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: patient recorded as having no known allergies to drugs attending: chief complaint: transfer from osh for cbd stones major surgical or invasive procedure: none history of present illness: f hx. dementia presented to from nursing home appearing diaphoretic with decreased mental acuity. she subsequently underwent ct a/p revealing. given the patient's increased white count and evidence of bowel perforation, the patient was taken emergently for exploratory laparotomy. surgical findings including jejulanl diverticula along the mesenteric border without obvious of gross infection or perforation. no resection was performed, and patient was closed following lysis of adhesions. postoperatively patient underwent mrcp given increase in lft's and possible sepsis revealing cbd 2.2cm, intrahepatic ductal dilatation, mild diffuse pancreatic duct dilatation and multile calculi in the intrahepatic cbd measuring over 1cm with debris in the lower bile ducts. patient was evaluated by dr. for ercp at but it was determined given her proximal diverticula and possible bowel perforation, it would not be prudent to proceed with ercp. as a result patient presents for potential ptc biliary decompression. pt. presents without complaints of pain or nausea, no sob, chest pain. past medical history: dementia, t2dm, hx cva , s/p lap ccy ' social history: no t/e/d. pt. lives in nursing home family history: non-contributory physical exam: on admission pe:98.8 93 132/80 23 95% 2l nc nad, arousable nc/at, oral mucosa pink, dry bronchial breath sounds bilat rrr, nl s1 s2 abd: tender ruq to light touch, soft, distended ext: palp 2+ dp pulses, warm to touch on d/c 97.7 97.7 76 140/86 22 100 2l nc nad, arousable but not oriented rrr, decreased breath sounds b/l at bases, otherwise clear abd non-tender, non-distended, no ruq tenderness ext: warm, well perfused, dense l pareisis with contraction pertinent results: 06:33pm blood wbc-7.4 rbc-3.86* hgb-11.3* hct-35.3* mcv-92 mch-29.3 mchc-32.1 rdw-14.9 plt ct-202 04:40am blood wbc-7.6 rbc-3.11* hgb-9.7* hct-28.5* mcv-92 mch-31.3 mchc-34.2 rdw-14.7 plt ct-148* 06:33pm blood pt-14.8* ptt-28.6 inr(pt)-1.3* 01:04am blood pt-13.5* ptt-30.4 inr(pt)-1.2* 06:33pm blood glucose-138* urean-25* creat-0.8 na-145 k-3.7 cl-109* hco3-26 angap-14 04:40am blood glucose-128* urean-10 creat-0.5 na-141 k-4.0 cl-110* hco3-25 angap-10 06:33pm blood alt-302* ast-128* alkphos-127* amylase-73 totbili-1.4 02:00am blood alt-247* ast-79* alkphos-112* amylase-36 totbili-1.2 01:04am blood alt-152* ast-28 alkphos-100 amylase-22 totbili-1.4 04:40am blood alt-85* ast-18 alkphos-92 amylase-50 totbili-0.9 06:33pm blood albumin-3.1* calcium-8.4 phos-2.7 mg-2.0 02:00am blood albumin-3.0* calcium-8.1* phos-1.4* mg-1.8 04:40am blood calcium-7.7* phos-2.6* mg-2.0 cxr picc line tip placed in the distal svc/ra junction brief hospital course: pt is a yo f transferred to after an ex-lap at an outside hospital for an acute abdomen and concern for a bowel perforation, at the time of the operation a jejunal diverticulum was seen and the patient did not undergo a bowel resection, only an extensive loa. she then underwent an mrcp that revealed diffuse pancreatic duct dilatation and multiple caliculi in the intrahepatic cbd, so out of concern for choledocolithiasis she was transferred to for a possible ercp vs ptc drain. she was evaluated by dr. of gi but given the presence of the diverticulum and the concern for perforation an ercp was differed, she was admitted to the icu for stabiliztion and an expected ptc placement. at the time of admission her tbili was 1.4, her ngt was in place. on repeat labs the next day her tbili came down to 1.2 and she was not clinically septic. at this point becuase she was looking better and her lfts were all improving the team decided to forgo the ptc altogether. she continued to improve throughout the rest of her hospital stay. she was transferred to the floor and her ngt was discontinued. she was making urine and appeared at her baseline mental status (she has a dense hemiparesis from a stroke several years ago). she was otherwise stable and several conversations between the md staff and the nursing staff with her daughter confirmed her baseline status. a picc line was placed for long term antibiotics at rehab and was confirmed to be in proper position with a chest x-ray after being pulled back 5cm. after transfer to the floor she was approved by speech and swallow for nectar thickened liquids and was taking those by hd 4. she continued on zosyn and will continue on this for 2 weeks total. she will be discharged to rehab in and will follow up with her surgeon and pcp at home, she can follow up with dr. as needed in the future. medications on admission: insulin sliding scale, nexium 40 iv q24h, flagyl 500 iv q8h, lopressor 5mg q6h, dilaudid 0.25-0.5 mg iv q3h prn, zosyn, zofran, duoneb., quinapril, cymbalta, atenolol, nitroglycerine prn discharge medications: 1. iv access: peripheral line order date: @ 1843 9. insulin sc (per insulin flowsheet) sliding scale order date: @ 1843 2. ok to use line order date: @ 1843 10. metoprolol tartrate 5 mg iv q6h hold for sbp <100, hr <60 order date: @ 1843 3. dextrose 50% 12.5 gm iv prn hypoglycemia protocol order date: @ 1843 11. piperacillin-tazobactam 2.25 g iv q6h order date: @ 1843 4. famotidine 20 mg iv q24h order date: @ 1843 12. pneumococcal vac polyvalent 0.5 ml im asdir order date: @ 1721 5. glucagon 1 mg im q15min:prn hypoglycemia protocol order date: @ 1843 13. potassium phosphate 15 mmol / 500 ml ns iv once duration: 1 doses infuse over 6 hours order date: @ 1138 6. heparin 5000 unit sc tid order date: @ 1843 14. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. order date: @ 1843 7. hydralazine 10 mg iv q6h sbp<150 hold for sbp<100 order date: @ 1843 15. sodium chloride 0.9% flush 10 ml iv prn line flush temporary central access-icu: flush with 10ml normal saline daily and prn. order date: @ 1843 8. iv access request: picc place indication: antibiotics urgency: urgent order date: @ 1031 1. piperacillin-tazobactam 2.25 gram recon soln sig: 2.25 g recon solns intravenous q6h (every 6 hours) for 10 days. disp:*90 g recon soln(s)* refills:*0* discharge disposition: extended care facility: hospital- discharge diagnosis: choledocolithiasis discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: bedbound. discharge instructions: you were seen in our hospital after being transferred from your . at the outside institution you underwent an exploratory laparotomy with lysis of adhesions. you aditionally had an out pouching of your jejunum a part of your small bowel. following this work-up at your prior hospital you were brought to the for management of your elevated liver enzymes. you were managed conservatively here on our service and did not need any operative interventions. please call your doctor or nurse practitioner or return to the emergency department for any of 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 in 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. 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. avoid driving or operating heavy machinery while taking pain medications. followup instructions: please follow-up with dr. as needed. you can call his office at (. you should follow up with you primary doctor in the next 10 days to check in. if you prefer you can also follow up with your local surgeon if this is more convenient for you. procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other persistent mental disorders due to conditions classified elsewhere late effects of cerebrovascular disease, hemiplegia affecting unspecified side calculus of bile duct without mention of cholecystitis, with obstruction diverticulosis of small intestine (without mention of hemorrhage) 

Answer: The patient is high likely exposed to