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 (sulfonamide antibiotics) / compazine / penicillins / cipro cystitis / zostrix / prednisone / bactrim / picc dressing / lisinopril attending: chief complaint: chronic pancreatitis major surgical or invasive procedure: : distal pancreatectomy/splenectomy/cholecystectomy/j-tube placement history of present illness: ms. is a 39 year old female with a history of chronic pancreatitis complicated by necrotizing pancreatitis and multiple pseudocysts requiring placement of multiple drains. she presents with abdominal pain on long term tpn for distal pancreatectomy with splenectomy, cholecystectomy, and j-tube placement for tube feeds. past medical history: 1. intractable migraines with muscle spasm and neuralgia, and status migrainous, currently treated with trigger point injections, plans to try botox if approved -first headaches 2. chronic pain due to reflex sympathetic dystrophy secondary to being hit by a car at age 15 3. type 2 diabetes mellitus 4. hypertension 5. obesity 6. complex regional pain syndrome of the right face and right upper extremity on methadone 7. right eye blindness 8. left pupil dysfunction - adie 9. pud 10. rheumatoid arthritis 11. vitamin d deficiency 12. abnormal lft's - no response to hep b vaccines x3 . pancreatitis: complicated by necrotizing pancratitis w/ multiple admissions for abdominal pain social history: denies tobacco, previously drank socially (3 drinks per night per some reports but per her report she drank no more than one drink per day for many years, no alcohol since last admission which was one alcoholic drink at . denies drug use. lives with boyfriend, unemployed since but before then she is an aquatics instructor and teaches children swimming in addition to lifeguarding. she longs to return to aquatics and teaching family history: father and sister with htn. family history of cad. no family history of cva or headache. physical exam: vs: 98.7 71 100/60 12 98 ra gen: aox3 nad cor: rrr res: ctab abd: soft, nt/nd. j-tube site appears clean without erythema or discharge. wound: appears c/d/i with steri-strips in place, minimal irritation at staple site but no erythema at wound. ext: warm and well perfused. pertinent results: 04:58pm blood wbc-15.7*# rbc-3.20* hgb-7.4* hct-23.2* mcv-73* mch-23.0* mchc-31.7 rdw-16.7* plt ct-453* 06:28am blood wbc-15.1* rbc-3.01* hgb-6.7* hct-22.1* mcv-74* mch-22.4* mchc-30.4* rdw-16.7* plt ct-504* 04:53am blood wbc-25.5*# rbc-3.37* hgb-8.2* hct-26.0* mcv-77* mch-24.3* mchc-31.5 rdw-18.2* plt ct-565* 02:41pm blood wbc-26.55* rbc-3.68* hgb-8.8* hct-27.8* mcv-76* mch-23.8* mchc-31.6 rdw-19.0* plt ct-716* 06:49am blood wbc-54.7*# rbc-2.98* hgb-7.2* hct-22.9* mcv-77* mch-24.2* mchc-31.5 rdw-19.6* plt ct-561* 06:05am blood wbc-19.7*# rbc-2.69* hgb-6.3* hct-21.6* mcv-80* mch-23.2* mchc-29.0* rdw-19.0* plt ct-595* 12:05am blood wbc-18.8* rbc-3.03* hgb-7.3* hct-23.4* mcv-77* mch-24.0* mchc-31.1 rdw-18.9* plt ct-1118*# 04:58pm blood glucose-126* urean-14 creat-0.6 na-138 k-3.7 cl-102 hco3-26 angap-14 06:28am blood glucose-196* urean-11 creat-0.7 na-137 k-4.0 cl-102 hco3-28 angap-11 04:53am blood glucose-139* urean-5* creat-0.5 na-143 k-3.6 cl-103 hco3-30 angap-14 04:30am blood glucose-172* urean-7 creat-0.4 na-140 k-3.3 cl-104 hco3-27 angap-12 04:16am blood glucose-203* urean-8 creat-0.5 na-138 k-3.7 cl-101 hco3-27 angap-14 06:49am blood glucose-214* urean-14 creat-0.6 na-138 k-4.0 cl-104 hco3-24 angap-14 06:05am blood glucose-276* urean-9 creat-0.5 na-137 k-4.4 cl-102 hco3-25 angap-14 12:05am blood glucose-194* urean-10 creat-0.5 na-138 k-4.5 cl-98 hco3-33* angap-12 06:05am blood vanco-10.3 12:05am blood vanco-13.7 12:16pm blood type-art po2-88 pco2-50* ph-7.41 caltco2-33* base xs-5 intubat-intubated vent-controlled 02:19pm blood type-art po2-180* pco2-42 ph-7.46* caltco2-31* base xs-6 intubat-intubated vent-controlled brief hospital course: ms. was admitted to the pancreatobiliary surgery service and underwent distal pancreatectomy, splenectomy, choelcystectomy and j-tube placement on . please see the dictated operative note for further details of the operation. she tolerated the procedure well and was brought to the floor postoperatively. initially she had poor pain control and was started on a ketamine drip by the chronic pain service. she had a hematocrit of 22 on pod1 and hence was transfused x1 unit. on pod3 she she began to be weaned from the ketamine drip. her epidural was discontinued and her foley was discontinued. on pod4 she was started on clear liquids, her ketamine drip had been stopped, and chronic pain was consulted for management recommendations. she was vaccinated for meningococcus, pneumococcus, and hemophilus influenza b. overnight from pod4 to pod5 she began to become mildly febrile and tachycardic. she was treated with iv lopressor, which had only a modest effect. urine and blood cultures x 2 were sent, and a chest x-ray was performed which demonstrated no intrapulmonary source of infection. her temperature continued to rise to a maximum of 104, and she became hypotensive, at which point she was transferred to the intensive care unit. in the intensive care unit her picc line and her central line were discontinued as possible sources of infection. she was empirically started on vancomycin, ceftriaxone, and fluconazole, given her history of yeast infection in the past. blood cultures drawn from the floor returned positive for gram positive cocci in clusters. her ceftriaxone was discontinued and she was continued on vancomycin and fluconazole. she was started on tube feeds and was slowly advanced towards her goal of 90cc/hour. she became afebrile and was transferred back to the floor on . her foley catheter was discontinued. on she continued to have intermittent hypotension and was bolused with good effect. she was started on an oral pain medication regimen. on the next hospital day, her jp amylase returned at 178. her vancomycin trough was therapeutic. her platelet count was 1118, hence she was started on antiplatelet therapy with asa 325. on her vancomycin dose was adjusted to dosing. she was toelrating her tube feeds at goal of 90cc/hour, cycled over 16 hours. on she had a picc line placed. placement was confirmed by chest x-ray. she was discharged home with visiting services for vancomycin administration, which will continue for a total of 10 days from her first day of therapeutic vancomycin levels. she also will continue on her tube feeds for the time being. medications on admission: clonidine .2'', doxepin dose uncertain, fentanyl patch, gabapentin 300 in am in noon, dilaudid 6 tid, needed for prn, insulin dose uncertain, naratriptan 2.5', zofran 4'''', promethazine 12.5'''', scopolamine patch, tizanidine 4 2-4 tabs qhs discharge medications: 1. clonidine 0.2 mg tablet sig: two (2) tablet po twice a day. disp:*120 tablet(s)* refills:*2* 2. gabapentin 600 mg tablet sig: two (2) tablet po bid (2 times a day): am and noon. disp:*120 tablet(s)* refills:*2* 3. gabapentin 400 mg capsule sig: four (4) capsule po qhs (once a day (at bedtime)). disp:*160 capsule(s)* refills:*2* 4. doxepin 25 mg capsule sig: three (3) capsule po hs (at bedtime). disp:*90 capsule(s)* refills:*2* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 7. vancomycin 500 mg recon soln sig: one (1) recon soln intravenous q 12h (every 12 hours): for 10 days. 8. hydromorphone 2 mg tablet sig: (two to three) tablets po q3h (every 3 hours) as needed for pain for 2 weeks. disp:*240 tablet(s)* refills:*0* 9. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 10. lorazepam 0.5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for anxiety or insomnia. 11. fentanyl 100 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours) for 2 weeks. disp:*5 patch 72 hr(s)* refills:*0* 12. insulin glargine 100 unit/ml solution sig: twenty five (25) units subcutaneous once a day. 13. insulin lispro 100 unit/ml solution sig: one (1) subcutaneous four times a day. 14. glucerna liquid sig: one (1) po once a day: please give 90ml/hour over 16 hours beginning at 1600 daily. disp:*qs sufficient* refills:*15* discharge disposition: home with service facility: discharge diagnosis: s/p distal pancreatectomy/splenectomy/cholecystectomy/j-tube placement discharge condition: mental status clear and coherent. ambulating. voiding. tolerating po and tube feeds. normal bowel function. discharge instructions: activity: do not drive until you have stopped taking pain medicine and feel you could respond in an emergency. you may climb stairs. you may go outside, but avoid traveling long distances until you see your at your next visit. don't lift more than 20-25 lbs for 6 weeks. (this is about the weight of a briefcase or a bag of groceries.) this applies to lifting children, but they may sit on your lap.) you may start some light exercise when you feel comfortable. you will need to stay out of bathtubs or swimming pools for a time while your incision is healing. ask your doctor when you can resume tub baths or swimming. heavy exercise may be started after 6 weeks, but use common sense and go slowly at first. you may resume sexual activity unless your doctor has told you otherwise. how you feel: you may feel weak or "washed out" for 6 weeks. you might want to nap often. simple tasks may exhaust you. you may have a sore throat because of a tube that was in your throat during surgery. you might have trouble concentrating or difficulty sleeping. you might feel somewhat depressed. you could have a poor appetite for a while. food may seem unappealing. all of these feelings and reactions are normal and should go away in a short time. if they do not, tell your . your incision: your incision may be slightly red around the stitches. this is normal. you may gently wash away dried material around your incision. do not remove steri-strips for 2 weeks. (these are the thin paper strips that might be on your incision.) but if they fall off before that that's okay). it is normal to feel a firm ridge along the incision. this will go away. avoid direct sun exposure to the incision area. do not use any ointments on the incision unless you were told otherwise. you may see a small amount of clear or light red fluid staining your dressing or clothes. if the staining is severe, please call your . you may shower. as noted above, ask your doctor when you may resume tub baths or swimming. ove the next 6-12 months, your incision will fade and become less prominent. your bowels: constipation is a common side effect of narcotic pain medication. if needed, you may take a stool softener (such as colace, one capsule) or gentle laxative (such as milk of magnesia, 1 tbs) twice a day. you can get both of these medicines without a prescription. pain management: it is normal to feel some discomfort/pain following abdominal surgery. this pain is often described as "soreness". your pain should get better day by day. if you find the pain is getting worse instead of better, please contact your . you will receive a prescription from your for pain medicine to take by mouth. it is important to take this medicine as directied. do not take it more frequently than prescribed. do not take more medicine at one time than prescribed. your pain medicine will work better if you take it before your pain gets too severe. talk with your about how long you will need to take prescription pain medicine. please don't take any other pain medicine, including non-prescription pain medicine, unless your has said its okay. if you are experiencing no pain, it is okay to skip a dose of pain medicine. remember to use your "cough pillow" for splinting when you cough or when you are doing your deep breathing exercises. if you experience any of the folloiwng, please contact your : - sharp pain or any severe pain that lasts several hours - pain that is getting worse over time - pain accompanied by fever of more than 101 - a drastic change in nature or quality of your pain medications: take all the medicines you were on before the operation just as you did before, unless you have been told differently. if you have any questions about what medicine to take or not to take, please call your . followup instructions: please call dr. office to make an appointment to be seen in days. please call your primary care physician's office to make an appointment to be seen in weeks. ****please note**** you have been discharged with a 2-week supply of narcotic pain medications. you will need to arrange follow up with your primary care physician or chronic pain physician 2 weeks to arrange for ongoing pain medicine. because you are under a pain management contract elsewhere, your cannot give you more than 2 weeks of pain medication for treatment of your acute pain. you have been discharged with fentanyl patch for long-acting pain relief and dilaudid tablets for breakthrough pain. you have been discharged with 240 dilaudid tablets. procedure: parenteral infusion of concentrated nutritional substances other enterostomy enteral infusion of concentrated nutritional substances cholecystectomy total splenectomy other partial pancreatectomy central venous catheter placement with guidance diagnoses: unspecified essential hypertension unspecified septicemia sepsis other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure rheumatoid arthritis diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled chronic pancreatitis migraine, unspecified, without mention of intractable migraine without mention of status migrainosus cyst and pseudocyst of pancreas unspecified vitamin d deficiency bloodstream infection due to central venous catheter reflex sympathetic dystrophy of other specified site other acute postoperative pain 

Answer: The patient is high likely exposed to