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: adhesive tape attending: chief complaint: diarrhea major surgical or invasive procedure: none history of present illness: 79f with locally advanced pancreatic ca on xeloda and oxaliplatin (c2d1 ) who p/w diarrhea. ms states that over the past several days she has noted profuse watery brown diarrhea without blood. last night she was up every hour to stool. she has had nausea although vomited only once last night. she has had abdominal crampy pain. she normally lives alone and takes care of herself and drives. over the past couple of days she has been weak and fatigued. the symptoms correlated with the start of her second cycle of chemotherapy. she denies f/c. no cp or sob. in the ed, she was noted to have stable vitals, although potassium was 2.4. she was given potassium repletion 60 meq iv and 40 meq po. she was admitted to omed service. past medical history: 1. locally-advanced pancreatic cancer - initially diagnosed in by abdominal ultrasound in the setting of crampy abdominal pain. she received 31 cycles of gemcitabine without any grade iii or iv hematologic or non-hematologic toxicity, then developed radiologic and biochemical progression. she had a port-a-cath placed on . she commenced xelox on , oxaliplatin 100 mg/m2 every 21 days and capecitabice (xeloda) 1000 mg/m2 for 14 of 21 days. 2. hypothyroidism. 3. cerebrovascular accident in , now on coumadin. 4. knee replacement. 5. appendectomy at the age of 15. 6. right cataract repaired on social history: she is widowed, lives alone and cares for self. she drives. she has two children, one of the age 58, the other 38. she does not drink and she never smoked. she lives by herself in . family history: significant at the age of 92 of heart disease. her father died at the age of 67 and a sister died at the age of 65 because of heart disease. there is no family history of cancer that she knows of. physical exam: vs: temp: 98.3 bp: 120/70 hr: 83 rr: 16 sat 96ra gen: awake, alert, nad, hard of hearing heent: surgical pupils, eomi, anicteric, mm slightly dry neck: jvp flat no supraclavicular or cervical lymphadenopathy, chest: port in place, c/d/i, ctab cv: rr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, mild ttp diffusely ext: no c/c/e skin: no rashes/no jaundice pertinent results: 10:15am wbc-4.0 rbc-4.04* hgb-11.1* hct-32.9* mcv-81* mch-27.4 mchc-33.7 rdw-17.1* 10:15am neuts-55 bands-15* lymphs-15* monos-14* eos-0 basos-0 atyps-0 metas-0 myelos-1* 10:15am plt smr-low plt count-110* 10:15am pt-18.3* ptt-26.9 inr(pt)-1.7* 10:15am glucose-103 urea n-11 creat-0.7 sodium-135 potassium-2.4* chloride-97 total co2-25 anion gap-15 10:15am calcium-8.0* phosphate-2.0*# magnesium-1.8 10:29am lactate-1.5 k+-2.4* 01:15pm urine blood-neg nitrite-neg protein-30 glucose-neg ketone-150 bilirubin-sm urobilngn-neg ph-6.5 leuk-tr 01:15pm urine rbc-* wbc-* bacteria-occ yeast-none epi-0-2 08:31pm wbc-4.4 rbc-3.63* hgb-9.9* hct-30.5* mcv-84 mch-27.3 mchc-32.6 rdw-18.1* 08:31pm plt count-108* 08:31pm magnesium-1.8 08:45pm urea n-9 creat-0.7 potassium-3.0* 12:00am blood wbc-11.3* rbc-4.31 hgb-12.1 hct-36.7 mcv-85 mch-28.1 mchc-32.9 rdw-19.0* plt ct-218 12:00am blood wbc-16.1*# rbc-4.53 hgb-12.2 hct-38.6 mcv-85 mch-26.9* mchc-31.6 rdw-20.0* plt ct-211 12:00am blood wbc-18.4* rbc-4.69 hgb-12.4 hct-39.7 mcv-85 mch-26.4* mchc-31.2 rdw-19.9* plt ct-129* 07:50am blood wbc-10.2 rbc-3.43*# hgb-9.1*# hct-28.6*# mcv-83 mch-26.6* mchc-31.9 rdw-20.8* plt ct-79* 03:10am blood wbc-4.0 rbc-2.31* hgb-6.4* hct-19.9* mcv-86 mch-27.8 mchc-32.3 rdw-19.3* plt ct-35* 12:00am blood neuts-41* bands-33* lymphs-8* monos-7 eos-0 baso-2 atyps-2* metas-3* myelos-4* 10:15am blood neuts-55 bands-15* lymphs-15* monos-14* eos-0 baso-0 atyps-0 metas-0 myelos-1* 06:24pm blood neuts-90* bands-2 lymphs-6* monos-1* eos-1 baso-0 atyps-0 metas-0 myelos-0 10:15am blood pt-18.3* ptt-26.9 inr(pt)-1.7* 12:11am blood pt-37.1* ptt-33.0 inr(pt)-4.0* 05:41am blood pt-13.3 ptt-24.3 inr(pt)-1.1 05:12am blood pt-39.4* ptt-45.9* inr(pt)-4.3* 03:10am blood pt-17.7* ptt-36.8* inr(pt)-1.6* 05:17pm blood fibrino-578* d-dimer-2090* 12:15am blood glucose-115* urean-9 creat-0.8 na-145 k-3.6 cl-116* hco3-18* angap-15 12:00am blood glucose-167* urean-69* creat-1.6* na-143 k-4.0 cl-108 hco3-18* angap-21* 03:10am blood glucose-138* urean-26* creat-0.9 na-146* k-3.4 cl-112* hco3-29 angap-8 05:41am blood alt-7 ast-10 ld(ldh)-171 alkphos-52 amylase-7 totbili-0.4 05:17am blood alt-25 ast-39 ck(cpk)-176* alkphos-103 amylase-16 totbili-0.8 12:57pm blood ld(ldh)-352* ck(cpk)-157* totbili-1.1 08:45pm blood ld(ldh)-307* ck(cpk)-112 05:17am blood ck-mb-12* mb indx-6.8* ctropnt-0.03* 12:57pm blood ck-mb-9 ctropnt-0.02* 08:45pm blood ck-mb-8 ctropnt-0.03* 10:15am blood calcium-8.0* phos-2.0*# mg-1.8 03:10am blood calcium-7.1* phos-2.5* mg-2.1 07:54am blood cortsol-114.7* ecg study date of 10:23:46 am baseline artifact. sinus rhythm. short p-r interval. leftward axis. t wave abnormalities. compared to the previous tracing of no significant change. reports: chest (portable ap) 1:07 pm impression: no acute cardiopulmonary process. kub : given the clinical history findings are most compatible with gastroenteritis. ct abdomen/pelvis : 1. gross distention of the distal esophagus, as well as small and large bowel. no small bowel obstruction and no definite large bowel obstruction is seen, suggesting generalized ileus. although nondistention of large bowel past the sigmoid may represent physiolgic process, peritoneal spread of tumor or nondistention from chronic inflammation, with obstruction at this level cannot be entirely excluded. 2. no significant interval change in size or degree of local invasion of the pancreatic head and neck mass. 3. occlusion of the portosplenic confluence with venous collaterals, unchanged since . 4. bilateral pulmonary nodules consistent with metastases, unchanged since . 5. interval development of small bilateral pleural effusions/atelectasis, as well as perihepatic and perisplenic ascites since . 6. mild intrahepatic biliary dilitaion. cxr : there is a new right ij line with tip in svc. the right subclavian line is unchanged. the et tube tip is 4 cm above the carina. the ng tube tip is in the stomach. there are bilateral pleural effusions, left greater than right, with bilateral lower lobe volume loss. there is no pneumothorax. ct head : no ct evidence of an acute territorial infarct. no intracranial hemorrhage. no abnormal enhancing lesion identified. area of encephalomalacia involving the right cerebellar hemisphere. changes suggestive of chronic microangiopathic change. cxr : slight increase in pulmonary edema; similar appearance of bilateral moderate pleural effusions. brief hospital course: 79f with locally advanced pancreatic ca on xeloda and oxaliplatin (c2d1 ) admitted with diarrhea. # diarrhea: most likely chemotherapy, though infectious cause possible. cdiff was negative. she was given iv fluids, prn antiemetics, and her electrolytes were corrected prn. after cdiff was negative x 1, she was given symptomatic treatment of her diarrhea with loperamide. she continued to have nausea and profuse diarrhea, and she was given tincture of opium as well as octreotide. # sepsis: after several days in the hospital, she became acutely hypotensive, tachycardic and hypoxic. she was emergently transferred to the icu, where ng tube was placed with immediate output of almost a liter of feculent material. she was put on broad spectrum antibiotics and central line was placed for aggressive fluid repletion. blood pressure was supported with levophed. she was intubated for airway protection given concern for aspiration pneumonia. cause of patient's acute decompensation was unclear. the team considered infection from bowel source (microperforation, sbp), aspiration event, or possible pe. cta was not done given patient's worsening renal function and unstable clinical status. surgery was consulted and did not feel that the patient was a candidate for surgical intervention. patient remained intubated and on pressors for several days. antibiotics were selected to cover possible bowel pathogens given concern that she could have had microperforations or perhaps sbp given new finding of ascites on imaging. despite aggressive care, the patient continued to deteriorate. her daughters (and health care proxy) agreed that the patient would not wish to continue aggressive care given her poor prognosis. the decision was made with the attending to make the patient comfort measures only; she was extubated and died later that day. patient's daughters agreed that they would want an autopsy to help understand what had caused their mother to deteriorate. # acute renal failure - oliguric on arrival to icu. cr quickly improved with iv fluids and support of maps. # pancreatic ca - metastatic to lungs, although with fairly good functional status prior to admission. onc fellow contact upon icu transfer. chemotherapy was held and patient's family agreed upon comfort care after discussing the matter with her oncologists, the icu team, and palliative care. # coagulopathy: patient's inr increased during admission despite holding coumadin. dic labs were negative. patient's inr improved with ffp and vitamin k. #. uti: there is a postive ua and bandemia. she was afebrile and had no urinary symptoms. ucx showed mixed flora. she was given a three day course of cipro. communication daughter medications on admission: coumadin 2.5 mg daily (this dosage is currently being reduced due to addition of chemotherapy agents which interact with coumadin\ synthroid 25' compazine prn mvi discharge medications: deceased discharge disposition: expired discharge diagnosis: deceased discharge condition: deceased discharge instructions: deceased followup instructions: deceased md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube insertion of other (naso-)gastric tube transfusion of packed cells diagnoses: anemia, unspecified unspecified pleural effusion urinary tract infection, site not specified acute kidney failure, unspecified unspecified acquired hypothyroidism hypopotassemia acute respiratory failure other specified septicemias antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use long-term (current) use of anticoagulants rash and other nonspecific skin eruption secondary malignant neoplasm of lung dehydration other and unspecified coagulation defects knee joint replacement malignant neoplasm of other specified sites of pancreas toxic gastroenteritis and colitis bandemia 

Answer: The patient is high likely exposed to