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: penicillins attending: chief complaint: nausea/vomiting major surgical or invasive procedure: exploratory laparotomy, repair of incarcerated paraesophageal hernia with feeding gastrostomy and splenectomy. history of present illness: hpi: ms is a year old woman with afib on coumadin and a known paraesophageal hernia who presents with over 24 hours on nausea and vomiting and upper abdominal pain. she is a poor historian, but states she has never had pain like this before. she states she is passing gas and had a normal bm this am without blood. she denies chest pain, shortness of breath, lightheadednes, or any other complaints. she currently states she feels' very sick'. past medical history: 1. hypertension 2. stroke 3. atrial fibrillation 3. congestive heart failure, unclear what type social history: home: reportedly lives alone but in same apartment building as son and daughter-in-law etoh: denies drugs: denies tobacco: denies family history: nc physical exam: pe: t98 77 146/76 18 98%ra gen: frail, pale elderly woman, uncomfortable but nad heent: no scleral icterus, mmdry cv: irregular irregular lungs: decreased at bases, ctab otherwise abd: soft, focal peritoneal tenderness in epigastrum and ruq with guarding, no rebound rectal: brown stool, guaiaic neg ext: no c/c/e foley in place: cloudy yellow urine pertinent results: 05:38pm glucose-200* urea n-16 creat-0.9 sodium-142 potassium-6.1* chloride-108 total co2-24 anion gap-16 05:38pm wbc-9.8 rbc-3.91* hgb-12.4 hct-37.0 mcv-95 mch-31.7 mchc-33.5 rdw-14.2 05:38pm pt-16.8* ptt-21.4* inr(pt)-1.5* brief hospital course: the patient was seen and evaluated in the emergency room and the decision was made to take the patient urgently to the or given her clinical evidence of impending bowel compromise. she was given 2u ffp pre-operatively. on , she underwent exploratory laparotomy, repair of incarcerated paraesophageal hernia with feeding gastrostomy and splenectomy. a g-tube was placed. she tolerated the procedure well and was admitted to the sicu post-operatively. she developed oliguria in the immediate post-operative period, requiring fluid boluses. she had a period of desaturation requiring cpap, and also developed atrial fibrillation for which she was given lopressor. her tube feeds were begun within 48 hours post-operatively and were advanced to goal, which she tolerated. on , she was out of bed to a chair but requiring face mask oxygen supplementation. she continued to improve clincally and her oxygen requirement decreased until she was tolerating oxygen via nasal cannula. she was transitioned to the floor on , where she has been tolerating a regular diet (~300cc/day), tube feeds at goal via her g-tube, and maintaining oxygen saturations >90% on 4l nasal cannula. she has had occasional periods of desaturation into the high 80s percent, but was overall quite stable. she was given albuterol and steroid nebulizers/inhalers with good effect. by the time of discharge to rehab on , the patient was awake and alert, voiding, moving her bowels, and oxygenating well. her pain was well controlled. she expressed her readiness to be discharged from the hospital. medications on admission: amlodipine-benazepril 10 mg-20 mg once a day atenolol 12.5 mg once a day gabapentin 300 mg every 12 hours lidocaine 5% adhesive patch omeprazole 20 mg daily oxycodone 2.5-5 mg q4 as needed for pain simvastatin 20 mg daily warfarin 4 mg once a day acetaminophen 325-650 mg every 6 hours aspirin 81 mg once a day docusate sodium 100 mg twice a day discharge disposition: extended care facility: nursing home - discharge diagnosis: gastric volvulus discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: please call your doctor or nurse practitioner if you experience the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down 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. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain is not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. general discharge instructions: please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *you have staples, they will be removed at your follow-up appointment. followup instructions: follow-up with dr. in clinic in 1 week for staple removal; call to make an appointment procedure: enteral infusion of concentrated nutritional substances total splenectomy other gastrostomy other and open repair of diaphragmatic hernia, abdominal approach diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation accidental puncture or laceration during a procedure, not elsewhere classified long-term (current) use of anticoagulants acute diastolic heart failure dehydration other specified disorders of stomach and duodenum urinary complications, not elsewhere classified diaphragmatic hernia with obstruction accidental cut, puncture, perforation or hemorrhage during surgical operation 

Answer: The patient is high likely exposed to