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: this is a 65-year-old female with coronary artery disease and atrial fibrillation presented here with her second episode of significantly sharp abdominal pain. she describes having a prior episode for which she had necrotic bowel, which was operated upon. her pain began suddenly the day prior to admission prompting her visit to the emergency department at hospital, where she was noted to have a concerning physical exam as well as increased digoxin levels and increased inr level. she was reversed in terms of her anticoagulation and scheduled for the operating room, and then was transferred to the . physical examination on admission: temperature 97.0, heart rate 82, blood pressure 135/78, respiratory rate 26, and saturation 97 percent on room air. alert and oriented times three. appeared somewhat toxic and nasogastric tube in place. heart was regular rate and rhythm. lungs were clear to auscultation bilaterally. abdomen was tense and tender with rebound in the right lower and left lower quadrants, also revealing a well-healed scar from prior surgery. rectal exam was positive for melena and guaiac positive. distal pulses were 2 plus. extremities were warm and well perfused. hospital course: it was at this time the patient was admitted for further evaluation and treatment at . patient was preoperatively prepared. laboratories were drawn. hematocrit was 34.8. white count was 9.8. electrolytes were within normal limits. liver function tests were within normal limits. inr was 1.1. ekg was done that revealed the heart to be in normal sinus rhythm at a rate of 85 beats per minute. there was no pneumothorax on chest x-ray. cat scan showed dilated loops and contrast was making it to the right colon. patient was placed nothing by mouth and continued on the nasogastric tube. vancomycin, levofloxacin, and flagyl were started. an a-line has been placed as well as internal jugular venous central line. thus the patient was brought to the operating room for acute peritonitis, where extensive lysis of adhesions took place. there was noted to be volvulus and a loops of small bowel around an adhesion. patient tolerated the procedure well and blood loss was estimated to be 100 ml. patient was transferred to the trauma intensive care unit after this operation. patient was also seen by the vascular service for consideration of possible infarcted bowel. they agreed with the plan to explore the abdomen. in the operating room, there was noted to be no signs of any ischemic bowel and just the adhesions since bowel volvulus was described previously. the patient did have a troponin level of 0.057. patient was also seen by cardiology at this time due to st depressions seen on ekg on the day of admission. digoxin was held as the level was 3.3, and was noted to be well rate controlled in atrial fibrillation. it was decided that it would be best to re-anticoagulate her when safe from a surgical perspective and to followup with the primary cardiologist. they also stated that this was unlikely to be ischemic in origin. on hospital day number three, postoperative day number two, patient began to have increased pain issues. patient was given fentanyl and dilaudid, and received mild improvement. patient was febrile at this point to 100.3 and antibiotics were continued. pulses were followed. patient was extubated at this point. toradol was also added for further pain control. antibiotics were stopped at this time. there was no source of infection that can be noted. the patient was then transferred to the floor. as we awaited regaining bowel function, the patient was seen by physical therapy, who initially thought the patient would need likely stay in the rehabilitation facility and shortly thereafter cleared her for discharge her to home, and on , patient was stable. all vital signs were within normal limits. patient was tolerating a regular diet. was out of bed and increasing her activity participating in incentive spirometry. was urinating without difficulty and it was determined that the patient could be discharged to home with outpatient physical therapy and for her to resume her previous medications as she had been taking them, and to also resume her anticoagulation. discharge diagnoses: small bowel obstruction with volvulus. peritonitis. coronary artery disease. atrial fibrillation. congestive heart failure. hypercholesterolemia. hypertension. chronic obstructive pulmonary disease. osteoporosis. chronic back pain. recommended followup: the patient is to followup with dr. in weeks, call to schedule an appointment. discharge medications: 1. morphine sulfate 30 mg sustained release by mouth every 12 hours. 2. oxycodone 5 mg two tablets every four hours as needed for breakthrough pain. 3. docusate sodium 100 mg by mouth twice a day. 4. ibuprofen 600 mg by mouth every eight hours. 5. coumadin 1 mg by mouth every other day at night. 6. warfarin 2 mg by mouth every other day at night. 7. patient is to resume the remainder of her home medications. disposition: the patient is to be discharged to home with home physical therapy. , procedure: venous catheterization, not elsewhere classified exploratory laparotomy arterial catheterization other lysis of peritoneal adhesions application or administration of an adhesion barrier substance diagnoses: congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia blood in stool old myocardial infarction long-term (current) use of anticoagulants other chest pain heart valve replaced by transplant volvulus cardiotonic glycosides and drugs of similar action causing adverse effects in therapeutic use intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) nonspecific abnormal toxicological findings nonspecific abnormal electrocardiogram [ecg] [ekg] 

Answer: The patient is high likely exposed to