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: the patient is a 60 year old female who underwent several complicated prior abdominal procedures elsewhere and most recently a procedure by dr. in which most of her rectum was resected as it was surrounded by an abscess cavity. she then was given a diverting colostomy and retained a very low rectal stump. at the time it was felt that a primary anastomosis was unwise not only because of the abscess cavity but also because of the presence of a vaginal fistula. in , the patient was found to have several intracranial aneurysms that required clipping at an outside hospital. she also noted some intermittent vaginal bleeding. on , the patient underwent an examination under anesthesia in which a rectovaginal fistula could not be definitively ruled in but was nonetheless suspected. the patient came to the hospital on his occasion as she wanted to have the colostomy taken down and her colon reattached to her rectum. past medical history: 1. complicated diverticulitis. 2. transient ischemic attack with cerebral angiogram showing four aneurysms in 01/. past surgical history: 1. colectomy in 10/. 2. diverting ileostomy and repair of anastomosis 05/. 3. right colectomy for perforated right sided diverticula in . 4. total abdominal hysterectomy with bilateral salpingo-oophorectomy. 5. craniotomy for right internal carotid artery aneurysm clipping . physical examination: from , in general, in no apparent distress. chest: clear to auscultation. heart: regular rate and rhythm, no murmurs or bruits. extremities with no edema. hospital course: on , the patient underwent an exploratory laparotomy, extensive lysis of adhesions, take down of colostomy, coloanal anastomosis, and repair of vagina. please see dictated operative note for further details. the patient was placed on a two day course of kefzol and flagyl postoperatively. the patient was noted to be tachycardic postoperatively and to have a low urine output, requiring at least two 500 mg lactated ringer's boluses of fluid. on postoperative day one, the patient was found to be in a moderate amount of pain rated a 7 out of 10, but the morphine was thought to be helping. her abdomen was soft but diffusely tympanic. the patient had a temperature maximum of 101.7 f. in the first day after her surgery. later on, on postoperative day one, the patient was found to be short of breath, desaturating to 89% on four liters of oxygen and in a great deal of pain that was mid-thoracic with radiation to her right shoulder. the pain worsened with inspiration. a blood gas was obtained which was relatively normal and a chest x-ray showed no pneumothorax or infiltrates; however, there were bilateral pleural effusions. the patient continued to be tachycardic to 110 but an ekg showed normal sinus rhythm with no ischemic changes. the patient was given intravenous morphine in addition to her pca morphine and a dose of lasix. later on postoperative day two, the patient was found to have a large amount of dark fluid draining from her wound, soaking her dressing and gown. the patient had been afebrile to 102.5 f., the previous night but was afebrile at this time. her heart rate remained in the 110 range and she continued to be in pain. the patient was emergently taken to the operating room for an exploratory laparotomy and received two units of packed red blood cells for a hematocrit of 25 and 23. in the operating room, the patient was found to have a small bowel leak and therefore underwent a small bowel resection. the patient was placed on continuing levofloxacin and flagyl and ampicillin was added to her antibiotic regimen. postoperatively, the patient's pain was decreased relative to the two prior days. she was, however, noted to have some redness surrounding her incision. on postoperative day , the erythema had spread laterally from the wound. later on in postoperative day , the patient's antibiotics were changed to levofloxacin, vancomycin and clindamycin per infectious disease recommendations. on postoperative day four and two, the cellulitis around the wound had spread somewhat further to encompass the flanks. the patient was started on total parenteral nutrition. the patient continued to have poor oxygenation requiring a 50% face mask in order to achieve saturations from 95 to 98%. later that day, the patient's wound was opened and packed with wet-to-dry dressings. at this time, the patient's heart rate rose to 160 and was controlled with 20 mg of intravenous lopressor. later that day, because of ongoing tachycardia, the patient was transferred to the intensive care unit to try a diltiazem drip. on postoperative day five/three, the patient's heart rate and blood pressure came down with lopressor 10 mg intravenously q. four hours and nitroglycerin. the patient was continued to have a high oxygen requirement with a saturation of 97% on six liters nasal cannula. the cellulitis was improved. on postoperative day six/four, the patient was continued on metoprolol, nitroprusside drip and enalaprilat for blood pressure control. the patient's blood pressure in the morning was 121/71. the patient continued to have oxygen saturations of 97% on six liters nasal cannula. also on this day, the patient's antibiotics were changed to levofloxacin, vancomycin, flagyl, and fluconazole, the latter being for yeast found in the abdominal wound culture of . an attempt was made to wean the patient from her intravenous nitroprusside over the course of the day. on postoperative day seven/five, the patient's blood pressure was well controlled off the nitroprusside drip being 132/58 with a heart rate of 85. the patient had oxygen saturations of 100% on a three liter nasal cannula and was determined to be appropriate for transfer back to the floor which was done later that day. by postoperative day ten/eight, the patient continued to be afebrile and her antibiotics were therefore stopped. by this time, the patient was having oxygen saturations of 94% on room air and her abdomen by this time was soft, nontender, nondistended. she continued to have an open wound that was packed with wet-to-dry dressings two to three times a day. later that day, the patient was begun on a full liquid diet which she tolerated well. on the following day, she was begun on a regular diet which she again tolerated well. her saturations continued to be good on room air. a follow-up ct scan was obtained which showed no drainable fluid collections within her abdomen. on postoperative day thirteen/eleven, the patient continued to do well and remained afebrile. she was therefore discharged. condition on discharge: good. discharge disposition: to home with services. discharge diagnoses: unchanged from admitting diagnoses. discharge medications: 1. metoprolol 50 mg p.o. twice a day. 2. lexapro 10 mg p.o. q. day. 3. dilantin 100 mg p.o. three times a day. 4. avapro 150 mg p.o. q. day. 5. lipitor 20 mg p.o. q. day. 6. percocet 5/325 one to two tablets q. four to six hours p.r.n. 7. protonix 40 mg p.o. q. day. 8. ibuprofen 600 mg p.o. q. six hours p.r.n. discharge instructions: 1. to call and schedule a follow-up appointment with dr. in about ten days. 2. to call and schedule a follow-up appointment with your primary care physician, . , for regulation of your hypertension. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other partial resection of small intestine arterial catheterization other lysis of peritoneal adhesions revision of stoma of small intestine transfusion of packed cells closure of stoma of large intestine exteriorization of small intestine application or administration of an adhesion barrier substance application or administration of an adhesion barrier substance other repair of vagina diagnoses: other postoperative infection cellulitis and abscess of trunk unspecified essential hypertension accidental puncture or laceration during a procedure, not elsewhere classified peritoneal adhesions (postoperative) (postinfection) digestive-genital tract fistula, female diverticulitis of colon (without mention of hemorrhage) attention to colostomy other colostomy and enterostomy complication 

Answer: The patient is high likely exposed to