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: no known allergies / adverse drug reactions attending: chief complaint: common bile duct dilation, ercp perforation major surgical or invasive procedure: endoscopic retrograde cholangiopancreatography exploratory laparotomy, debridement retroperitoneum, kocherization of the duodenum and washout. 1. exploratory laparotomy. 2. retroperitoneal debridement. 3. temporary abdominal closure. abdominal washout and closure. history of present illness: the patient is a 35f previously known to dr service in evaluation prior to potential surgical resection of a choledochal cyst. she was admitted today for an ercp to further characterized this lesion. a 4 cm type i choledochal cyst was seen and, following a sphincterotomy, brushings and bipsy samples were taken from within the cyst. post-procedure, she complained of severe abdominal pain and there was concern for perforation or other procedure-related complication such as pancreatitis. she was admitted on the and a ct scan obtained which did demonstrate some evidence of a contained retroperitoneal perforation with a small fluid collection. in briefly reviewing her presentaion with the cyst itself, ms. undeerwent a left ovarian cyst excision with concomitant d&c , complicated by a portsite hematoma which required evacuation . she resentd with recurrent abdominal pain initiall thought to be pid. however, review of a ct obtained in evaluation showed no evidence of pelvic pathology, but did demonstrate a choledochal cyst. she endorses intermittent ruq and epigastric pain with radiation to the right back, which she prior to her recent surgery. the pain is worsened by eating and improves slightly with ambulation. she denies nausea or vomiting. reports passing flatus and patient continues to stool without difficulty and denies hematemesis, melena, brbpr, fevers, chills, or rigors. past medical history: pmh: denies psh: wisdom teeth, d&c, left ovarian cystectomy and evacuation of hematoma- social history: works in a lawyer's office, lives with daughter and husband. denies alcohol, tobacco, or illicit drug use. immigrated from . family history: father with prostate cancer. mother with hypertension. denies family history of biliary disease. physical exam: vitals: tm 98.1 76 113/70 18 99%ra uop not recorded somnolent and in obvious pain when aroused s1s2 no murmurs decreased bs throughout abd soft and diffusely tender with redound and guarding extremities without edema pertinent results: labs on admission: wbc-6.9 hct-39.6 mcv-88 plt-321 pt-12.8 ptt-33.1 inr-1.1 urean-10 creat-0.6 na-141 k-4.1 cl-104 alt-4 ast-19 alkphos-43 amylase-52 totbili-0.3 dirbili-0.1 indbili-0.2 lipase-40 . labs on discharge: 01:12pm blood wbc-12.8* rbc-3.45* hgb-9.8* hct-30.3* mcv-88 mch-28.6 mchc-32.5 rdw-16.0* plt ct-563* 12:06am blood fibrino-900* 05:50am blood glucose-115* urean-17 creat-0.7 na-137 k-3.8 cl-101 hco3-27 angap-13 12:40pm blood alt-15 ast-23 alkphos-127* totbili-0.2 05:42am blood lipase-110* 05:50am blood calcium-9.2 phos-4.4 mg-2.0 04:53am blood triglyc-294* 08:26am blood pth-179* 05:49am blood vanco-16.1 . ampulla biopsy : scant strips of superficial biliary type mucosa, no evidence of malignancy. kub : no evidence of perforation with normal bowel gas pattern kub : findings suggestive of ileus, unchanged from . ercp : - normal major papilla - contrast medium was injected resulting in complete opacification - severe diffuse dilation seen at the biliary tree - cbd measuring 4 cm - sphincterotomy performed - cold forceps biopsies were performed for histology at the inta-ampullary bile duct - cytology samples were obtained for histology using a brush in the biliary - excellent drainage of bile and contrast noted - otherwise normal ercp to third part of the duodenum brief hospital course: mrs. is a 36 year old female who presents after undergoing an diagnostic ercp on for a type 1 choledochal cyst complicated by a questionable perforated duodenum vs. ercp pancreatitis with subsequent rp phlegmon. she was initially admitted for an ercp to biopsy a 4cm type i choledochal cyst; following a sphincterotomy, brushings and biopsy samples were taken from within the cyst. immediately after the procedure, the pt developed diffuse abdominal pain and findings concerning for perforation. she was admitted for ivf, abxs and pain control, undergoing a ct scan abdomen later in the day which showed evidence of a contained perforation. she was washed out in the operating room on , was transferred to the floor, and was doing well. she was eating but her wbc was rising. ct showed a large rp phlegmon. she kept eating and was on abx. she then spiked a temperature to 102 on prior to her repeat washout on , dropped her hct, received 2u prbc, and developed peritoneal signs. she was taken to the or for exlap, debridement of rp, and washout with pulse lavage on . multiple drains were placed, and her abdomen was left open; pt was left intubated and paralyzed s/p 2nd ex-lap. abdomen was closed on with drains left in place; patient was extubated and transferred to the regular floor. . pt was initially covered on daptomycin and meropenem until ; final tissue and blood cultures negative. picc line was placed during admission, removed prior to discharge. nutritional status was suboptimal during admission and patient received tpn; this was discontinued on day prior to discharge and po intake was encouraged. pt's pain was well controlled on po dilaudid prior to discharge. pt was tolerating regular po diet, ambulating and passing flatus and stool without difficulty prior to discharge. physical therapy worked with patient and cleared her for home. multiple kubs revealed no evidence of obstruction or free air in the abdomen. surgical staples were removed prior to discharge. pt is being discharged home with vna services to monitor surgical incision and gi function, assess nutritional intake and monitor for weight loss. medications on admission: ibuprofen prn oxycodone prn acetaminophen prn discharge medications: 1. acetaminophen 500 mg tablet sig: two (2) tablet po prn: every 8 hours: no more than 3000mg per day. 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: home with service facility: area vna discharge diagnosis: choledochal cyst hemorrhagic pancreatitis retroperitoneal phlegmon and necrosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: visiting nurse services have been arranged. they will call you to set up a home visit. please call dr. office if you have any of the following: fever (101 or greater), chills, nausea, vomiting, inability to eat or drink, increased abdominal pain or distension, incision redness/bleeding/drainage you may shower please do not remove steri-strips; they will come off on their own no heavy lifting (no heavier than 10 pounds)/straining no driving while taking pain medications followup instructions: department: transplant center when: thursday at 1:00 pm with: , md building: lm campus: west best parking: garage department: healthcare of when: wednesday at 1:30 pm with: , md building: (, ma) ground campus: off campus best parking: parking on site procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances endoscopic sphincterotomy and papillotomy excision of lesion of other soft tissue excision of lesion of other soft tissue excision of lesion of other soft tissue delayed closure of granulating abdominal wound peritoneal lavage peritoneal lavage peritoneal lavage other immobilization, pressure, and attention to wound other immobilization, pressure, and attention to wound other immobilization, pressure, and attention to wound other closed [endoscopic] biopsy of biliary duct or sphincter of oddi diagnoses: other postoperative infection unspecified septicemia perforation of intestine sepsis accidental puncture or laceration during a procedure, not elsewhere classified alkalosis other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other specified disorders of biliary tract other ascites acute vascular insufficiency of intestine precipitous drop in hematocrit peritoneal abscess acute pancreatitis hemorrhage, unspecified sclerosing mesenteritis other suppurative peritonitis accidental cut, puncture, perforation or hemorrhage during surgical operation hallucinations unspecified adjustment reaction 

Answer: The patient is high likely exposed to