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: 1-2days jaudice, nausea and mild ruq on palpation on major surgical or invasive procedure: ercp with stent placement was performed on history of present illness: this a 43 year old female with metastatic breast cancer, to liver, lung, brain, and bone who presented with 1-2days jaudice, nausea and mild ruq on palpation on . in the ed, a ruq u/s was unable to identify the cbd but it did show dilatation of the pancreatic duct which was suspcious for cbd stone. ercp with stent placement was performed on . patient was treated with iv ciprofloxacin and stable on the omed service until the early am of when patient was found to be hypotensive to sbp 70s, hypothermic to 95, with a rising lactate of 4.2. patient received 3l ivf boluses and blood pressure remained fluid responsive. . patient reported feeling the worst of her stay this am but denies localizing symptoms. she denies ruq pain, fevers, chills, nausea, vomiting, cough, urinary urgency or frequency, dysuria, or sob. no ha or confusion. of note, she has chronic back pain that is unchanged from baseline. . onc history: recurrent breast ca dx'd tx'd w/ lumpectomy/xrt/ ca. : xrt for osseous disease. she then rec'd wkly taxol// herceptin until markers went down to normal range. she was on q3w herceptin from - , when she developed brain mets and consented to trial 06-356 combining lapatinib 1000mg qd with whole brain radiation then lapatinib with weekly herceptin. she progressed and was changed to xeloda- lapatanib w/progression. after cyberknife she was tx'd w/ herceptin/navelbine for 4 doses. recent brain mri shows 2 small new lesions for which she had cyberknife tx. in she avastin/ gemzar therapy but developed thigh pain and impending femur fx was discovered requiring surgery and xrt to right leg. recent mri with 3 new small brain lesions, s/p cyberknife to brain . known l4 compression fracture, being evaluated for xrt. past medical history: breast cancer - as above s/p cholecystectomy chronic back pain l4 compression fracture social history: she lives with her husband and two children. previously worked as a hostess. tob: 20 pack-yr, quit 10 yrs ago family history: pgm had breast cancer in her 70s mother and father have hyperlipidemia physical exam: vitals: t: 97.3 bp:138/49 hr:112 rr:26 o2sat: 98% on 4l gen: chronically ill appearing female, hirsuit, obese heent: eomi, perrl, + sclera icterous, no epistaxis or rhinorrhea, dmm neck: unable to assess jvd neck girth, carotid pulses brisk, no bruits, no cervical lymphadenopathy, trachea midline cor: tachy, regular, hs distant no m/g/r, normal s1 s2, radial pulses +1 pulm: expiratory wheezes, bs distant, decreased bs at right base abd: soft, +ruq ttp, nd, +bs, no rebound or guarding ext: 2+ pitting edema to sacrum. no c/e, no palpable cords neuro: alert, oriented to person, place, and time. attention intact - spells world backwards. cn ii ?????? xii grossly intact. moves all 4 extremities. generalized weakness but strength 4+/5 in upper and lower extremities. patellar dtr +1. plantar reflex downgoing. unable to assess gait. skin: + jaundice, no cyanosis, or gross dermatitis. + ecchymoses. pertinent results: on admission: 03:05pm wbc-2.6* rbc-2.92* hgb-9.2* hct-27.6* mcv-95# mch-31.7 mchc-33.4 rdw-20.8* 03:05pm neuts-47* bands-21* lymphs-10* monos-16* eos-4 basos-0 atyps-0 metas-1* myelos-1* nuc rbcs-1* 03:05pm plt smr-very low plt count-71* 03:05pm glucose-63* urea n-11 creat-0.3* sodium-136 potassium-3.0* chloride-93* total co2-31 anion gap-15 03:05pm alt(sgpt)-49* ast(sgot)-101* alk phos-747* tot bili-15.8* dir bili-12.2* indir bil-3.6 03:05pm albumin-2.7* calcium-8.3* phosphate-3.6 magnesium-1.8 03:05pm lipase-145* 03:15pm lactate-2.3* ruq ultrasound - limited examination, but no evidence of biliary ductal dilatation. brief hospital course: on transfer to the # hypotension - patient met sirs criteria with t < 96 and sbp<70 on the floor prior to transfer which resolved with 3l ivf bolus and broadening of antibitoics to include vancomycin and zosyn. likely source is biliary duct obstruction but also has long-standin effusion and line as possible sources. patient with right porta-cath as only access. no central venous line placed as patient's goal of care were clarified. initially on pressors and iv fluid boluses to maintain adequate map and urine output. decision to d/c once clear that patient was cmo given widely metastatic breast ca. patient was started on iv morphine drip. antibiotics were continued for comfort. other unnecessary medications/diagnostic studies were discontinued. family was all around and present and patient passed away . medications on admission: oxycontin 10mg oxycodone 5mg prn . meds on transfer: ciprofloxacin 400mg iv q12h albuterol nebs q6h prn chlorhexidine oral rinse colace 100mg heparin sc tid hydrocortisone 100mg iv q8h ipratropium neb q6h prn magnesium sliding scale oxycontin 10mg oxycodone 5mg q4h prn pantoprazole 40mg po q24h zosyn 4.5mg iv q8h day#1 potassium sliding scale prochlorperazine 10mg q6h prn senna 1 tab po bid vancomycin 1000 mg iv q 12h d#1 discharge medications: na discharge disposition: expired discharge diagnosis: metastatic breast cancer discharge condition: death discharge instructions: na followup instructions: na procedure: endoscopic sphincterotomy and papillotomy endoscopic insertion of stent (tube) into bile duct diagnoses: malignant neoplasm of liver, secondary acute and subacute necrosis of liver unspecified septicemia severe sepsis personal history of malignant neoplasm of breast acute respiratory failure secondary malignant neoplasm of brain and spinal cord septic shock antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use secondary malignant neoplasm of lung obstruction of bile duct secondary malignant neoplasm of bone and bone marrow neoplasm related pain (acute) (chronic) pathologic fracture of vertebrae other specified aplastic anemias 

Answer: The patient is high likely exposed to