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: aspirin / nsaids / amoxicillin / penicillins attending: chief complaint: s/p operation major surgical or invasive procedure: extensive lysis of adhesions, small bowel resection and attempted placement of suprapubic tube, repair of enterotomies by urology and general surgery () history of present illness: ms. is a 66y f with a pmh of ms bladder s/p previously failed appendicovesicostomy and suprapubic tube placement in who presented to or today for placement of suprapubic tube. in surgery, secondary to very extensive adhesions, there was concern small bowel injury. general surgery was consulted and were able to perform extensive lysis of adhesions, and small bowel resection. ebl 50cc. because of inability to bring bladder up towards the fascia, it was deemed that a sp tube was not possible for the long term without further extensiv mobilization. pt w/ urethral foley right now. in the pacu inital vitals were, 97.1, 160/80, 105, 20, 96% on facemask. anesth: requesting icu for ams (improving). at baseline, patient is alert, oriented and mentally relatively high functioning. mental status improved in the responsive to verbal commands and opening eyes to sounds. bp issues: systolics up to 180, tachycardic, both resolving with labetalol. pt received tap block. received in pacu dilaudid 0.5mg x3; cipro 400mg iv, flagyl 500mg iv, tegretol 400mg, gabapentin 100mg, baclofen 30mg, labetolol 20mg iv. 3l in procedure + 600cc in pacu. 580cc urine out in icu. . on arrival to the icu, initial vital signs were afebile 92 143/70 18 89% on humidified shovel mask. the patient was responsive to voice, opening eyes and answering simple questions (after clearing throat). unable, however, to give full history, icu consent or code status. . review of systems: unable to obtain mental status past medical history: past medical history: bronchitis, pneumonia, hypertension, severe multiple sclerosis (b/l leg weakness and r hand weakness at baseline; bladder), rheumatoid-type arthritis, lupus, osteoarthritis, constipation, chronic back pain, gout, anemia . psh: previously failed appendicovesicostomy , suprapubic tube placement, tonsillectomy social history: social history: the patient is a customer service business owner. tobacco use about 16 pack years, quit at the age of 32. denies alcohol or drug use. family history: family history: coronary artery disease, atherosclerotic cardiovascular disease and alcohol abuse. physical exam: avss general: aox3 heent: sclera anicteric, mm dry, oropharynx clear neck: supple, jvp not elevated, no lad lungs: crackles in bases b/l, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender; jp drain in place midline; midline laparotomy surgical scar, steri-strips; no cva tenderness gu: foley in place ext: warm, well perfused, significant 2+ edema in le to mid-tibia neuro: eomi, perrl, weakness in r arm, r leg, l leg. moving l arm well. pertinent results: admission labs: 02:50am blood wbc-7.4# rbc-2.99* hgb-10.0* hct-30.2* mcv-101* mch-33.6* mchc-33.2 rdw-13.9 plt ct-224 02:50am blood neuts-85.2* lymphs-7.6* monos-6.0 eos-0.6 baso-0.5 02:50am blood pt-11.2 ptt-28.7 inr(pt)-1.0 02:50am blood glucose-139* urean-18 creat-0.7 na-137 k-4.3 cl-103 hco3-27 angap-11 02:50am blood alt-20 ast-32 ld(ldh)-227 alkphos-48 totbili-0.2 02:50am blood albumin-2.9* calcium-8.4 phos-3.5 mg-1.7 brief hospital course: hospital course icu admission: # s/p surgery -- attempt at suprapubic tube placement complicated by small bowel injury secondary to very extensive adhesions. exploratory laparotomy, extensive lysis of adhesions, small bowel resection and attempted placement of suprapubic tube, repair of enterotomies. patient had an extensive surgery. was hypertensive in the pacu to 180s, now resolved w/ sbps in the 140s. patient without significant abdominal pain, soft abdomen. jp drain in place, dressing in place. no erythema or drainage from surgical wound. patient drowsy after surgery, but now starting to clear, speaking, opening eyes, interacting. still not at baseline. pt has chronic le weakness and rue weakness/spasticity. . # htn: pt w/ hx of htn, and post-op htn, which was controlled w/ labetalol. nifedipine has been restarted considering hemodynamic stability. spb<150 since being in icu. - continue nifedipine - hold spironolactone and lisinopril for now . # ms: severe ms, w/ b/l leg weakness and r hand weakness at baseline; bladder but mental status high functioning. - continue neurontin, baclofen, carbamazepime, tizanidine, terazosin . # ra / lupus: stable - continue plaquenil . # back pain: mild to moderate back pain currently -continue tizanidine . # depression: stable - continue celexa . # fen: ivf, replete electrolytes, npo # prophylaxis: pneumoboots # access: peripheral # communication: patient # hcp: , husband # code: presumed full (pt's hcp, husband, not responding to phone call) # disposition: icu pending clinical improvement floor course: patient was transferred from the icu to the floor in stable condition on pod1. she was npo with ivf and iv pain medications. on pod4 the ngt was removed after it had low output. on pod6 the patient passed flatus and her diet was advanced to clear liquids. unfortunately, on pod7 the patient began vomiting and her abdomen was distended. ct scan found and ileus with questionable small bowel in a ventral hernia. the patient was treated conservatively with an ngt and bowel rest. on pod13 the patient was started on tpn due to prolonged npo status. on pod15 the patient passed flatus and she was advanced to clears. the tpn was discontinued on pod16. she was found to have a swollen right arm on pod16 and an ultrasound revealed a non-occlusive blood clot in her basilic vein where the picc line was present. she will be treated with 3 months of lovenox for this clot and follow-up with her pcp for management. in addition, the patient was having expiratory wheezes on pod16 and we obtained a pulmonary consult. they commented that the patient was volume overloaded following tpn and she would require gentle diuresis. following some diuresis the patients breathing improved. she will be discharged to rehab continuing to be diuresed. on the day of discharge the patient was tolerating a regular diet, her pain was well controlled and she was having bowel movement regularly. she will follow-up with her pcp for management of the lovenox and with dr. . medications on admission: tylenol prn baclofen 30mg am, noon, dinnertime and 10mg qhs carbamazepine 300mg am, 400mg hs celexa 40mg qhs flonase daily lisinopril 40mg neurontin 100mg qhs nifedipine er 90mg daily am betaseron injection every other day restatis eye drops tizanidine 4mg qhs provigil 200mg qam and noon fiorocet prn plaquenil 400mg daily spironolactone 25mg daily terazosin 3mg qhs senna colace miralax azelastine spray qhs discharge medications: 1. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 2. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal daily (daily). 3. modafinil 100 mg tablet sig: two (2) tablet po qam, qnoon (). 4. cyclosporine 0.05 % dropperette sig: one (1) dropperette ophthalmic 1 drop in each eye q12 hours (). 5. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eyes. 6. alum-mag hydroxide-simeth 200-200-20 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed for indigestion. 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily). 8. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for headache. 9. nifedipine 90 mg tablet extended release sig: one (1) tablet extended release po daily (daily). 10. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 11. terazosin 1 mg capsule sig: three (3) capsule po hs (at bedtime). 12. hydroxychloroquine 200 mg tablet sig: two (2) tablet po daily (daily). 13. tizanidine 2 mg tablet sig: two (2) tablet po daily (daily). 14. baclofen 10 mg tablet sig: 2.5 tablets po qid (4 times a day). 15. carbamazepine 200 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). 16. betaseron 0.3 mg kit sig: one (1) subcutaneous every other day (every other day). 17. lisinopril 20 mg tablet sig: two (2) tablet po bid (2 times a day). 18. furosemide 20 mg tablet sig: one (1) tablet po daily (daily): continue until patient becomes euvolemic. 19. salsalate 750 mg tablet sig: two (2) tablet po bid (2 times a day). 20. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 21. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 22. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). 23. enoxaparin 120 mg/0.8 ml syringe sig: one y (120) mg subcutaneous daily (daily). disp:*30 syringes* refills:*2* 24. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for gas pain. 25. carbamazepine 100 mg tablet, chewable sig: three (3) tablet, chewable po qam (once a day (in the morning)). 26. gabapentin 250 mg/5 ml solution sig: two y (250) mg po hs (at bedtime). discharge disposition: extended care facility: hospital - discharge diagnosis: failed spt placement c/b enterotomy and small bowel resection discharge condition: stable discharge instructions: wet-to-dry packing of inferior incision the steri-strips on your wound will fall off on their own - call with any concerns of wound erythema, discharge or dehiscence. the patient will follow-up with dr. for management of her anticoagulation please obtain qod basic metabolic labs to monitor her diuresis. followup instructions: please contact your pcp to review your post-operative course, your medications and your anticoagulation plan. name: , m. location: primary care affiliates address: , , phone: fax: please call dr. for follow-up. procedure: parenteral infusion of concentrated nutritional substances other partial resection of small intestine exploratory laparotomy other lysis of peritoneal adhesions central venous catheter placement with guidance diagnoses: systemic lupus erythematosus unspecified pleural effusion personal history of tobacco use depressive disorder, not elsewhere classified accidental puncture or laceration during a procedure, not elsewhere classified constipation, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure peritoneal adhesions (postoperative) (postinfection) other complications due to other vascular device, implant, and graft paralytic ileus rheumatoid arthritis multiple sclerosis accidents occurring in residential institution removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other alteration of consciousness accidental cut, puncture, perforation or hemorrhage during surgical operation neurogenic bladder nos other fluid overload unspecified chronic bronchitis acute venous embolism and thrombosis of superficial veins of upper extremity other digestive system complications 

Answer: The patient is high likely exposed to