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: fever, nausea, vomiting major surgical or invasive procedure: ercp ercp gatroduodenal artery embolization history of present illness: 78 year old woman with a history of htn, hypercholesterolemia presented as transfer from for acute cholangitis. she initially presented on to bilious vomiting, fevers, and malaise for two days where a ruq ultrasound revealed cholelithiasis, cbd=10mm, and blood cultures were positive for klebsiella. she was transferred to where she underwent an ercp that day which revealed cbd dilitation, acute suppurative cholangitis, and multiple gallstones which were removed. also, a sphincerotomy was performed with subsequent bleeding at sphincter site requiring epinephrine injections x3. on she had continued n/v, and noticed melena and syncope x2. she represented to and was again transferred to and underwent a repeat ercp which revealed further sphincter bleeding requiring epinephrine x6, also noted was a non-bleeding gastric ulcer. post-procedure she continued to have hematochezia and dropping hct and emergently had a gastroduodenal artery embolization with resultant stablization of her hct. she was admitted to the icu for close monitoring, and the following day was transferred to the medicine service. on transfer she feels well, denies n/v/f/c, and notes continued hematochezia. past medical history: 1. hypertension - controlled on timolol 2. hypercholesterolemia - controlled on lipitor 3. cholelithiasis 4. diverticulitis 5. s/p ruptured appy social history: the patient is a non-smoker, lives with her husband, and has two grown daughters in the area. she has approximately four glasses of wine per week, denies ivdu. family history: non-contributory physical exam: vitals on transfer: t 98.1 bp 132/68 p112 rr12 98%3l i/o: 1590/2070 gen: pleasant, conversant, nad heent: eomi, perrl, op clear, mmm neck: supple, no lad cv: tachy, regular lungs: decreased air movement at bases bilaterally, ?crackles at left base abd: soft, nt/nd, +bs ext: w/wp, 2+ dp pulses, strength 5/5, sensation grossly intact to light touch neuro: aox3, cn 2-12 grossly intact, gait not tested pertinent results: cbc: 11:45pm wbc-15.8*# rbc-3.02* hgb-9.1* hct-26.2* mcv-87 mch-30.3 mchc-34.8 rdw-14.0 01:51pm blood hct-26.2* (transfused 2 units with appropriate response) 12:50am blood hct-33.0*# 05:37am blood wbc-13.4* rbc-3.93* hgb-12.0 hct-33.1* mcv-84 mch-30.7 mchc-36.4* rdw-13.9 plt ct-120* 11:06am blood hct-33.9* 04:58am blood wbc-10.2 rbc-3.83* hgb-11.7* hct-33.1* mcv-86 mch-30.5 mchc-35.3* rdw-14.0 plt ct-233 lfts: 08:09pm alt(sgpt)-37 ast(sgot)-40 ld(ldh)-173 alk phos-224* amylase-1588* tot bili-4.7* 08:09pm lipase-5034* 03:35am blood alt-26 ast-29 alkphos-170* amylase-770* totbili-2.3* 05:37am blood alt-20 ast-30 ld(ldh)-161 alkphos-121* totbili-1.5 06:15am blood alt-18 ast-26 ld(ldh)-173 alkphos-120* amylase-102* totbili-1.4 04:58am blood alt-18 ast-26 alkphos-125* totbili-1.1 06:15am blood lipase-199* coags: 08:09pm pt-13.6 ptt-25.4 inr(pt)-1.2 tfts: 09:04pm blood tsh-4.4* 09:04pm blood free t4-1.3 ercp (): impressions: active bleeding from the sphincterotomy site. hemostasis was achieved with local epinephrine injection. ulcer in the stomach body without evidence of hemorrhage. diverticulum in the near the area of the papilla. blood in the whole duodenum otherwise normal limited egd to the third part of the duodenum. ir embolization (): impression: no site of active bleeding was detected with selective catheterization of the celiac trunk and sma. prophylactic embolization of the gda was performed with gelfoam. u/a (): 08:53am urine color-straw appear-clear sp -1.010 08:53am urine blood-lge nitrite-neg protein-tr glucose-neg ketone-15 bilirub-neg urobiln-neg ph-6.5 leuks-neg 08:53am urine rbc-89* wbc-0 bacteri-none yeast-none epi-0 ucx (): no growth brief hospital course: 1) gi bleed - the patient was initially medflighted to the the day after ercp/sphincterotomy with a hematocrit of 30.9 up from 28.8 after two units of prbcs, clots on ng lavage and a hypotensive episode on arrival (90/palp). she was, in total given 6 units of prbcs at but continued to have gi bleeding. she underwent another ercp with a second attempt to contol bleeding with 6 epinephrine injections, and subsequently underwent a gastroduodenal artery embolization. after this procedure her hematocrit stabilized and remained approximately 33 for the rest of her hospitalization. on transfer to the floor, she continued to get hct check all of which were stable, and her stool continued to test + for occult blood, but the brbpr had ceased. she required no further transfusions, and had a stable hct for >48 hours on discharge. 2) tachycardia - on transfer to floor the patient was tachycardic between 110s-120s. an ekg was done () which showed sinus tachycardia. initially thought to be due to intravascular volume depletion vs. infection/cytokine release. she was bolused 500cc ns several times over that night without heart rate response. tfts were sent to r/o hyperthyroidism and showed mildly elevated tsh at 4.4 but normal free t4. the following day, she mentioned that she is normally on timolol at home. her tachycardia and slightly elevated bp could have been stopping tomolol during hospitalization. therefore, metoprolol 12.5mg was started (timolol is non formulary) and was increased to 25bid the following day. her heart rate and blood pressure responded well to this. she also underwent an echo to evaluate lv function and rv strain and it showed an ef >55% and normal , with mild tr and ar. she was discharged home with instructions to continue the metoprolol 25 and to stop her timolol until she followed up with her primary physician. 3) infection - the patient was admitted w/h/o acute suppurative cholangitis and klebsiella bacteremia at . she had been placed on a 10 day course of amp/levo/flagyl (started ). on , her dose of flagyl was increased to 500mg from 250mg. she had been afebrile since transfer to the floor, but on she ran a low grade temperature (99s). u/a and ucx were sent and her foley was dc'd. the u/a was negative and the ucx was negative on discharge. the patient also has mental status changes that day, and her mental status was assessed serial by exam and she had no focal neurological findings. that day the sensitivities of the klebsiella were obtained from ; the organism was sensitive to all antibiotics tested except for ampicillin. therefore the ampicillin and flagyl were discontinued and levofloxacin (which the organism was sensitive to) was continued. the patient was discharged at her baseline mental status. 4) increased oxygen requirement - on transfer to the floor the patient was on 3l nc of oxygen. her cxrs ( and ) did not show signs of chf or pna and she was weaned off oxygen without difficulty. incentive spirometry was encouraged. 5) gastric ulcer - the patient was maintained on a proton pump inhibitor during her hospitalization. 6) fen - the patient was kept npo and hydrated with ivf while in the intensive care unit. her diet was advanced slowly and she was tolerating an oral diet on discharge. her lfts and amylase/lipase trended down. her elecrolytes k, mg, phos were repleted as needed. 7) prophylaxis - the patient was kept on a ppi and pneumoboots while hospitalized. sq heparin was not given since the patient had had a bleed. she was ambulatory with assist. pt evaluated her, and felt that there was no acute need for pt. 8) dispo - the patient will follow-up with dr. for elective cholecystectomy. follow-up with dr. as needed. medications on admission: lipitor 10mg daily sulindac klorkon metolaz timolol mvi discharge medications: 1. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days. disp:*5 tablet(s)* refills:*0* 2. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1) suppurative cholangitis s/p ercp, sphincterotomy 2) gi bleed s/p epinephrine injections and s/p gastroduodenal artery embolism 3) hypertension 4) mental status changes discharge condition: stable, tolerating an oral diet, ambulatory, alert and oriented x3. discharge instructions: please take your full course of antibiotics. please do not resume your timolol and instead take the metoprolol twice a day. resume your other medications. please call your physician or return to the emergency department if you notice and fevers, chills, nausea, vomiting, blood in your stool, worsening confusion, abdominal pain, or any other symptoms concerning to you. followup instructions: please follow up with dr. within one week of discharge (). please follow-up with dr. or another general surgeon to have your gallbladder removed. procedure: injection or infusion of other therapeutic or prophylactic substance transfusion of packed cells endoscopic retrograde cholangiopancreatography [ercp] diagnoses: pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia hemorrhage complicating a procedure bacteremia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction cholangitis 

Answer: The patient is high likely exposed to