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: plavix / penicillins / codeine / ticlid / lamictal attending: chief complaint: acute cholesystitis major surgical or invasive procedure: open cholecystectomy history of present illness: this 70-year-old female presented to the ed on with the complaint of chest pain which was not resolved with sublingal nitroglycerine. pt is s/p known to have severe coronary artery disease, which is not amenable to stenting and acute cholecystectomy. cardiac work-up was negative. she was found to have a distended gallbladder, thickened gallbladder wall, edema around the gallbladder, and a dilated comon bile duct. her creatitine was acutely elevated to 2.2. given her relatively high risk for surgery she was transfered to on . past medical history: 1. coronary artery disease s/p cardiac cath (no intervention) 2. peripheral vascular disease 3. s/p myocardial infarction ', s/p cabg 4. hypertension 5. macular degeneration 6. h/o c. diff. 7. dimentia 8. depression social history: patient is widowed and lives alone. her daughter is very involved in her care. states that her mother has very poor short term memory and has significant variations in her ability to understand everything regarding her medical care. is her health care proxy and has power of attorney. she will accompany her mother to the hospital. family history: patient has 9 brothers and sisters. one brother died in his 40's from heart problems. another brother with "heart problems". did not know specifics. physical exam: on admission: 100.2, 100 102/60 20 93 ra aox3, nad rrr, no mumur ctab b/l abd obese, severely ttp in ruq c deep palpation. + . lowwer abdominal scar from c-sections and appendectomy ext without c/c/e pertinent results: on admission: 01:17am blood wbc-9.1# rbc-2.82* hgb-8.6* hct-25.6* mcv-91 mch-30.5 mchc-33.6 rdw-14.0 plt ct-91*# 05:27am blood neuts-81* bands-11* lymphs-4* monos-3 eos-1 baso-0 atyps-0 metas-0 myelos-0 01:17am blood pt-14.4* ptt-28.7 inr(pt)-1.4 01:17am blood plt smr-low plt ct-91*# 01:17am blood glucose-118* urean-34* creat-1.6* na-140 k-3.9 cl-108 hco3-22 angap-14 01:17am blood alt-31 ast-22 ck(cpk)-200* alkphos-87 amylase-34 totbili-0.6 01:17am blood lipase-15 01:17am blood ck-mb-4 ctropnt-0.01 01:17am blood calcium-7.7* phos-2.8 mg-1.7 renal: 05:27am blood glucose-136* urean-35* creat-1.8* na-138 k-3.9 cl-110* hco3-21* angap-11 cardiac: 09:21am blood ld(ldh)-448* ck(cpk)-1054* 09:21am blood ck-mb-35* mb indx-3.3 ctropnt-0.87* 10:59am blood ck(cpk)-1308* 10:59am blood ck-mb-44* mb indx-3.4 ctropnt-0.91* 06:00pm blood ck(cpk)-2386* 06:00pm blood ck-mb-46* mb indx-1.9 ctropnt-0.73* 02:06am blood ck-mb-20* mb indx-0.8 ctropnt-0.75* 02:06am blood alt-133* ast-136* ck(cpk)-2414* alkphos-91 amylase-34 totbili-1.0 03:20pm blood ck(cpk)-* 03:20pm blood ck-mb-13* mb indx-0.7 ctropnt-0.92* on discharge: 04:02am blood wbc-5.8 rbc-3.39* hgb-10.4* hct-30.0* mcv-89 mch-30.8 mchc-34.8 rdw-14.6 plt ct-167 06:49am blood glucose-95 urean-18 creat-0.9 na-138 k-3.5 cl-102 hco3-28 angap-12 06:49am blood calcium-7.4* phos-3.1 mg-2.1 brief hospital course: # acute choleystitis: upon entering the medical center, she was actually sent with no laboratories. repeating her laboratories to check on evaluation, she became progressively septic. she ahd an ultrasound, which confirmed small stones and sludge, but a small gallbladder. because of her cardiac condition and because of the impending sepsis, it was thought perhaps percutaneous cholecystostomy would be appropriate, however, interventional radiology refused to do that, because of the size of the gallbladder. therefore she was brought immediately to surgery very early on where we did an open cholecystectomy and operative cholangiography. the common bile duct was noted to be enlarged at surgery, however, on doing cholangiograms, she had free flow of bile into the duodenum. she had multiple small stones, however, and it is speculated that perhaps one of these small stones had passed and actually managed to occlude the common duct. subsequently, the laboratory came back revealing that her liver enzymes were all normal preop, but nonetheless, the common bile duct size was clearly abnormal and therefore the cholangiograms were necessary. however, the cholangiograms did show free flow into the duodenum without filling defects. she was placed on broad spectrum antibiotics. intra-operative cultures from the gall bladder later grew pansensitive e. coli and she remained on levoquin. she was to finish a 14-day course. # peri-operative myocardial infarction: prior to surgery she was evaluated by cardiology given her significant cardiac history. she was considered high risk for for a peri-op event, but little could be done to decrease her risk. emergent cath was not recommended given the failed attempt for rca pci on . from the or the patient remained intubated and was transfered to the sicu. post-op the patient cardiac enzymes were noted to be elevated. cardiology continue to follow and the patient remained the in sicu. the acute myocardial infarction was thought to be demand ischemia. a swan cathether was placed on for improved monitoring especially given her rising cardiac enzymes and her oliguria. an echo was obtained on showing overall left ventricular systolic function is mildly depressed. per cardiology her home beta blockers were continued. lipitor was started and her home asa resumed. # acute renal failure: the patient became oliguric with an acutely rising creatinine. she was agressively fluid resucciated. over the next day the oliguria improved. her creatinine returned to baseline by the end of her hospital stay. . on she was transfered to the floor from the sicu. she was started on clears which was advanced to regular on . her jp was removed on . upon discharge she was tolerating a regular diet, had good pain control with po pain medications, was ambulating with assistance, and her renal function was normal. medications on admission: lopressor 37.5mg asa 325 mg daily protonix 40 mg daily aricept 5 mg daily paxil 37.5 mg daily remeron 7.5 qhs prn nitrotab prn cp reglan 5 qam advil prn nitropatch prn discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 5. paroxetine hcl 30 mg tablet sig: one (1) tablet po daily (daily). tablet(s) 6. mirtazapine 15 mg tablet sig: 0.5 tablet po hs (at bedtime). 7. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed). 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. tablet(s) 9. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days: continue through doses on . total course 14 days. disp:*5 tablet(s)* refills:*0* 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*45 tablet(s)* refills:*0* discharge disposition: extended care facility: life care center - discharge diagnosis: acute cholecystitis, intra-operative myocardial infarction, respiratory failure, acute renal failure, hypokalemia discharge condition: good discharge instructions: restart you home medications as usual. take your antibiotics as instructed. take the new medication (lipitor) as instructed. regular diet. you may resume activity as tolerated. you may shower, then pat-dry incision. do not rub incision. no tub baths or swimming for 3-4 weeks. you may leave the incision uncovered or use a light dressing for comfort. you will have your staples removed at your follow-up appointment. * increasing pain * fever (>101.5 f) or vomiting * inability to eat or drink * inability to pass gas or stool * redness/swelling/drainage from wound * other symptoms concerning to you followup instructions: 1. call dr. office for a follow-up appointment in weeks. ( procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified cholecystectomy pulmonary artery wedge monitoring intraoperative cholangiogram transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis cardiac complications, not elsewhere classified aortocoronary bypass status hypopotassemia other specified forms of chronic ischemic heart disease acute respiratory failure septic shock old myocardial infarction cholangitis profound impairment, both eyes, impairment level not further specified calculus of gallbladder and bile duct with acute and chronic cholecystitis, with obstruction 

Answer: The patient is high likely exposed to