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: admission history and physical: mrs. is a 65- year-old female with an extensive past medical history as noted above who in underwent exploratory laparotomy with lysis of adhesions and a ventral hernia repair which was complicated postoperatively by hematoma though the patient was eventually stabilized and subsequently discharged to rehabilitation where she had been prior to presenting on with complaints of persistent abdominal pain, nausea, distension and fever of 101 with notably over two liters of nasogastric output when the nasogastric tube was placed at the rehabilitation facility. when she was initially seen in the emergency department at she was febrile to a temperature of 101.8, tachycardiac at 115, pressure 127/79, respiratory rate was 26, she is sating 96% on room air. on gross examination she had a baseline right sided upper and lower extremity tremor, was otherwise alert and oriented, somewhat diaphoretic. her sclera were anicteric. she had no cervical adenopathy. cardiac examination was notable for a tachycardia which was a regular rhythm, otherwise her lungs were clear bilaterally. her abdomen was slightly distended with mild pain in the left mid to low abdomen with pressure but no calf tenderness otherwise, she had no peripheral edema and rectal examination was guaiac negative. in terms of admission labs and imaging studies. the patient's admission white count was 10.8 with and admission bun and creatinine of 35 and 2.6. her admission kub showed no evidence of free air. ct scan showed only pass of oral contrast to the distal duodenum where there was an abrupt cut off consistent with a closed loop obstruction. hospital course: the patient was admitted to the intensive care unit and aggressively hydrated for her acute renal failure. given her obstruction it was felt that the patient needed surgery but the patient during the initial course of the admission refused any sort of operative procedure and was therefore monitored with close serial abdominal exams. she was monitored closely with serial abdominal exams and otherwise treated with antibiotics, nasogastric suction and aggressive hydration. by hospital two, after extensive discussion with the patient and family the patient agreed to undergo surgery for this closed loop obstruction intraoperatively. the patient underwent an exploratory laparotomy intraoperatively and extensive lysis of adhesions was performed and closed loop obstruction was taken down. the patient tolerated the procedure and there was no excessive intraoperative blood loss. she remained intubated postoperatively and was taken to the intensive care unit. in terms of her hospital course from a neurologic standpoint, the patient essentially had no issues and had excellent pain control with narcotics. she had no recurrence of her prior history of seizures and carbezepine was restarted prior to discharge. from a respiratory standpoint the patient was initially in the intensive care unit for respiratory support while she remained intubated. she was extubated by postop day two and essentially did fairly well with minimal supplemental o2 and p.o. prednisone for chronic obstructive pulmonary disease was restarted. her o2 requirement decreased. from a cardiac standpoint the patient also did fairly well. there was no evidence of acute cardiac event during the course of her hospitalization. she did have mild episodes of congestive failure which were treated with aggressive diuresis. otherwise her blood pressure was controlled with beta-blockade with lopressor and by the time she was ready for discharge her diovan had been restarted along with her clonidine. from a gastrointestinal perspective, as noted the patient was npo for sometime postoperatively and upon initial attempts at restarting her diet the patient did not tolerate this. was felt to have somewhat of a postoperative ileus but this had resolved by five days prior to discharge at which time the patient was tolerating a regular diet and otherwise having bowel movements and passing flatus. from a fluid standpoint the patient was notably volume overloaded initially during her early postoperative course, during the resuscitation phase and subsequently with fluid shifts intravenous lasix was needed to diurese her appropriately. prior to discharge she had been diuresed close to her baseline level by looking at daily weights. the patient's nutrition status of utmost concern given her prolonged stay at the rehabilitation facility and prolonged delay of nutrition in the postoperative period. therefore, she was started on total parenteral nutrition in the perioperative and postoperative period. we were able to wean the total parenteral nutrition on the day prior to discharge to rehabilitation as the patient had excellent oral intake with regular diet with nutritional supplementation. from a renal standpoint the patient initially came in with acute renal dysfunction with a bun and creatinine of 35 and 2.6. her creatinine went as high as 2.7 but with aggressive hydration and maintenance of hematocrit around 30 the patient's renal dysfunction resolved and her creatinine returned down to 1.0 during the late course of her hospitalization. during the final days of her hospitalization we began to see a slight increase in her creatinine up to a maximum of 1.5, it was felt that this was secondary to a slight bit of dehydration along with possible side effects of the antibiotics that she had been on which were discontinued and prior to discharge her bun and creatinine were trending down and otherwise she had excellent urine output. from a hematologic standpoint, the patient did require occasional transfusions of packed red blood cells in the perioperative period in order to maintain hematocrit of at or near 30 but her hematocrit had been stable for over 7 days prior to discharge. in terms of patient's id issues, her blood cultures remained negative throughout her hospitalization but notably she had significant urinary tract infection with klebsiella pneumonia which was essentially pan resistant to most antibiotics except for meropenum, nitrofurantoin and zosyn. after discussion with the infectious disease services felt that this should be untreated for a short course for which the patient was placed on zosyn for eight days. this subsequent surveillance urinalysis did not evidence any urinary tract infection. as noted surveillance blood cultures did not evidence any sort of infection and the patient's empiric levofloxacin and flagyl were discontinued during the mid-point of her hospitalization. otherwise there was no evidence of any pneumonia during the course of the patient's hospitalization and the wound did not evidence any infection. as noted above on the gastrointestinal section, the final week of the patient's hospitalization was essentially around nutritional support and resolution of disposition issues with physical therapy. it is felt that as these issues had resolved, the patient was up ambulating with physical therapy, otherwise is eating an excellent diet and had excellent control with p.o. pain medication that she could be discharged to rehabilitation in fair condition. prior to discharge her white count was 11.8, this had been trending down. hematocrit was stable at 34 otherwise. platelet count was 661. urinalysis did not evidence any infection. bun and creatinine were 37 and 1.4. this was also trending down . medications: 1. albuterol 90 mcg inhaler one to two puffs every 4 hours as needed. 2. imitropium 18 mcg inhaler two puffs every four to six hours as needed. 3. protonix 40 mg p.o. q day. 4. prednisone 2.5 mg p.o. q day. 5. chronic obstructive pulmonary disease. 6. percocet 5/325 take one tablet very 4 to 6 hours as needed for pain. 7. lopressor 100 mg p.o. twice a day. 8. clonidine 0.2 mg p.o. twice a day. 9. valsartan 80 mg p.o. q day. 10. insulin sliding scale. 11. oxcarbazepine 600 mg p.o. twice a day. , procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances excision or destruction of peritoneal tissue other lysis of peritoneal adhesions pulmonary artery wedge monitoring transfusion of packed cells diagnoses: urinary tract infection, site not specified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site acute kidney failure, unspecified unspecified protein-calorie malnutrition paralytic ileus removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) 

Answer: The patient is high likely exposed to