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: no known allergies / adverse drug reactions attending: chief complaint: abdominal pain, nausea, vomiting major surgical or invasive procedure: ercp x2, intubation, cvl placement history of present illness: 74 yo vietnamese speaking patient who comes in with three days of worsening abdominal pain. patient states (through step son who is a surgical interpreter at ) that she had acute onset of pain a few hours after eating dinner two night ago. pain progressed to the point that she thought it necessary to come to ed. she denies fever, chills. normal urination, normal bowel movements. no chest pain, sob, dyspnea, palpitations. pain is localized to the ruq and radiates to her r scapula. vomitus was described as yellowish with foodstuffs in it past medical history: pmh: iddifuclt to ascertain, but through interpreter and through prior notes she seems to have the following: htn, gouty arthritis, hypothyroidism, osteoporosis. psgh: right hip arthroplasty within past year (supposedly done here, but no record of such). social history: vietnamese speaking. family history: nc physical exam: aao x 3, (via interpreter) rrr no mrg cta b/l no rrw soft, tender in ruq, - sign, nd, no scars. rectal exam deferred by patient no cce pertinent results: chem 10: 129 91 13 163 agap=17 ca: 9.0 mg: 2.1 p: 1.7 3.2 24 0.7 lft's: alt: 39 ap: 90 tbili: 2.4 alb: 4.4 ast: 37 ldh: dbili: pnd tprot: : lip: 35 cbc: 17.0 > 39.2 < 182 n:90 band:1 l:7 m:2 e:0 bas:0 u/a: + bacteria, wbc 17, leuk -, nitr - us: (per report) gallstones. moderately distended gallbladder. neck not well visualized, which a lodged stone. equivocal gallbladder wall edema. cbd not well visualized. these findings may represent early cholecyctitis. ercp -cannulation of the biliary duct was performed with a sphincterotome using a free-hand technique -there was a filling defect that appeared like sludge in the distal cbd. -the cystic duct was filled but the gallbladder did not opacify. -the biliary tree was otherwise normal with cbd measuring approximately 5mm in diameter. -a sphincterotomy was performed in the 12 o'clock position using a sphincterotome over an existing guidewire. -some sludge was extracted using a balloon catheter. -final cholangiogram did not reveal any further filling defects. excellent drainage of bile and contrast was noted. ercp active arterial bright red bleeding was noted at the sphincterotomy site. using a combination of bipolar gold probe cautery and submucosal epinephrine injections (approximately 20ml of a 1:10,000 solution) at 10 o'clock and 2 o'clock positions of the sphincterotomy, complete hemostasis was accomplished. brief hospital course: mrs. presented with a physical exam and u/s concerning for possible acute cholecystitis. due to worsening lfts an ercp was obtained on which showed sludge in the cbd. this procedure was complicated by post procedure bleeding and melanotic stools with an associated hct drop which required transfer to the icu, intubation for hypotenstion (?sedation) as well as 2 units of prbc. on mrs a repeat ercp which did show active arterial bleeding from the prior ercp site. the bleeding was successfully stopped. mrs a few episodes of svt while in the icu. she was started on metoprolol while in the hospital and did not have any further recurrence. pt was discharged on this medication and her pcp was notified. pt was transferred to the floor on and hct continued to be stable as were vs. pt tolerated a regular diet on and was discharged home with follow up care in one week in the clinic. nsaids were held. the plan is for interval ccy once patient recovers from this hospitalization. medications on admission: allopurinol 300', hctz 12.5', fosamax 70', naproxen prn, levothyroxine 75', ultram prn, senna, colace prn discharge medications: 1. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 2. levothyroxine oral 3. allopurinol 300 mg tablet sig: one (1) tablet po once a day. 4. fosamax 70 mg tablet sig: one (1) tablet po once a day. 5. senna oral 6. colace oral 7. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. disp:*30 tablet extended release 24 hr(s)* refills:*0* discharge disposition: home discharge diagnosis: cholelithiasis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the surgery service for stones in your gall-bladder and common bile duct. you a procedure called ercp and had bleeding after this procedure for which you received blood and were transferred to the icu. you recovered very well and you were transferred back to the regular floor. we started you on a new medication called metoprolol for a very fast heart rate you were found to have. you should should take this medication once a day until you see your primary care doctor. do not take any nsaids (motrin/ibuprofen) for an additional 4 days as this may increase your risk of bleeding. tylenol is ok for your pain. you will eventually need to return to have your gall-bladder removed. this will be discussed with you further during your follow up appointment. please call your doctor or go to the emergency department if: *you experience new chest pain, pressure, squeezing or tightness. *you develop new or worsening cough, shortness of breath, or wheeze. *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 an unusual discharge. *your pain is not improving within 12 hours or is not under control within 24 hours. *your pain worsens or changes location. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *you develop any concerning symptoms. general discharge instructions: please resume all regular home medications, unless specifically advised not to take a particular medication. please take any new medications as prescribed. please take the prescribed analgesic medications as needed. you may not drive or heavy machinery while taking narcotic analgesic medications. you may also take acetaminophen (tylenol) as directed, but do not exceed 4000 mg in one day. please get plenty of rest, continue to walk several times per day, and drink adequate amounts of fluids. avoid strenuous physical activity and refrain from heavy lifting greater than 10 lbs., until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. please also follow-up with your primary care physician. followup instructions: please follow up with the acs surgery clinic in 1 week. please call for an appointment. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube endoscopic sphincterotomy and papillotomy endoscopic control of gastric or duodenal bleeding endoscopic retrograde cholangiopancreatography [ercp] diagnoses: unspecified essential hypertension unspecified acquired hypothyroidism hypopotassemia hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other specified cardiac dysrhythmias hypotension, unspecified disorders of phosphorus metabolism osteoporosis, unspecified calculus of gallbladder without mention of cholecystitis, without mention of obstruction hypoxemia gouty arthropathy, unspecified 

Answer: The patient is high likely exposed to