hernia. extremities: were well profused. rectal exam was guaiac negative. laboratory: white count of 9.3, with 83% pmn's and 3% bands. hematocrit of 39.8, platelet of 210. chemistries: sodium 142, potassium 3.8, chloride 100, co2 34, bun 5, creatinine 0.7, glucose of 158. ast 41, alt l62, amylase 110 and lipase 48. abdominal x-ray shows a very large gastric bubble with air fluid level. otherwise positive gas within the abdomen. there was no evidence of pneumatosis or free air. ct of the abdomen and pelvis shows massive gastric distension, marked dilatation at the duodenum an the proximal few cm of the jejunum. otherwise a remainder of the small bowel was collapsed. there was stool within the colon. there was a small amount of abdominal ascites. the liver demonstrated altered enhancement of the left lobe relative to the right. spleen, adrenal glands, pancreas and kidneys were unremarkable. the area was of normal caliber. there was no pneumatosis or portal venous gas appreciated. the lung basis are clear and there was no pleural effusion. impression of the ct exam was consistent with high grade mechanical small bowel obstruction and a proximal jejunum. the patient was admitted to the gold surgery service with a diagnosis of high grade small bowel obstruction. the patient was made npo, nasogastric tube was placed on medium cutaneous wall suction. the patient was resuscitated with intravenous fluid. the patient arrived on the floor between 5:30 and 6 pm on the night of . the resident on call was called to see the patient approximately 8 pm in the evening, notified by the nurse that the patient was in distress. the patient was found to have temperature of 100.2, heart rate of 58, blood pressure 120/88 breathing 18 with 100% on room air. the patient at that examination was in distress with the abdomen, diffusely tender and rigid. the patient was found to have rectal prolapse at the time as well. the chief resident was immediately notified as well as the attending surgeon dr. . the patient was brought emergently to the o.r. for exploratory laparotomy and was examined by the attending surgeon prior to operation. the patient was found to have a small bowel obstruction at the proximal jejunum with a necrosis of the first 30 cm of the bowel due to adhesions formed at the former jejunostomy site. she was also found to have perforated lesser curvature of the stomach. the patient received a bowel resection of the proximal 30 cm of the jejunum with gastrotomy with exploration of the stomach and a manual reduction of the rectal prolapse. please see the operative report for details. intraoperatively the patient received 10 liters of crystalloid as well as 9 units of packed red blood cells and one unit of ffp. the patient recorded ascites 3 liters was taken out and estimated blood loss 1 liter and urine output of 50 cc's. immediately postoperatively the patient was brought to the trauma surgical intensive care unit for further care. on arrival to the intensive care unit the patient was hypothermic with temperature of 89.2. heart rate 98 in sinus rhythm, blood pressure 100/30 on epinephrine drip. sating 99% on cmv rate of 12, 500 cc's, 100% oxygen. the patient was ascidotic with ph of 7.16 and base deficit of -12. hematocrit was 18.9, with platelets of 20. the patient was also coagulopathic with prothrombin time of 15.4, ptt of 137, inr 1.6. the patient was aggressively resuscitated receiving multiple units of packed red blood cells, platelets, fp and cryoprecipitate, vitamin k intravenous and subcutaneously as well s calcium. the patient initially responded with increase in blood pressure but remained on levophed and epinephrine drip. the patient continued to have nasogastric output that was bloody and oozing from the incision. the patient was also having labile blood pressure, continued to require prednisone. all in all the patient had a total nasogastric output of 12.5 liters. approximately 2 am on the patient was becoming unstable, having bradycardia and hypotensive. soon afterwards the patient was asystolic. cpr was administered according to the acls protocol. the patient was given epinephrine, atropine, bicarbonate and calcium. the patient responded initially and had a sinus rhythm at a rate of 86, 20 seconds after return of the sinus rhythm the patient was asystolic again. the patient was again coded per acls protocol and then had a pea rhythm. the patient was shocked with 360 joules times three and again underwent 360 joules shock times three. during this resuscitation a sinus rhythm was briefly attained with blood pressure of 56/30. the patient again went into asystole and the patient was pronounced deceased at 2:28 am. in all the patient received a total of 28 units of packed red blood cells, 5 units of platelets, 3 units of cryoprecipitate and 21 units of ffp during this resuscitation. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified other partial resection of small intestine other electric countershock of heart arterial catheterization insertion of other (naso-)gastric tube other lysis of peritoneal adhesions transfusion of packed cells transfusion of other serum transfusion of platelets other control of hemorrhage of stomach or duodenum manual reduction of rectal prolapse diagnoses: perforation of intestine hemorrhage complicating a procedure defibrination syndrome acute vascular insufficiency of intestine volvulus nutritional marasmus rectal prolapse 

Answer: The patient is high likely exposed to