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: penicillins / meperidine / codeine / percocet attending: chief complaint: melena, hypotension major surgical or invasive procedure: paracentesis central line placement ercp, stent removal endotracheal intubation exploratory laparotomy, roux-en-y hepaticojejunostomy, duodenostomy, g and j tube placement, cholecystectomy history of present illness: 63yo f with prior diagnosis of pancreatic cancer that was unresectable and is s/p chemo/xrt. a cbd stent had been placed in to relieve biliary obstruction. pt was recently receiving chemotherapy whose treatment was halted due to progressive fatigue/weakness. 2d prior to admission she presented to hospital for hematemesis where an egd demonstrated the cbd stent had slipped distally into the duodenum and was causing erosion against the duodenal wall. she was transfused 2u prbc, hemodynamically stable, and transferred for for further management and resumption of her prior care that was performed here. past medical history: pancreatic carcinoma, locally advanced, s/p chemo and xrt renal cell carcinoma ulcerative colitis hypercholesterolemia depression diverticulosis social history: no tob or etoh lives on , married, many close children family history: mother died of cholangiocarcinoma at 80yo maternal aunt died of pancreatic carcinoma at 60's yo maternal grandfather died of pancreatic carcinoma physical exam: on presentation to the : 100.5, hr 148, bp 130/67, r 23, sat 98% on 4l nc lethargic but oriented x3 and responsive dry mucous membranes supple tachy, regular, no m/r/g ctab soft, nt, slightly distended. fluid wave no c/c/e, 2+ pulses, wwp moves all extremities x4, cn 2-12 intact pertinent results: 08:30pm blood wbc-2.6* rbc-4.03* hgb-12.6 hct-37.5 mcv-93 mch-31.3 mchc-33.6 rdw-18.0* plt ct-263 04:17am blood wbc-23.6*# rbc-3.71* hgb-11.5* hct-33.3* mcv-90 mch-30.9 mchc-34.4 rdw-18.1* plt ct-134* 04:17am blood neuts-91* bands-2 lymphs-2* monos-3 eos-2 baso-0 atyps-0 metas-0 myelos-0 03:08pm blood wbc-46.3*# rbc-4.41 hgb-13.4 hct-39.7 mcv-90 mch-30.5 mchc-33.8 rdw-17.3* plt ct-166 08:30pm blood plt ct-263 08:30pm blood pt-14.7* ptt-25.5 inr(pt)-1.3* 08:30pm blood glucose-58* urean-20 creat-0.7 na-138 k-4.5 cl-108 hco3-18* angap-17 04:17am blood glucose-82 urean-19 creat-0.7 na-140 k-3.2* cl-111* hco3-16* angap-16 08:30pm blood alt-23 ast-50* ld(ldh)-212 alkphos-387* amylase-15 totbili-1.1 08:30pm blood albumin-2.6* calcium-9.0 phos-2.8 mg-1.6 12:36pm blood hapto-<20* trf-<10* 09:07pm blood type-art temp-38.9 po2-187* pco2-24* ph-7.48* calhco3-18* base xs--2 intubat-not intuba comment-interpret 09:07pm blood lactate-3.5* 01:22am blood lactate-6.3* 11:35pm ascites wbc-89* rbc-124* polys-4* lymphs-13* monos-23* mesothe-3* macroph-32* other-25* 11:35pm ascites totpro-0.3 glucose-83 ld(ldh)-39 albumin-<1.0 blood cx : ecoli, pan-sensitive. klebsiella, pan-sensitive. blood cx : ecoli, same sensitivities. strep milleri, to pcn, vanco. brief hospital course: pt was initially admitted to the floor but subsequently had an episode of large melena associated with hypotension and non-responsiveness. 2l ivf were bolused and she was transferred to the . cvl lines placed and paracentesis performed for ascites, transfused 2u prbc, and begun empiric antibiotics. gi consulted and ercp performed the following morning, finding the cbd stent in the duodenal lumen which was removed. that afternoon, respiratory distress ensued with hypoxia, and the patient was intubated in the ercp-pacu. the abdomen was distended and tympanitic, a kub was concerning for localized air but no free air. surgical consult from dr. and the gold (hepatobiliary) service was obtained and, after extensive discussion with the family, decision was reached for exploratory laparotomy for duodenal perforatoin from wall stent erosion, which was performed on with a biliary bypass, repair of duodenal perforation. she continued to require aggressive ivf resuscitation in sicu on the but overall was hemodynamically improved on moderate dose levophed. the evening of pod 1 () was notable for an acute desaturation into the 30's associated with hypotension into the 50's. max'd pressors with large-scale ivf resuscitation. abg showed worsening acidosis. svt into 200's ensued which converted into sinus tachycardia in 120's. a swan-ganz catheter was utilized to guide management. clinical picture highly suspicious and consistent with massive pulmonary embolus, but was too unstable for radiographic confirmation. heparin drip was begun empirically. no further events ensued that evening as pressors remained at high levels, broad-spectrum antibiotics were continued, and net positive ivf resuscitation was required. cc per cc replacement of high jp (ascites) output commenced. over the next few days, ventilatory pressures were high and vent changed to pressure-control ventilation. thrombocytopenia ensued, a hit was negative and heparin maintained throughout. hematocrits were stable. an echocardiogram on demonstrated no pericardial effusion. with results from admission cultures, antibiotics were adjusted. trophic tube feeds begun. with rising bilirubin, ultrasound revealed complete thrombosis of the portal vein. a family meeting was held on pod 5 and she was made dnr. with worsening thrombocytopenia to 7, a hematology consult was obtained, and she was transfused platelets. on the morning on pod 9, she became hypotensive with falling hematocrit and worsening pressor and ivf requirement. some mucosal bleeding was noted. after a lengthy discussion with the family, decision was reached to move to cmo care. morphine gtt was titrated, pressors withdrawn, and eventually she was extubated and passed away in the presence of her family. medications on admission: ritalin prn avastin, last dose 2/6 procrit qmon zofran prn prevacid 20qday compazine 10 prn wellbutrin 200mg xanax prn discharge disposition: expired discharge diagnosis: advanced pancreatic carcinoma duodenal perforation d/t displaced cbd stent pulmonary embolus portal vein thrombosis discharge condition: expired procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other enterostomy insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous abdominal drainage cholecystectomy pulmonary artery wedge monitoring removal of t-tube, other bile duct tube, or liver tube transfusion of packed cells anastomosis of hepatic duct to gastrointestinal tract other incision of other bile duct endoscopic retrograde cholangiopancreatography [ercp] suture of laceration of duodenum diagnoses: acidosis pure hypercholesterolemia unspecified septicemia other specified intestinal obstruction depressive disorder, not elsewhere classified defibrination syndrome septic shock mechanical complication due to other implant and internal device, not elsewhere classified hemorrhage of gastrointestinal tract, unspecified ulcerative colitis, unspecified personal history of malignant neoplasm of kidney systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction unspecified procedure as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other pulmonary embolism and infarction portal vein thrombosis malignant neoplasm of other specified sites of pancreas injury to duodenum, without open wound into cavity duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 

Answer: The patient is high likely exposed to