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: codeine attending: chief complaint: cholangitis major surgical or invasive procedure: ercp history of present illness: year old woman with history of hypertension, hyperlipidemia, type 2 dm who presented to with nausea/vomiting, abdominal pain, fevers/chills on that had been going on for 3-4 days. also had some loss of appetite and discomfort in the bilateral upper abdominal quadrants with coughing. prior to admission, she had a t101 and some shortness of breath. at the osh, she had at least one episode of emesis but good bowel movements, ruq ultrasound showed a single stone with no dilated bile ducts, slight gall bladder inflammation. the patient was admitted for presumed cholecystitis. . the patient improved clinically with ivf but became hypotensive to sbp90 --> 83 and she was transferred to the icu, briefly on neo-synephrine (stopped ) and her antibiotics broadened to from zosyn to levofloxacin. urinalysis and cxr were negative for infectious etiology. her lipitor was discontinued given her elevated lfts. her lfts were found to be elevated (alt 515, ast 542, tbili 2.1, dbili 1.5, alkphos 700). her wbc was found to bump from 15 to 26 and her blood cultures grew out gnrs. she was switched to meropenem in discussions with infectious disease. she also received 1 unit prbc with lasix post-transfusion for hct 24.6. ct abdomen showed 4 mm common bile duct with a non-dilated biliary tree. general surgery was consulted and recommended transfer to for ercp and further management. . upon arrival to icu, the patient was asymptomatic, lying in bed comfortably. she underwent ercp with successful biliary cannulation, stone at the lower third of the common bile duct (8mm), normal intrahepatics. successful sphincterotomy was performed and two stone (4-6mm) in size were removed. ercp was normal to third part of the duodenum. past medical history: left sided mastectomy hypertension hyperlipidemia type 2 diabetes mellitus social history: patient has "good quality of life," per family - lives independently at home. her daughter, son and other family are around, actively involved in her care. family history: noncontributory physical exam: vs: temp: 99.9 bp: 116/42 hr: 86 rr: 16 o2sat 96% on ra gen: pleasant, comfortable, nad heent: perrl, eomi, anicteric, slightly dry mucus membranes, /oropharynx, no jvd, neck soft/supple resp: cta b/l with good air movement throughout cv: rrr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt ext: no c/c/e skin: no rashes/lesions neuro: aaox3. cn ii-xii intact. strength and sensation grossly intact pertinent results: admission results: . 09:12pm blood wbc-14.6* rbc-3.52* hgb-10.2* hct-30.3* mcv-86 mch-28.9 mchc-33.5 rdw-16.4* plt ct-109* 09:12pm blood pt-16.1* ptt-26.7 inr(pt)-1.4* 09:12pm blood glucose-106* urean-18 creat-1.0 na-140 k-3.6 cl-110* hco3-22 angap-12 09:12pm blood alt-372* ast-223* ld(ldh)-234 alkphos-456* totbili-6.6* 09:12pm blood calcium-8.0* phos-1.9* mg-1.9 . tte (): the left atrium is normal in size. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. normal global and regional biventricular systolic function. mild mitral regurgitation. mild pulmonary hypertension. . cxr (): scoliosis, probably moderate cardiac enlargement and bilateral basal densities suspicious for pleural effusion. no conclusive evidence for acute infiltrates or pneumothorax. a lateral view could be helpful to document better the amount of pleural effusion. . discharge results: . 04:03am blood wbc-7.8 rbc-3.39* hgb-9.9* hct-29.5* mcv-87 mch-29.2 mchc-33.6 rdw-15.6* plt ct-110* 04:03am blood glucose-54* urean-13 creat-0.9 na-140 k-4.0 cl-113* hco3-18* angap-13 04:03am blood alt-228* ast-80* ld(ldh)-168 alkphos-361* amylase-52 totbili-1.1 04:03am blood calcium-7.8* phos-2.1* mg-1.6 brief hospital course: year old woman with history of hypertension, hyperlipidemia, left-sided mastectomy who presented from osh with cholangitis. . #. cholangitis: patient was transferred to for cholangitis with need for ercp. patient received ercp prior to transfer to the icu during which two gallstones were removed. the patient was monitored closely following the procedure for bleeding, perforation and pancreatitis. lfts were monitored without event. the patient was made npo the night following the ercp but was advanced to a liquid diet the next morning, which she tolerated well. the patient had been admitted to on zosyn, meropenem and levofloxacin. zosyn was stopped the morning after the ercp but meropenem and levofloxacin were continued until the day of discharge. ** per gi recommendations, the patient should start augmentin 876 mg by mouth twice a day for a total of 14 days, beginning on the day of discharge (). ** . #. atrial fibrillation: the evening following her ercp, the patient developed atrial fibrillation without no known history of arrhythmias. the patient was given a dose of metoprolol 5 mg iv and subsequently dropped her sbp from the 110s to 70s. cardiac enzymes were negative. cardiology was consulted and recommended the patient be placed on amiodarone. the following morning, per cardiology recommendations, the amiodarone was stopped and the patient was placed on metoprolol tartrate 12.5 mg po bid. the patient's atenolol was held throughout her hospitalization. ** it is likely that the patient's atrial fibrillation was self-limited. the patient can likely be switched back to her atenolol as an outpatient but this decision was deferred to the outpatient setting. ** . #. hypertension: patient had been normotensive on arrival (sbp 110s). patient developed atrial fibrillation with rvr (hr180s) and received metoprolol 5 mg iv and dropped her blood pressures from sbp 110s to 70s ~3 hours after mrcp. the patient was admitted on valsartan 160 mg po daily and hydrochlorothiazide 25 mg po daily. these medications were held due to her low blood pressure. ** these medications were not restarted prior to discharge but can likely be resumed following discharge. ** . #. hyperlipidemia: the patient's atovastatin was held throughout her hospitalization given her transaminitis. ** this medication can likely be restarted oncer her transaminitis resolves. ** . #. diabetes: the patient was continued on her insulin lispro sliding scale throughout her hospitalization without event. . #. thrombocytopenia: platelets were low (around 110), but stable throughout admission. consider outpatient monitoring and workup. medications on admission: insulin sliding scale levofloxacin 250mg daily meropenem 500mg q12 daily zosyn 2.25grams q6 daily acetaminophen 650mg q4hr prn pain atenolol 25mg daily bisacodyl 10mg qam prn docusate 100mg prn pantoprazole 40mg daily iv ondansetron 4mg q8 prn nausea insulin lispro per sliding scale hctz 25mg daily heparin 5000 units q12 valsartan 160mg daily discharge medications: 1. acetaminophen 650 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain. 2. bisacodyl 5 mg tablet sig: two (2) tablet po qam as needed for constipation. 3. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. ondansetron 4 mg film sig: one (1) po every eight (8) hours as needed for nausea. 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 7. insulin lispro 100 unit/ml solution sig: asdir subcutaneous asdir: lispro insulin sliding scale to be administered as directed. . 8. augmentin 875-125 mg tablet sig: one (1) tablet po twice a day: start on and continue twice a day for 14 days. . discharge disposition: extended care discharge diagnosis: primary diagnoses: cholangitis atrial fibrillation with rapid ventricular response . secondary diagnoses: hypertension hyperlipidemia diabetes 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: ms. : . you were admitted to for an infection in your gallbladder. a procedure called an ercp was performed and the stones responsible for your infection were removed. you were started on antibiotics for your infection and will need to continue them for several days after the procedure. . the evening after your procedure you were found to have a fast heart rate due to a condition called atrial fibrillation. we think this may have been due to your acute illness. cardiology was consulted and you were initially started on a medication called amiodarone. you were switched to a medicine called metoprolol prior to discharge. it is believed that this was a temporary condition and that this medication can likely be stopped eventually. your outpatient physicians can make this determination. . the following changes were made to your medications: . 1. start levaquin 250 mg by mouth daily. the total course will need to be 7-10 days pending clinical improvement. this medication was started by hospital prior to transfer to . 2. start meropenem 1000 mg intravenously every twelve hours. the total course will need to be 7-10 days pending clinical improvement. this medication was started by hospital prior to transfer to . 3. start metoprolol tartrate 12.5 mg by mouth once a day. 4. stop atenolol 25 mg by mouth daily. this medication is similar to metoprolol. your physicians at or your outpatient physician may decide to switch you back to metoprolol. 5. stop zosyn. you no longer need this antibiotic. 6. your valsartan 160 mg by mouth daily was held during this hospitalization as your blood pressure was low. your pressures were back to normal at the time of discharge. your outside physicians can restart this medication. 7. your hydrochlorothiazide 25 mg daily was held during this hospitalization as your blood pressure was low. your pressures were back to normal at the time of discharge. your outside physicians can restart this medication. . no other changes were made to your medications during this hospitalization. followup instructions: please keep all follow-up appointments. procedure: endoscopic removal of stone(s) from biliary tract diagnoses: thrombocytopenia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atherosclerosis of aorta atrial fibrillation personal history of malignant neoplasm of breast other and unspecified hyperlipidemia scoliosis [and kyphoscoliosis], idiopathic cholangitis calculus of bile duct without mention of cholecystitis, with obstruction calculus of bile duct with other cholecystitis, with obstruction 

Answer: The patient is high likely exposed to