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: abdominal pain major surgical or invasive procedure: ercp with stones at the lower third of the common bile duct - a biliary stent was placed. history of present illness: this is a 80 year old female with a history of a-fib, who was med-flighted here from hospital. she was admitted to hosp on with pancreatitis complicated by respiratory arrest with bradycardic rhythm requiring chest compressions, intubation and icu on . she was r/o for mi and etiology unclear. ct head negative, however, repeat ct abd c/w increasing pancreatic necrosis/pseudocyst/hemorrhage. pt transferred to on for further management of gallstone pancreatitis. past medical history: a-fib w/ hx of failed cardioversion , syncope, glaucoma, htn, iddm, tonsillectomy and adenoidectomy tia w/out residual deficits social history: lives in physical exam: vs: 98.7, 99 a-fib, 137/63, 14, 100% gen: intubated and sedated cv: a-fib. resp: intubated, ventilator abd: abdominal pain, epigastric tenderness. +bs ext: no clubbing, cyanosis or edema. pertinent results: 08:57pm blood wbc-12.5* rbc-3.43* hgb-10.5* hct-30.5* mcv-89 mch-30.5 mchc-34.3 rdw-15.9* plt ct-136* 04:11am blood wbc-24.4* rbc-3.38* hgb-10.3* hct-30.7* mcv-91 mch-30.6 mchc-33.7 rdw-15.9* plt ct-339 01:30pm blood wbc-15.1* rbc-3.19* hgb-9.8* hct-30.1* mcv-94 mch-30.6 mchc-32.5 rdw-17.1* plt ct-582* 04:38am blood wbc-12.4* rbc-3.13* hgb-9.5* hct-30.0* mcv-96 mch-30.4 mchc-31.8 rdw-16.8* plt ct-538* 08:57pm blood glucose-187* urean-31* creat-0.8 na-143 k-4.1 cl-109* hco3-27 angap-11 04:00am blood glucose-166* urean-20 creat-0.9 na-143 k-3.2* cl-108 hco3-27 angap-11 04:38am blood glucose-207* urean-18 creat-0.6 na-139 k-3.6 cl-102 hco3-28 angap-13 08:57pm blood alt-16 ast-23 ld(ldh)-569* alkphos-67 amylase-64 totbili-1.2 01:33am blood alt-12 ast-20 ld(ldh)-332* alkphos-189* amylase-88 totbili-0.6 03:14am blood alt-89* ast-149* alkphos-180* amylase-54 totbili-0.5 04:38am blood alt-70* ast-58* alkphos-191* amylase-43 totbili-0.5 08:57pm blood lipase-16 05:00pm blood lipase-18 04:38am blood lipase-35 08:57pm blood albumin-2.4* calcium-7.4* phos-4.0 mg-2.3 02:30am blood albumin-2.1* calcium-8.3* phos-3.8 mg-2.2 04:38am blood albumin-2.1* calcium-7.9* phos-2.9 mg-2.3 . ercp biliary only portably by tech 12:34 pm impression: ercp with cholangiogram reveals filling defects in the common bile duct consistent with stones. for procedure details, please refer to the ercp note on careweb. findings: esophagus: limited exam of the esophagus was normal stomach: limited exam of the stomach was normal duodenum: limited exam of the duodenum was normal major papilla: normal major papilla cannulation: cannulation of the biliary duct was successful and deep with a sphincterotome using a free-hand technique. contrast medium was injected resulting in complete opacification. biliary tree: three stones ranging in size from 3mm to 8mm that were causing partial obstruction were seen at the lower third of the common bile duct. given suspicious of cholangitis, full cholangiogram was not obtained. procedures: a 7 cm by 10 french cotton- biliary stent was placed successfully using a oasis system stent introducer kit. impression: stones at the lower third of the common bile duct - a biliary stent was placed. otherwise normal ercp to second part of the duodenum recommendations: repeat ercp in 3 months for stent removal, sphincterotomy and stone extraction - this was discussed with patient's family. they have my office number and will call to schedule ercp.. further recommendations per icu team. . chest (portable ap) 3:45 pm impression: 1. improvement of bilateral pleural effusions, now small on the right and small to moderate on the left. 2. left lower lung opacity likely represents atelectasis; however, pneumonia cannot be excluded. . unilat up ext veins us left 6:22 pm impression: no evidence of deep vein thrombosis in the left upper extremity . unilat up ext veins us left 8:48 pm impression: no evidence of dvt involving the left upper extremity. . mr head w/o contrast 11:40 pm impression: acute infarctions in the right occipital lobe, parietal lobe and in the centrum semiovale, which could be secondary to emboli from central source. there is no mass effect or midline shift. . ct abd w&w/o c 6:34 pm impression: 1. multiple cysts arising from the pancreatic parenchyma, the largest measures up to 15 cm.the small amount of remaining pancreas appears to enhance normally. 2. pneumobilia with a biliary stent in place. 3. bilateral moderate pleural effusions and associated atelectasis, incompletely evaluated. 4. body wall edema. 5. air within the bladder lumen. please correlate with recent catheterization or instrumentation. . echo findings left atrium: elongated la. no la mass/thrombus (best excluded by tee). right atrium/interatrial septum: mildly dilated ra. left ventricle: normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). right ventricle: normal rv chamber size and free wall motion. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets. no mvp. mild mitral annular calcification. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets. moderate tr. mild pa systolic hypertension. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: trivial/physiologic pericardial effusion. general comments: left pleural effusion. conclusions the left atrium is elongated. no left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%) right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. impression: normal biventricular cavity sizes with preserved global and regional biventricular systolic function. mild mitral regurgitation. moderate tricuspid regurgitation. moderate pulmonary artery systolic hypertension. no definite structural cardiac source of embolism identified. clinical implications: based on aha endocarditis prophylaxis recommendations, the echo findings indicate prophylaxis is not recommended. clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. . carotid series complete 8:57 am reason: acute cerebral infarct on mri. findings: duplex evaluation was performed of bilateral carotid arteries. there is mild plaque seen in the proximal ica bilaterally. on the right, peak velocities are 59, 49, and 58 cm/sec in the ica, cca, and eca respectively. this is consistent with less than 40% stenosis. on the left, peak velocities are 58, 48, and 53 cm/sec in the ica, cca, and eca respectively. this is consistent with less than 40% stenosis. there is antegrade vertebral flow bilaterally. impression: bilateral less than 40% carotid stenosis. . brief hospital course: this is a 80 year old female who was transferred to intubated in a-fib for severe gallstone pancreatitis. she had an ercp on and this showed three stones ranging in size from 3mm to 8mm that were causing partial obstruction were seen at the lower third of the common bile duct. given suspicious of cholangitis, full cholangiogram was not obtained. procedures: a 7 cm by 10 french cotton- biliary stent was placed successfully. she remained intubated in the icu while she continued to recover for the pancreatitis. she will need a ccy and cystgastrostomy in the future and will return for a ct scan in 3 weeks. neuro: once extubated, she was confused. her confusion continued to improve and by time of discharge, she was a+o x 3. we noticed left ue weakness on examination. neurology was following along. she had an mra brain and this showed acute infarctions in the right occipital lobe, parietal lobe and in the centrum semiovale, which could be secondary to emboli from central source. there is no mass effect or midline shift. she continued on her coumadin, with a inr goal of . the left ue weakness continued to improve and pt/ot was following along. we obtained an echo and carotid us. the echo showed no left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%) impression: normal biventricular cavity sizes with preserved global and regional biventricular systolic function. mild mitral regurgitation. moderate tricuspid regurgitation. moderate pulmonary artery systolic hypertension. no definite structural cardiac source of embolism identified. the carotid us showed bilateral less than 40% carotid stenosis. cv: she continued in a-fib. she had a rate as high as 180 when agitate. she received lopressor prn. she then received diltiazem drip for hr control. once able to take po's, she was switched to po diltiazem. she was restarted on her coumadin for her chronic a-fib. continue to monitor inr and dose coumadin. most recently, she was supertherapeutic with an inr of 7.1. this has been coming down slowly and today was 4.0. please continue coumadin on . resp: she was vented. the icu team was able to wean her off the vent was she improved. gi: she was npo. she had a flexisealin place draining loose brown stool. she had a ngt in place. when the ngt was removed, she was seen by the swallow specialist and eventually clears to eat nectar thick liquids and ground consistency solids. she was then cleared for regular food. unfortunately, her po nutrition intake was very poor, only about ~300kcals/day, and she required a nj feeding tube. she will receive replete with fiber at 50cc/hr. gu/renal: foley in place. she had a uti and this was being covered by the unasyn. after aggressive fluid resuscitation, she then received lasix for diuresis for overall body edema. it was also noted that she had a fungal infection to her vaginal/perineum area. she was ordered for nystatin cream and also a one-time dose of diflucan. id: she was on unasyn for a short course s/p ercp. medications on admission: coumadin, metformin 500", glyburide' discharge medications: 1. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 2. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. diltiazem hcl 30 mg tablet sig: one (1) tablet po qid (4 times a day): hold for sbp < 100, hr<60. 5. spironolactone 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day): hold for sbp<100 or hr<60. 7. insulin glargine 100 unit/ml solution sig: see sliding scale subcutaneous at bedtime. 8. nystatin 100,000 unit/g ointment sig: one (1) appl topical qid (4 times a day). 9. warfarin 1 mg tablet sig: one (1) tablet po once a day: please adjust coumadin per the inr. start . discharge disposition: extended care facility: hospital of and islands discharge diagnosis: gallstone pancreatits atrial fibrillation - chronic delirium left ue weakness acute infarctions in the right occipital lobe, parietal lobe and in the centrum semiovale. malnutrition hyperglycemia discharge condition: good deconditioned continue with coumadin. inr goal . good deconditioned continue with coumadin. inr goal . discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomitting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomitting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please take any new meds as ordered. * continue to amubulate several times per day. * continue a regular diet and tube feedings. followup instructions: please follow-up with dr. in 3 weeks. you will have a ct at this time. provider: scan phone: date/time: 9:30 provider: , md phone: date/time: 11:15 . provider: , md phone: date/time: 9:00 . procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances thoracentesis endoscopic insertion of stent (tube) into bile duct diagnoses: anemia, unspecified unspecified pleural effusion urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified protein-calorie malnutrition atrial fibrillation acute respiratory failure cerebral artery occlusion, unspecified with cerebral infarction acute pancreatitis calculus of bile duct without mention of cholecystitis, with obstruction 

Answer: The patient is high likely exposed to