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: no known allergies / adverse drug reactions attending: chief complaint: common bile duct stricture major surgical or invasive procedure: ercp with biliary stent exchange history of present illness: 51f with h/o cbd stenosis s/p stent placement transferred from osh for ercp. pt initally presented to osh c/o 3 weeks of progressive weakness, intermittent vomiting and diarrhea. labs notable for electrolyte abnormalities, normal, ast/alt 47/19, elevated alk phos 250, tbili 1.3, alb 1.4, lipase 58, amylase 70. admitted for presumed acute on chronic pancreatitis. abdominal ct showed diffuse colonic thickening thought secondary to anasarca. intubated for acute respiratory failure thought secondary to aspiration vs volume overload vs ards. course also complicated by alcohol withdrawal seizures. acute pancreatitis resolved but lfts continued to fluctuate, concerning for biliary obstruction. pt has cbd stent changed q3 months, last 3/. transferred to on vent for ercp exchange of biliary stent. on arrival to the micu, patient's vs remained stable. past medical history: -alcoholism -chronic pain syndrome, on dilaudid -chronic pancreatitis -severe protein calorie malnutrition previously on tpn via hickman catheter dc/d in due to candidemia -anxiety/depression -dm secondary to pancreatic insufficiency, h/o honk -lue dvt in setting of picc line -thrombosis of pancreatic smv and splenic veins -cbd stricture s/p stent placement ; stents changed q3 months social history: per previous admissions and osh report: smokes 1ppd. history of etohism with 5-6 rum drinks daily. h/o rehab stay. lives with husband and two children. family history: unable to obtain (pt intubated) physical exam: vitals: 97.7 100/67 p88 r24 general: intubated, opens eyes to voice heent: sclera anicteric, mmm, small amount of dried blood noted on lips, 1cm laceration noted below lower lip on left side, perrl neck: supple, jvp not elevated cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly, no rebound or guarding gu: foley in place ext: warm, well perfused, 2+ pulses pertinent results: 05:26pm type-mix po2-41* pco2-51* ph-7.43 total co2-35* base xs-7 02:30pm glucose-157* urea n-24* creat-0.2* sodium-141 potassium-3.6 chloride-99 total co2-35* anion gap-11 02:30pm alt(sgpt)-212* ast(sgot)-108* ld(ldh)-218 alk phos-1339* amylase-28 tot bili-1.6* 02:30pm albumin-4.2 calcium-9.3 phosphate-3.3 magnesium-2.1 02:30pm wbc-8.8 rbc-2.95*# hgb-9.6*# hct-28.8*# mcv-98 mch-32.4* mchc-33.2 rdw-19.5* 02:30pm pt-11.1 ptt-31.7 inr(pt)-1.0 brief hospital course: 51f with h/o cbd stenosis s/p stent placement recently admitted to osh with acute on chronic pancreatitis c/b respiratory failure, transferred to for ercp exchange of biliary stent. active issues: #respiratory failure: intubated at osh for acute respiratory failure thought to be due to aspiration vs volume overload vs ards in setting of pancreatitis. ventilator settings on admission were: mode cmv, fio2 60%, rate 14, tidal volume 400ml and were unchanged at time of transfer. o2 saturation 98-100%. cxr on admission showed appropriate et tube placement, no signs of infiltrate, effusion or volume overload. patient remained on ventilator for ercp. #biliary obstruction: pt has h/o severe cbd stenosis with biliary stent; overdue for stent exchange (last changed 3/). lfts intermittently elevated at osh this admission. concern for biliary obstruction given alk phos elevation to 1339. ercp was performed, during which sludge was extracted from the cbd, the pervious stent was removed and two new biliary stents were placed. esophageal candidiasis was incidentally noted during the procedure. patient tolerated the procedure well. a small amount of blood oozing from site of stent placement was noted during ercp and patient was given 15mcg ddavp. patient tolerated procedure well and vital signs remained stable. pt was transferred back to hospital for continued care. inactive issues: #acute on chronic pancreatitis: likely secondary to alcohol abuse. resolved per osh report. #abnormal ct abdomen: 'diffuse intestinal thickening' on osh ct thought to be likely secondary to anasarca. #dm: likely secondary to pancreatic insufficiency in the setting of chronic pancreatitis, on glimepiride at home. admission glucose 157. sliding scale insulin ordered, none administered prior to transfer. #cachexia/malnutrition: initial albumin 1.4 at osh, 4.2 on admission after 2 weeks daily albumin at osh. initially on tpn, then tube feeds at osh. patient was kept npo for ercp. medications on admission: -duonebs q6 hours -ativan 0.25mg iv bid -insulin sliding scale -lasix 40mg iv bid -aldactone 50mg po daily -lovenox 30mg sc daily -bacid 1 po daily discharge medications: -ativan 0.25mg iv bid -insulin sliding scale -heparin 5000 unit sc tid discharge disposition: extended care discharge diagnosis: common bile duct stricture esophageal candidiasis discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: bedbound. discharge instructions: dear mrs. , you were sent to for a procedure called endoscopic retrograde colangiopancreatography (ercp). during the ercp, your common bile duct was drained and your biliary stent was replaced with two new stents. you will return to hospital for continuation of your care. followup instructions: follow-up with gastroenterology for repeat endoscopic retrograde colangiopancreatography (ercp) in 3 months for biliary stent removal and possible revision. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours endoscopic retrograde cholangiopancreatography [ercp] replacement of stent (tube) in biliary or pancreatic duct diagnoses: thrombocytopenia, unspecified tobacco use disorder unspecified protein-calorie malnutrition dysthymic disorder acute respiratory failure cachexia personal history of venous thrombosis and embolism obstruction of bile duct other and unspecified alcohol dependence, unspecified other specified diseases of pancreas candidal esophagitis edema secondary diabetes mellitus without mention of complication, not stated as uncontrolled, or unspecified 

Answer: The patient is high likely exposed to