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: doxycycline / augmentin / e-mycin / codeine / latex / ms contin attending: chief complaint: fever and hypotension major surgical or invasive procedure: none history of present illness: this is a 55 year-old female with a history of chronic pancreatitis who presents with fever. the patient was recently discharged from hospital after a nine day stay for abdominal pain and flare of her chronic pancreatitis. prior to that hospitalization she had been consuming a full liquid diet. she was afebrile during this stay and basically presented for pain, nausea, and vomiting for which she received analgesics, antiemetics, and parenteral nutrition. of note, she also received influenza vaccination and pneumovax yesterday prior to discharge. she had improved, though her pain had not resolved, and she went home yesterday. this morning she woke up with fevers and chills eling feverish. she checked her temperature and it was elevated at 104.1 and thus came to the ed for evaluation. she denies any cough, shortness of breath, chest pain, diarrhea, dysuria, hematuria, or skin issues. regarding abdominal pain she reports her baseline, which is epigastric pain that decreases to 2 or 3 with her prn hydromorphone dose. she also has her baseline mild nausea. otherwise endorsing fatigue and diffuse myalgias. in the ed, initial vitals wer notable for t 102.6, hr 137, bp 102/60, rr 21, and o2 sat of 97% on ra. she then had lower blood pressures mostly in the region of her reported baseline (90's/50's) but dropping as low as systolic values in the 70's. therefore, she received 4 l of fluid with improvement in her tachycardia. initially, she received doses of vancomycin and pipercillin/tazobactam to cover line infections and intraabdominal pathology respectively. ct abdomen and pelvis was negative for any signs of necrosing pancreatitis. because of her hypotension and fever with concern for a line infection she was admitted to the . ros: the patient denies any weight change, vomiting, diarrhea, constipation, melena, hematochezia, chest pain, shortness of breath, orthopnea, pnd, lower extremity oedema, cough, urinary frequency, urgency, dysuria, lightheadedness, gait unsteadiness, focal weakness, vision changes, headache, rash or skin changes. past medical history: -idiopathic chronic pancreatitis -anemia - b/l hct 31-33% -depression -gerd -seasonal allergies -overactive bladder -migraines -s/p ccy -s/p tah social history: she is a non-smoker (for 20 years) and was a social drinker until of this year when she stopped consuming alcohol due to her pancreatitis. she works as a librarian. she is currently living with friends and is widowed. family history: mother died of pancreatic cancer. father's health status unknown. maternal grandmother had multiple myeloma and breast cancer. maternal aunt had breast cancer. physical exam: vitals:97.5 96/64 74 18 99%ra pain: epigastric access: r hickmans ij, c/d/i gen: nad heent: o/p clear, mmm cv: rrr, no m resp: ctab, no crackles or wheezing abd; soft, mild epigastric tenderness, no rebound, +bs ext; no edema neuro: a&ox3, nonfocal skin: no changes psych: calm . pertinent results: no leukocytosis hgb 11.7-->9.8 after 4l ivfs, stable x48hours chem: bun 18, creat 0.9 lipase 51 k 3.7, mag 2.1 lfts mild elevation on admission-->normalized, alk phos wnl . ua negative ucx negative . blood cx x2, x1 ntd . . imaging/results: cxr: essentially normal . ct a/p c contrast: no pseudocyst or necrotizing pancreatitis. rml opacities c/w aspiration or infectious process, stable seg iv hemangioma, small hh, right upper pole renal cyst stable brief hospital course: 55year old female with chronic idiopathic pancreatitis on tpn via r hickman recently d/c'd from osh 1 day pta for pancreatits flare, presented next am with fevers. states her pancreatitis was not well managed at osh but they would not transfer her to , so she decided to be discharged. on discharge, recieved flu and pneumovax vaccines. did not resume tpn that day. got home and had pain and emesis during which she may have aspirated and had po. next am, had fevers reported 104 at home. came to er, febrile 102.6, transient hypotensive in er to 70sbp (baseline 90sbp), recieved 4l ivfs and was admitted to for possible sepsis. empiricallly started on vanc/zosyn. hickman site looked good. ua negative. remained afebrile and hds throughout micu stay after the initial intervention. admission ct a/p negative but reveal rml infiltrate c/w aspiration event. transfered to gen med on . she remained afebrile, good sats on ra, all cx (including from hickman line) remained negative, thus the abx were stopped by . rest of hospital stay, her biggest complaint is continued epigastric pain and nausea as she did not feel her flare was controlled. was placed on npo, tpn started, recieved iv dilaudid/zofran for next 4days. walk ambulating okay, looked comfortable. by time of discharge, was tolerating cld. vna services will resume tpn (continuous and will need to wean as she takes po) and her previous regimen of po dilaudid, fentanyl, and phenergan. no medication changes were made, rx given for dilaudid, fentanyl, phenergan for 10day supply. . progress note is below for details: . fever: febrile in er, no leukocytosis, thus far w/u negative, blood cx ntd, no hickman site infection and low suspicion. s/p vanc/zosyn x1 day, pt has been afebrile. ddx: viral syndrome vs aspiration event vs less likely hickman infection. -s/p vanc empirically for possible line infection, d/c'd since since cx negative -as for possible source of fever, ct on admission with rml opacities and pt reports recent emesis and possible aspiration which makes this likely. currently on ra -cis . . hypotension: transient hypotension in setting of fever in er concerning for sepsis. pt had po, off tpn, insensible losses for day pta so likely volume depletion. normalized after 4l ivfs and now stable at baseline sbp 90-100s w/o evidence of sepsis . . chronic pancreatitis flare: pt states that pain has not been controlled and flare has been ongoing despite discharge from osh. ct a/p on admission no acute process -on dilaudid 1mg q4iv prn-->po dilaudid on discharge, fentanyl patch 75mcg, phenergan 12.5 iv q6prn, zofran iv -tpn resumed, tolerating some clears, will place on continuous tpn until tolerates more po -dr aware of admission. . . : creat 1.2 on admission, resolved to baseline with ivfs, 0.8 . . anemia, acd: hgb 11.7-->9s after ivfs, stable, at baseline, monitor. . . depression/insominia: cont zoloft, wellbutrin, trazadone at home doses . . bladder hyperactivity: detrol 1mg . . constipation: baseline bm q3-4days -senna, docusate, add dulcolax prn . . gerd: omeprazole 20mg . . allergic rhinitis: 60mg medications on admission: 1.tolterodine 1 mg tablet po bid 2.fentanyl 75 mcg/hr q72 hr 3.hydromorphone 2 mg po q4h 4.promethazine 25 mg po q6h prn 5.bupropion sustained release 450 mg po qam 6.sertraline 50 po daily 7.trazodone 150 mg po qhs 8.docusate sodium 100 mg po bid 9.omeprazole 20 mg po bid 10.senna 2 tablets po qhs 11.ondansetron 4 mg po q8hrs:prn 12. fexofenadine 60 mg po bid discharge medications: 1. tolterodine 1 mg tablet sig: one (1) tablet po bid (2 times a day). 2. fentanyl 75 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). disp:*5 patch 72 hr(s)* refills:*0* 3. bupropion 150 mg tablet sustained release sig: three (3) tablet sustained release po qam (once a day (in the morning)). 4. trazodone 50 mg tablet sig: three (3) tablet po hs (at bedtime) as needed. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 7. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 8. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 9. dilaudid 2 mg tablet sig: one (1) tablet po every 4-6 hours. disp:*50 tablet(s)* refills:*0* 10. promethazine 25 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. disp:*40 tablet(s)* refills:*0* 11. zofran 4 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. 12. senna 8.6 mg tablet sig: 1-2 tablets po at bedtime as needed for constipation. discharge disposition: home with service facility: critical care systems discharge diagnosis: aspiration pneumonitis, transient chronic pancreatitis flare on tpn discharge condition: good discharge instructions: you were admitted with fevers likely because you aspirated while vomiting. you remained afebrile here. your low blood pressure was likely from you not taking any po and no tpn, it improved with iv fluids and remained at your baseline. resume your previous meds. you are given prescriptions for dilaudid, fentanyl, phenergan until your follow up followup instructions: provider: , m.d. phone: date/time: 10:30 procedure: parenteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified esophageal reflux pneumonitis due to inhalation of food or vomitus chronic pancreatitis 

Answer: The patient is high likely exposed to