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: no known allergies / adverse drug reactions attending: chief complaint: necrotic small bowel major surgical or invasive procedure: exlap, washout, ostomy takedown, cholecystostomy tube sbr, ostomy placement jejunotransversecolostomy, gj tube, closure, ivc f takedown of jej-colonic , creation end jejunostomy history of present illness: this is a 58f with ischemic small bowel s/p large transferred to with open abdomen and necrotic ostomy. briefly, the patient underwent a laparoscopic right hemicolectomy at on for ruptured appendicitis and sbo who represented on pod15 () with 2 weeks of non-bloody diarrhea, leukocytosis of 25 with left shift, and poor po intake. she denied abdominal pain and fever. lactate was 1.8. colonoscopy on revealed pseudomembranes and edema of the remaining r colon. this was felt to be consistent with either ischemia or c diff, and she was started on empiric iv flagyl and po vancomycin. biopsies were taken and 2 c diff samples were sent, which were negative. stool cultures were also negative. ct on revealed a large collection of fluid and air in the rlq at the anastamosis, indicating anastamotic leak. gastroview enema confirmed the leak. the patient was taken back to the or for exploration on . infarcted small bowel was found and resected; a jejunostomy was created. the surgeon estimates that ~ sb was resected and that 6-7ft were left in place. her abdomen was left open and towels placed over the wound, with ioban dressing and suction drainage through towel. the patient was then transferred to for further management. she was taken back to the or for exploration in the am . the ostomy was taken down, a small amount resected, and the end left stapled in the abdomen. the rest of the small bowel was still viable, but there only appeared to be ~3 feet. the transverse colon was healthy, but the rest of the colon was covered in dense adhesions. the sigmoid was the only other segment to be clearly identified. hydrops of the gallbladder was also found, and a cholecystostomy tube was placed. due to increasing acidemia in the or, the patient was packed and taken back to the tsicu with an open abdomen for further resuscitation and stabilization. past medical history: bipolar disorder, htn, dvt social history: has a boyfriend and a daughter. quit smoking in after a 25 pack-year history, no e/ivdu. was at country manor for rehab when she came back to the hospital. family history: nc physical exam: on admission: exam: intubatd, sedated, mae. rrr no mrg appreciated b/l rales and ronchi soft, open abdomen. obese. drainaing bilious fluid in ad around ostomy appliance. + 2 edema b/l pertinent results: admission data: 7.24/41/120/18/-9 7.37/28/92/17/-7 lactate: 3.0-3.1-3.2-3.2-2.2 150 122 26 -------------- 215 3.9 15 1.2 ca: 8.0 mg: 2.7 p: 6.4 38.2 >---< 476 38.4 pt: 14.5 ptt: 25.0 inr: 1.3 ck: 21 mb: 2 trop-t: <0.01 alt: 20 ap: 87 tbili: 0.2 ast: 15 40.1 >---< 519 37.0 n:45 band:23 l:8 m:1 e:0 bas:0 metas: 8 myelos: 15 nrbc: 7 imaging: cta abd/pelvis : 10.6x19x9.9cm fluid collection at anastamosis. celiac axis, sma, patent. +cholelithiasis in distended gallbladder. esophagus thickened. possible psbo. gastroview enema : free extravation of contrast from anastamosis into peritoneal cavity. colonoscopy : colitis of the remaining r side of the colon, c/w either ischemia or c diff egd : esophagus and duodenum well examined and no active bleeding. area around gastrostomy no active bleeding. most of the stomach filled with old clotted blood and could not be well seen. no active bleeding seen. otherwise normal egd to second part of the duodenum brief hospital course: on the patient was admitted to the tsicu post operatively for resuscitation from exlap, washout, ostomy takedown, cholecystostomy tube. on pod 0, the patient had continued acid base abnormalities, electrolyte abnormalities and she was given bicarb, and ivfs. she was started on an insulin gtt for control of her persistent hyperglycemia. cultures were sent and her lines from osh were changed. she had multiple episodes of desaturation and a cxr was concerning for rml collapse. she was bronched showing rml mucous plugging. she continued to need pressors and a bedside echo showed that she was still hypovolemic. she was bolused fluids. given her history of pe's lenis were ordered. the lenis showed l common femoral dvt. on pod 1, she was started on a heparin gtt. the vent was weaned down. she was given albumin and blood and her pressor requirement decreased. on pod 2, she started having increased sodium on labs with dilute urine consistent with di. she was given ddavp and responded appropriately. she went to the or for jejuno- transversecolostomy, gj tube, closure, and ivc filter. on pod she was started on a lasix gtt and 25% albumin. the free water replacement was stopped as her sodium was improving. she was still on the heparin gtt and began bleeding from her rectum, vagina, g tube, and j tube. she was scoped from above without a source identified. later on, bowel contents came from her wound. she was taken back to the operating room, where her anastamosis was seen to have leaked. the jejuno-colonic anastamosis was taken down. the jejunum was unable to be made to reach the skin; thus it was placed at the base of the wound as an end jejunostomy. a vac was placed over this area to control the effluent, but after several days, nothing came out of the vac. goals of care were discussed with the family. they decided to make her cmo. she was extubated and transferred to the floor, where she passed away several days later on hospital day 18 of cardiopulmonary arrest. no autopsy was requested by the family. medications on admission: zyprexa, depakote, percocet, culturelle, pepto bismol discharge medications: none discharge disposition: expired discharge diagnosis: small bowel ischemia discharge condition: passed away discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other enterostomy other partial resection of small intestine closure of stoma of small intestine other endoscopy of small intestine temporary colostomy interruption of the vena cava enteral infusion of concentrated nutritional substances arterial catheterization suture of laceration of large intestine closed [endoscopic] biopsy of bronchus other small-to-large intestinal anastomosis other cholecystostomy delayed closure of granulating abdominal wound revision of anastomosis of large intestine revision of anastomosis of small intestine diagnoses: acidosis acute kidney failure with lesion of tubular necrosis unspecified essential hypertension acute posthemorrhagic anemia unspecified septicemia severe sepsis perforation of intestine personal history of tobacco use hypopotassemia pulmonary collapse acute respiratory failure cardiac arrest peritoneal adhesions (postoperative) (postinfection) personal history of venous thrombosis and embolism acute venous embolism and thrombosis of deep vessels of proximal lower extremity hypovolemia hyperosmolality and/or hypernatremia acute vascular insufficiency of intestine bipolar disorder, unspecified foreign body accidentally entering other orifice foreign body in main bronchus hydrops of gallbladder acquired absence of intestine (large) (small) 

Answer: The patient is high likely exposed to