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: history of present illness: the patient is a 72 year old female who presented to an outside hospital in , with three weeks of malaise, anorexia, progressive abdominal distention and increasing abdominal pain. on workup, she was revealed to be markedly jaundiced and laboratory work revealed abnormal liver function tests. the patient was subsequently transferred to the for further workup and was admitted here between , and . please refer to previously dictated discharge summary for details of her admission. the patient now presents to for definitive resection of a mass at the head of the pancreas. past medical history: 1. left breast cancer, status post modified radical mastectomy with radiation therapy and chemotherapy in . 2. left total hip replacement with a revision restatic of the right leg. 3. diverticulosis. 4. colonic polypectomy. 5. spinal stenosis. 6. multiple trauma with right arm fracture, injured lower back, right tibial fracture, ankle fracture, left shoulder fracture. 7. congestive heart failure with cardiomyopathy. medications on admission: 1. neurontin. 2. tamoxifen. 3. amitriptyline. 4. fentanyl patch. 5. percocet. allergies: penicillin and sulfa. the patient also has an allergy to all antibiotics ending with the term "mycin", keflex and vioxx. social history: the patient lived alone prior to recent period of illness. hospital course: the patient was admitted to the on , and taken to surgery where she had pylorus sparing whipple procedure. surgery was performed without complications, and the patient was thereafter transferred to the post anesthesia care unit in stable condition. intraoperatively, she had been noted to have local invasion by the tumor into the portal vein. she received one unit of packed red blood cells intraoperatively. she was on an epidural for pain control. on postoperative day number one, the patient was doing well with pain relatively well controlled. she was noted by the nursing staff to be alert and oriented times three but slightly confused at times. by late on postoperative day number one, the patient, however, became increasingly confused, agitated, and started falling on some of her lines and yelling at family members. she was evaluated. a one to one sitter was ultimately requested and haldol ordered. the patient's pain control on the epidural was somewhat suboptimal late on postoperative day number one with a dilaudid pca added for better pain control. the patient's fentanyl patch was also restarted. during postoperative day number three, the patient remained disoriented and agitated requiring haldol for sedation. she remained in soft restraints with a bedside sitter. on postoperative day number three, the patient pulled her own nasogastric tube out. the decision was made not to reinsert it. on postoperative day number three, the patient received a unit of packed red blood cells for a low hematocrit. on the night of postoperative day number three, the house officer was called to the patient's bedside when the patient was noted to have become tachypneic to the 40s, and tachycardic to the 120s and 130s. a stat chest x-ray was ordered to rule out pulmonary edema. this was ultimately negative for pulmonary vascular congestion. an electrocardiogram was also ordered and was indeterminate. given an arterial blood gas was drawn which revealed the patient to be significantly acidotic, a decision was ultimately made to intubate the patient and transfer her to the intensive care unit for further management. in the intensive care unit, series of cardiac enzymes were drawn and the patient was ultimately ruled in for myocardial infarction. cardiology consultation was requested and the patient's infarction ultimately localized to the inferior wall. on arrival in the intensive care unit, the patient's temperature was also noted to be 101. blood cultures and urine cultures were sent. by the morning of postoperative day number five, the patient was stable, remained ventilated and sedated and was improving arterial blood gas values. during the entire period from the onset of the patient's tachypnea and tachycardia, the patient had been unresponsive to stimulation. ct of the patient's head was ultimately ordered and was negative for stroke. part of the patient's workup at the time included duplex ultrasound to evaluate for portal vein thrombosis. this test was inconclusive. flow was noted in the right and main portal veins but the left portal vein was not confidently assessed. the patient was also scheduled for cat scan of the abdomen and pelvis on the night of postoperative day number four. the study revealed the patient had no central pulmonary embolism but was inconclusive about possible segmental pulmonary embolisms. the patient was also noted to have heterogeneous enhancement of the right lobe of her liver relative to the left suggesting hyperemia. ramifications of this finding were uncertain. the patient had no evidence of an intra-abdominal abscess. there was no extravasation of oral contrast. the lungs were clear. blood, urine, sputum and wound cultures were drawn on the night of the transfer to the intensive care unit. the patient's blood cultures ultimately grew out e. coli. four out of six of the patient's urine cultures were ultimately negative. gram negative rods ultimately speciated. - drain cultures ultimately also grew e. coli. the patient's sputum grew out coagulase positive staphylococcus aureus, gram negative rods, beta streptococci. the patient was started on broad spectrum antibiotics. follow-up blood cultures drawn on , were negative. on , the decision was made to open up a small portion of the lateral end of the incision given some persisting redness. wound cultures grew coagulase positive staphylococcus aureus. wound care was initiated with wet to dry dressings twice a day. on , the patient was screened for methicillin resistant staphylococcus aureus. the methicillin resistant staphylococcus aureus screen was ultimately negative. by postoperative day number eight, the patient was clearly improving. she was started on tube feeds when she began to have bowel movements. her tpn was weaned. by postoperative day number eight, the patient was stable enough to be extubated in the period immediately following her extubation, she required frequent pulmonary hygiene. she was being treated for presumptive aspiration pneumonia. later on postoperative day number eleven, the patient was deemed stable and ready for discharge to the floor. at this time, the patient was alert and oriented and conversing well although some times forgetful and a little confused. screening for rehabilitation placement was initiated. the patient was also seen by physical therapy following transfer to the floor and daily. the results of the patient's pathology studies ultimately revealed that the patient had a clear cell cancer of the pancreas. the findings were discussed briefly with the patient but it is anticipated that further discussions and management given this diagnosis will be made following discharge. it should also be noted that the patient had a transient period of thrombocytopenia with her platelet count trending down into the 50,000 and 60,000 while in the intensive care unit. studies were sent for heparin induced thrombocytopenia which were ultimately negative. the patient was seen by the hematology service. the patient's platelet count was well on the way to recovery by the time of discharge. prior to transfer to the floor, the patient had been started on a regular diet and during the entire time she was on the surgical floor, she was eating well. condition on discharge: stable. medications on discharge: 1. oxycodone 10 mg p.o. q4-6hours p.r.n. 2. metoprolol 12.5 mg p.o. twice a day. 3. fentanyl patch 50 mcg per hour q.three days. 4. gabapentin 400 mg p.o. three times a day. 5. tylenol 325 to 650 mg p.o. q4-6hours p.r.n. discharge diagnoses: 1. clear cell cancer of the pancreas. 2. inferior wall myocardial infarction. 3. pneumonia. 4. thrombocytopenia. 5. wound infection. 6. delirium. procedures: whipple procedure on . follow-up: the patient is to follow-up with dr. following discharge. the patient is also to follow-up with her primary care physician within one to two weeks following discharge. , m.d. dictated by: medquist36 d: 20:10 t: 20:37 job#: procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances radical pancreaticoduodenectomy cholecystectomy pulmonary artery wedge monitoring insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: thrombocytopenia, unspecified other postoperative infection cellulitis and abscess of trunk congestive heart failure, unspecified secondary malignant neoplasm of other specified sites pneumonitis due to inhalation of food or vomitus acute myocardial infarction of other inferior wall, initial episode of care acute and chronic cholecystitis malignant neoplasm of body of pancreas 

Answer: The patient is high likely exposed to