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: 2 days epigastric pain with nausea and comiting. major surgical or invasive procedure: - laparoscopic converted to open cholecystectomy - ercp history of present illness: ms. is a 26 year ofl female with 2 days of epigastric pain ( in severity) with nausea and comiting. the began the friday prior to admission in the morning and awoke the patient from sleep. it has been persistent in nature, and the patient denies any similar symptoms previously past medical history: none social history: denies etoh or smoking. has two small children at home. family history: noncontributory physical exam: 98.4 80 141/92 19 99%ra gen: aaox3, obese cta b/l rrr obses abdomen, with tenderness to palpation in epigastrium. no c/c/e pertinent results: abd us: contracted gallbladder containing a large 2 cm stone with associated gallbladder wall thickening, which may be seen with chronic cholecystitis. no definited evidence of acute cholecystitis. ercp: findings: fourteen spot fluoroscopic images were obtained without a radiologist present. images demonstrate cannulization of the cbd, with injection of contrast. multiple filling defects are seen within the cbd. per ercp report, there was successful extraction of two small stones. contrast is seen to opacify the cystic duct and a portion of the gallbladder, without evidence of any filling defects. impression: choledocholithiasis, with extraction of two small stones ct: 1) no pulmonary embolism is detected. the evaluation for segmental arteries was limited due to moderate atelectasis at both lung bases and moderate bilateral pleural effusion. 2) acute pancreatitis with no pancreatic necrosis. free fluid is noted in the retroperitoneal spaces and the pelvis. 3) diffuse gallbladder wall thickening with no evidence of cholecystitis. 4) iud device is in place. cxr: findings: in comparison with study of , there are substantially lower lung volumes. little change in the appearance of the left and possibly right pleural effusions. poor visualization of the heart border and medial aspect of the hemidiaphragm could reflect a developing pneumonia, though this could merely represent crowding of normal vessels. ct: 1. the pancreas remains enlarged consistent with pancreatitis without evidence of necrosis. marked improvement in the free fluid in the abdomen. there is an area of phlegmon in the right flank without focal abscess or pseudocyst. 2. marked improvement in the bilateral effusions and bibasilar atelectasis with some residual effusion on the left and atelectasis on the right. 02:05pm blood wbc-8.6 rbc-4.38 hgb-13.4 hct-38.2 mcv-87 mch-30.6 mchc-35.0 rdw-14.5 plt ct-368 05:10am blood wbc-18.0*# rbc-4.60 hgb-14.3 hct-40.1 mcv-87 mch-31.2 mchc-35.8* rdw-14.5 plt ct-355 01:05pm blood wbc-19.7* rbc-3.91* hgb-11.8* hct-35.1* mcv-90 mch-30.3 mchc-33.7 rdw-14.8 plt ct-292 03:29am blood wbc-21.9* rbc-3.57* hgb-10.8* hct-32.0* mcv-90 mch-30.3 mchc-33.8 rdw-14.6 plt ct-316 08:30am blood wbc-23.5* rbc-3.45* hgb-10.4* hct-31.4* mcv-91 mch-30.0 mchc-33.0 rdw-14.3 plt ct-357 08:38am blood wbc-25.4* rbc-3.56* hgb-10.7* hct-32.3* mcv-91 mch-30.1 mchc-33.2 rdw-14.3 plt ct-418 02:01am blood wbc-26.3* rbc-3.42* hgb-10.2* hct-30.7* mcv-90 mch-29.8 mchc-33.1 rdw-14.1 plt ct-406 03:16am blood wbc-24.6* rbc-3.06* hgb-9.1* hct-27.7* mcv-91 mch-29.8 mchc-32.9 rdw-14.1 plt ct-465* 06:37am blood wbc-17.8* rbc-3.19* hgb-9.7* hct-28.9* mcv-91 mch-30.3 mchc-33.5 rdw-14.5 plt ct-606* 04:20am blood wbc-10.6 rbc-2.43* hgb-7.5* hct-23.6* mcv-97 mch-30.7 mchc-31.7 rdw-14.5 plt ct-503* 02:05pm blood alt-778* ast-616* alkphos-124* totbili-3.5* dirbili-2.5* indbili-1.0 05:10am blood alt-664* ast-397* alkphos-116 amylase-1884* totbili-3.5* 03:16am blood alt-39 ast-27 ld(ldh)-353* alkphos-80 amylase-84 totbili-0.4 05:00am blood alt-74* ast-89* alkphos-63 amylase-63 totbili-0.4 04:20am blood alt-96* ast-98* alkphos-58 amylase-53 totbili-0.3 02:05pm blood lipase-6807* 05:10am blood lipase-3188* 08:38am blood lipase-81* 02:01am blood lipase-90* 02:10am blood lipase-101* 04:20am blood lipase-73* 02:11am blood tsh-1.3 brief hospital course: the patient was admitted to the surgery service for evaluation and treatment. on admission, she was started on ivf, made npo, and received unasyn. the ercp fellow was consulted for further care. neuro: the patient received iv morphine with good effect and adequate pain control initially. when tolerating oral intake, the patient was transitioned to oral pain medications. she also received ativan for anxiety as needed. post operatively, she received a dilaudid pca with good result. a psychiatry consult was also obtained for her persistent anxiety, who recommended seroquel, with which she was discharged home. cv: the patient was initially stable from a cardiovascular standpoint; vital signs were routinely monitored. following her ercp, however, the patient was persistently tachycardic to the 120s and 130s; she was asymptomatic with occasional anxiety throughout. in addition to the pleural effusions, the patient's tachypnea and tachycardia were thought to be dur to a sirs response; the patient continued to spike temperatures following the thoracentesis. the patient's tachycardia continued without remission; on , the patient was started low dose of lopressor, which was titrated appropriately throughout her stay. she was discharged home on metoprolol as well. pulmonary: the patient was stable from a pulmonary standpoint initially; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirometry were encouraged throughout this hospitalization. following her ercp, however, the patient was anxious and persistently tachypneic despite nebulized treatments; she was also tachycardic. an abg was obtained, revealing hypoxia with an oxygen level of 63. a chest x-ray was obtained, revealing "there are very low lung volumes with bibasilar atelectasis, worse on the right side. there are small bilateral pleural effusions." a trial of lasix (20 mg iv x 1) was attempted as she had been receiving large volumes of fluid, and it was thought she was fluid overloaded given the pleural effusions and worsening pulmonary status. her symptoms did not improve, however, though her urine output remained excellent. the patient was transferred to the icu on for further evaluation and treatment, and a cta was performed to rule out a pulmonary embolus. thoracic surgery was consulted for evaluation of her pleural effusions; she underwent a thoracentesis (which was acellular on cultures) on . zopinex was also started with some relief of her symptoms in addition. in addition to the pleural effusions, the patient's tachypnea and tachycardia were thought to be dur to a sirs response; the patient continued to spike temperatures following the thoracentesis. the patient gradually improved; i.e., her tachycardia, tachypnea and temperature spikes gradually resolved. on , a ct was performed--for details, please see reports section. gi/gu/fen: on admission, the patient was made npo with ivf. she received zofran and other antiemetics as needed. her laboratory studies were routinely evaluated for progression of her pancreatitis. on , the patient underwent an ercp with sphincterotomy; for details, please see procedure note. the patient received sips for comfort subsequently. as her pain, fevers, and transaminitis did not immediately resolve, the gold surgery team was consulted for any additional treatments; they recommended continuing conservative therapy. on , a post-pyloric feeding tube was to be attempted, however the patient was refusing the procedure. the patient's diet was advanced when appropriate, which was tolerated well. she received clears on . throughout her admission, her lfts were trended. on , the patient was taken to the operating room for a cholecystectomy for gallstone pancreatitis; for details, please see operative note. at the time, the patient had been afebrile for >24 hours. she was made npo following the procedure, and on , she was advanced to clears, and the dat. the patient's intake and output were closely monitored, and ivf were adjusted when necessary. the patient's electrolytes were routinely followed during this hospitalization, and repleted when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. she was immediately started on unasyn, but spiked temperatures throughout her hospitalization. in addition to the pleural effusions, the patient's tachypnea and tachycardia were thought to be dur to a sirs response; the patient continued to spike temperatures following the thoracentesis. cultures (blood and pleural fluid) were routinely monitored, however they did not grow out any bacteria. endocrine: the patient's blood sugar was monitored throughout this stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; no transfusions were required during this stay. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. other: social work was consulted during her stay for additional support. physical therapy and nutrition were also consulted. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. medications on admission: none discharge medications: 1. quetiapine 25 mg tablet sig: 0.5 tablet po bid (2 times a day) as needed for anxiety. disp:*60 tablet(s)* refills:*0* 2. quetiapine 25 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 3. percocet 5-325 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. disp:*50 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day: hold if dizzy or light-headed. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: gallstone pancreatitis discharge condition: good discharge instructions: discharge instructions: please call your surgeon or return to the emergency department if you develop a fever greater than 101.5, chest pain, shortness of breath, severe abdominal pain, pain unrelieved by your pain medication, severe nausea or vomiting, severe abdominal bloating, inability to eat or drink, foul smelling or colorful drainage from your incisions, redness or swelling around your incisions, or any other symptoms which are concerning to you. followup instructions: please call the office of dr. to arrange a follow up appointment in weeks at . procedure: venous catheterization, not elsewhere classified thoracentesis endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy cholecystectomy diagnoses: unspecified pleural effusion pulmonary collapse other specified cardiac dysrhythmias peritoneal adhesions (postoperative) (postinfection) morbid obesity systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction delirium due to conditions classified elsewhere acute pancreatitis calculus of gallbladder and bile duct with other cholecystitis, with obstruction laparoscopic surgical procedure converted to open procedure 

Answer: The patient is high likely exposed to