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: this is a 69-year-old woman with a history autoimmune hepatitis and cirrhosis and a chronic abdominal abscess from diverticulitis who presented with some increased abdominal pain and subjective fevers. this began approximately 3 days prior to admission. she had noted a low- grade fever of 100.3 degrees at home but denied any nausea, vomiting, shortness of breath or diaphoresis. her appetite had been good at home. she was originally seen at an outside hospital where her liver function tests were significant for an alt of 586 and an ast of 370. her amylase was normal. she was originally accepted by dr. who follows her as an outpatient for transfer to , with a presumed diagnosis of autoimmune hepatitis exacerbation. past medical history: 1. autoimmune hepatitis x 5 years. 2. cirrhosis; on the transplant list. 3. chronic abdominal abscess controlled with a long course of antibiotics which included daptomycin. 4. celiac sprue. 5. osteoporosis. 6. copd. 7. status post hysterectomy. 8. status post laryngeal tumor removal which was benign. medications at home: 1. prednisone 20 mg daily. 2. calcium carbonate 500 mg t.i.d. 3. cholecalciferol 400 mg daily. 4. multivitamin. allergies: the patient is allergic to amoxicillin, sulfa drugs, codeine and iodine-containing contrast. social history: the patient lives with her daughter who is her healthcare proxy. she has a history of tobacco use but quit 5 years ago. in addition, she also drank quite heavily but quit 5 years. family history: her father died of cirrhosis. her mother also had hepatitis. physical examination: vital signs reveal temperature of 100.9, blood pressure of 95/55, heart rate of 95, respirations of 20, spo2 of 94% on room air. in general, she was in no acute distress. her neck was supple without jvd. her heart was regular with normal s1/s2 with no murmurs, rubs or gallops. her chest was clear to auscultation bilaterally. her abdominal exam showed a tense belly that was hyperresonant to percussion and mildly distended. she was mildly tender in the epigastrium. her skin was not jaundiced, although she did have a large bruise on her left shin. her extremities were clubbing, cyanosis or edema. neurological exam was grossly intact. laboratory data on admission: her complete blood count was significant for a white blood cell count of 7; and a hematocrit of 31.6, platelets of 116,000. coagulation panel: pt of 16.3, ptt of 31.4, inr of 1.8 (elevated from her most level of 1.5 on ). she had a urinalysis that was negative. electrolytes: sodium of 132, potassium of 4.2, chloride of 106, bicarbonate of 21, bun of 18, creatinine of 0.8, glucose of 96. her liver function tests were elevated at alt of 291, ast of 357, ldl of 254, alkaline phosphatase of 96, amylase of 101, and her total bilirubin was 1.9. radiological data: on admission the patient had a chest x- ray which was significant for small pleural effusions, but otherwise unremarkable. she also had a ct scan of the abdomen and pelvis with recons which demonstrated a small increase in size of her diverticular abscess and a small amount of intra-abdominal free air. again seen were her extensive significant diverticula. brief hospital course: the patient was admitted at first to the hepatology service for a presumed diagnosis of autoimmune hepatitis exacerbation. however, upon further review of her ct scan it was felt that she may have sustained an injury to her bowel given that she had a small amount of free air on her ct scan. to investigate this she was taken to the operating room on for exploratory laparotomy. during the operation there was no frank stool and succus noted in peritoneal cavity. however, a small 6-mm tear was found in the duodenum. please see the separately dictated operative note for details. a gram patch was applied to fix this lesion. she was stable in the post anesthesia care unit after the procedure. her vital signs were stable, and she was extubated in the pacu. she was then admitted on postoperative day zero to the icu for close monitoring. her vital signs remained stable, and she did quite; requiring no pressor support. she was transferred to the floor on postoperative day 2 with her vital signs remaining stable. she was restarted on her home medications and treated with levofloxacin, flagyl and daptomycin for bacterial prophylaxis for her perforated duodenal ulcer. she had an h. pylori serological study sent which was negative. she also had a liver biopsy sent during the operation, the final report of which came back as consistent with autoimmune hepatitis. the patient was also given stress-dose steroids during the perioperative period. during her initial course in the icu she was transfused 2 units of packed red cells for postoperative anemia and 4 units of fresh frozen plasma for postoperative coagulopathy. she had a feeding tube placed during the operation which was used beginning on postoperative day 2, starting at a basal rate of tube feeds. these were advanced to her goal of 70 cc an hour. nutritional service was consulted, and her tube feed regimen was optimized to include promod at 3/4 strength and to be run at 75 cc an hour. this will be advanced to cycling overnight. on postoperative day 6, the patient had been afebrile for her entire hospital course; and her vital signs were otherwise stable. she was tolerating a p.o. diet with supplementation by tube feeds. her pain was under adequate control on p.o. narcotics, and she was able to get out of bed on her own strength. she was discharged home in stable condition. major procedures: 1. exploratory laparotomy with gram patch repair of perforated duodenal ulcer on . 2. central venous line placements. 3. arterial line placement. 4. jejunal feeding tube placement. discharge instructions: 1. the patient was instructed to return to the emergency department or call her physician if she noticed increased redness or swelling or drainage from her incision or if she has fevers greater than 101.4 degrees. 2. she was instructed to shower but not to soak in the tube until her staples are removed at her follow-up appointment. 3. she was instructed to take all medications as directed. 4. she was instructed to avoid all heavy lifting. discharge diet: the patient is to take a glutin-free, low- protein and low-sodium heart healthy diet with tube feeds supplementation which is to include promod with fiber at 3/4 strength at a goal rate of 70 cc per hour. followup: the patient was instructed to follow up with dr. at her prearranged appointment. discharge condition: stable. discharge diagnoses: 1. perforated duodenal ulcer, status post gram patch repair. 2. autoimmune hepatitis and cirrhosis. 3. diverticulitis. 4. postoperative anemia. 5. postoperative coagulopathy. 6. celiac sprue. 7. osteoporosis. medications on discharge: 1. lasix 20 mg daily. 2. percocet 1 to 2 tablets p.o. q.4-6h. as needed for pain. 3. protonix 40 mg daily. 4. prednisone 20 mg daily. 5. feeding tube formula and supplies. , procedure: venous catheterization, not elsewhere classified other enterostomy enteral infusion of concentrated nutritional substances closed (percutaneous) [needle] biopsy of liver arterial catheterization transfusion of packed cells suture of duodenal ulcer site transfusion of other serum diagnoses: cirrhosis of liver without mention of alcohol acquired coagulation factor deficiency chronic airway obstruction, not elsewhere classified osteoporosis, unspecified iron deficiency anemia, unspecified celiac disease awaiting organ transplant status other chronic hepatitis peritoneal abscess acute duodenal ulcer with perforation, without mention of obstruction 

Answer: The patient is high likely exposed to