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 major surgical or invasive procedure: laparoscopy converted to laparotomy with sigmoid colon resection and primary anastomosis. lysis of adhesions, loop colostomy and placement of pelvic drain. left dl picc line history of present illness: 74 year old female with very limited past medical history, who was transferred here from the osh with abdominal pain and ct scan concerning for free intraabdominal air. patient reports abdominal pain that started at 5 pm tonight, about 6 hours ago. the pain was located in the low abdomen/ pelvis. it did not radiate. initially, it felt as constipation, perhaps a need to pass flatus. the pain worsened and patient started experiencing some sweats. there was no nausea or vomiting. it remained in the same area. patient has been having regular bowel movements a day. no constipation or diarrhea. she denies any melena or hematochezia. patient has never had a colonoscopy or any abdominal operations. she denies any fevers. of note, patient reports chronic cough, which occurs several times during the day. it is especially bad after she gets out of bed. the cough is non-productive. she denies any shortness or breath or chest pain. she has been taking omeprazole many years ago, yet she did not think that it was helping and thus stopped it. she restarted omeprazole 2 months ago, still feels it gas not been helping and her cough has persisted. past medical history: bilateral hip buritis, bilateral shoulder pain, gerd, chronic cough psh: endometrial biopsy social history: married family history: noncontributory physical exam: upon presentation to : vs: 96.1 92 143/71 20 94% ra cv: rrr pulm: cta b/l abdomen: obese, soft, nd/ minimally tender in lower abdomen, no guarding, no rebound extremities: no le edema, no cyanosis pertinent results: 05:45am glucose-180* urea n-11 creat-0.7 sodium-140 potassium-4.1 chloride-102 total co2-29 anion gap-13 05:45am calcium-8.7 phosphate-4.2 magnesium-1.7 05:45am wbc-21.3* rbc-4.55 hgb-12.5 hct-40.0 mcv-88 mch-27.4 mchc-31.2 rdw-13.5 05:45am plt count-338 imaging: : ct chest/abd/pelvis 1. large defect in the colon within the pelvis at suspected level of surgical anastomosis. there is a large pocket of extra-luminal gas and fluid noted within the pelvis with inflamed peritoneum. persistent pneumoperitoneum. 2. multiple indeterminate bilateral pulmonary nodules. interval follow-up in three months recommended to ensure stability. 3. bilateral compressive atelectasis and pleural effusions are noted, right greater than left, which have increased slightly since prior ct . : cxr (ap) bibasilar atelectasis. no ptx : cxr (ap) slight interval progression of pulmonary edema. small amount of b/l pleural effusion. : cxr (ap) hazy opacification of r mid & lower lung zones best explained by slight increase in the moderate r pleural effusion & basal atelectasis demonstrated by the torso ct on . pulmonary vasculature more distended today, indicating -vent failure and/or volume overload. be very mild edema developing in l mid lung. : cxr (ap) interval increase of r pleural effusion & unchanged appearance of l pleural effusion, much smaller. bibasilar opacities might represent atelectasis, but infectious process is possible. : cxr (ap) moderate-to-large r pleural effusion, increased since ; pulmonary vasc. congestion persists. small l pleural effusion is presumed. brief hospital course: she was admitted to the acute care team and taken to the operating room on for laparoscopy converted to laparotomy with sigmoid colon resection and primary anastomosis. postoperatively she recovered in the pacu and once stabilized was transferred to the regular nursing unit. over the course of her stay on the regular unit her bowel function was very slow to return. she was given trials of sips to clears and the regular diet and was unable to tolerate these meals. she complained of intermittent nausea throughout as well. on she underwent ct scan of he abdomen as there was concern for anastomosis leak; results revealed free air and free fluid within the abdomen, more than expected at postoperative day #5, with air-fluid levels and enlarged intrapelvic fluid collection measuring up to 8.7 cm in diameter; findings are concerning for leak or perforation. also noted incidentally were numerous pulmonary nodules, measuring up to 8 mm in diameter which warrants close follow up with ct within three months. she underwent ultrasound guided drainage of the fluid collection where an 8 french catheter was placed within the pelvic collection. approximately 150 ml of greenish stool was aspirated and samples were sent for microbiology growing pseudomonas aeruginosa. she was started on iv antibiotics which were continued for 2 weeks. these were stopped on . she will be discharged with the jp drain in place and will follow up in acute care clinic in weeks to determine if it can be removed. her staples were taken out on . the patient was transferred to the icu on with concerns for sepsis. initially the patient's sbp decreased as well as her uop. she received multiple boluses with little improvement. bedside echo was performed that showed no obvious wall motion abnormalities and she was euvolemic. central line was placed to measure cvps, which ranged 12-15. on , the patient was started on trophic tube feeds. patient continued to be on pressors due to low blood pressure. on , the patient's propofol was stopped and switched to midazolam and intermittent fentanyl. levophed was weaned off and tube feeds were advance and well tolerated. a cxr was performed that showed patient was wet, so lasix was given with good effet. she was started on a lasix gtt on due to volume overload, and she continued to diurese well. on , the patient was extubated and lasix gtt was stopped. on ,the patient was transferred back to the floor in stable condition. her mental status was concerning after transfer out of the icu, she remained quite lethargic and delirious for a couple of days. her narcotics were decreased and use was limited. tylenol and ultram were started for pain control which seemed to help with improvement of her mental status. a dobbhoff was placed and tube feedings were initiated but unfortunately she self discontinued the dobbhoff on the day after it was placed. speech evaluated her at bedside and recommended that she have thickened liquids with pureed solids. at this point the screening process for ltac was initiated. she was accepted at a facility of her choice and arrangements were made for discharge. on day that she was to leave she was noted with 3 small episodes of bilious emesis; a kub was done showing multiple dilated air-filled loops of small bowel in a nonspecific pattern. she was made npo and her iv fluids were restarted. her ostomy continue to be functional throughout this. an ng tube was placed and she remained npo for a couple of days until the nausea resolved. once no further nausea her tube feeds were restarted and she was able to tolerate them. she has had several episodes of desaturation during the night time with shortness of breath. cxr consistent with bilateral pleural effusions and pulmonary edema. she received iv lasix with adequate response and was started on standing iv lasix 20 mg iv tid initially and just changed to dosing on day of discharge. her exams will need to be followed closely and adjustments will need to be made for ongoing diuresis. she does continue to have a nasal oxygen requirement. her ng tube was removed on and she was started on an oral diet. marinol was added and she self reports improved appetite. calorie counts should be done while at rehab. she has been followed closely by physical and occupational therapy and being recommended for acute rehab after her hospital stay. medications on admission: prilosec, tylenol discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 2. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 4. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day): hold for sbp < 110, hr < 60 . 6. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 7. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. 8. senna 8.6 mg tablet sig: 1-2 tablets po once a day as needed for constipation. 9. metoclopramide 10 mg tablet sig: one (1) tablet po four times a day. 10. oxycodone 5 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. 11. insulin regular human 100 unit/ml solution sig: one (1) dose injection four times a day as needed for per sliding scale: see attached. 12. dronabinol 2.5 mg capsule sig: two (2) capsule po bid (2 times a day). 13. pantoprazole 40 mg iv q12h 14. furosemide 10 mg/ml solution sig: twenty (20) mg injection twice a day. 15. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical (2 times a day) as needed for rash: apply to affected areas as directed. 16. metoclopramide 10 mg iv q6h 17. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q4h (every 4 hours). 18. oxycodone 5 mg/5 ml solution sig: five (5) ml's po every hours as needed for pain. 19. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day). 20. milk of magnesia 400 mg/5 ml suspension sig: thirty (30) ml's po twice a day as needed for constipation. discharge disposition: extended care facility: - discharge diagnosis: perforated sigmoid colon pelvic abscess anastomotic leak acute blood loss anemia pulmonary edmea sepsis 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 were admitted to the hospital withdiverticulitis which was complicated by a perfertion in your colon requiring that you undego an operation to repair this. following your surgery you had a comolication requiring another operation where a colostomy was perfomed and you now have a bag on your abdomen that collects your bowel movments. you are also continuing to have bowel movements from your rectum which is normal. following your second operation you developed a bloodsteream infection requiring that intravenous antibiotics that you are still receiving for at least anotehr week. becasue of your prolonged hospital course it is being recommended that you go to a rehabiliation facility to work on getting your stronger so that you may return home. followup instructions: call the acute care clinic at for a follow up appointment in weeks. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous abdominal drainage arterial catheterization other lysis of peritoneal adhesions open and other sigmoidectomy exteriorization of large intestine central venous catheter placement with guidance central venous catheter placement with guidance diagnoses: esophageal reflux other postoperative infection congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia unspecified septicemia sepsis surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus other diseases of lung, not elsewhere classified rash and other nonspecific skin eruption diarrhea drug-induced delirium tachycardia, unspecified other candidiasis of other specified sites pseudomonas infection in conditions classified elsewhere and of unspecified site pelvic peritoneal adhesions, female (postoperative) (postinfection) diverticulitis of colon (without mention of hemorrhage) laparoscopic surgical procedure converted to open procedure other specified analgesics and antipyretics causing adverse effects in therapeutic use cough acute parametritis and pelvic cellulitis 

Answer: The patient is high likely exposed to