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: patient recorded as having no known allergies to drugs attending: chief complaint: abdominal pain major surgical or invasive procedure: exploratory laporotomy, lysis of adheasions, small bowel resection history of present illness: 88f with h/o dm, chf, afib, recent pneumonia (zosyn) and c diff (course of flagyl), among other med issues, presents with one day of abdominal pain. pain began at epigastrium and migrated by presentation to ed to hypogastrium, and finally localized to rlq at time of admission. no n/v/brbpr. diarrhea per recent c diff, but normal bm yesterday was her last bm. dark stools secondary to iron supplementation, but guiaic neg in ed. pt denies nausea per se, but had one episode of emesis yesterday brought on by coughing spell. additional issues for this admission developed as patient was in rapid afib in ed, tachypneic, and had b diffuse crackles on lung exam. o2 sats stable on 100%, but patients normal requirement is only 2l. cpap was attempted in ed, but patient refused and became agitated. after multiple doses of diltiazem iv brought pulse rate to 90's, o2 was pulled back to 4l and o2 sat was 98%. patient has had multiple admissions recently for pulmonary edema, at and , treated effectively with diuresis and diltiazem drip when patient in rapid afib. past medical history: chf--> (last echo showed good lvf with ef=60%, mild symmetric .... lvh, and mildly increased pulm artery pressures) afib dm type 2 polycythemia cri (cr 1.6 to 2.6) hypothyroidism pneumonia dvt few months ago; off coumadin based on risk of falls social history: since falling about a year ago the patient has been in and out of . she is now living at . she was widowed 2 years ago.no alcohol and no smoking. her son is a urologist at . she has three grandchildren. family history: no h/o clotting disorders. physical exam: t:99r p:126 bp:181/90 r:36 o2:98% on 5l gen: elderly female, breathing rapidly and shallowly, otherwise in nad heent: ncat, perrla, eomi, +proptosis, +exotropia, mmm neck: no bruit, jvp to level of superior thyroid cartilage cv: tachy, irreg rhythm, no m/g/r pulm: crackles b from bases to 1/2 up, diffuse rhonchi abd: distended with hypoactive bowel sounds; tender only to deep palpation at llq ext: 1+ pitting edema ble to knees, but not grossly edematous neuro:a&o to self, place, year; however, did not recognize examiner on return to exam room after 5 minute absence. guiaic: neg pertinent results: 05:38pm lactate-1.3 05:37pm ck(cpk)-85 05:37pm ck-mb-2 ctropnt-0.01 01:56pm type-art po2-199* pco2-39 ph-7.35 total co2-22 base xs--3 12:20pm urine color-yellow appear-clear sp -1.016 12:20pm urine blood-neg nitrite-neg protein-100 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 12:20pm urine rbc-0 wbc-0 bacteria-none yeast-none epi-0 renal epi-<1 12:20pm urine amorph-occ 11:46am lactate-1.49 11:40am glucose-140* urea n-48* creat-1.8* sodium-142 potassium-4.0 chloride-107 total co2-24 anion gap-15 11:40am ck(cpk)-26 11:40am ck-mb-notdone ctropnt-0.03* 11:40am wbc-19.2*# rbc-3.56* hgb-12.0 hct-39.2 mcv-110* mch-33.8* mchc-30.7* rdw-22.1* 11:40am neuts-87 bands-3 lymphs-8 monos-2 eos-0 basos-0 atyps-0 metas-0 myelos-0 11:40am hypochrom-2+ anisocyt-3+ poikilocy-1+ macrocyt-3+ microcyt-normal polychrom-1+ ovalocyt-1+ schistocy-1+ teardrop-1+ 11:40am plt smr-very high plt count-1026*# brief hospital course: pt was admitted for obervation and control of her rapid a-fib. it was hoped that controling the a-fib would help resolve her chf. she was started on a diltiazem drip and on hd 1 her hr began to normalize. on hd 2 pt's abdominal pain worsened and she was taken to the or where she was found to have a possible right ovarian mass and necrotic small bowel. she underwent an exploratory laporotomy, lysis of adheasions, repair of enterotomy, resection of small bowel, and right oopherectomy. postoperatively she was noted to have a significantly decreased urine output, and a nephrology consult was obtained. by hd3 (pod1) the pt's creatinine had increased to 3.1 from 2.1. nephrology confirmed the diagnosis of post iv-contrast nephropathy. pt was monitored in the sicu for the following 4 days to monitor closely her volume and renal status. it was during this time that she developed one episode of hemoptosis after her swan was wedged. the swan was removed and a ct surgery consult was obtained when a chest x-ray was read as having a possibly widened mediastienem. ct showed no abnormality and ct surgery signed off. mrs. urine output was at this time minimally responsive to lasix, and her creatinine ultimately peaked at a value of 4.1. mrs. slowly improved and was moved to the floor. her creatinine slowly dropped to a new baseline of 2.2. on pod 11 she developed diarrhea and the suspicion of repeat c.diff enterocolitis was confirmed. pt was started on flagyl, but her white counts remained persistently elevated and a uti of a poly resistant klebsiella grew. id was consulted and an antibiotic regimen of vanco po and ceftriaxone iv was initiated. on several occations, pt's po2 dropped from the mid 90s to the high 80s, and her o2 requirement grew. these episodes occured on several nights, but seemed to be related to aspiration of thin liquids at night. a swallow study during the day demonstrated no impairment, but aspiration precautions were initiated, especially at night. pt's wbc continued to increase and heme-onc was consulted to rule out transformation of her to lukemia. they confirmed that the wbcs were all mature forms, and a combination of hydroyurea and epo was started to help resolve the pt's anemia and high wbc count. the pt's wbc peaked at 57'000. it then has declined to a value of 12'200 on . heme-onc has reccommended that we continue the hydroxyurea and epo and follow cbcs with diff every four days or so. pt ultimately was dced to rehab after her coumadin was theraputic (inr=2.9), her sao2 was stable, her diarrhea is tapering, her chf is much improved (now minimal crackles in b/l bases, her uti is being adequately treated, her anemia is resolving (hct 33.9), her wbc count is normalizing (last 12.2), her heart rate is controled (80s and 90s), and her creatinine is much improved (now 2.2). she still needs to improve her caloric intake and begin physical rehab. medications on admission: aranesp 200mg po q14d cardizem cd 240 po qday trazodone 25mg po qhs atrovent inh 2.5mlq6h prn sob levoxyl 100mcg po qam hydrea 500mg po qday heparin 5000units sq qday asa ec 81mg po qday lasix 40mg po qday oscal 250+d 500mg po tid allopurinol 100mg po qday zocor 20mg po qhs thiamine 50mg po qday fosamax 70mg po qday lido 5% patch qam to lower back bisacodyl 10mg pr prn constipation feso4 325mg po bid lactinex 2 tabs po bid mvi vitamin c 500mg po bid insulin nph 12 units qam, 8units qhs + sliding scale discharge medications: 1. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6 hrs prn as needed. disp:*15 neb* refills:*2* 2. allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). disp:*15 tablet(s)* refills:*2* 3. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). disp:*30 tablet(s)* refills:*2* 4. levothyroxine sodium 100 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 6. docusate sodium 100 mg tablet sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. epoetin alfa 10,000 unit/ml solution sig: four (4) ml injection once a week. disp:*20 ml* refills:*2* 9. vancomycin 125 mg capsule sig: one (1) capsule po once a day for 2 weeks. disp:*14 capsule(s)* refills:*0* 10. diltiazem hcl 30 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 11. hydroxyurea 500 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 12. ceftriaxone sodium 1 g recon soln sig: one (1) g intravenous once a day for 7 days: if no iv than can give as im shot. to give im, recon the ceftriaxone with 2.1 ml of strerile water or lidocaine. . disp:*7 g* refills:*0* 13. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. disp:*5 suppository(s)* refills:*0* 14. coumadin 2.5 mg tablet sig: one (1) tablet po once a day: currently being held. last inr 2.9 on . target inr 1.8 to 2.0 as per dr. (heme-onc) . disp:*30 tablet(s)* refills:*2* 15. outpatient work pt will need to have her inr checked to maintain a target inr of 1.8-2.0 16. outpatient work please monitor the pt's cbc as her hydroxyuria dose was just decreased. 17. insulin regular human 100 unit/ml solution sig: sliding scale injection four times a day: we have been maintaining her on an insulin sliding scale qid for glycemic control. disp:*5 ml* refills:*2* discharge disposition: extended care facility: for the aged - ltc discharge diagnosis: primary: small bowel necrosis, treated with lysis of adheasions and small bowel resection, c.diff colitis, uti, post iv-contrast nephropathy, malnutrution secondary: a-fib, chf, dm, polycythemia , htn, hypothyroidism, chronic renal insuff. incontinence discharge condition: stable discharge instructions: you may retrun to rehab. you need to have two more weeks of vancomycin and one more week of ceftriaxone. you may eat a regular diet and may resume your regular activities. if you develop worsening diarrhea, fevers, chills, or pain please call the office or return to the hospital. followup instructions: please follow up with dr. . her phone number is . please call to make an appointment. please also follow up with dr. at center hematology/oncology phone: date/time: 10:00 please also follow up with your pcp . . his number is: procedure: venous catheterization, not elsewhere classified other partial resection of small intestine other lysis of peritoneal adhesions pulmonary artery wedge monitoring small-to-small intestinal anastomosis rigid proctosigmoidoscopy suture of laceration of small intestine, except duodenum other unilateral oophorectomy infusion of vasopressor agent diagnoses: acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation perforation of intestine accidental puncture or laceration during a procedure, not elsewhere classified peritoneal adhesions (postoperative) (postinfection) intestinal infection due to clostridium difficile paralytic ileus personal history of venous thrombosis and embolism acute vascular insufficiency of intestine diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled polycythemia vera benign neoplasm of ovary other specified disorders of intestine 

Answer: The patient is high likely exposed to