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: descending colostomy history of present illness: 76 yo female with paget's disease of the anus who presents with a large bowel ostruction. she was taken to the operating room on for descending colostomy. past medical history: colon cancer s/p lap resection ' htn paget's disease s/p resection family history: noncontributory physical exam: vitals: t 98.8 hr 104 bp 110/54 rr 16 96% ra gen: a&ox3 cv: regular rate and rhythm pulm: clear to auscultation bilaterally abdomen: soft, tender at llq, distended with tympany; no rebound tenderness rectal: tight anal stricture pertinent results: 02:19pm glucose-131* urea n-48* creat-2.0* sodium-137 potassium-4.9 chloride-94* total co2-31 anion gap-17 02:19pm alt(sgpt)-21 ast(sgot)-19 alk phos-97 amylase-48 tot bili-0.4 02:19pm lipase-42 02:19pm albumin-4.3 02:19pm wbc-15.1*# rbc-3.40* hgb-10.6* hct-30.5* mcv-90 mch-31.1 mchc-34.7 rdw-12.9 02:19pm plt count-471*# ct abdomen w/o contrast 5:23 pm ct abdomen w/o contrast; ct pelvis w/o contrast reason: eval colitis, eval obstruction. - oral contrast only. field of view: 36 medical condition: 76 year old woman with hx of paget's dz of rectum, chronic incontinence now with no stool output past 3days. reason for this examination: eval colitis, eval obstruction. - oral contrast only. contraindications for iv contrast: none. indication: 76-year-old female with history of paget's disease of the rectum and chronic incontinence. comparisons: none. technique: mdct axial images were obtained from the thoracic inlet through the pubic symphysis without intravenous contrast. multiplanar reconstructions were performed. ct abdomen without iv contrast: no pulmonary nodules, opacities or pleural effusions are present at the lung bases. there are extensive coronary artery calcifications. evaluation of the visceral organs is limited secondary to lack of intravenous contrast. allowing for this factor, the liver, pancreas, spleen and adrenal glands appear grossly normal. there is moderate right hydronephrosis with hydroureter extending from the renal pelvis to the level of the pelvic inlet. no definite obstructing calculi or mass is identified. extensive gas and stool is seen within mildly dilated loops of large bowel. there is no evidence of bowel wall thickening, pneumatosis or intraperitoneal air. there is extensive atherosclerosis involving the abdominal aorta and its branches. no intraperitoneal fluid is present. a normal appendix is seen in the right lower quadrant. no mesenteric or retroperitoneal lymph nodes are pathologically enlarged. ct pelvis with iv contrast: a large amount of stool and air is seen within the sigmoid colon with mild wall thickening. extensive soft tissue density is seen in the region of the rectum without evidence of rectal stool or air. several suture lines are seen within the lower pelvis. a foley catheter is seen within a partially distended bladder. air within the bladder is likely iatrogenic. there is no free pelvic fluid. there are several borderline enlarged left inguinal lymph nodes. bone windows: no suspicious osteolytic or sclerotic lesions are identified. there are significant degenerative changes within the lower lumbar spine. impression: 1. coronary artery calcifications. 2. right hydronephrosis and hydroureter without evidence of obstructing calculi or mass. 3. air and stool seen within dilated loops of large bowel. moderate soft tissue density is seen involving the rectum. air is not definitely seen in the rectum and obstruction at this level cannot be excluded. correlation with colonoscopy/flex sigmoidoscopy is recommended. cardiology report c.cath study date of *** not signed out *** brief history: 76 yo female with history of rectal cancer and hypertension who presented to the hospital with rectal obstruction. she underwent diverting colostomy and in the pacu developed mild hypotension and and was noted to have new ste v1-v3 on ecg. she was taken emergently to the cath lab. indications for catheterization: ste on ecg procedure: right heart catheterization: was performed by percutaneous entry of the right femoral vein, using a 6 french pulmonary wedge pressure catheter, advanced to the pcw position through an 8 french introducing sheath. cardiac output was measured by the fick method. left heart catheterization: was performed by percutaneous entry of the right femoral artery, using a 6 french left catheter, advanced to the ascending aorta through a 6 french introducing sheath. coronary angiography: was performed in multiple projections using a 6 french jl4 and a 6 french jr4 catheter, with manual contrast injections. conscious sedation: was provided with appropriate monitoring performed by a member of the nursing staff. hemodynamics results body surface area: 1.74 m2 hemoglobin: 10.4 gms % fick **pressures right atrium {a/v/m} 11/7/5 right ventricle {s/ed} 37/9 pulmonary wedge {a/v/m} 17/12/9 aorta {s/d/m} 99/56/72 **cardiac output heart rate {beats/min} 84 rhythm sr o2 cons. ind {ml/min/m2} 125 a-v o2 difference {ml/ltr} 45 card. op/ind fick {l/mn/m2} 4.8/2.8 **resistances systemic vasc. resistance 1117 **% saturation data (nl) pa main 67 ao 99 **arterial blood gas inspired o2 concentr'n 21 **arteriography results morphology % stenosis collat. from **right coronary 1) proximal rca diffusely diseased 2) mid rca discrete 100 2a) acute marginal diffusely diseased **arteriography results morphology % stenosis collat. from **left coronary 5) left main discrete 20 6) proximal lad diffusely diseased 6a) septal-1 diffusely diseased 7) mid-lad diffusely diseased 8) distal lad diffusely diseased 9) diagonal-1 normal 10) diagonal-2 normal 12) proximal cx normal 13) mid cx discrete 60 13a) distal cx normal 14) obtuse marginal-1 normal 15) obtuse marginal-2 normal technical factors: total time (lidocaine to test complete) = 21 minutes. arterial time = 20 minutes. contrast: non-ionic low osmolar (isovue, optiray...), vol 55 ml anesthesia: 1% lidocaine subq. anticoagulation: heparin 0 units iv other medication: fentanyl 25 mcg midazolam 0.5 mg cardiac cath supplies used: 200cc mallincrodt, optiray 200cc - allegiance, custom sterile pack comments: 1. selective coronary angiography of this right dominant system revealed 2 vessel coronary artery disease. the lmca had a 20% ostial stenosis. the lad had moderate diffuse disease throughout. the lcx had a 50-60% stenosis in the mid vessel and the rca was totally occluded in after the marginal branch and filled via left to right collaterals. 2. resting hemodynamics revealed normal filling pressures and a preserved cardiac index. 3. left ventriculography was deferred. final diagnosis: 1. two vessel coronary artery disease. 2. normal filling pressures and cardiac index. chest (portable ap) 2:35 am chest (portable ap) reason: r/o pulmonary edema, ekg changes medical condition: 76 year old woman pod 1 with ekg changes reason for this examination: r/o pulmonary edema, ekg changes portable chest at 02:44 indication: ekg changes postop. comparison: . findings: again seen is an elevated right hemidiaphragm. since the prior study, there is subsegmental left basilar atelectasis but otherwise no evidence for new infiltrate and no evidence for interval development of chf. there has been placement of an ng tube with the tip overlying the left upper quadrant of the abdomen. impression: left basilar atelectasis. no significant interval change versus prior. brief hospital course: ms. was admitted to the hospital on . that same day, she underwent a diverting colostomy for anal stricture due to paget's disease of the anus. in the pacu, post-op, she had low urine output, for which she received a total of 2 l of bolused fluids. her urine output remained marginal, and then dropped off again. she then had an ekg, and drs. and were informed. the on-call cardiologist was contact and became involved. ms. was then taken to the catheterization suite, where she was diagnosed with a complete right coronary artery occlusion with collateralization and a mid- to high-grade occlusion of the left circumflex artery. she was not anticoagulated, as both lesions appeared chronic in nature. she was followed in the icu until hd3, observed to be stable, and then transferred to the floor. the ostomy nurse began teaching ms. to change and care for her stoma. on hospital day 7, she experienced one bout of nausea with vomiting. she vomited 200 cc, but had flatus and bowel sounds. on hospital day 8, she was tolerating a regular diet, she had passed much of the residual stool in her colon, and her incision appeared clean, dry and intact. she was discharged to her home in good condition with strong family support. discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for loose stools. 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. milk of magnesia 800 mg/5 ml suspension sig: po twice a day as needed for constipation. discharge disposition: home with service facility: homecare discharge diagnosis: bowel obstruction discharge condition: good discharge instructions: return to the emergency room if you develop fevers, chills, nausea, vomiting, abdominal pain, diarrhea and/or any othr syptoms that are concerning to you. follow up with dr. next week in clinic. follow up with your primary doctor a stress test. followup instructions: please follow up with your primary care doctor to receive a cardiac stress test. please call and schedule an appointment. call for an appointment with dr. in surgery clinic next week. procedure: venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization coronary arteriography using two catheters temporary colostomy diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension other specified intestinal obstruction stenosis of rectum and anus personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus malignant neoplasm of anus, unspecified site 

Answer: The patient is high likely exposed to