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: celebrex / glucotrol xl / lyrica / gabapentin attending: chief complaint: abdominal pain major surgical or invasive procedure: 1. exploratory laparotomy. 2. extensive lysis of adhesions. history of present illness: 81m presents with abd pain x 18 hrs and no bms/flatus for 24 hrs. the patient has a history of sbos - 2 of which were surgically managed many years ago, and 2 of which were non-operatively managed within the past 5 years. the patient reports that he had r sided abd pain at 2100 last night that quickly progressed to diffuse abd pain by midnight. he started dry heaving this morning and came to the ed. his last bm was yesterday and was hard and brown. he has had chills, no fevers. he reports some dysuria past medical history: - paroxysmal afib - dx , s/p aflutter ablation ~ on coumadin and amiodarone, 2-3 episodes/day. mibi in showed ef 60%, no ekg changes, nl perfusion. tte with mild , mild symmetric lvh, nl ef. followed by dr - htn - diabetes mellitus. insulin dependent. last hba1c 7.0 in - pulmonary disease, ?copd but pfts in showed mild restrictive disease - duodenal ulcer, medically managed - spinal stenosis, s/p multiple spinal surgeries including lamenectomy, fusion; c/b "staph infection" requiring debridment - crohns disease s/p sigmoidectomy with revision surgeries and multiple sbos managed medicallly and surgically; last colonoscopy . supposed to get annual colos, but insurance won't pay - hypercholesterolemia - kidney and bladder stones - ckd - presumed related to htn/diabetes, baseline cr 1.5-1.8. followed by dr. - bph s/p turp - s/p total l knee replacement. uses cane/walker at baseline. - onchomycosis - rosacia social history: lives at home with his wife in . has not worked since due to disability related to his back; worked many odd jobs including bread delivery, insurance. has 200 pack-year smoking hx, but quit 20 yrs ago. drank years ago, none now. denies drug use. family history: non contributory physical exam: afebrile, vss nad ctab rrr abd: soft, nt, nd, incision c/d/i, no erythema no drainage ext: trace edema pertinent results: 05:00am blood wbc-8.2 rbc-3.07* hgb-7.8* hct-24.2* mcv-79* mch-25.6* mchc-32.4 rdw-15.3 plt ct-411 05:32am blood pt-15.7* ptt-35.7* inr(pt)-1.4* 05:00am blood glucose-110* urean-19 creat-1.2 na-144 k-4.1 cl-109* hco3-29 angap-10 01:59pm blood alt-15 ast-24 alkphos-46 amylase-28 totbili-0.5 dirbili-0.2 indbili-0.3 brief hospital course: 82m admitted with abdominal pain and was found to have a small bowel obstruction. he was initially treated for a urine culture growing e.coli. while being observed the patient went into atrial fibrillation with a rate in the 130's which rate improved with lopressor. he has a history of atrial fibrillation. patient was initially observed but failed to improve clinically, complaining of increased abdominal pain. he underwent exploratory laparotomy with lysis of adhesions, with repair of two enterotomies made during the operation. neuro: post-operatively there were periods where he was delerious and not oriented. this was attributed to narcotic analgesia and disrupted sleep. the narcotics were discontinued and a geriatrics consult was placed. seroquel was recommended for sleep and his mental status has cleared off narcotics. he is on tylenol, ultram, and motrin for pain control. cv: he was hypotensive requiring pressor support in the immediate post-operative period. these were able to be weaned off and he has remained hemodynamically stable. he did require an amiodarone gtt for a-fib with rapid ventricular response. he has been transitioned to po amiodarone and lopressor. he is currently rate controlled. he was transiently hypertensive requiring additional iv hydralzine. his blood pressure is now stable on his home antihypertensive regimen. pulm: he remained intubated in the immediate post-operative period as he was resuscitated and supported through his septic episode. he was extubated without difficulty and on his outpatient regimen of combinvent. . gi: while he was npo he was started on tpn and then tube feeds. he was then advanced to a regular cardiac/renal diet without difficulty. he is having normal bms and passing flatus. he did have some spotting of brbpr for 2 days. he was examined and there were no hemorrhoids seen. his spotting stopped. his hematocrit remained stable. . gu: he required lasix diuresis as his dry weight was up a number of kilograms. he is now voiding without difficulty. . fen: he was on tpn for a few days post-operatively while waiting for bowel function to return. he is currently on a regular diet. . heme: his hematocrit has remained stable post-operatively. his coumadin was held. he can resume his coumadin per his cardiologist's discretion. he has remained in good rate control on amiodarone and lopressor. . id: he was treated with broad spectrum vanc and zosyn for sepsis. his cultures have ultimately grown no bacteria and no source was isolated. he complete a course of antibiotics and has remained afebrile with a normal wbc. . dispo: physical therapy was consulted and it was recommended that he be discharged to rehab for additional physical therapy services. medications on admission: amiodarone 100, lasix 20, combivent 2 puffs q6hrs prn, metoprolol succinate 75, simvastatin 80, coumadin 3 mg qsun,mon,,fri , coumadin 4 mg q t/th/sat, tylenol prn, aspirin 81, calcium citrate-vitamin d, insulin novolin ss and lantus, sulfasalazine 500, discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 3. colace 100 mg capsule sig: one (1) capsule po twice a day. 4. senna 8.6 mg tablet sig: one (1) tablet po once a day as needed for constipation. 5. amiodarone 200 mg tablet sig: 0.5 tablet po daily (daily). 6. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for hypocalcemia. 7. insulin regular human 100 unit/ml solution sig: per sliding scale units injection asdir (as directed): bs insulin 120-160 2 units 161-200 4 units 201-240 6 units 241-280 8 units 281-320 10 units. 8. metoprolol tartrate 50 mg tablet sig: 1 and tablet po daily (daily). 9. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 10. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours) as needed for shortness of breath. 11. sulfasalazine 500 mg tablet sig: one (1) tablet po daily (daily). 12. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical apply 12 hours in am, remove 12 hours in pm (). 13. quetiapine 25 mg tablet sig: 0.5 tablet po qhs (once a day (at bedtime)). discharge disposition: extended care facility: discharge diagnosis: small bowel obstruction, intraperitoneal adhesions, atrial fibrillation, hypertension, diabetes mellitus, duodenal ulcer, spinal stenosis, possible crohn's disease, kidney stones, chronic kidney disease, benign prostatic hyperplasia,onychomycosis, rosacia discharge condition: good discharge instructions: md if temperature greater than 100.5, increased redness or drainage from incisions, pain not relieved with pain medication, uncontrolled nausea or vomiting. keep dry sterile dreessing on incision. you may shower. pat incision dry. followup instructions: follow up with dr. in 1 week. call for an appointment. provider: , - adult medicine (sb) phone: date/time: 11:00 md 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 other lysis of peritoneal adhesions suture of laceration of small intestine, except duodenum diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere other postoperative infection urinary tract infection, site not specified congestive heart failure, unspecified unspecified septicemia chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) sepsis accidental puncture or laceration during a procedure, not elsewhere classified chronic kidney disease, unspecified acute respiratory failure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution knee joint replacement diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) accidental cut, puncture, perforation or hemorrhage during surgical operation chronic duodenal ulcer without mention of hemorrhage or perforation, without mention of obstruction regional enteritis of large intestine 

Answer: The patient is high likely exposed to