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: macrodantin / sulfa (sulfonamides) attending: chief complaint: nausea/vomitting, abdominal pain major surgical or invasive procedure: had total parenteral nutrition while in hospital history of present illness: hpi: 63f with nausea, vomiting and abd pain since this am. patient started having diffuse abd pain this morning with nausea and bilious vomiting. + abd distension. + flatus this am. +bm but only with enema. no fevers or chills. ngt placed put out about 1600 ml of bilious material. past medical history: c5 quadraplegic s/p mva has chronic trach with ventilator dependence at night. anemia, recurrent utis, active decubiti r ischium. suprapubic tube, hyponatremia, s/p bladder suspension, l hip recurrent osteomyelitis s/p vac treatment, adrenal insufficiency, use of abdominal wall flaps for treatment of chronic l hip osteomyelitis. social history: no smoking, no drinking, no etoh. lives with husband who is her primary caretaker family history: non-contributory physical exam: pe: t 96.8 hr 108 bp 162/80 rr 18 sat 96% 3l a&o x3 rrr, tachy cta bilateraly soft, distended, diffusely tender, no rebound, no guarding + sacral decubitus, no abd wall ngt in place pertinent results: 02:54pm wbc-9.7 rbc-2.68* hgb-8.7* hct-24.4* mcv-91 mch-32.4* mchc-35.6* rdw-17.9* 07:12pm glucose-103 urea n-16 creat-0.3* sodium-139 potassium-3.7 chloride-104 total co2-27 anion gap-12 ct abdomen w/o contrast 5:59 pm comparison: ct abdomen and pelvis from outside facility dated . impression: 1. partial small bowel obstruction with diffusely dilated small bowel, overall decreased in caliber compared to a day prior with contrast present throughout the small bowel and colon, suggesting partial obstruction. there is no free air. moderate free fluid is seen as described. 2. persistent retained contrast within a dilated right renal collecting system extending down to the neobladder. multiple small bilateral hypoattenuating renal lesions are too small to fully characterize. 3. bilateral right greater than left pleural effusions and collapse of the right lower lobe. 4. pelvic soft tissue ulceration and osseous deformity as described. 5. diverticulosis without diverticulitis. 6. anasarca. chest (portable ap) 11:33 am impression: little significant change in cardiomegaly, bilateral pleural effusions and persistent extensive left lower lobe atelectasis. portable abdomen 5:25 am impression: 1. relatively gasless abdomen unchanged compared to the prior study. this appearance might be suggestive of multiple fluid-filled loops of bowel. no free intra-abdominal air is noted. 2. the visualized portion of the lung bases demonstrates bilateral pleural effusion, more prominent on the left side. brief hospital course: patient was transferred from hospital to the er with a small bowel obstruction. she was admitted to the sicu because she is a c5 quadriplegic and is on chronic ventilator support at night. her small bowel obstruction was managed non-operatively with iv hydration, an ng tube, and keeping the patient npo. a ct on demonstrated contrast throughout the small bowel suggesting a partial sbo. in the sicu she initially had high ng tube and she was unable to tolerate ng tube clamping trails. her output decreased on and her ngt was removed. it was replaced however on due to nausea, abd pain. she did pass stool x3 on but continued to have high ng output. on she was started on total parenteral nutrition due to the fact she remained npo. her ngt output varied and she was started on tube feeds via the ngt on because the patient was reporting being hungry. on her ng output was markedly decreased and the ng was removed. she was then started on sips of liquid diet which she tolerated. she was transitioned to a regular diet on and tolerated it without any further n/v or abd pain. her po intake was adequate and the tpn was stopped on . in addition to the sbo she was transfused 2 units of blood on for anemia and a follow up hematocrit demonstrated an adequate response. while in the unit she was ventilated at night according to her regular home settings. she also had wound care consisting of dressing changes to a sacral and buttock pressure ulcer. she also came in with a chronic left hip wound with osteomyelitis. while in hospital she was continued on iv nafcillin for the osteomyelitis and had wound vacuum changes every monday wednesday and friday. on she was discharged home with a picc line and iv nafcillin. she was discharged with the same ventilator settings and wound care protocol that she came in to the hospital with. she was instructed to follow up with dr. in 2 weeks and she was given prescriptions for home health care. she was also provided instructions to call her dr. for any recurrence of symptoms of nausea, vomiting or abdominal pain. medications on admission: oxycodone, fludrocortisone, ambien, ativan, flovent, prilosec, nafacillin discharge medications: oxycodone, fludrocortisone, ambien, ativan, flovent, prilosec, nafacillin 1. bisacodyl 10 mg suppository sig: one (1) suppository rectal (2 times a day). 2. nafcillin in d2.4w 2 g/100 ml piggyback sig: one (1) intravenous q6h (every 6 hours). disp:*qs 120* refills:*0* 3. heparin lock flush (porcine) 100 unit/ml syringe sig: two (2) ml intravenous daily (daily) as needed: picc line care per protocol. disp:*qs 60 ml(s)* refills:*0* 4. lorazepam 0.5 mg tablet sig: one (1) tablet po twice a day as needed for anxiety. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: area vna discharge diagnosis: small bowel obstruction, managed non-operatively. discharge condition: stable discharge instructions: please call your pcp or come to the emergency room if you experience fever greater than 101.5, nausea/vomiting, problems with feeding, or any other symptoms that are concerning to you. followup instructions: please follow up with dr. in 2 weeks. call ( for an appointment procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified pressure ulcer, lower back pressure ulcer, heel unspecified intestinal obstruction quadriplegia, unspecified tracheostomy status unspecified osteomyelitis, pelvic region and thigh pressure ulcer, hip 

Answer: The patient is high likely exposed to