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: history of present illness: the patient is a 59 year old woman with a history of nausea, vomiting, diffuse abdominal pain, which she describes as crampy and colicky. the pain started approximately 6:00 p.m. on the day prior to admission. the patient notes she is passing gas. she had a bowel movement yesterday which was normal. she denies any fever or chills. she does note some mild distention. past medical history: 1. end-stage renal disease on hemodialysis. 2. diabetes mellitus. 3. hypertension. 4. hemolytic anemia. 5. l5 disc rupture. 6. history of pancreatitis. past surgical history: 1. status post appendectomy. 2. status post total abdominal hysterectomy, bilateral salpingo-oophorectomy. 3. laparoscopic myomectomy. 4. status post clipping of brain aneurysm. medications on admission: 1. lopressor 150 mg b.i.d. 2. renagel 30 t.i.d. 3. tums. 4. cardizem 180 mg b.i.d. 5. coumadin 3 mg q.d. 6. xalatan drops to her eyes. 7. captopril 50 mg b.i.d. allergies: the patient is allergic to ampicillin and tylenol #3. social history: she is a smoker and denies alcohol abuse. physical examination: on admission, the patient was in no acute distress. the chest was clear. cardiac was regular. the abdomen was soft, tender especially in the left lower and right lower quadrants. she did have percussion tenderness. rectal examination was guaiac negative with normal tone. laboratory data: white count was 6.0. liver function tests were normal. her amylase was 140 with a lipase of 41. the patient had computed tomography which showed distal small bowel obstruction with a transition point. hospital course: the patient was taken emergently to the operating room where she underwent exploratory laparotomy with lysis of adhesions. there was a small serosal injury which was repaired. postoperatively the patient went to the surgical intensive care unit where she was stable. she remained on the ventilator overnight. the renal team was consulted for the patient's hemodialysis. the patient remained intubated, actually began spiking fevers and was noted to be somewhat tachycardic. on postoperative day two, the patient went into atrial fibrillation and enzymes were sent and she ruled in for myocardial infarction by troponin. the patient was spiking fevers. sputum grew pseudomonas and she was started on ciprofloxacin for a pseudomonas pneumonia. her ventilatory status improved and the patient was weaned from her ventilator. she was extubated postoperative day six. she did well over the next several days with some episodes of hypertension. her antihypertensive medications were adjusted and the patient was transferred to the floor on , postoperative day eight. she remains on her ciprofloxacin and her blood pressure was usually well controlled on regimen of captopril, clonidine, cardizem and lopressor. the patient continued to do well. her diet was advanced. inferior incision wound which was noted in the surgical intensive care unit was being packed with dry dressings. postoperative day eleven, the day of discharge, the patient was comfortable, afebrile with stable vital signs. she was tolerating p.o. her chest was clear to auscultation. cardiac examination was regular rate and rhythm. the abdomen was soft, nondistended, nontender, and her incision wound was clean being packed twice a day. extremities were warm and well perfused. blood pressure at discharge was 174/78. the patient was doing well and was discharged to home with the visiting nurse assistance. medications on discharge: 1. dilaudid 1 to 2 mg p.o. q4hours p.r.n. 2. ciprofloxacin 500 mg p.o. b.i.d. times four days. 3. captopril 50 mg p.o. b.i.d. 4. clonidine 0.1 mg p.o. b.i.d. 5. insulin per the patient's home sliding scale. 6. lopressor 150 mg p.o. b.i.d. 7. albuterol mdi one to two puffs p.o. q4hours p.r.n. 8. atrovent mdi one to two puffs q6hours p.r.n. 9. coumadin 3 mg p.o. q.d. to be followed up by the primary care physician, . . discharge instructions: the patient was discharge home on renal diet with no restrictions in her activities. she was in stable condition. vna was set up to change her dressing in the inferior abdominal wound twice a day with loose dry sterile dressing. the patient was to follow-up with dr. within one week and dr. in two weeks. the patient was discharged in stable condition. discharge diagnosis: small bowel obstruction, status post exploratory laparotomy, lysis of adhesions, complicated by postoperative myocardial infarction by troponin. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube hemodialysis suture of laceration of large intestine other lysis of peritoneal adhesions diagnoses: subendocardial infarction, initial episode of care cardiac complications, not elsewhere classified atrial fibrillation pneumonia due to pseudomonas diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) pelvic peritoneal adhesions, female (postoperative) (postinfection) 

Answer: The patient is high likely exposed to