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: abdominal pain, distension, decreased ostomy output major surgical or invasive procedure: : diagnostic/therapeutic paracentesis : diagnostic/therapeutic paracentesis history of present illness: 49f with etoh cirrhosis recently admitted to for multiple abdominal abscesses and peritonitis, ultimately found to have perforated sigmoid colon, s/ procedure on . discharged to rehab 7 days ago on tube feeds and broad spectrum iv antibiotics. for the past 4 days she has had increasing abdominal distension and pain, and has apparently gained 25 lbs. per report her ostomy output has significantly decreased. she reports several episodes of emesis 2 days ago but has not vomited since. she is currently not nauseous. she does report low grade fevers. past medical history: appendectomy at age 19, exploratory laparotomy, drainage of subdiaphragmatic bilateral abscess, drainage of pelvic abscess, drainage of pericolic gutter abscess both on the right and left side. drainage interloop abscess. 1. exploratory laparotomy. 2. washout, drainage interloop abscess and component separation. 3. ventral hernia repair with mesh. (open abdomen) exploratory laparotomy, abdominal washout. exploratory laparotomy, hartmann's procedure, and rigid sigmoidoscopy for distal sigmoid perforation social history: widowed (husband committed suicide 1 year after daughter died from brain tumor at age 6) - previous to prior admit- tobacco: pack per day, extensive history - none since previous to prior admit-alcohol: 6 drinks per day, last drink 1 week ago - illicits: denies family history: non-contributory physical exam: admission physical: gen: nad. a&ox3. heent: anicteric. tacky mucosal membranes. neck: no jvd. no lad. no tm. cv: rrr. pulm: ctab. abd: distended and tense with + fluid wave. large ventral wound granulating nicely, no active drainage. diffusely mildly tender to palpation. nonperitoneal. no hernias/masses. llq ostomy with scant air and small amount of fluid. ext: warm and well perfused. b/l le edema to knee. neuro: motor and sensation grossly intact. pertinent results: ct a/p: impression: 1. overall increased fluid overload and third spacing with anasarca. 2. increased bilateral pleural effusions with associated compressive atelectasis. 3. increased free ascites in lesser sac as well as continued chronic ascites noted throughout the remaining abdomen. 4. decreased size of known bilateral rim-enhancing paracolic fluid collections, cannot exclude a superimposed infectious process. 5. new mild right hydronephrosis with mild dilatation and enhancement of the proximal right ureter. no current cause of obstruction identified though unable to trace distal ureter. given enhancement pattern of the proximal ureter, please correlate with lab work for possible infection. ielography: large bowel proximal to colostomy is normal in course and caliber. no evidence of obstruction or stricture. 1:29 pm peritoneal fluid **final report ** gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture (final ): no growth. anaerobic culture (final ): no growth. 4:00 pm peritoneal fluid **final report ** gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. this is a concentrated smear made by cytospin method, please refer to hematology for a quantitative white blood cell count.. fluid culture (final ): no growth. anaerobic culture (final ): no growth. 10:05 pm blood culture #2. **final report ** blood culture, routine (final ): no growth. 11:25am blood wbc-13.5* rbc-2.84* hgb-8.7* hct-27.7* mcv-98 mch-30.7 mchc-31.4 rdw-18.4* plt ct-436# 05:09am blood wbc-14.2* rbc-3.59* hgb-11.3* hct-35.2* mcv-98 mch-31.5 mchc-32.1 rdw-18.2* plt ct-181 11:25am blood glucose-101* urean-14 creat-0.4 na-138 k-3.9 cl-101 hco3-31 angap-10 05:09am blood glucose-151* urean-13 creat-0.4 na-134 k-3.5 cl-95* hco3-34* angap-9 11:25am blood albumin-1.8* calcium-7.9* phos-2.8 mg-1.5* 05:09am blood calcium-8.3* phos-2.5* mg-1.9 brief hospital course: 49f with etohcirr (meld 21) hx bowel perforation s/p exlap s/p closure & repeat exlap hartmann's for free contrast on ct admitted in the setting of decreased ostomy output. upon admission pt was managed with ngt, npo/ivf. ileography was perfomred which revealed patent colon with no stricture or obstruction. on underwent paracentesis, only able to aspirate 3 ml. cultures and gram stain were negative. on ultrasound during paracentesis noted fluid collection around pancreas that was drained on , removing 950 mls. again gram stain and cultures were negative. given pt's long duration of abx therapy since previous admission, afebrile during addmision, with negative peritoneal fluid cultures, all abx were stopped on . on , pt was noted to have increased work of breathing and decreased oxygen saturdation to 90% on room air. cxr revealed mild to moderate pulm edema. pt was transferred to icu for observation and diuresis. transferred to back to floor on . ostomy output increased hd3. was started on lactulose. advanced to clears on and to regular diet on . tolerated diet fairly well except for two eposides emesis on clear diet. noted increased abdominal distention on , kub at that time showed no ileus, sbo, or dilated loops of bowel. air was seen throughout colon. urology consult during admission for incidental r hydronephrosis on admission ct. recommended outpt follow up. discharged back to rehab on cipro for sbp ppx. will continue lactulose. medications on admission: albuterol, ergocalciferol, folate, oxycodone, rifaximin 550'', spironolactone 100', lasix 40', azithromycin 500', flagyl 500''', micafungin 100', zosyn 4.5''', famotidine 20'', glargine 6 qhs, riss, discharge medications: 1. cipro 250 mg tablet sig: one (1) tablet po once a day. 2. rifaximin 550 mg tablet sig: one (1) tablet po bid (2 times a day). 3. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 4. spironolactone 100 mg tablet sig: one (1) tablet po daily (daily). 5. lasix 40 mg tablet sig: one (1) tablet po once a day. 6. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for wheezing. 7. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 8. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 9. glargine sig: six (6) units at bedtime. 10. ergocalciferol (vitamin d2) 50,000 unit capsule sig: one (1) capsule po once a week. 11. ipratropium bromide 0.02 % solution sig: one (1) inhalation every six (6) hours as needed for wheezes. discharge disposition: extended care facility: - discharge diagnosis: 1. ascites 2. fluid overload/edema 3. decreased ostomy output discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you will be transferring back to rehab in to continue your rehab. tube feeds will be continued. your abdominal wound will be dressed with moist to dry dressings twice a day. all cultures during this hospitlization were negative, and your antibiotics were stopped. you will remain on sbp ppx. followup instructions: provider: , md phone: date/time: 11:00 provider: , md phone: date/time: 3:40 provider: , md phone: date/time: 1:00 follow up with dr. , urologist, in 3 to 6 weeks. call his office for an appointment ((). procedure: enteral infusion of concentrated nutritional substances percutaneous abdominal drainage percutaneous abdominal drainage diagnoses: tobacco use disorder alcoholic cirrhosis of liver unspecified protein-calorie malnutrition acute respiratory failure paralytic ileus other ascites hydronephrosis other and unspecified alcohol dependence, unspecified colostomy status acute edema of lung, unspecified other ureteric obstruction 

Answer: The patient is high likely exposed to