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: klonopin attending: chief complaint: abdominal distension and tenderness major surgical or invasive procedure: 1. sigmoid colectomy and end colostomy history of present illness: patient 85 year old male with multiple sclerosis, frequent utis, dementia who presents to with tense abdomen guiac negative. kub showed distension. barium enema showed probable distal sigmoid obstruction, transferred to . patient had ct abdomen done here which suggested more of a pseudoobstruction, likely secondary to ileus. surgery saw patient and declined admission since distension seemed more to be due to pseudogout. patient cecum measured 12cm in diameter. past medical history: multiple sclerosis - wheelchair bound >30years alzheimers dementia dysphagia neurogenic bladder with frequent uti osteopenia constipation ? as - not noted on echo in anemia depression insomnia low back pain social history: nursing home resident physical exam: t 99.2 bp 175/83 p 107 o2 95% facemask gen: oriented to "hospital", no aware of year. knows about recent election heent: mucous membranes moist, oral pharynx clear cardiac: regular rate ryhthm, grade iii/vi sem at rusb lungs: bibalilar crackles and broncial sounds abdomen: very distended, tense, tympanic. non tender, no gaurding or rebound. no bowel sounds. rectal tube and ng tube in place. guiac negative neuro: aa, oriented to hospital, does not know state. rle weakness pertinent results: 09:20pm urine color-yellow appear-hazy sp -1.041* 09:20pm urine blood-lg nitrite-neg protein-100 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-6.5 leuk-mod 09:20pm urine rbc-21-50* wbc->50 bacteria-mod yeast-none epi-0-2 09:20pm urine granular-0-2 hyaline-0-2 06:37pm glucose-173* urea n-38* creat-0.8 sodium-141 potassium-3.6 chloride-102 total co2-25 anion gap-18 06:37pm wbc-15.1*# rbc-5.20 hgb-15.2 hct-44.5 mcv-86 mch-29.3 mchc-34.2 rdw-12.4 06:37pm neuts-88.2* lymphs-8.1* monos-3.5 eos-0.1 basos-0.1 06:37pm plt count-299# 06:37pm pt-13.4 ptt-27.4 inr(pt)-1.1 06:45am blood wbc-14.5* rbc-5.05 hgb-15.4 hct-43.8 mcv-87 mch-30.4 mchc-35.1* rdw-12.6 plt ct-289 06:37pm blood neuts-88.2* lymphs-8.1* monos-3.5 eos-0.1 baso-0.1 06:45am blood plt ct-289 06:45am blood glucose-191* urean-42* creat-1.0 na-142 k-3.3 cl-102 hco3-27 angap-16 06:45am blood calcium-9.9 phos-3.3 mg-2.4 brief hospital course: patient 85 year old male with ileus vs obstruction. 1) ? ogiluies syndrome - talked with neuro and they state that from ms is very atypical. gi saw patient will perform colonoscopy later today since they felt possible mass in sigmoid colon. will continue ng tube and rectal tube. will continue ivf and keep patient npo. will continue levo and flagyl for prophylaxis of aspiration or perforation. will contiue protonix. patient does not appear to be on any medications that could cause , d/c aricept for its gi interaction. patient to get fleet enema before c-scope 2) uti - patient has uti from u/a, awaiting urine cultures. will continue levofloxacin. 3) respiration - patient now on facemask, xray suggests atelectasis, most likely from abdominal distension. patient swtiched from nasal cannula to faskmask bacause he had ngt placed. will monitor i&o and check o2 sat. if patient desats will hold off on ivf and caonsider lasix and repeat cxr. will get repeat cxr when patient more stable. will get echo to assess patient's lvef and and document if patient has as. 4) ms - currently patient not on any medications. if gi performs colonoscopy and finds no obstructive mass as of ileus, consider consulting neuro to see if this is secondary to ms and if patient needs to be started on therapy such as steroids. 5) dementia - will d/c aricept since it can have effects. 6) fen - will give patient ivf d51/2ns at 125cc/hr since patient appears dry. patient tachycardic and elevated bun (bun/cre >20). patient with borderline low k, will repleat with fluids. will keep patient npo. 7) ppx - heparin sc, riss, ppi 8) communication - son: dr. he is the health care proxy. wife: 9) code: currently full code, family will readdress in future. 10) the patient became progressively more tensely distended. gi felt that they could not safely sedate him from a respiratory standpoint so he was taken to the or for an exploratory laparotomy. patient had colonic obstruction from a sigmoid mass found at the time of surgery. a sigmoid colectomy, and end colostomy was performed. an incidental appendectomy was also performed in order to decompress the cecum. , pt. was monitored for an extended time in the sicu for significant abdominal distention. symptoms resolved and colostomy began to function properly. pt. was extubated and sent to the floor where he regained his baseline mental status. speech and swallow made recommendations regarding his diet and consistency and he tolerated solid foods without aspiration. pt. discharged to rehab after direct discussion between the patient's son, dr. at the accepting rehab facility and dr. , the attending surgeon regarding his continued care. medications on admission: vioxx lexapro haldol ativan vitamin c oscal colase fosamax ambien aricept discharge medications: 1. insulin regular human 100 unit/ml solution sig: as directed units injection asdir (as directed). disp:*1000 units* refills:*2* 2. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever/pain. disp:*60 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 4. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/food (). disp:*90 tablet, chewable(s)* refills:*2* 5. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po qam (once a day (in the morning)). disp:*60 tablet(s)* refills:*2* 6. alendronate sodium 70 mg tablet sig: one (1) tablet po qsat (every saturday). disp:*4 tablet(s)* refills:*2* 7. hydralazine hcl 10 mg iv q6h prn sbp > 150 hold for sbp <100 8. pantoprazole 40 mg iv q24h 9. morphine sulfate 2-4 mg iv q3-4h:prn discharge disposition: extended care facility: commons residence at orchard - (a.k.a. ) discharge diagnosis: 1. colon cancer - t3n1mo obstructing sigmoid colon cancer 2. dementia discharge condition: good discharge instructions: 1. resume medications as directed. 2. diet and consistency as directed. 3. call office or go to er if fever/chills, abdominal pain or distention, problems with ostomy. followup instructions: dr. , 1-2 weeks, please call for appointment. patient will be seen in the ostomy clinic with both dr. and in order to decrease the number of seperate appts. md, procedure: parenteral infusion of concentrated nutritional substances temporary colostomy enteral infusion of concentrated nutritional substances other appendectomy open and other sigmoidectomy anastomosis to anus diagnoses: urinary tract infection, site not specified other specified intestinal obstruction pulmonary collapse alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance multiple sclerosis secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes other second degree atrioventricular block malignant neoplasm of sigmoid colon 

Answer: The patient is high likely exposed to