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: history of present illness: a 72-year-old female, with a history of hypertension, copd, renal cell carcinoma, status post left renal nephrectomy in , sigmoid disorder, who was admitted to on the after having one day of severe abdominal pain associated with nausea and vomiting. per report, the patient's symptoms were associated with eating candy. an er amylase was 1,977 and a lipase was 7,508. right upper quadrant ultrasound revealed gallstones, 5 mm normal cbd. the patient's white count was 16.2, crit elevated at 46, blood glucose 213, ast 217, alt 224. t-bili was reportedly normal. chest x-ray was normal. ekg revealed frequent pvcs, an old mi. a kub revealed small calcifications in the right side of the abdomen, ?stones. hospital course: the patient was admitted to the icu for pancreatitis, after physical evaluation was requested. the patient received vigorous ivf hydration, zosyn, morphine prn pain control. dilantin was given and the patient was made npo for bowel rest and had foley placed for careful i's and o's. by hospital day #2, the patient's white count had risen from 16.2 to 23. crit was stable at 45. calcium was 7.3. amylase and lipase were at 1,345 and 5,865, respectively. the patient had low urine output, around 30 cc/h, with good pain control, and no further nausea and vomiting. the orders and plans for lap-chole once the pancreatitis resolved were put into place. by the , the patient was started on bipap secondary to increased respiratory rate, and increased o2 necessary secondary to 7.29, 4,562 blood gas. no signs of chf per interval. intermittent chest x-ray revealed moderate left pleural effusions and small lung volume, as the patient was noted to be 5-liter positive secondary to aggressive ivf hydration. the patient was subsequently intubated secondary to increased respiratory rate and pa to 50 even on bipap. ct scan of the abdomen on showed a nonenhancing tail and a portion of the body of the pancreas consistent with necrosis, a large fluid collection at pouch, and bilateral atelectasis with pleural effusions. the patient was transferred to the for management of necrotizing pancreatitis and hypoxic respiratory failure. past medical history: 1. hypertension. 2. chronic obstructive pulmonary disease 3. renal cell carcinoma status post resection in . 4. appendectomy. 5. liver hemangioma. 6. breast cyst. medications at home: 1. dilantin 100 mg po tid. 2. norvasc. allergies: no known drug allergies. social history: a 50-pack year history of smoking. no ethanol use. seven children. divorced. works at school cafeteria. physical exam: temperature 100.7, 99, normal sinus rhythm, frequent pvcs, 150/54 blood pressure. generally, obese, sedate heart. heent - no scleral icterus. cardiac revealed normal s1, s2, no murmurs, rubs or gallops. lungs were clear to auscultation bilaterally. abdomen was positive for epigastric pain, no rebound, guarding. extremities had no clubbing, cyanosis or edema. labs upon presentation: white count 23, crit 45, 222 platelets. chem-7 - 148/4.2, 116/22, 29/1.1, 218 glucose. inr 1.1, pt 13.2, ptt 20.2, ast 52, alt 85, t-bili 0.8, amylase from 1,977 to 1,345, now 901. lipase from 7,508 to 5,856, now 2,672. albumin at 2.5, total protein of 5.5. assessment and plan: a 72-year-old female, with hypertension, copd, renal cell carcinoma, presenting with necrotizing pancreatitis with increased white count, increased hematocrit, decreased calcium, and hypoxic respiratory failure. the plan was to vigorously hydrate the patient with continuous boluses, check venous lactates. the patient was to be placed on goal-directed protocol, meropenem. icu course as follows: the patient was intubated for airway protection and was finally extubated and remained as such. her nutritional status was addressed by tpn while she was npo, which she is continuing on currently, being supplemented with po intake. otherwise, her tenderness resolved while in the unit. upon transferring to the floor, the patient's lfts were as follows: t-bili 0.6, alk phos 265, alt 56, amylase 90, ast 102. the patient received physical therapy beginning during her unit course, and it was continued while on the floor. on the floor, the patient gradually increased her po intake, and her tpn was decreased from an initial 2 liters to 1 liter upon discharge. the patient will be discharged to an acute rehab facility where she will receive continued physical therapy, and she will be followed by dr. in approximately 2-3 weeks. until that time, the patient is to remain on a clear liquid diet, and to continue her 1 liter bags of tpn, with adjustment as needed for electrolyte changes. discharge medications: 1. heparin subcu 5,000 q 8 h. 2. albuterol 4 puffs ih q 4 h prn. 3. tylenol 325-650 mg pr q 4-6 prn fever and pain. 4. insulin sliding scale. 5. tegretol 100 mg po tid. 6. protonix 40 mg po q 24 h. 7. lopressor 50 mg po bid with holding parameters. follow-up: the patient will be followed by dr. on in his office and an appointment has already been made. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy pulmonary artery wedge monitoring other closed [endoscopic] biopsy of biliary duct or sphincter of oddi diagnoses: unspecified essential hypertension chronic airway obstruction, not elsewhere classified other convulsions acute respiratory failure personal history of malignant neoplasm of kidney acute pancreatitis calculus of gallbladder and bile duct without cholecystitis, with obstruction 

Answer: The patient is high likely exposed to