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: zocor attending: chief complaint: abdominal pain major surgical or invasive procedure: ercp with sphincterotomy history of present illness: the patient is an 81 year old female with cad, hypertension, dm2, and prior colectomy for diverticular disease who was transferred from after presenting with weakness and crampy abdominal pain. patient went to beach on sunday and starting feeling unwell after returning home with crampy epigastric and ruq abdominal pain. nausea with several episodes of vomiting. no diarrhea or blood in stool. she had subjective fever and chills, but did not check her temperature. no dysuria, no increased urinary frequency. no cp/sob/cough. she stayed at a relative's home and continued to feel unwell, eventually presenting to the osh ed on monday. . in the osh ed, her initial vitals were t 103.1, hr 112, bp 128/58, rr 28, and spo2 95% on ra. labs were notable for wbc 9.6 with 14% bands, creatinine 1.0, and troponin 0.42. ua was positive with many wbcs and bacteria, no squamous epithelial cells. ekg showed st depressions in v4-v6. ruq ultrasound at the osh showed evidence of sludge and in gallbladder, moderate wall thickening, and pericholecystic fluid. she was given ceftriaxone 1000 mg and flagyl 500 mg. she was transferred to for further management. . in the ed, initial vitals were: t 98.7, hr 109, bp 110/54, rr 20, and spo2 97% on ra. ruq us was repeated and showed a small 8 mm cystic structure in the body of the pancreas communicating with the duct, slightly distended gallbladder and mild focal gallbladder wall edema, without ductal dilatation. u/a was remarkable for likely uti with significant epithelial cells, glucose and ketones. wbc notable for a bandemia of 3% (wbc 10.9) and anemia with hct of 31.9. bun/cr elevated (1.2) and glucose 382 with significant transaminitis and obstructive pattern. of note, initial ekg showed st depressions in v4-v6 with troponin leak to 0.49, improving to 0.33 on repeat with resolution of st depressions. ercp was notified and will see today. she was started on zosyn for coverage of biliary infection and suspected uti and given a total of 4l ivf. her bps were labile, dropping as low as 80s/40s, prompting admission to the icu. . in the icu, she continued to have epigatric and ruq abdominal pain, but improved from admission. she denied any current fevers, chills, chest pain, sob, or nausea. she denied any lightheadedness or dizziness. she continued to have malaise and subjective generalized weakness, but was mentating well. . review of systems: (+) per hpi. subjective fevers and chills at home. slight cough today nonproductive of sputum. (-) denies recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea, or congestion. denies shortness of breath or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies diarrhea, constipation, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: # hypertension # hypercholesterolemia # cad s/p cabg x5 () # diabetes mellitus # diverticulitis -- colectomy and pouch , colostomy for diverticular disease -- takedown in # chronic back pain # atrial fibrillation -- patient unaware of diagnosis # pterygium removal -- bilateral social history: # tobacco: denies # alcohol: denies # illicits: denies family history: multiple family members with cad. husband recently deceased. son recently died from lung cancer at age 57. physical exam: admitting physical exam: vitals: t 98.0, bp 131/49, hr 72, rr 18, spo2 100% on 2l nc general: alert, oriented, no acute distress heent: sclera with some injection, post-op changes from bilateral pterygium removal, dry mucous membranes, oropharynx clear, dentures neck: supple, jvp not elevated, no lad lungs: few crackles at right base but otherwise clear cv: regular rate and rhythm. normal s1 and s2. no murmurs, rubs, or gallops. abdomen: well healed midline abdominal incision. bowel sounds present. soft, tender to palpation in ruq. mildly distended. no rebound tenderness or guarding. no organomegaly. gu: foley catheter in place with somewhat dark urine ext: warm, well perfused, 2+ pulses. no clubbing, cyanosis or edema. pertinent results: admission labs: 12:30am urine rbc-7* wbc->182* bacteria-many yeast-none epi-10 trans epi-<1 12:30am urine blood-sm nitrite-pos protein-30 glucose-1000 ketone-40 bilirubin-sm urobilngn-2* ph-6.0 leuk-mod 12:30am urine color-yellow appear-hazy sp -1.019 12:30am pt-15.6* ptt-23.4 inr(pt)-1.4* 12:30am plt count-179 12:30am hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 12:30am neuts-91* bands-3 lymphs-4* monos-1* eos-0 basos-0 atyps-0 metas-1* myelos-0 12:30am wbc-10.9# rbc-3.95*# hgb-11.3*# hct-31.9*# mcv-81* mch-28.5 mchc-35.3* rdw-13.7 12:30am albumin-3.4* 12:30am ck-mb-7 12:30am ctropnt-0.49* 12:30am lipase-12 12:30am alt(sgpt)-296* ast(sgot)-259* alk phos-147* tot bili-5.5* dir bili-4.5* indir bil-1.0 12:30am glucose-382* urea n-22* creat-1.2* sodium-134 potassium-3.5 chloride-98 total co2-23 anion gap-17 04:52am ctropnt-0.33* brief hospital course: 81 year old female with cad, hypertension, dm2, and prior colectomy for diverticular disease who was transferred from after presenting with weakness and crampy abdominal pain with ruq us showing evidence of cholecystitis and an obstructive pattern on her lfts.she had labile blood pressure in the ed with sbp intermittently down to the 80s. she was given a total of 4l iv fluids, with improvement in her bp. shee was admitted to the icu from the ed. # cholecystitis / cholangitis: -s/p ercp with sphincterotomy -treated with unasyn until , chanced to po cipro and flagyl then -lfts improved and she tolerated food -will need cholecystectomy in approximately 3 months (post cardiac cath, see below) -will need eus for incidental cyst of pancreas seen on ercp with dr. in 4 weeks #acute blood loss anemia: -her hct dropped from 31.0 to 25.3 following the ercp, and she was transfused 1 unit prbcs on with an appropriate increase in her hct #acute mi, type ii (nstemi) -ekg in the ed initially showed st depressions in v4-6, which resolved when she became normotensive. she did not have any symptoms consistent with anginal equivalent. she has know cad (s/p cab in ) and multiple risk factors (dm, htn, hyperlipidemia). -toponin peaked at 0.49 on -stress mibi off beta blockers on was positive: a moderate, partially reversible perfusion defect in the mid-anterior and mid-anterolateral walls with corresponding mild hypokinesis, and a drop in ef from 55% to 45% with stress (compared to at rest/baseline) -cardiology followed pt and recommended a) maximizing medical management, b)outpatient cardiology evaluation, followed by c)cardiac cath as an outpatient -medical management: beta blocker (dose increased until limited by hr; lisinopril; asa. reportedly allergic to statins. #dm ii, uncontrolled with complications -on glipizide 10 mg at home. hemoglobin a1c = 8.6, suggesting needs better control -initially on iss, when switched to home regimen fsbs was in the 200-300 range. -we added metformin 850mg and she can f/u with pcp regarding glucose control, she is on janumet at home this should be held if she is just on metformin (she should call pcp if glucose >200) #fever -on pt developed a low-grade fever. workup, which included cdiff toxin assay, cxr, ua, urine culture, blood cultures, and lower extremity noninvasives showed no dvt, no uti, and slight lll pulmonary infiltrate but no clinical signs of pneumonia and an improving wbc. although she had low grade fever on , she was afebrile on the day of discharge and looked clinically well...given that she will be completing a course of cipro/flagyl no other abx were started for the cxr findings. cdiff neg. she should have close follow up with her pcp if she develops higher fever, cough, dyspnea --recommend outpatient repeat cxr in weeks to document resolution of infiltrate medications on admission: aspirin 81 mg po daily simvastatin 60 po qhs atenolol 12.5 mg po bid lisinopril 20 mg po daily glipizide 10 mg po bid janumet (sitagliptin/metformin 50/100 mg) po bid vit d units po daily discharge medications: 1. aspirin, buffered 325 mg tablet sig: one (1) tablet po daily (daily). 2. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. 3. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). disp:*30 tablet extended release 24 hr(s)* refills:*2* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. glipizide 10 mg tablet sig: one (1) tablet po bid (2 times a day). 6. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 7. metronidazole 500 mg tablet sig: one (1) tablet po q 8h (every 8 hours) for 10 days. disp:*20 tablet(s)* refills:*0* 8. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 9. acetaminophen 325 mg tablet sig: two (2) tablet po every six (6) hours as needed for pain. 10. metformin 850 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: , discharge diagnosis: cholangitis cholecystitis acute myocardial infarction discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted for obstruction of your bile ducts from stones, and infection of the gallbladder and the bile ducts. this was treated with antibiotics and a procedure called an ercp. you will need to complete the antibiotics at home. a fluid collection near the pancreas was also found and dr. would like to see you in four weeks to perform an endoscopic ultrasound (eus) in order to better characterize that fluid collection. you also had a heart attack during this hospitalization. you had a positive nuclear stress test (mibi) which showed that you may be at risk for another heart attack in the future. we restarted medications which can help protect you against another heart attack and cardiology (dr. would like to see you in his office on . at that appointment he will talk to you about a cardiac catheterization. before you see him, please avoid doing strenuous activity like lifting heavy objects (more that punds) or climbing stairs. you can (and should) walk and do other household activities normally. call a doctor immediately if you feel unwell in any way, especially if you develop chest, neck, arm, or jaw pain, shortness of breath, nausea or vomiting. your diabetes also needs to be better controlled please measure your blood sugar before each meal amd at bedtime and enter these values with the time and date in a log and bring that to your primary care doctor. call your primary care doctor if you fingerstick blood glucose is less than 60 or more than 350. your xray showed a small possible pneumonia in the l lung you should have a repeat xray in the next 2-4 weeks with your pcp. your doctor if you have shortness of breath, high fever, cough you will need to have your gallbladder removed surgically in approximately 3 months, after you are cleared by your cardilogist to have this procedure. you can have this done at your local hospital or make an appointment with one of our general surgeons if you wish to have it performed at the . followup instructions: department: cardiac services when: friday at 10:20 am with: , md building: sc clinical ctr campus: east best parking: garage name: zilber,dmitriy a. location: - address: , , phone: appointment: monday 9:00am department: digestive disease center when: friday at 12:00 pm with: , md building: building (/ complex) campus: east best parking: main garage department: endo suites when: friday at 12:00 pm procedure: endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy diagnoses: other chronic pain subendocardial infarction, initial episode of care pure hypercholesterolemia urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified unspecified septicemia severe sepsis atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled cholangitis backache, unspecified calculus of bile duct with other cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to