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: penicillins / ranitidine / erythromycin base / ciprofloxacin / enalapril / bactrim attending: chief complaint: abdominal pain, distention, leukocytosis major surgical or invasive procedure: exploratory lap with lysis of adhesions history of present illness: -year-old female with a history of prior small bowel resection and repair of a femoral hernia who presented with 24 hours of nausea, vomiting and abdominal pain with distention. the patient was evaluated by her outside hospital physician who sent her to the emergency department. in the emergency department, she was found to be significantly distended with diffuse abdominal tenderness and cramping. her white count was 22,000 with a lactate of 2.7. an abdominal ct scan was consistent with bowel obstruction with proximal small bowel dilatation, distal decompression. based on these findings, the decision was made to take her to the operating room for laparotomy. past medical history: r hip fx s/p repair htn hypercholesterolemia atrial fibrillation gerd duodenal ulcer legally blind severe oa fluid retention urinary incontinence social history: currently lives with her daughter- very involved in care. denies tobacco/etoh. family history: non-contributory pertinent results: 04:30pm glucose-152* urea n-24* creat-0.6 sodium-136 potassium-3.8 chloride-103 total co2-24 anion gap-13 04:30pm ck-mb-6 ctropnt-<0.01 04:30pm calcium-7.6* phosphate-2.7 magnesium-1.9 04:30pm wbc-5.1# rbc-3.22* hgb-9.8* hct-30.4* mcv-94 mch-30.3 mchc-32.1 rdw-14.1 04:30pm plt count-390 04:30pm pt-12.2 ptt-31.1 inr(pt)-1.0 chest (portable ap) reason: s/p ex lap/ sob low saturation medical condition: s/p ex lap reason for this examination: s/p ex lap/ sob low saturation reason for examination: decreased saturations. portable ap chest radiograph compared to . the ng tube was removed in the meantime interval. there is worsening of bilateral perihilar opacities suggesting worsening of pulmonary edema. in addition, there is a significant increase in bilateral pleural effusion. the heart size is mildly enlarged but unchanged and there is also no change in the appearance of the mediastinum. impression: worsening pulmonary edema accompanied by increased pleural effusions. these findings were communicated to dr. during the time of dictation. cardiology report ecg study date of 2:29:54 am sinus tachycardia. left ventricular hypertrophy with st-t wave changes. compared to the previous tracing of no diagnostic interim change. intervals axes rate pr qrs qt/qtc p qrs t 111 154 84 296/ 174 brief hospital course: she was admitted to the surgery service and taken to the operating room for an exploratory laparotomy and lysis of adhesions. there were no intraoperative complications. postoperatively she did have episodes of decreased oxygen saturations requiring supplemental oxygen. her chest xray did show some evidence of pulmonary edema and she was given iv lasix. her oxygen was eventually weaned off and she is saturating well. a speech and swallow evaluation was also done because of concern for aspiration; there was evidence of aspiration with thin liquids. it is being recommended that she have thickened liquids and that her medications be crushed and given in applesauce or yogurt. a rheumatology consult was placed during her hospital stay because of an elevated sed rate. in reviewing her paper work from her previous rehab stay it appears that this was not a problem associated with this hospitalization and that a rheumatology consult was initiated. she does have a history of osteoarthritis but no history of pmr. it is recommended that she follow up with the rheumatologist at rehab for further workup of this problem. physical therapy was consulted and has recommended that she go to a rehab facility after hospital discharge. medications on admission: norvasc 5' betaxolol eye gtts colace dulcolax lidoderm patch lopressor 25'' protonix 40' dig .125' rosuvastatin 5' tylenol prn ultram 50 prn discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. heparin (porcine) 5,000 unit/ml solution : one (1) ml injection tid (3 times a day). 3. insulin regular human 100 unit/ml solution : one (1) dose injection four times a day as needed for per sliding scale: see attached sliding scale. 4. lidocaine 5 %(700 mg/patch) adhesive patch, medicated : adhesive patch, medicateds topical qday (). 5. betaxolol 0.25 % drops, suspension : one (1) drop ophthalmic (2 times a day): apply to left eye . 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 7. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 8. rosuvastatin 5 mg tablet : one (1) tablet po daily (daily). 9. metoprolol tartrate 25 mg tablet : one (1) tablet po bid (2 times a day): hold for hr <60; sbp <110. 10. tramadol 50 mg tablet : one (1) tablet po every six (6) hours as needed for pain. 11. digoxin 125 mcg tablet : one (1) tablet po once a day: hold for hr <60. 12. norvasc 5 mg tablet : one (1) tablet po once a day: hold for sbp <110. discharge disposition: extended care facility: - discharge diagnosis: small bowel obstruction discharge condition: stable followup instructions: follow up with dr. in weeks, call for an appointment. procedure: other lysis of peritoneal adhesions diagnoses: esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) 

Answer: The patient is high likely exposed to