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: celebrex attending: chief complaint: bile duct injury major surgical or invasive procedure: ercp with stent removal and placement of stent endovascular placement of inferior vena cava filter history of present illness: 87y female with recent admission to an outside hospital for cholecystitis, cholelithiasis, and choledocholithiasis. she was treated with antibiotics and discharged with the plan for future removal of the common bile duct stone. on the day of admission, she had gone to for ercp (with the intent of having the cbd stone removed). during the procedure, there appeared to be a perforation of the common bile duct by the stent, as dye was visualized extraluminally. the stent was left in place and she was transferred to for further management. past medical history: arthritis gout hypertension glaucoma congestive heart failure past surgical history: appendectomy hysterectomy right total knee replacement breast lumpectomy social history: lives alone. no tobacco. no etoh. family history: noncontributory physical exam: t 97.0, hr 59, bp 158/79, rr 16, o2 sat 95% on room air gen: awake, pleasantly demented, no distress; poor historian heent: extraocular muscles intact, no scleral icterus, mucous membranes moist cv: regular rate and rhythm pulm: clear to auscultation bilaterally ab: soft, nontender, nondistended. no masses. well healed left paramedian scar. ext: well healed scar on right knee. no clubbing, cyanosis, or edema. pertinent results: 09:00pm wbc-15.8* rbc-4.15* hgb-12.1 hct-36.1 mcv-87 mch-29.2 mchc-33.6 rdw-14.4 09:00pm plt count-226 09:00pm glucose-110* urea n-26* creat-1.0 sodium-144 potassium-3.3 chloride-106 total co2-25 anion gap-16 09:00pm calcium-8.6 phosphate-3.1 magnesium-1.6 09:00pm lipase-536* 09:00pm pt-13.2 ptt-25.4 inr(pt)-1.2 brief hospital course: mrs. was transferred to on and admitted to the hepatobiliary surgery service. a gi consult was obtained immediately for ercp and she was taken for this procedure. they removed the stent that had been placed at the outside hospital, and placed a stent across the common bile duct. the stone was left in place. after the procedure, subcutaneous air was noted in her back, tracking up to her neck. she complained of abdominal pain, which was in contrast to her pain free presentation at the time of admission. she was tranferred to the icu and a ct scan was done. the ct scan showed a large amount of air in the retroperitoneum extending into the mediastinum and subcutaneous tissues. there was no definite evidence of intraperitoneal air. multiple pulmonary emboli were noted in the right lower lobe, as was a small right-sided pneumothorax. she was started on unasyn and watched closely in the icu. she was kept npo. her abdominal pain resolved. she was started on subcutaneous heparin, but she was not fully anticoagulated for the finding of pulmonary emboli because she had active gi bleeding (bleeding noted at the time of ercp and guaiac postive stools). on , she was stable, and therefore transferred to the floor. on , a picc line was placed and she was started on tpn. a plan was formulated to keep her on tpn with bowel rest for two weeks to allow her duodenum/bile ducts to heal. repeat ct scan demonstrated improvement in the pneumothorax as well as the retroperitoneal air. on , she was transfused with two units of blood for blood loss anemia. on , an echo was done which showed that overall, left ventricular systolic function was normal (lvef>55%). there were no clots or vegetations. on , lower extremity doppler ultrasound was performed to look for evidence of deep vein thrombosis, since she had known pulmonary emboli. dvt of the left femoral and popliteal veins was seen. she was started on a low dose heparin drip. a pulmonary consult was obtained to determine the risks versus benefits of long term anticoagulation. they recommended 6 months of anticoagulation, but given the fact that she still had active loss of blood from her gi tract and because she was at increased risk for falls based on her age and health status, they agreed that ivc filter placement would be adequate treatment/prevention for the time being. a vascular consult was obtained and an ivc filter was placed on . after this, her heparin drip was stopped. on , she spiked a temperature of 102.1. she was pan-cultured. a ct scan was done which showed improving pneumomediastinum and retroperitoneal air. no source was identified on the ct scan for the patient's fever. on , her tpn was tapered, and she was started on sips. her picc line was removed. on the patient was restarted on her home medications, her diet was advanced to clears, she was started on iv vancomycin for a positive blood culture that grew gram + cocci. a gi consult was obtained to further investigate her guaiac positive stools. her stool tested positive for c difficle, and she was started on flagyl. on , her blood cultures grew vancomycin resistant enterococcus, and so she was switched from vancomycin to linezolid. on , she underwent a colonoscopy which was unremarkable - no evidence of cancer, bleeding or collitis, diverticulosis, but no diverticulitis medications on admission: digoxin 0.25 daily lasix 20mg po every other day allopurinol 300mg daily omeprazole 20mg daily enalapril 20mg daily probenacid atenolol 50mg daily discharge medications: 1. miconazole nitrate 2 % powder sig: one (1) appl topical prn (as needed). 2. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 10 days. 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 5. heparin sodium (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection (2 times a day). 6. enalapril maleate 10 mg tablet sig: two (2) tablet po daily (daily). 7. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. linezolid 600 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. 10. furosemide 10 mg iv bid please hold discharge disposition: extended care facility: life care discharge diagnosis: cholelithiasis choledocholithiasis biliary duct injury duodenal injury blood loss anemia arthritis gout hypertension glaucoma congestive heart failure pulmonary embolism deep vein thrombosis c difficile colitis enterococcus bacteremia discharge condition: good discharge instructions: md for temp >101.5, persistent pain, nausea or vomiting, or any other questions. followup instructions: with dr. in 2 weeks. please call for appointment. . procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances interruption of the vena cava endoscopic insertion of stent (tube) into bile duct endoscopic polypectomy of large intestine removal of t-tube, other bile duct tube, or liver tube transfusion of packed cells injection or infusion of oxazolidinone class of antibiotics diagnoses: congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia gout, unspecified accidental puncture or laceration during a procedure, not elsewhere classified bacteremia intestinal infection due to clostridium difficile hemorrhage of gastrointestinal tract, unspecified emphysema (subcutaneous) (surgical) resulting from procedure benign neoplasm of colon other pulmonary embolism and infarction diverticulosis of colon (without mention of hemorrhage) calculus of bile duct with other cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to