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: right upper quadrant pain major surgical or invasive procedure: with stent placement laparoscopic cholecystectomy history of present illness: ms. is an 84-year-old woman with a history of coronary artery disease s/p cabg, avr, hypertension. she was in her usual state of health until . she ate an english muffin in the morning, felt mild malaise throughout the day, and after seeing her cardiologist for a routine appointment in the afternoon became acutely nauseas. she vomitted 5-7 times, nonbloody, nonbilious. the was accompanied by upper abdominal and bilateral scapular pain. she presented to hospital ed. there she received antiemetics and pain control. ultrasound showed a thick-walled gallbladder with cholelithiasis and a dilated cbd. she was admitted. she was started on empiric zosyn. she was anemic to an unclear nadir and received 2 units of prbc. there was no melena or hematemesis. her coumadin was held. given concern for gi bleed, her cardiologist recommended reversing her coumadin with vit k and possibly ffp, although it is unclear if this was done. by report, overnight, she developed chest pain with troponin elevation to .55 without ekg changes. she was hemodynamically stable. the patient does not recall chest pain. her abdominal exam and pain improved, but she was becoming more jaundiced with a rising bilirubin to >7. thus, she was transferred to the icu. past medical history: - cad - cabg (svg-->lad, om, rca in ) - atrial fibrillation (apparently chronic) - avr, on coumadin - htn - hypothyroid - history of bleeding peptic ulcer in social history: the patient is a widow after her husband died from pancreatic cancer 15 years ago. she is independent in her adls and ambulatory with a walker. she has 3 children, 8 grand-children, and 8-great-grandchildren who live in the area and are involved in her care. lifetime non-smoker. no etoh. family history: non-contributory physical exam: vs: t 98.4 hr 98 afib bp 118/61 rr 24 96% ra gen: nad, pleasant, conversive heent: no scleral icterus chest: cta b/l, a fib, no murmurs, mechanical heart valve abd: soft, nt, nd, no rebound/guarding, bs present ext: warm, no edema, dp/pt palp b/l neuro: aaox3 pertinent results: 1. innumerable filling defects within the common duct, consistent with stones. there is moderate duct dilatation. 2. placement of common bile duct stent, with numerous residual retained common duct stones present at the termination of procedure. brief hospital course: a 84 year-old woman with a history of coronary artery disease s/p cabg, atrial fibrillation, was transferred from an outside hospital with choledocholithiasis and cholangitis. she was initially admitted to the micu where she underwent an with stent placement. no stones were visualized and likely already passed. her antibiotics were switched from zosyn to po cipro and flagyl for a 1 week course and she will need to follow up for stent removal in 4 weeks. on she underwent a laparoscopic cholecystectomy by dr. . she tolerated the procedure well and returned to the pacu in stable condition. she was subsequently sent to the surgical floor where she continued to make good progress. her would as healing well, she was tolerating a regular diet and she was able to ambulate without difficulty. she was placed on iv heparin post op for her atrial fibrillation and aortic valve as a bridge until a therapeutic inr was achieved with coumadin. dr. will continue to monitor this after discharge. after an uneventful post operative course she was discharged to home with vna services. inr on was 1.9. medications on admission: medications on transfer: zosyn 2.25 g iv bid protonix 40 mg iv q12h lopressor 2.25 mg iv q3h enalapril 20 mg po bid synthyroid .088 mg po daily coumadin on hold. home medications: coumadin 2.5 mg daily lipitor 40 mg daily zetia 10 mg daily levoxyl 75 mcg daily enalapril 20 mg discharge medications: 1. levothyroxine 88 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 3. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 4 days. disp:*8 tablet(s)* refills:*0* 4. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 4 days. disp:*12 tablet(s)* refills:*0* 5. enalapril maleate 10 mg tablet sig: two (2) tablet po bid (2 times a day). 6. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 9. coumadin 2.5 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: bayada nurses inc discharge diagnosis: 1. acute cholecystitis/cholangitis 2. choledocholithiasis discharge condition: stable discharge instructions: you were admitted to the hospital with gallstones and bile duct stones and infection from it. you underwent an procedure during which a bile duct stent was placed and some stones were removed. you were seen by surgeons and underwent removal of gallbladder... your coumadin was held for procedures/surgery. you were placed on heparin drip and coumadin restarted after surgery. please have your primary care doctor check your inr within 1-2 days after discharge from hospital you will need to come back for repeat to remove the stent and stones in your bile duct please finish your antibiotic course as prescribed please return to ed for fevers, chills, abdominal or chest pain, shortness of breath followup instructions: provider: 2 (st-4) gi rooms date/time: 12:00 provider: , md phone: date/time: 12:00 patient does not currently have a pcp. cardiologist is dr. in and he regulates her coumadin () dr. on friday at 3:45pm , shariro ( ) procedure: endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy laparoscopic cholecystectomy endoscopic insertion of stent (tube) into bile duct diagnoses: anemia, unspecified unspecified essential hypertension unspecified acquired hypothyroidism cardiac complications, not elsewhere classified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status heart valve replaced by other means long-term (current) use of anticoagulants cholangitis obstruction of bile duct unspecified procedure as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure calculus of gallbladder with acute cholecystitis, without mention of obstruction jaundice, unspecified, not of newborn 

Answer: The patient is high likely exposed to