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: codeine attending: chief complaint: please note: this is cc for icu care (patient surgical admission does not appear to have been documented) failed extubation s/p ercp major surgical or invasive procedure: ercp history of present illness: this is a 38yo morbidly obese female with a past medical history of asthma, sarcoidosis, hypertension and a question of diastolic dysfunction causing congestive heart failure who was admitted to the emergently following an ercp that required an unplanned intubation. . on , patient presented to the ed with ruq pain, nausea and vomiting. a ruq u/s showed cholelithiasis without evidence of cholecystitis. patient was noted to have a mild transaminitis and was admitted to the general surgery service for observation. general surgery note from states that plan for patient was d/c if lfts trending down v. ercp if trending up. all liver function labs from trending down, however, patient transferred east for ercp. patient also planned for cholecystectomy following completion of ercp in days. . this afternoon, the patient was transferred east for ercp. she received ~1.5 l fluids peri-procedure and was ~3l positive yesterday. initially conscious sedation was attempted, however, patient's sats dropped to the mid-80s when adequate sedation was attained. there was a concern that the patient may have aspirated during the procedure. it was noted that she had abundant frothy white secretions as well. per report, she was difficult to sedate requiring 2mg midazolam, 120mg succ, 250mcg fentanyl, and ~1g propofol. per anesthesia, she was given nebs thru her tube during the procedure. a biliary sphincterotomy was performed with minimal sludge noted. pt received one dose of ampicillin with procedure. past medical history: sarcoidosis asthma hypertension h/o chf diastolic dysfunction in setting of htn ef > 60% social history: she works at in the department of medicine. she lives at home with her husband and three children. she denied use of tobacco, alcohol, or illicit drugs. family history: notable for mother with hypertension. no known history of neurologic disease. physical exam: general - intubated, sedated, in nad. cards - rrr, nl s1/s2, no murmurs pulm - intubated, anterior ausultation, clear on limited exam abdomen - obese, hypoactive bowel sounds, soft, non-distended extremities - wwp, 2+ radial pulses, no c/c/e pertinent results: 01:20am blood wbc-6.1 rbc-4.89 hgb-13.0 hct-39.5 mcv-81* mch-26.6* mchc-32.9 rdw-14.1 plt ct-294 01:20am blood neuts-78.8* lymphs-16.9* monos-3.6 eos-0.5 baso-0.2 01:20am blood plt ct-294 06:45am blood pt-13.6* ptt-29.8 inr(pt)-1.2* 01:20am blood glucose-120* urean-7 creat-0.7 na-140 k-3.4 cl-106 hco3-25 angap-12 01:20am blood alt-323* ast-137* alkphos-175* totbili-0.7 05:50am blood alt-84* ast-15 ld(ldh)-138 alkphos-114 amylase-33 totbili-0.7 01:20am blood lipase-31 06:40am blood lipase-123* 05:50am blood lipase-16 06:40am blood calcium-8.1* phos-2.9 mg-1.9 05:18am blood tsh-2.1 01:20am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 11:41pm blood type-art temp-37.0 rates-/15 tidal v-500 peep-5 fio2-40 po2-109* pco2-63* ph-7.28* caltco2-31* base xs-0 -assist/con intubat-intubated 11:41pm blood lactate-1.2 02:45am urine blood-mod nitrite-neg protein-30 glucose-neg ketone-40 bilirub-sm urobiln-0.2 ph-6.5 leuks-neg 02:45am urine rbc-* wbc-* bacteri-many yeast-none epi- ruq ultrasound - cholelithiasis without evidence of cholecystitis. ekg - sinus bradycardia with sinus arrhythmia. normal ecg except for rate since previous tracing of , heart rate slower chest x-ray - et tube is in standard position projecting 3.8 cm above the carina brief hospital course: * note - this d.c summary represents care on the pulmonary and then general medical services. for information on her hospital course prior to her transfer to the icu, please contact dr. . 38f with asthma, sarcoidosis and obesity who required intubation during ercp and was transferred to the icu for failed extubation. history of hospitalization from time of admission to the icu stay is unclear, as there is no written surgical history and patient was admitted initially to the surgical service. . ercp was done including sphincterotomy after baloon extraction of sludge, no stones. . respiratory failure - patient was admitted to the unit after ercp as she was difficult to sedate with desats during a ercp requiring intubation. concern that patient may have aspirated during the procedure vs volume overload as patient has been several liters positive over last 24-48 hours and has uncertain history of chf diastolic dysfunction. could also be due to fact that patient required a large amount of sedation to overcome gag reflex. patient was weaned from ac to ps overnight and then sedation was weaned and patient was extubated without complication and did not experience recurrent respiratory difficulties throughout the hospiatlization. . transaminitis - lfts on icu admission were elevated, began to trend down, patient is s/p ercp with sphincterotomy . pt was on general surgery service, attending , md. was planned for cholecystectomy in next 1-3 days following ercp. as per general surgery plan to discharge from icu to medical team and then would follow up with plan for cholecystectomy in the future. unclear what final plan was as patient was discharged from hospitalist service. on arrival to the hospitalist service, the patient was noted to be afebrile, tolerating regular diet, denying abdominal pain, and transaminitis was resolving on serum assays. pt. was sent home after conferring with surgery who recommended outpatient follow up for evaluation for lap chole in the future. medications on admission: keflex pseudoephedrine loratadine pulmicort 2 puffs discharge medications: 1. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 doses. disp:*2 tablet(s)* refills:*0* pseudoephedrine loratadine pulmicort discharge disposition: home discharge diagnosis: symptomatic cholelithiasis s/p sphincterotomy c/b respiratory failure requiring intubation discharge condition: stable, afebrile, ambulatory, tolerating regular diet, no complaints, moving bowel and bladder without diffculties. discharge instructions: do not take any aspirin or ibuprofen for a week. return to the emergency department for: bleeding in the bowel movements, abdominal pain, nausea, vomiting, fever. followup instructions: with dr. in 3 weeks - call for appointment: (. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube endoscopic sphincterotomy and papillotomy diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension asthma, unspecified type, unspecified sarcoidosis acute respiratory failure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation calculus of gallbladder without mention of cholecystitis, without mention of obstruction obesity, unspecified chronic diastolic heart failure 

Answer: The patient is high likely exposed to