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: nifedipine attending: chief complaint: abdominal pain major surgical or invasive procedure: percutaneous gallbladder drain history of present illness: the patient is a yo woman with h/o dementia, copd, htn, and cad s/p mi who presented from with evidence of leukocytosis and a drop in her hct from 38 on to 26.8. per report, the patient had an episode of blood tinged brown stool last week and was placed on folic acid and iron. earlier this week, she developed a low grade temp of 99.0 and was found to have a leukocytosis of 19.6k. per discussion with the health care proxy, she was transferred to for further workup of her anemia and leukocytosis. the patient states that she has been weak for the past 24 hours but otherwise denies any acute complaints. . in the ed, her initial vs were: t 99.0, p 59, bp 84/50, r 20, o2 sat 98% on ra. she was found to have ruq tenderness on physical exam, and subsequent ruq u/s showed acute cholecystitis with massive distension, sludge, stones, surrounding fluid, and a positive sign. cxr demonstrated interstitial edema. ekg showed nsr with rate of 60 with pac, na, ni twf and twi in v1/v2. rectal exam demonstrated guaiac positive green stool. she was given zosyn and vanc and was admitted to the micu for further management. she received 3l of ivfs and her bp increased to sbps of 100. her vs at the time of transfer were p 67, bp 100/52, r 28, o2 95% on 1l. . on the floor, pt has no complaints; she denies chest pain, shortness of breath, or abdominal pain. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath. denies chest pain, weakness. denies nausea, vomiting, diarrhea, constipation, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: dementia aaa (5.5 cm noted in ) narcolepsy copd htn depression ai vitamin b12 deficiency cad s/p mi lumbar spinal stenosis monoclonal gammopathy gerd s/p gastrectomy social history: the patient currently lives in . she states that she smoked for approximately 20 years but quit many years ago. she does not drink etoh and she does not use illicit drugs. family history: non-contributory physical exam: admission exam vitals: t:98.3 bp:107/45 p:66 r:23 o2:94% 1l general: aox1 (" hospital, ") no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, 3/6 systolic murmur abdomen: soft, mild ttp ruq, with minimal guarding in the epigastrium. hyperactive bowel sounds present, no rebound tenderness or guarding, no organomegaly. gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: able to say days of week forward and backward, unable to spell world backward. strength and sensation intact. cn intact. on discharge: 99.6 110s-130s/70s-80s 60s-80s 94%nc gen: nad, a&ox2 cv rrr nl s1s2 faint exp wheezes r ab ttp pertinent results: admission labs 05:45pm blood wbc-18.8*# rbc-2.98*# hgb-8.1*# hct-24.4*# mcv-82 mch-27.1 mchc-33.1 rdw-13.7 plt ct-239 05:45pm blood neuts-85.6* lymphs-8.9* monos-5.1 eos-0.2 baso-0.2 05:45pm blood glucose-123* urean-40* creat-1.5* na-135 k-4.4 cl-104 hco3-23 angap-12 05:45pm blood lipase-22 . pertinent labs 05:45pm blood iron-10* 05:45pm blood caltibc-316 vitb12-384 folate-greater th ferritn-69 trf-243 . pertinent reports cxr (): mild interstitial pulmonary edema . ruq ultrasound (): acute cholecystitis . brief hospital course: f with h/o dementia, copd, htn, and cad s/p mi who was a/w leukocytosis, anemia, and abdominal pain, found to have acute cholecystitis now s/p ir perc drainage with clinical improvement. . #. acute cholecystitis: pt p/w ruq pain, leukocytosis, and low-grade fever at her rehab. subsequent ruq u/s in the ed demonstrated acute gallbladder inflammation and a positive sign, consistent with cholecystitis. started on zosyn in the ed which was continued in the micu. abdominal radiology placed percutaneous drain in the gallbladder draining 200 cc of bile. per radiology, difficult to penetrate the gallbladder indicative of prolonged acute cholecystitis. pt was continued on zosyn x6days and then cx grew pansensitive citrobacter so abx were narrowed to flagyl 800mg tid x10d and a prolonged course of ciprofloxacin 500mg q24h, course will be defined at a later date. pt had pain control with po dilaudid 1-2mg q2h prn. she will have general surgery follow up in 2wks to determine when the drain will be pulled and help define antibiotic course. #. anemia: pt with 11-point hct drop since the summer. s/p 2u prbc in micu with appropriate bump in hct from 24 -> 28. hx of duodenal ulcers s/p gastrectomy > 25y ago. found to have guiaic+ stool in ed, although she denies brbpr or melenotic stool. pt has had colonoscopy in the past (dx with polyps). unclear whether this is acute or chronic as pt initially guiaic positive but now neg and hct now stable. pt remained stable throughout the rest of her admission. continued on home folate and iron. # acute kidney injury: likely prerenal with creatinine elevated to 1.5 from baseline of 1.0. continued gentle hydration and improved to 1.1. # ?rml opacity on cxr: cxr today shows consolidation in the right lower lobe, which could be either atelectasis or pneumonia. she did not become febrile or hemodynamically stable so abx were not broadened. # hypertension: held home atenolol and amlodipine given concern hypotension in the setting of possible transient bacteremia from percutaneous drain placement. pt remained hemodynamically stable but not hypertensive to warrant medications. when restarting meds, consider change atenolol to metop as she is getting older and has tenous kidney function as noted by acute kidney injury from volume depletion on this admission # aaa: 5.5 cm noted in , per family do not want any intervention given age and clinical status. # gerd: given history of gastrectomy for multiple gastric ulcers, switched from h2 blocker to ppi. started prilosec 40mg daily. # prevention: continue iron, folic acid, caltrate, robitussin # depression: continue citalopram # agitation: continue trazodone 50 mg qhs, hold prn dose . # fen: ivf bolus prn, replete electrolytes, regular/low sodium diet # prophylaxis: pneumoboots # access: 2 piv peripherals # communication: patient and hcp , np (cell ) # code: dnr/dni # disposition: returned to medications on admission: prilosec otc 20 mg daily trazodone 25 mg prn for agitation iron 325 mg daily folic acid 1 mg daily caltrate 600-d daily robitussin 10 ml q6h prn for cough docusate 100 mg prn for constipation maalox 1000-60 mg chews q6h prn for nausea mytab gas 80 mg tab chew qid prn for gas atenolol 50 mg po daily simvastatin 20 mg qhs amlodipine 5 mg daily citalopram 20 mg daily famotidine 20 mg daily trazodone 50 mg qhs mvi discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 2. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. caltrate 600+d plus minerals 600-400 mg-unit tablet sig: one (1) tablet po once a day. 5. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 6. simvastatin 10 mg tablet sig: two (2) tablet po hs (at bedtime). 7. guaifenesin 100 mg/5 ml syrup sig: ten (10) ml po q6h (every 6 hours) as needed for cough. 8. alum-mag hydroxide-simeth 200-200-20 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed for indigestion. 9. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime). 10. multivitamin tablet sig: one (1) tablet po daily (daily). 11. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for indigestion. 12. hydromorphone 2 mg tablet sig: 0.5-1 tablet po q2h (every 2 hours) as needed for pain. disp:*20 tablet(s)* refills:*2* 13. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 10 days. 14. ciprofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours). 15. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. 16. prilosec otc 20 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po once a day. 17. senna 8.6 mg capsule sig: capsules po twice a day as needed for constipation. discharge disposition: extended care facility: hospital - discharge diagnosis: acute cholecystitis discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: dear ms. , it was a pleasure participating in your care. you were admitted for acute cholecystitis. you had a percutaneous gallbladder drain placed to drain the infection in your gallbladder. you were also treated with antibiotics. you will need to remain on antibiotics and have the drain remain in for several weeks. you will have follow-up with dr. from surgery to assess when the drain should be removed. if you develop fevers, chills, increased abdominal pain, chills, or any other symptoms that concern you, please call your primary care doctor or return to the hospital. --------------- please start the following medications: - ciprofloxacin 500mg every day until your primary care physician instructs you to stop. - flagyl 800mg to be taken every 8h for 10 days. - acetaminophen 625mg every 6h as needed for pain - prilosec 40mg daily - dilaudid 1-2mg q2h as needed for pain - senna prn constipation please stop the following medications - atenolol - amlodipine - famotidine followup instructions: pt should be seen by a medicine physician 2wks. name: , md location: /general surgery address: , , phone: when: wednesday, at 11am note*** for scheduling purposes, dr office has your appt listed in their book for 5pm this day. if you confirm the appt with the office, this is how it is reflected. however, your appt is really for 11am. please do not come at 5pm. procedure: venous catheterization, not elsewhere classified percutaneous aspiration of gallbladder diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia iron deficiency anemia secondary to blood loss (chronic) severe sepsis chronic airway obstruction, not elsewhere classified depressive disorder, not elsewhere classified other persistent mental disorders due to conditions classified elsewhere blood in stool old myocardial infarction do not resuscitate status abdominal aneurysm without mention of rupture dehydration calculus of gallbladder with acute cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to