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: ibuprofen / levofloxacin / oxycodone / methadone attending: chief complaint: abdominal pain major surgical or invasive procedure: ercp (twice) history of present illness: pcp: , md patient is a 89 yo woman with pmhx sig. for cll and s/p cholecystectomy who presented to with malaise. she started feeling lousy 10 days ago, couldn't put her finger on what was wrong. she felt that she was walking off balance, not in a straight line, but she was not falling over. she felt extremely fatigued, slept more in the afternoon. her son convinced her to see her pcp. had blood work done, found to have elevated lfts. she had no fevers, chills, or nightsweats. she denies any abdominal pain, nausea, vomiting. she has alternating constipation/diarrhea, not necessarily new. no brbrpr, melena. at , u/s showed dilated cbd to 1.5cm and 1.5cm stone. she received unasyn. in the ed, initial vs were: 98.8 65 154/80 18 98%. labs were notable for wbc 12.5, ap 681, tuberculosis 1.6. ercp and surgery were consulted. the patient received home metoprolol. review of systems: (+) per hpi plus: chronic arthralgias (-) denies fever, chills, night sweats. denies headache, sinus tenderness, rhinorrhea or congestion. denies chest pain or tightness, palpitations. denies cough, shortness of breath. no dysuria, urinary frequency. denies rashes. all other review of systems negative. past medical history: coronary artery disease s/p ptca in hypertension hyperlipidemia cll spinal stenosis s/p ccy social history: patient lives alone. her son stays over a couple times a week. she has no vna services. tobacco: never etoh: rare family history: sister died of ovarian cancer. physical exam: vitals: 96.7, 180/84, 66, 20, 99ra, 0/10 pain gen: nad, aox3 heent: perrl, eomi, mmm, sclera sl icteric, not injected neck: no lad, no jvd cardiovascular: rrr normal s1, s2, no murmurs appreciated respiratory: crackles in l lung base abd: normoactive bowel sounds, soft, non-tender, non distended extremities: 1+ edema, 2+ dp pulses neuro: perrl, eomi, face symmetric, no tongue deviation integument: warm, moist, scaly lesions on legs psychiatric: appropriate, pleasant, not anxious pertinent results: admission labs: 10:10pm wbc-12.5* rbc-3.59* hgb-11.4* hct-34.0* mcv-95 mch-31.7 mchc-33.4 rdw-14.4 10:10pm neuts-27* bands-0 lymphs-57* monos-1* eos-2 basos-0 atyps-13* metas-0 myelos-0 10:10pm plt smr-low plt count-136* 10:10pm glucose-108* urea n-29* creat-1.0 sodium-140 potassium-4.2 chloride-106 total co2-27 anion gap-11 10:10pm alt(sgpt)-105* ast(sgot)-133* alk phos-681* tot bili-1.6* 10:10pm lipase-34 10:10pm albumin-3.8 10:10pm pt-12.7 ptt-24.0 inr(pt)-1.1 osh us report--prelim: 1. dilated pancreatic duct (3.5 mm) 2. cyst mid lateral head of pancreas (1.6 cm) 3. dilated cbd 1.5 cm at head of pancreas wtih a 1.5 cm stone in the distal cbd 4. dilated chd adn intrahepatic ducts 5. nl r kidney 6. incidental note - 4.7 cc calcified aaa mi distal aorta osh ct head--prelim: no acute intracranial process. periventricular white matter changes likely c/w sm vessel disease. no fractures. brief hospital course: this is an 89 year old woman with cad (bms vs. des in s/p dual antiplatelet therapy with aspirin and plavix for one year), cll on observation without prior treatments, and cholecystectomy who presented with choledocholithiasis (2 stones in the cbd) and underwent an ercp with stone removal and sphincterotomy complicated by subsequent bleed requiring transfusion and cauterization via repeat ercp and hemodynamic monitoring. she did have significant decline in hct of 10 points with relative hypotension prior to transfusion of 2 units of rbc's. the bleeding was likely secondary to sphincterotomy procedure given active bleeding seen on repeat endoscopy and the need for hemostasis with cautery. she was treated with empiric iv ppi, empiric unasyn, and bowel rest. her asa was held in setting of gi bleed. her anti-hypertensives were also held in setting of bleed. we restarted her diet and bp medications after few days. after transfusion and transfer to the floor, she had continuous melena and small decrease in her hgb and hct from peak of 10.5 to 9.5 and 31.7 to 27.4 respectively that was concerning for continued bleeding, however, no overt continued bleeding was seen after several days and her hematocrit began to improve. regarding her cll, her wbc was 12 on admission and several day into the admission was 32k with lymphocyte predominance consistent with cll following her procedures. this was discussed with her hematologist, dr. , who felt that this is likely reactive to her bleed. i have arranged follow up (see below), and instructed the rehab hospital to surveille her cbc. antibiotics were stopped as there was no clinical cholangitis. her aspirin was restarted as her bleeding had abated, and she has a history of cad and coronary stents. # communication: patient and son (involved in care, lives in , ) or - called him and discussed multiple times, including leaving him a message on day of discharge. medications on admission: simvastatin 80 mg vasotec 10 mg daily toprol xl 25 mg isosorbide ?dinitrate 30 mg daily asa 81 mg daily ntg prn vitamin d and calcium tylenol prn discharge medications: 1. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 2. enalapril maleate 10 mg tablet sig: two (2) tablet po daily (daily). tablet(s) 3. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 4. isosorbide mononitrate 30 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 5. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po twice a day. 6. calcium carbonate 200 mg (500 mg) tablet, chewable sig: one (1) tablet, chewable po three times a day. 7. aspirin low dose 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 8. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tab sublingual q 5 min as needed for chest pain, md if have to take this, max of three doses as needed for pain. 9. toprol xl 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po twice a day. discharge disposition: extended care facility: @ rehab&skd nr discharge diagnosis: blood loss anemia from sphincterotomy biliary stones with extraction discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: we found obstruction of the bile ducts from 2 stones in your common (major) bile ducts. you had sphincterotomy (cut open the main bile duct) and extraction (removal) of these 2 stones. the procedure was complicated with intestinal bleeding and anemia. you received several blood transfusions and your anemia recovered. you also required a second procedure to stop the bleeding (second ercp). followup instructions: for within 2 weeks of leaving @ rehab&skd nr name: , location: hematology oncology address: 1 jr way , , phone: appointment: friday 1:45pm procedure: endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy endoscopic retrograde cholangiopancreatography [ercp] diagnoses: coronary atherosclerosis of native coronary artery acute posthemorrhagic anemia percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia hemorrhage complicating a procedure blood in stool other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic lymphoid leukemia, without mention of having achieved remission calculus of bile duct without mention of cholecystitis, with obstruction benign essential hypertension 

Answer: The patient is high likely exposed to