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: sulfa (sulfonamides) / cefazolin / aminophylline attending: chief complaint: abdominal pain and diarrhea major surgical or invasive procedure: - flexible sigmoidoscopy history of present illness: pt is 83 y/o f with h/o severe peripheral disease s/p multiple surgeries who presents with complaints of abd pain and diarrhea over the past few days. pt has had multiple episodes of dark black diarrhea. she states that she has had bloody bowel movements due to hemorrhoids and rectal prolapse over the past year. her hct at osh was 27.2. the abd pain is sharp and diffuse and has continued to worsen. pt's symptoms are associated with dry heaves. pt also has felt more short of breath over today and feels that her lungs are wet. pt denies fevers or chills, lightheadedness, or dizziness. no chest pain or cough. no dysuria or hematuria. pt states that she had recent admission at osh for worsening dyspnea and was recently discharged to rehab. past medical history: 1) peripheral disease 2) left axillary profunda bypass and left axillary to mid cross- femoral bypass 3) thrombectomies of left ax-fem bypass graft, fem-fem bypass graft, right fem-peroneal bypass graft 4) left axillary-femoral graft to distal profunda femoris artery bypass 5) left common femoral thrombectomy, left axillary bifemoral bypass with 8 mm ptfe graft 6) thrombectomy of left iliofemoral graft, left iliac artery, and left profunda artery 7) left iliofemoral bypass 8) aortic insufficiency 9) ischemic cardiomyopathy 10) congestive heart failure 11) htn 12) dm2 diet controlled 13) coronary artery disease s/p remote cabg and mi ) hypothyroidism on no supplement at this time 15) hysterectomy social history: she denies alcohol, drug or tobacco use family history: noncontributory physical exam: on admission t 98 p 84 bp 103/49 r 18 sao2 94% 2 l nc gen: uncomfortable appearing heent: an-icteric neck: supple lungs: coarse with scattered crackles heart: rrr abd: soft, nondistended, diffuse tenderness, most severe in rlq, pt has rebound tenderness, nonrigid rectal: no masses; guaiac negative extrem: palpable right femoral pulse, right dp/pt with dopplerable signals, pt had clean right heal ulcer; left femoral pulse weakly palpable, left bka stump healing well pertinent results: 10:41pm blood wbc-10.9 rbc-3.56* hgb-10.4* hct-32.0* mcv-90 mch-29.3 mchc-32.7 rdw-17.9* plt ct-235# 02:13am blood wbc-9.1 rbc-3.32* hgb-9.7* hct-29.8* mcv-90 mch-29.3 mchc-32.6 rdw-18.2* plt ct-212 09:24am blood hct-32.0* 02:53pm blood hct-31.2* 09:09pm blood hct-27.9* 03:12am blood wbc-12.9* rbc-2.98* hgb-8.9* hct-27.0* mcv-91 mch-29.9 mchc-32.9 rdw-17.9* plt ct-204 02:20pm blood hct-33.3* 07:03am blood wbc-8.3 rbc-3.48* hgb-10.3* hct-31.0* mcv-89 mch-29.7 mchc-33.3 rdw-18.4* plt ct-205 04:15am blood wbc-8.4 rbc-3.51* hgb-10.5* hct-30.9* mcv-88 mch-29.9 mchc-33.9 rdw-17.6* plt ct-197 03:59am blood wbc-8.9 rbc-3.35* hgb-10.1* hct-30.2* mcv-90 mch-30.1 mchc-33.4 rdw-18.4* plt ct-209 sigmoidoscopy impression: diverticulosis of the sigmoid colon. normal mucosa in the entire examined colon up to transverse. otherwise normal sigmoidoscopy to mid transverse. brief hospital course: pt admitted to the surgery service on for abdominal pain and dark stool. hct on admission was 32.0. hct was monitored on a daily basis. on a flexible sigmoidoscopy was done whcih showed no eveidence of bowel ischemis. empiric po vanc and flagyl were started for coverage for d.diff whcih was eventually negative and abx were discontinued prior to discharge. asa and plavix were temporarily held during admission and pt was started on sc heparin. the pt did recieve 1 unit of prbc on for a hct of 27 whcih rose to 33.3. hct remained stable and was 30.2 on the day of discharge. pt had an otherwise uncomplicated hospital course and was discharged back to rehab on . services consulted during her admission include gastroenterology, wound care, and cardiology. wound care recommendations: recommendations: instructed patient that she needs a new eval prior to wearing her prosthesis. pressure relief per pressure ulcer guidelines. support surface atmos air mattress. turn and reposition every 1-2 hours and prn. heels off bed surface at all times,waffle boot to(r)le. if oob, limit sit time ,encourage patient to change her position and use a foam cushion. moisturize le and foot ,as well (l) stump. commercial wound cleanser to cleanse open wound. pat the tissue dry with dry gauze. apply santyl to ulcer above the patella. cover with 2 x 2 secure with medipore tape. change dressing 1 x a day medications on admission: chlorpropamide 100 mg daily plavix 75 mg daily fluticasone 110 mcg 2 puffs lasix 160 mg qam isosorbide dinitrate 30 mg tid lisinopril 5 mg daily metolazone 2.5 mg qweek metoprolol 25 mg tid nitro sl prn potassium chloride 20 meq simvastatin 20 mg daily aspirin 325 mg daily ferrous sulfate 325 mg daily discharge medications: 1. protonix 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 2. potassium chloride 20 meq packet sig: two (2) packets po bid (2 times a day). 3. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). 4. chlorpropamide 100 mg tablet sig: one (1) tablet po once a day. 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 7. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 8. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed. 9. collagenase 250 unit/g ointment sig: one (1) appl topical daily (daily). 10. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 11. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 12. metolazone 5 mg tablet sig: one (1) tablet po daily (daily). 13. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. 14. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. 15. plavix 75 mg tablet sig: one (1) tablet po once a day. 16. aspirin 325 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: abdominal pain and diarrhea discharge condition: good discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. followup instructions: please call the office of dr. ( surgery) at ( to schedule a follow-up appointment. provider: , md phone: date/time: 11:00 provider: lab phone: date/time: 10:45 provider: () lmob (nhb) phone: date/time: 11:15 procedure: venous catheterization, not elsewhere classified flexible sigmoidoscopy diagnoses: acidosis coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of autologous vein bypass graft other specified forms of chronic ischemic heart disease hypotension, unspecified old myocardial infarction diarrhea hemorrhage of gastrointestinal tract, unspecified atherosclerosis of native arteries of the extremities, unspecified below knee amputation status diverticulosis of colon (without mention of hemorrhage) ulcer of heel and midfoot ulcer of thigh abdominal pain, right lower quadrant 

Answer: The patient is high likely exposed to