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: ms. is a 62-year-old female with a two year history of bilateral lower extremity claudication secondary to bilateral aorto-iliac and superficial femoral artery disease. on , she underwent an aortobifemoral bypass graft which was complicated by a splenic laceration requiring a splenectomy. she had an estimated blood loss of 5200 at that time. postoperatively, she had a large hemorrhagic stool. colonoscopy soon revealed severe ischemic proctitis. this was all occurring at an outside hospital. subsequent exploratory laparotomy was significant for infarcted left colon down to the proximal rectum. of note, the patient is status post sigmoid colectomy for diverticulitis in the past. the patient underwent a left colectomy at that time, with peritoneal reflection with a transverse colostomy. her abdominal wound was left open at that time. on postoperative day 12 at the outside hospital, the patient spiked a fever, developed a bandemia and began draining succus from the superior aspect of her wound. ct of the abdomen and blood cultures were negative per report. she was started on zosyn and made nothing by mouth and was then transferred to for further management of her enterocutaneous fistula. past medical history: 1. diverticulitis status post sigmoid colectomy 2. hypercholesterolemia 3. aorto-iliac occlusion disease status post aortobifemoral bypass on 4. status post splenectomy 5. status post left colectomy and transverse colostomy for ischemia, medications on admission: 1. zosyn 3.375 grams intravenously every six hours 2. pantoprazole 40 mg intravenously every 24 hours 3. aspirin 325 mg as needed allergies: no known drug allergies. physical examination: vitals: temperature 98.4, heart rate 96, blood pressure 132/70, respiratory rate 24, oxygen saturation 96% on 2 liters. in general, she is non-toxic-appearing. her lungs are clear to auscultation bilaterally. her heart is regular rate and rhythm. her abdomen is soft, with minimal tenderness at wound skin edges. she is obese, nondistended, atympanic. she has normal active bowel sounds, no gas or stool in ostomy bag. she has a large midline abdominal incision from the subxiphoid area to the infraumbilical area. it is open, with granulation tissue and fibrinous and necrotic exudate throughout. there is succus draining from the superior aspect. extremities: she has bilateral groin incisions with staples. she has skin reaction and mild cellulitis and scant serous exudate over her incisions. she has bilateral positive femoral pulses, bilateral dorsalis pedis palpable pulses, and 2+ edema in her lower extremities. the patient also has left foot drop. hospital course: on , the patient was admitted to the floor to dr. service. she was made nothing by mouth, and initially started on zosyn for antibiotics. intravenous access was obtained, and morphine was started for pain. the patient was started on wet-to-dry dressing changes on her wound. over the next few days, the patient was started on total parenteral nutrition, as a picc line was placed. also a sump drain was placed into her wound, and dressing changes were started with dakin solution for debridement. on hospital day four, the patient had acute onset of tachycardia and tachypnea, and was transferred to the unit. at this time, the patient received her first ct, which showed no evidence of pulmonary emboli. it did show a left-sided pleural effusion. when this pleural effusion was drained percutaneously in radiology, it was found to be a left subphrenic abscess. a ct-guided percutaneous placement of drainage catheter within the left subphrenic abscess was performed. over the next few days, the patient was provided with nutritional support through her total parenteral nutrition. the patient was followed by physical therapy, and her pain was managed adequately. she was also continued on zosyn at this time. the final report from the abscess drainage showed sparse growth of e. coli. this was sensitive to multiple antibiotics, including zosyn, so zosyn was continued. the patient experienced multiple episodes of respiratory distress on the floor. each time she was ruled out for any cardiac event. lasix was started for possible fluid overload from all of her total parenteral nutrition. the patient was also started on fluconazole around this time for yeast in her urinary tract. the patient also showed signs of depression, and was started on zoloft. the patient was encouraged to ambulate, and was started on clears, which the patient tolerated somewhat, often with nausea and no appetite. the vascular surgery team was consulted because of increasing gas in the retroperitoneum and to evaluate the graft in place. however, ct obtained showed no air on the graft, and some fluid which was determined to be just perioperative hematoma or lymph fluid, and the patient was to be followed clinically for any signs of infection in her graft. around hospital day 16, pseudomonas aeruginosa grew out of her abscess, so the patient was started on cipro on top of her zosyn. after the sensitivities were obtained, the patient was started in imipenem. around hospital day 20, the patient developed herpetic lip/mouth lesions and was started on acyclovir. the pigtail drainage catheter continued to drain throughout this time, and the patient received metabolic support. the patient also received some bedside debridement, and continued to have her dressing changed with dakin solution and a sump drain placed. around hospital day 28, the pigtail catheter drainage had decreased in amount, and a son was performed to the point where the pigtail catheter could be taken out. at this point, the patient was only on imipenem, and was working with her nutritional status and her low oral intake with total parenteral nutrition supplementation. upper gastrointestinal studies were also performed to make sure there was no physical reason for her low oral intake. these all turned out to be negative. over the next weeks, the patient had minor changes in her nutritional support, with nutrition input. to encourage her oral intake, she had multiple changes in her total parenteral nutrition, however, the patient was nauseated and vomiting much of the time. however, during this time, her wound slowly contracted and stayed clean, with her twice a day to three times a day dressing changes. a gastroenterology consult was obtained to help with her low oral intake. an esophagogastroduodenoscopy was performed by gastroenterology, which showed erythema and erosion in the stomach body, compatible with gastritis, but otherwise normal esophagogastroduodenoscopy to the second part of the duodenum. recommendations were to continue with proton pump inhibitor and, if symptoms persist, to continue to consider gastric emptying study to evaluate for gastroparesis. finally, by hospital day 71, the patient was taking in adequate amounts of oral intake to discontinue her total parenteral nutrition. by hospital day 76, we were comfortable that she was taking in enough oral nutrition to no longer need supplementation. her wound no longer needed debridement, and was only being changed with a xeroform with some damp normal saline gauze on top of it. condition at discharge: patient stable. discharge status: to home with vna. vna to change dressings twice a day and to assess nutritional status. discharge diagnosis: enterocutaneous fistula, subphrenic abscess, nutritional support, wound care discharge medications: 1. metoprolol 25 mg by mouth twice a day 2. pantoprazole 40 mg by mouth once daily 3. sertraline hcl 50 mg by mouth once daily 4. ambien 10 mg by mouth daily at bedtime follow up plans: 1. the patient is to follow up at dr. office on at 12:15 p.m. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances thoracentesis percutaneous abdominal drainage esophagogastroduodenoscopy [egd] with closed biopsy retroperitoneal fistulogram retroperitoneal fistulogram retroperitoneal fistulogram application of other wound dressing diagnoses: other postoperative infection cellulitis and abscess of trunk unspecified pleural effusion pulmonary collapse persistent postoperative fistula attention to ileostomy 

Answer: The patient is high likely exposed to