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: sulfa (sulfonamides) / flagyl attending: chief complaint: right upper quadrant pain major surgical or invasive procedure: : ercp history of present illness: the patient is a 54 year-old female with a history of crohn's disease. she is currently without medication and has had no issues for 12 years. she has a history of 5 abdominal surguries in the past at . she complains of weeks of right upper quadrant pain, , dull-achy, radiating to her back, with no relation to food. she denies nausea/vomiting and has been tolerating oral intake. her last bowel movement was on the day of admission (formed brown). denies chest pain and shortness of breath, but does report positive chills. by report of osh surgeon - patient reports postive nausea and vomiting for 2 weeks. past medical history: pmh: crohn's with 5 abd surgeries in remission >12 years, cad, htn, hypercholesterolemia, benign breast dz, depression, anxiety, od blindness psh: cardiac stents x 2 , appy, tubal ligation, l-breast lumpectomy, tonsillectomy social history: drinks 2-3 alcoholic beverages approximately per week. smokes half a pack per day and has for approximately 36 years. does not use illicit drugs. lives with her daughter. as a certified nursing assistant. family history: mother passed away at 64 years old from a myocardial infacrtion. father died of a myocardial infarction as well at the age of 68. physical exam: vs: 102.1, 117, 126/68, 18, 93%room air weight: 68kgs height: 64inches gen:nad, aaox3, comfortable, supine heent: left pupil , eomi, anicteric cv: tachycardia, normal s1, s2 resp: lungs clear to auscultation bilaterally abd: soft, tender to palpation on right upper quadrant, non distended, postive bowel sounds, + , no rebound/guarding, well-healed midline and laparotomy scars ext: no clubbing, cyanosis and edema, +2 bilateral pedal pulses pertinent results: admission labs: -------------- 06:02pm alt(sgpt)-233* ast(sgot)-141* alk phos-299* amylase-50 tot bili-2.0* lipase-43 . 05:56pm wbc-9.0 rbc-4.34 hgb-13.8 hct-39.0 mcv-90 mch-31.7 mchc-35.3* rdw-13.4 plt count-212 . 03:44am glucose-108* urea n-7 creat-0.7 sodium-137 potassium-4.0 chloride-105 total co2-24 anion gap-12 alt(sgpt)-303* ast(sgot)-255* alk phos-306* amylase-36 tot bili-1.4 lipase-21 calcium-8.3* phosphate-3.5 magnesium-1.8 wbc-12.0* rbc-3.98* hgb-12.6 hct-35.6* mcv-89 mch-31.7 mchc-35.5* rdw-13.6 plt count-266 lactate-1.0 k+-3.9 . 11:58pm alt(sgpt)-343* ast(sgot)-393* alk phos-310* amylase-37 tot bili-1.7* wbc-8.6 rbc-4.30 hgb-13.4 hct-38.3 mcv-89 mch-31.2 mchc-35.1* rdw-13.6 . imaging: u/s: cbd 8mm, trace peri-cholecystic fluid, trace wall thick, slight distension, (+) stones ercp: sphincterotomy, sludge extraction, peri-ampullary diverticulum, gaping papilla (recent stone passage?), normal biliary tree . blood cultures: no growth to date no blood cultures drawn at referring hospital. brief hospital course: patient was transferred from on for further evaluation of right upper quadrant abdominal pain and nausea. she was admitted to the surgical icu under the care of dr. . she was started on intravenous fluid, kept npo, and zosyn was started in preparation for an ercp. the ultrasound at the osh revealed a common bile duct of 8mm, trace peri-cholecystic fluid, trace wall thickening, slight distension, (+) gallstones. . gi (cholangitis and choledocholithiasis): on arrival to she was febrile to 102.1, wbc 12,000, alt 343, ast 393, alk phos 310, amylase 37, total bilirubin 1.7. she was seen and evaluated by the gastroenterology service. the ercp revealed a gaping papilla consistent with recent stone passage and a normal biliary tree; a sphincterotomy was performed, and sludge was extracted. the total bilirubin peaked at 2.0 () and was 0.9 on day of discharge. the alt and ast continued to trend down and the alk. phos remained elevated at 736 on discharge. patient was afebrile with a normalized white count. she was transferred to cc6a on , started on clear liquids and slowly advanced to a regular diet without adverse effects. . pain: abdominal pain was managed with dilaudid intravenously while npo and changed to percocet with a regular diet. patient was discharged home with percocet for pain management. she was advised to take colace 100mg twice a day while on narcotics. . id: patient was started on zosyn intravenously on admission. the osh did not draw blood cultures when she was evaluated in the emergency room. the blood cultures from are negative to date at the time of discharge. the patient was discharged home on ciprofloxacin 500mg twice a day and flagyl 500mg three times a day for a total of 1week of treatment. patient was advised not to drink alcohol while taking antibiotics. medications on admission: asa 325mg daily lopressor 12.5mg vitorin wellbutrin 300mg daily ng td effexor 75mg daily b12 twice weekly estrogen twice weekly discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. bupropion 150 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). 4. venlafaxine 75 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*8 tablet(s)* refills:*0* 7. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*16 tablet(s)* refills:*0* 8. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 9. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every six (6) hours as needed. disp:*14 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: cholangitis and choledocholithiasis discharge condition: stable: patient afebrile, hemodynamically stable, receiving ciprofloxacin and flagyl for a total of 1 week, tolerating regular diet. discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * if you are vomiting and cannot keep in 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. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or becoming progressively worse, or inadequately controlled with the prescribed pain medication. * avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concerns you. you may resume all home medications. take the antibiotics, ciprofloxacin and flagyl, until all the pills are gone. followup instructions: please follow-up with dr. in weeks. contact number is (. procedure: endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension percutaneous transluminal coronary angioplasty status dysthymic disorder regional enteritis of unspecified site cholangitis calculus of bile duct without mention of cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to