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: this is a 61-year-old female, who was transferred from with a diagnosis of acute pancreatitis, who was admitted to on with a right upper quadrant pain. ultrasound found a common bile duct dilated to 10 mm, and elevated lfts with normal lipase. ercp on at showed a sphincter of oddi dysfunction and biliary sludge throughout the distal common bile duct. sphincterectomy was performed and 15 mm balloon catheter was used to extract the sludge and stone particles. there was a good drainage after the procedure, and the patient was hydrated aggressively, but developed a post ercp pancreatitis within hours. patient was placed on morphine pca. patient also developed atelectasis on due to poor inspiratory effort from pain in the abdomen. the patient was transferred to the intensive care unit. the patient was aggressively treated for hypovolemia. patient also received lasix to treat the fluid overload. patient had elevated white blood cell count throughout and she had a ct scan of the abdomen on that showed extensive pancreatitis and phlegmon changes with any necrosis. patient's white blood cell count rose to 35,000 on , and a repeat ct scan was done which showed no difference compared to previous scan. cvp was measured 6 to 8 throughout her hospital course and the patient remained afebrile. patient and family requested transfer to for further evaluation and workup. upon arrival, patient stated that her pain has improved since previous day and the distention has not changed since the admission. denied any fever or chills. past medical history: 1. history of deep venous thromboses. 2. history of migraines. 3. total abdominal hysterectomy/bilateral salpingo-oophorectomy. 4. irritable bowel syndrome. allergies: 1. aspirin. 2. quinine. medications on transfer: 1. ssri. 2. imipenem. 3. famotidine. 4. subq heparin. 5. morphine pca. 6. tpn. 7. ativan q hs. 8. inderal 20 . 9. potassium sliding scale. 10. lasix . medications at home: 1. hormone replacement therapy. 2. propanolol 20 for migraines. physical examination: vital signs: temperature 98.8, heart rate 118 regular, blood pressure 137/51, sating 99% on 3 liters nasal cannula. lungs were clear to auscultation bilaterally. her heart was tachycardic, regular rhythm, no murmurs or bruits were appreciated. her abdominal examination was tense, but no rebound or guarding, no bowel sounds, distended. examination of the extremities showed no edema. laboratories: on admission, the patient's white blood cell count was 32.4, hematocrit was 25.4, platelets 327. sodium 133, potassium 3.7, chloride 99, bicarb 26, bun 16, creatinine 0.5, glucose 107. pt 13.6, ptt 28.5, inr 1.2, albumin 2.0, calcium 7.5, magnesium 1.7, phosphorus 3.9. alt 57, ast 62, alkaline phosphatase 159, total bilirubin 1.2, ldh 351, amylase 105, lipase 132. electrocardiogram: showed a sinus tachycardia at 124, normal axis without any acute st-t wave changes. hospital course: on , patient was kept npo with iv fluids and tpn. surgery service was consulted and she did not need any acute surgical interventions and planned to do a laparoscopic cholecystectomy when the patient was medically stable. continue the pain control and start on nutrition for feeding tube. a ct scan of the abdomen on showed diffuse peripancreatic mesenteric inflammatory changes consistent with acute pancreatitis. there was no necrosis or fluid collection as well as bibasilar atelectasis. patient was continued on a course of npo, tpn, iv fluids, and imipenem. patient continued to improve in the sicu setting. the patient had a pyloric tube placed. patient continued to be tachycardic and hypertensive. patient was treated with propanolol, continue to monitor that. patient's abdominal pain has somewhat improved, but continued a course of her treatment for pancreatitis. on , patient's abdominal pain had improved. in terms of her acute pancreatitis, there was no major changes. management was continued npo, tpn, and iv fluids. she was beta blocked to treat her tachycardia and hypertension. her symptoms markedly improved, and the patient was transferred to the floor on . patient's pancreatitis continued to be treated with keeping the patient npo, providing nutrients through tpn, and treating her pain with pain medication. on , the patient's pancreatitis was treated continuously with keeping the patient npo and tpn. patient's tube feeds was not started because she had increase in abdominal distention. patient's iv fluids were increased and patient's continual hypertension was treated with hydralazine. on , the patient's abdominal pain improved and she denied shortness of breath or chest pain. she continued to have blood pressure of 150s/80s and heart rate of 120s. patient's iv fluids were kept at 150 cc/hour maintenance to treat hypovolemia. patient's migraine headache was treated while on her antihypertensive medication, hydralazine dose was increased. patient continued on tpn and tube feeds were not started because the patient had a bout of emesis. patient's heart rate increased to 140s. patient was given o2 and chest x-ray, and there was a workup for pulmonary embolus. the ct scan was done in order to rule out the pulmonary embolus showed that it was negative. there was no signs of pulmonary emboli in the lungs. on , the patient's breathing improved significantly. patient's ct scan of abdomen showed no significant change from the previous ct scan. lfts and enzyme markers were much improved. she remained to have white blood cell count of 17,000. chest x-ray for the shortness of breath showed bilateral pleural effusions. thus her shortness of breath might have been associated with fluid overload. patient's iv fluids were decreased to prevent fluid overload. patient had picc line inserted, and her central line was removed. culture of the central line tip showed a staph epi, and the patient was treated with vancomycin. patient continued to do well on , a trial of clears did not help. her tube feeds were removed the previous day. patient's oxygenation improved and she remained hypertensive and tachycardic throughout. patient's pressures were treated with propanolol. electrocardiogram did not show any signs of ischemia. patient received some lasix due to prevent fluid overload on . the patient's pancreatitis continued to improve. on , patient continued to improve. patient's propanolol was increased to control continued hypertension. patient received an echocardiogram to assess her function. echocardiogram showed + mitral regurgitation, ejection fraction within normal limits, and mild-to-moderate pulmonary hypertension. patient's pancreatitis continued to improve throughout. patient was preoped on the and planned to have an operation to remove the gallbladder. patient on the had laparoscopic cholecystectomy and patient was transferred to the surgery service. patient tolerated the procedure very well. after the operation, the patient's pain was controlled with morphine as needed. patient's blood pressure was controlled with lopressor had she received regular diet and activities as tolerated on postoperative day one, . the patient was hep locked, encouraged to ambulate, and be out of bed. patient's pain medication was changed as she did not tolerate morphine very well. subsequently on postoperative day #2, patient continued to improve. her pain medication was changed to po dilaudid which seems to have improved her pain management. her significant laboratory value was that potassium was 2.7 which was repleted, and the patient was tolerating a regular diet. on , patient's pain was well controlled on po pain medications. she was ambulating, eating regular diet, was able to urinate on her own, and without any difficulties. she remained afebrile and had stable vitals. she was discharged to home. condition on discharge: good. discharge diagnoses: 1. status post laparoscopic cholecystectomy. 2. post ercp pancreatitis. 3. migraine headaches. 4. status post total abdominal hysterectomy/bilateral salpingo-oophorectomy. 5. history of deep venous thrombosis. 6. irritable bowel syndrome. discharge medications: 1. propanolol 30 mg po bid. 2. hydromorphone 2 mg 1-2 tablets every six hours as needed for pain. 3. colace 100 mg po bid as needed for constipation. 4. senna 8.6 mg twice a day as needed for constipation. follow-up plans: please follow up with dr. office for an appointment, and please follow up with primary care doctor, dr. with adjustment for the blood pressure. dr. was updated on her situation and he is aware of the blood pressure medications that patient left the hospital on. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances laparoscopic cholecystectomy diagnoses: pulmonary collapse other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation infection and inflammatory reaction due to other vascular device, implant, and graft accidents occurring in residential institution acute pancreatitis calculus of bile duct with other cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to