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: aspirin attending: chief complaint: diverticulitis s/ pouch on major surgical or invasive procedure: l ij central line placement history of present illness: 79 yo female with was initially admitted on to because of increasing abdominal pain. she was initially treated with antibiotics, but then underwent exploratory laporotomy on the with lysis of adhesions, repair of an enterocolic fistula and perforated sigmoid colon from diverticulitis with pouch. the procedure was uncomplicated and the intraoperative blood loss was estimated to be 200cc. she was treated with ceftazidime and flagyl postoperatively. notes are indicating positive liquid stool on . on she was noted to be tachycardic, tachypneic and had an increased temperature. her wbc was newly elevated to 16.6. on she was intubated because of difficult breathing. an infection was suspected and the patient was changed to vanco, zosyn and flagyl. she was found to have tachycardia and elevated troponin. a cxr showed signs of congestive heart failure. an ekg was read as old rbbb, lef ant hemiblock, sinus tachycardia and diffuse st-t changes. elevated troponin was considered to be demand versus nstemi. lasix was given for pulm edema. a ct of the chest was done and showed bilateral pleural effusions with bibasialr atelectasis as well as multifocal rul subsegmental opacities concerning for pneumonitis. ct of the abdomen showed a fluid collection between the anterior peritoneal reflection and the transverse colon with two small gas bubbles, possible postoperative seroma. also 15cm inferior fluid collection extending into the pelvis without signs of infection, possible seroma. no bowel ischemia or evidence of infection. 1.5 cm focus in the liver is likely a cyst.` troponin i continued to trend up from 0.01 on to 1.98 on . also ast was found to be elevated at 1163. inr was elevated. postoperatively she developed decreased urine output with stable bun and creatinine, thought to be due to prerenal etiology with a component of acute tubular necrosis from volume depletion/ decreased cardiac output in the context of an mi and toxicity from contrast. a renal ultrasound was negative for obstruction. past medical history: diverticulitis >> pouch htn hypothyroidism social history: non-smoker, drinks occasionally family history: heart disease in mother physical exam: vs t 98.4 bp 114/71 hr 94 rr 24 o2sat100 on ac 0.6/450/16/5 gen: nad, aaox3 heent: nc/at, perrla, mmm neck: no lad, no jvd, r ij in place cor: s1s2, regular rhythm, no m/r/g, laterally displaced pmi pulm: cta anteriorly, decreased breath sounds at bases, no wheezing or rhonchi abd: + bowel sounds, soft, nd, nt skin: warm extremities, no rash ext: 2+ dp, no edema/c/c, warm peripheral extremities neuro: moving all extremities, following commands, perrla, reflexes 2+ b/l pertinent results: 04:32pm fibrinoge-523* 04:32pm pt-20.5* ptt-30.0 inr(pt)-2.0* 04:32pm plt count-292 04:32pm neuts-91.8* lymphs-5.9* monos-2.1 eos-0.1 basos-0.1 04:32pm wbc-15.2* rbc-3.51* hgb-10.6* hct-30.1* mcv-86 mch-30.2 mchc-35.2* rdw-15.4 04:32pm albumin-2.7* calcium-8.4 phosphate-2.9 magnesium-2.0 04:32pm ck-mb-notdone ctropnt-0.31* 04:32pm lipase-35 04:32pm alt(sgpt)-281* ast(sgot)-379* ld(ldh)-360* ck(cpk)-50 alk phos-86 amylase-48 tot bili-0.4 . cxr 1. lines and tubes as described above. nasogastric tube needs advancement as its tip is at the gastroesophageal junction. 2. mild pulmonary edema. 3. retrocardiac left lower lobe opacity could represent atelectasis or consolidation . echo: the left atrium is mildly dilated. left ventricular wall thicknesses and cavity size are normal. no masses or thrombi are seen in the left ventricle. overall left ventricular systolic function is severely depressed. tissue velocity imaging e/e' is elevated (>15) suggesting increased left ventricular filling pressure (pcwp>18mmhg). resting regional wall motion abnormalities include severe hypokinesis of the entire mid to distal lv with apical and anterior wall akinesis. right ventricular chamber size and free wall motion are normal, but the rv apex may be hypokinetic. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. moderate to severe tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: severe regional left ventricular systolic dysfunction c/w multivessel coronary artery disease. no lv thrombus is appreciated. moderate to severe tricuspid regurgitation and mild mitral regurgitation. mild pulmonary hypertension. . ct abdomen/pelvis: 1. several small mesenteric fluid pockets, too small for percutaneous drainage. no drainable fluid collection. 2. diffuse bowel wall thickening, which is of uncertain clinical significance in the setting of recent bowel surgery and mesenteric fluid. 3. bilateral pleural effusions and bibasilar atelectasis. superimposed pneumonia cannot be excluded by imaging. 4. bilateral adrenal fullness. 5. scoliosis and spondylosis with grade 1 anterior listhesis at l3/4 and l5/s1. . ekg: sr, hr 90, rbbb, lafb, twi in v3-v6, i, ii and avl. brief hospital course: 79 yo diverticulitis s/p hartmann operation c/b post-operative fever, leukocytosis and elevated troponin with subsequent reintunation for respiratory distress. . # respiratory failure: multifactorial with component of infection given rul, rml infiltrate, as well as evidence of pulmonary edema. a pe was considered low likelyhood. cvp on admission was low suggesting against r heart failure. echo showed ef of 20% with severe mr, leading to pulmonary edema. she was empirically started on vanco/zosyn, mainly for possible intraabdominal infection but also treating a possible pna underlying the pulmonary edema. lenis were negative for dvt suggesting against a pe as an etiology. the patient was aggressively diuresed over severeal days and was slowly weaned from the vent. she was extubated on the 7 and tolerated it well. she was mainainted on 2lo2 postextubation. . # sirs: pt with leukocytosis, temperature spike at osh, tachypnea, meets criteria for sirs. possible infection could be pulmonary, given ct findings. also, intrabdominal infection postoperatively needs to be considered. while ct of the abdomen did not show any abscess it was not an ideal study with contrast. no evidence of wound infection. possible line sepsis. central line was resited. all cultures were negative. the patient was given vanco+zosyn for a ten day course as recommended by surgery. . # acute myocardial infarction before transfer: likely mi several days prior. eccho with severe regional left ventricular systolic dysfunction c/w multivessel coronary artery disease. no lv thrombus is appreciated. moderate to severe tricuspid regurgitation and mild mitral regurgitation. mild pulmonary hypertension. cardiology was consulted, and she was started on afterload redcution for severe mitral regurgitation as well as metoprolol and plavix (aspirin-allergic) . # arf: most likely prerenal from borderline hypotension, possible poor cardiac froward flow, early sepsis. also possible component of atn. continues to maintain good urine flow. creatinine improved rapidly. . # elevated inr: likely depletion of vitamin k. no evidence of dic as fibrinogen elevated. vitamin k was given. . # s/ resection. pain regimen. surgery was consult for postoperative management. tube feed were slowly advanced to goal. tpn was given for 2 days. ct abdomen was consistent with post-op changes. . # fen: s/p og tube placment via endoscopy. tube feeds were adanced to goal. tpn for two days to bridge. post-extubation swallow eval suggested nectar thickened liquids, pureed slids, alternate between bites and sips, check oral cavity for residues. . # code: full medications on admission: meds on admission to osh: hyzaar 25/12.5 synthroid 0.088mg augmentin and flagyl lactobacillus . meds on transfer: metoprolol iv 5mg q6h heparin sc 5000 bid vancomycin 1000 q24h zosyn 3.375 q6h flagyl 500 q8h nitro paste issc discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: injection tid (3 times a day). 2. atorvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. 5. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 6. ipratropium bromide 17 mcg/actuation aerosol sig: one (1) puff inhalation every six (6) hours as needed. 7. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 8. acetaminophen 160 mg/5 ml solution sig: one (1) po q4-6h (every 4 to 6 hours) as needed for fever or pain. 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po tid (3 times a day). 10. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 11. captopril 12.5 mg tablet sig: three (3) tablet po tid (3 times a day). 12. piperacillin-tazobactam 2.25 g recon soln sig: one (1) recon soln intravenous q6h (every 6 hours) for 1 days. 13. morphine 10 mg/ml solution sig: two (2) mg intravenous every 4-6 hours as needed for pain. 14. famotidine 20 mg tablet sig: one (1) tablet po once a day. 15. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) intravenous q 12h (every 12 hours) for 1 days. 16. furosemide 40 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: s/p hartmann procedure respiratory failure due to hypoxia hospital acquired pneumonia nstemi chf, systolic with decreased ejection fraction discharge condition: fair, able to tolerate po, 2l oxygen requirement, able to transfer from bed to chair with support discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet. please notify your providers if you have any chest pain, shortness of breath, fevers, abdominal pain or any other concerns. followup instructions: please follow up with a cardiologist to optimize your cardiac regimen. please follow up with you primary care doctor. md, procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine enteral infusion of concentrated nutritional substances transfusion of packed cells diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care unspecified essential hypertension acute kidney failure, unspecified acquired coagulation factor deficiency unspecified septicemia severe sepsis unspecified acquired hypothyroidism acute systolic heart failure esophagitis, unspecified nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] 

Answer: The patient is high likely exposed to