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: pancreatitis, fever, change in mental status major surgical or invasive procedure: none history of present illness: 70 yo f w/h/o cva, dementia, htn, hypothyroidism presented to osh from nh for fevers, increasing somnolence, abdominal pain, n/v x1. pt was admitted to nwh on w/initial vs 100.3 bp 179/98 hr 91 rr 14 97%ra. fever w/u included cxr-unremarkable, labs notable for amylase/lipase 1078/457 respectively. abdominal u/s w/multiple gall stones. abd ct w/moderate inflammatory changes of ruq>luq areas, minimal peripancreatic inflammation around head/body of pancrease. abd ct c/b 25cc contrast extravasation into l arm. conservative management of pancreatitis, surgery consulted and aggreed to continue conservative management of pancreatitis w/ivf resuscitation, npo and pain control. contrast extravasation also managed conservatively with elevation and ice placement, followed by plastics-no surgical intervention. on pt found to be less responsive, febrile 102 w/tachypnea rr 36 using accessory muscles abg on 3.5lnc 7.45/32/88. icu evaluation at nwh, however no micu beds available. transferred to micu for closer monitoring. past medical history: dementia--baseline a&0 x1 self, does not do own adls, had been ambulating w/walker -htn -cva -s/p fall -s/p orif l intertrochanteric fxr -osteoporosis -depression -hypoparathyroidism social history: lives in sunshine nh in . brother=hcp. at baseline does not to own adls. retired nurse. -no tob or etoh use. family history: unknown physical exam: vs: 103.4 rectally, 182/89 110 24 100%2lnc gen: arousable, not interactive heent: perrl, anicteric sclera, dry mm, cracked tongue, no cervical lad resp: cta b/l antly, no wheezing cv: reg nml s1, s2, no m/r/g abd: soft nd/nt, significantly diminished bs, guarding, no rebound ext: no peripheral edema, warm, 2+dp pulses b/l neuro: arousable, does not follow commands, normal reflexes, downgoing toes b/l pertinent results: imaging: osh: cxr--no pna/ptx/chf abd u/s--limited study due to motion; multiple stones in gb abd ct--moderate inflammatory changes ruq>luq; minimal peripancreatic inflammation around head/body of pancreas . labs: osh : amylase 1078; lipase 457 tbili 1.0, dbili0.3; tn-i<0.01 wbc 24.5 hct 43.0 plt 209 : amylase 482; lipase 156 wbc 18.7, hct 38.6 plt 168 abg 7.43/27/85 4lnc : wbc 19.5 hct 39.8 plt 180; ca 6.3 ph 1.2 abg 7.45/32/88 3.5lnc micro data blood--ngt; urine--e. coli pan sensitive transfer to labs: 10:31pm blood wbc-19.7* rbc-4.00* hgb-13.5 hct-39.7 mcv-99* mch-33.8* mchc-34.0 rdw-13.1 plt ct-233 10:31pm blood pt-15.2* ptt-26.5 inr(pt)-1.4* 10:31pm blood glucose-173* urean-10 creat-0.8 na-135 k-3.7 cl-99 hco3-24 angap-16 10:31pm blood alt-48* ast-57* ld(ldh)-878* alkphos-140* amylase-219* totbili-1.2 10:31pm blood lipase-114* 05:10am blood lipase-109* 03:00am blood lipase-72* 10:31pm blood albumin-3.1* calcium-7.8* phos-2.3* mg-1.7 06:24am blood type-art temp-38 o2 flow-4 po2-101 pco2-30* ph-7.48* caltco2-23 base xs-0 intubat-not intuba comment-nasal 10:53pm blood lactate-2.4* . imaging: cxr: there are no old films available for comparison. the heart is mildly enlarged. there is ill-defined pulmonary vasculature redistribution. the hemidiaphragms are poorly visualized suggesting bilateral pleural effusions. there is bilateral lower lobe volume loss. a focal infiltrate cannot be totally excluded. some mildly dilated loops of bowel are seen in the abdomen. impression: 1. fluid overload with bilateral pleural effusions and vascular plethora. . right upper quadrant ultrasound: limited views of the liver demonstrate no focal or textural abnormalities. small stones and sludge are seen within a nondistended gallbladder. there is no gallbladder wall edema or adjacent pericholecystic fluid to indicate acute cholecystitis. common bile duct measures 4 mm and is not dilated. there is no son sign. no ascites is seen in the right upper quadrant. limited views of the right kidney demonstrate no hydronephrosis or calculi. impression: limited study. cholelithiasis and sludge without evidence of acute cholecystitis. no biliary ductal dilatation. . head ct: 1. no evidence of acute intracranial pathology, including no sign of hemorrhage. chronic small vessel infarction as described above. 2. bilateral prominence of the lateral ventricles out of proportion to the degree of brain atrophy. question is raised of communicating hydrocephalus, which should be correlated clinically. . chest/abd/pelvis ct: 1. overall limited examination; however, no definite evidence of pulmonary embolus to the segmental level. 2. extensive severe pancreatitis with no definite evidence of pancreatic necrosis. no comparison exams are available at our institution limiting assessment for change. due to extensive inflammatory changes, the patient is at risk for sequela of severe pancreatitis including necrosis and vascular complications. 3. bilateral pleural effusions and compression atelectasis with no definite evidence of pneumonia. . echo: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is probably normal (lvef 50-60%) (the inferior wall appears hypokinetic on some views, but not all). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: overall low normal lvef. cannot exclude a regioanl wall motion abnormality due to technical limitations. brief hospital course: . #. fevers: fevers to 103.2 on presentation raised concern for sirs vs. biliary sepsis in the setting of pancreatitis and e-coli uti, elevated lactate, and leukocytosis. she was initially treated with meropeneum empirically for biliary infection possibility. upon improvement of pancreatitis, meropenem changed to cipro for pansensitive e. coli uti on .=, however, she developed another positive ua on this regimen and began spiking fevers again, therefore this was changed to ceftazadime on . blood cultures from the osh and were all negative. a ct chest showed b/l pulm infiltrates, but no pna. she defervesced around . all antibiotics were stopped around .(pnemovac and flu vaccine given at osh) . #. pancreatitis: most likely due to gall stones noted on abd u/s at osh. surgery was consulted and did not feel that the patient was a surgical candidate given her multiple other active medical issues. she was treated conservatively with ivf, npo and pain control. a post pyloric daubhoff was placed by for tube feeding. a repeat ct showed extensive and severe pancreatitis, but no sign of necrosis. she was started on sips with modified diet per speech and swallow on and was tolerating thin liquids and ground diet on . . #. delta ms/dementia: multifactorial in setting of infectious process, resolved with improvement of acute issues. baseline ms per report by patients brother is to self only, not independent in adl's. a head ct was done to rule out acute intracranial processes; it revealed atrophy along with enlargement of the ventricals out of proportion to the degree of atrophy. after transfer to the floor, her mental status stabilized and her brother felt that she returned to her baseline on . . #. tachypnea: the patient required supplemental o2 throughout her stay. she was noted to have worsening pulmonary edema by cxr despite diuresis at the osh. she was diuresised with lasix 40 iv prn with good response. the patient's pcp was ; the patient has no documented history of chf (though no recent echo and on standing lasix as outpatient). bilateral pleural effusions were noted on chest ct (negative for pna or pe). a tte was performed to assess for chf which showed low normal ef. she was also treated symptomatically with nebs. she remained stable on room air since transfer to the floor . #. htn: pt's htn managed with metoprolol; this was initially held due to her tenuous original status w/sirs. restarted as blood pressure increased. . #. code: full, confirmed w/brother=hcp . #. contact: brother as noted above and ; sunrise nh medications on admission: at home) -tylenol 1000mg tid -actonel 35mg -namenda 10mg -emabolex 7.5mg daily -toprol xl 50mg daily -lasix 40mg daily . (on transfer) -lovenox 40mg sc daily -synthroid 60mcg iv daiy -pantoprazole 40mg iv daily -lasix 20mg iv daily (received x1day) -lopressor 5mg iv q6hours x3 days -aspirin 81 mg po daily -colace -senna -zosyn 3.375mg iv q8hrs (day1= received for 3 days total) discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for fever. 2. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 3. aspirin, buffered 325 mg tablet sig: one (1) tablet po daily (daily). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 6. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 7. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). discharge disposition: extended care facility: of discharge diagnosis: pancreatitis pulmonary edema hypertension hypothyroidism fever discharge condition: stable. patient is tolerating thin liquids and ground foods and her medications in applesauce. discharge instructions: please take your medication as directed please call your physician if you develop fever, chills, nausea, vomiting, abdominal pain or diarrhea as these may suggest a serious condition. followup instructions: please follow-up with your surgeon , md on 8:15. his phone number is . . please call for follow-up appointment with your primary care physician weeks after your discharge from the extended care facility. procedure: venous catheterization, not elsewhere classified diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism other persistent mental disorders due to conditions classified elsewhere osteoporosis, unspecified calculus of gallbladder without mention of cholecystitis, without mention of obstruction acute pancreatitis 

Answer: The patient is high likely exposed to