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 attending: chief complaint: sepsis major surgical or invasive procedure: ercp/stent placement history of present illness: this is a year old female with hx recent pe/dvt, atrial fibrillation, cad who is transfered from hospital for ercp. she has had multiple admissions to this past month, most recently on . in early , she presented with back pain and shortness of breath. she was found to have bilateral pe's and new afib and started on coumadin. her hct dropped slightly, requiring blood transfusion, with guaic positive stools. she was discharged and returned with abdominal cramping and black stools. she was found to have a hct drop from 32 to 21. she was given vit k, given a blood transfusion and started on protonix. she received an ivf filter and egd. egd showed a small gastric and duodenal ulcer (healing), esophageal stricture, no active bleeding. she also had an abdominal ct demonstrating a distended gallbladder with gallstones and biliary obstruction with several cbd stones. she was started on levo/flagyl and transfered here for ercp. per nursing, her bp had been low in 90's at osh and 80's enroute. in the ercp suite, she received vancomycin, ampicillin and gentamicin as well as fentanyl. a biliary stent was placed successfully in the upper third of the common bile duct. no sphincterotomy was done given elevated inr. in addition, a single cratered non-bleeding 20mm ulcer was found in the antrum. past medical history: recent pe/dvt afib htn hypotension hypothyroidism cad ? mild chf social history: lives with daughter and granddaughter, functional at home , non-smoker, no alcohol use family history: nc physical exam: gen: ill appearing, pale, awake but minimally responsive, well-nourished, no acute distress heent: eomi, perrl, sclera anicteric, no epistaxis or rhinorrhea, mmm, op clear neck: no jvd, carotid pulses brisk, no bruits, no cervical lymphadenopathy, trachea midline cor: rrr, no m/g/r, normal s1 s2, radial pulses +2 pulm: lungs ctab, no w/r/r abd: mildly tender abd diffusely w/o rebound or guarding, nd, hypoactive bowelsounds, diff to assess hsm, a soft large masses/protuberance in rlq ext: midly swollen left lower ext, no palpable cords neuro: awake, answering some basic questions but not conversant, unable to assess orientation skin: no jaundice, cyanosis, or gross dermatitis. no ecchymoses pertinent results: admission labs: 03:15pm wbc-11.4* rbc-3.61* hgb-11.3* hct-32.8* mcv-91 mch-31.3 mchc-34.5 rdw-17.9* 03:15pm neuts-76* bands-13* lymphs-6* monos-3 eos-0 basos-0 atyps-0 metas-2* myelos-0 03:15pm hypochrom-normal anisocyt-1+ poikilocy-occasional macrocyt-1+ microcyt-occasional polychrom-occasional ovalocyt-occasional schistocy-occasional burr-occasional 03:15pm plt smr-normal plt count-166 03:15pm pt-25.8* ptt-39.2* inr(pt)-2.5* 06:12pm alt(sgpt)-56* ast(sgot)-68* ld(ldh)-357* alk phos-100 tot bili-1.3 06:12pm glucose-128* urea n-85* creat-2.8* sodium-139 potassium-4.2 chloride-110* total co2-16* anion gap-17 other important labs: 03:35am blood wbc-14.8* rbc-3.15* hgb-10.0* hct-28.9* mcv-92 mch-31.9 mchc-34.8 rdw-17.8* plt ct-162 03:35am blood glucose-81 urean-85* creat-3.0* na-138 k-4.4 cl-107 hco3-15* angap-20 03:35am blood alt-50* ast-63* alkphos-87 03:35am blood calcium-7.5* phos-4.8* mg-1.8 10:14am blood type-art temp-36.7 o2 flow-4 po2-101 pco2-13* ph-7.20* caltco2-5* base xs--20 intubat-not intuba 10:14am blood lactate-10.5* kub: supine film shows gas-filled loops of large and small bowel with gas in the region of the rectum. the appearances are inconsistent with obstruction and do not suggest ileus cxr: no failure ruq ultrasound: report pending at time of death brief hospital course: septic from the time of transfer from the osh for ercp. required blood pressure support with levophed, which was changed to neosynephrine due to elevated hr. difficult to volume resuscitate given developement of crackles/increasing o2 requirement with fluid. treated with vanc/cipro/flagyl and changed to meropenem/vanc. had stent done by ercp, but sphincterotomy/stone removal not done due to elevated inr. most likely source of sepsis is biliary/ascending cholangitis. evaluated by general surgery team, who thought she was not a surgical candidate and would not recommend ir cholecystostomy tube. lactate rose to 10.5, last abg 7.2/13/101. the patient complained of significant pain, difficult to control with bolus morphine. bedside ultrasound was being done to evaluate for cholecystitis when the family decided to make the patient cmo and the study was stopped. preliminary report not available at the time of death. the patient was made cmo by her family and expired comfortably on a morphine gtt at 16:20 on . medical examiner declined the case, family declined autopsy. medications on admission: asa 325mg lopressor 25mg amiodarone 200mg coumadin 2.5mg daily isosorbide 60mg daily levothyroixine 50mcg daily discharge medications: expired discharge disposition: expired discharge diagnosis: septic shock due to ascending cholangitis choledocholithiasis atrial fibrillation with rapid ventricular response pulmonary emboli deep venous thrombosis upper gi bleed peptic ulcer disease discharge condition: expired discharge instructions: expired followup instructions: expired procedure: venous catheterization, not elsewhere classified arterial catheterization endoscopic insertion of stent (tube) into bile duct diagnoses: congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia severe sepsis unspecified acquired hypothyroidism chronic kidney disease, unspecified septic shock long-term (current) use of anticoagulants pressure ulcer, lower back personal history of venous thrombosis and embolism hemorrhage of gastrointestinal tract, unspecified cholangitis calculus of bile duct without mention of cholecystitis, without mention of obstruction pressure ulcer, stage ii 

Answer: The patient is high likely exposed to