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 necrotizing pancreatitis major surgical or invasive procedure: picc line picc line history of present illness: 58 year-old female presents as transfer from osh for necrotizing pancreatitis. she was initially admitted to hospital on with severe abdominal pain located in mid-epigastric region and luq. pain was at the time and associated with n/v. in ed, patient was hd stable. wbc was 10.1, lipase was >3000. she had a ct scan of her abd/pelvis that revealed enlarged and hyperemic pancreas with surrounding fat stranding and associated retroperitoneal effusion without a well-defined pseudocyst. cbd was 1 cm. she was admitted to hospital and kept npo on ivf for severe pancreatitis. over the course of this past week, the patient has been treated conservatively for her pancreatitis. pancreas enzymes have been trending down, and her lipase this am was 139. mrcp obtained on showed contracted gb, gallstones, and possible choledochocele. patient was still complaining of pain this am. repeat ct scan obtained and showed persistent peripancreatic stranding and fluid. pancreatic body has necrosis, while tail, uncinate process and head continue to enhance. patient was transferred to for mgmt of severe pancreatic necrosis. upon arrival to sicu, patient is confused and is beginning to display signs of dts. she is hd stable and reports persistent luq pain. past medical history: pmhx: htn, etoh abuse, depression hx: multiple foot surgeries, tubal ligation social history: most recently was having drinks etoh/night, no tobacco use family history: non contributory physical exam: on admission: vs: t 98.8, hr 91, bp 132/76, rr 16, 98% sats 2l gen: nad, a&o x 3 heent: no scleral icterus lungs: clear at apices, slight decreased bs at bases cv: rrr, nl s1 and s2 abd: soft, ttp in midepigastric and luq region, nd, no guarding/rebound, no hernias, no discoloration ext: 2+ edema of le b/l pertinent results: 12:38am wbc-10.3 rbc-3.15* hgb-10.0* hct-32.0* mcv-102* mch-31.8 mchc-31.3 rdw-13.4 12:38am plt count-200 12:38am glucose-78 urea n-14 creat-0.4 sodium-148* potassium-3.5 chloride-114* total co2-23 anion gap-15 12:38am alt(sgpt)-66* ast(sgot)-61* ld(ldh)-588* alk phos-70 amylase-127* tot bili-0.6 12:38am lipase-65* cta chest : impression: 1. no pulmonary embolism. 2. moderate bilateral pleural effusion and atelectasis of the lower lobes. 3. small ascites and peripancreatic fluid collection are compatible with the patient's known history of pancreatic necro abd ct : 1. pancreatitis with large peripancreatic fluid collection tracking around the liver, pericolic gutters, and mesentery. 2. edematous gallbladder. 3. bilateral pleural effusions. chest/ abd ct : 1. no evidence of pulmonary embolus. 2. decrease in size of bilateral basal pleural effusions. extensive atelectasis in the basilar segments of both lower lobes as before, but superimposed consolidation cannot be excluded. 3. extensive peripancreatic fluid shows no significant change since prior ct. areas of non-enhancement in the pancreatic body consistent with necrosis. preserved enhancement of parenchyma in the pancreatic head, uncinate process and tail. abdominal ct : impression: 1. findings consistent with necrotizing pancreatitis in the body and medial tail. the extent of inflammation surrounding the pancreas has improved but the large peripancreatic fluid collection is unchanged in size when compared to prior ct of . no duct dilation or mass evident. markedly attenuated but patent splenic vein. 2. resolution of bilateral pleural effusions. 3. continued edematous gallbladder wall without pericholecystic abnormality. 4. small 17 x 8 mm fluid collection within the pelvis posterior to the uterus is likely resolving loculated fluid. brief hospital course: the patient was admitted to the icu for close monitoring and non surgical management of pancreatitis. her diet was npo, ivf for hydration, foley catheter in place, ciwa scale in place. - - picc line placed, tpn started, continued npo, supportive management - the patient had an episode of desaturation, ct scan performed demonstrating pancreatitis with large peripancreatic fluid collection tracking around the liver, pericolic gutters, and mesentery. continued supportive care with npo, tpn diet advanced to sips, po home meds started, continued tpn, foley catheter removed and the patient voided. she spiked a temperature and was started empirically on vancomycin and meropenem. she underwent a ruq ultrasound which demonstrated gallstones, minimal fluid around the gallbladder, no evidence of cholecystitis. - continued antibiotics, tpn, supportive care in the icu due to continued confusion and agitation - transferred to the floor for continued monitoring, continued on vancomycin, meropenem, tpn - the patient was tachypneic with o2 requirement and was transferred back to the icu. due to her confusion, the patient needed to be intubated so a central line and arterial line were placed. a cta chest was performed which did not demonstrate a pulmonary embolus. following these interventions, she was extubated without difficulty. she had blood cultures and a urine culture done at this time. the blood cultures were positive for enterobacter and the urine culture was positive for ecoli. she remainded on meropenum and vancomycin. continued icu monitoring, antibiotics, tpn 2 units rbc given for hct 22, responded appropriately, cont meropenem, tpn, discontinued vancomycin. - lfts slowly rising, ultrasound performed again demonstrating fluid around the gallbladder and stones, but no evidence of cholecystitis, transferred to the floor on antibiotics, npo, tpn. once on floor, patient's clinical exam improved. abdomen soft, non-tender, non-distended. patient advanced from sips to clears diet on , which was well-tolerated. on patient transitioned to full liquids diet, well tolerated. her tpn was eventually discontinued as she was tolerating a regular low fat diet. while on meropenem she had another temperature spike to 102 prompting removal of her picc line and blood and urine cultures were done again. currently the blood cultures remain negative, the picc line tip is negativa as is a urine culture. she underwent a repeat abdominal ct which was essentially unchanged. she has been afebrile for 48 hours and she is tolerating a regular low fat diet. due to the fact that she will need antibiotics through she has another picc line placed and to simplify drug therapy at home she was switched from meropenem to ertapenem 1 gm. iv daily. the picc line will be removed after her last antibiotic dose by the . on she was discharged home with follow up instructions to see dr. in 2 weeks and prior to the visit she will have an abdominal ct. medications on admission: triazolam pill qhs, buproprion 150 mg qd, cymbalta 30 mg qd, lisinopril 10 mg qd, ativan 0.5 mg po q8hrs prn, hctz 25 mg po qd discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 2. duloxetine 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 3. bupropion hcl 100 mg tablet sig: 1.5 tablets po daily (daily). 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 5. amylase-lipase-protease 60,000-12,000- 38,000 unit capsule, delayed release(e.c.) sig: one (1) cap po tid w/meals (3 times a day with meals). disp:*100 cap(s)* refills:*2* 6. ertapenem 1 gram recon soln sig: one (1) gram intravenous daily () as needed for bacteremia: thru . disp:*4 gram* refills:*0* 7. heparin, porcine (pf) 10 unit/ml syringe sig: one (1) ml intravenous prn (as needed) as needed for line flush. disp:*10 ml(s)* refills:*1* 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: home therapies discharge diagnosis: necrotizing pancreatitis hypertension depression alcohol abuse discharge condition: good discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, 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. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. picc line: *please monitor the site regularly, and your md, nurse practitioner, or nurse if you notice redness, swelling, tenderness or pain, drainage or bleeding at the insertion site. * your md to the emergency room immediately if the picc line tubing becomes damaged or punctured, or if the line is pulled out partially or completely. do not use the picc line in these circumstances.please keep the dressing clean and dry. contact your nurse if the dressing comes undone or is significantly soiled for further instructions. followup instructions: provider: scan phone: date/time: 10:00 you must report to at 9am nothing to eat or drink after 11pm on the night before the test provider: , md phone: date/time: 11:15 call to arrange for a primary care physician and appointment procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube diagnoses: unspecified pleural effusion urinary tract infection, site not specified unspecified essential hypertension sepsis pulmonary collapse other shock without mention of trauma alkalosis calculus of gallbladder with other cholecystitis, without mention of obstruction other ascites diarrhea tachycardia, unspecified delirium due to conditions classified elsewhere acute pancreatitis calculus of gallbladder with acute cholecystitis, without mention of obstruction other and unspecified alcohol dependence, continuous insomnia, unspecified alcohol withdrawal delirium septicemia due to gram-negative organism, unspecified major depressive affective disorder, single episode, in partial or unspecified remission 

Answer: The patient is high likely exposed to