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: no known allergies / adverse drug reactions attending: chief complaint: pancreatitis major surgical or invasive procedure: intubation x 2 extubation x 1 tracheostomy placement history of present illness: the patient is a 77 yo woman with a history of ovarian cancer who presented to hospital on with left chest pain/copd exacerbation. a chest ct on admission showed a large complex mass between the stomach and pancreas. she was receiving treatment for a copd flare (cetriaxone, azithromycin, prednisone, alb/atrov nebs/morphine) with a plan for outpatient evaluation of this mass when she developed a sudden onset of severe abdominal pain on hospital day 4, with a lipase >. she has had several ct scans and an mri which show that the mass is complex, and from what they can see, doesn't seem to be the source of pancreatitis. most recent ct continues to show severe, necrotizing pancreatitis. they are unable to biopsy mass due to pancreatitis. gi there thinks she needs an eus to evaluate the mass and to see if it is somehow implicated in this severe pancreatitis. she has no history of etoh abuse, and no gallstones. she has been afebrile and has not received antibiotics. she had a picc placed for initiation of tpn. of note, her hospital course has been complicated by a fall, resulting in an anculated and displaced wrist fracture. she underwent a closed reduction of the wrist fracture under local anesthetic. she was transferred here for a possible eus for further evaluation of pancreatic mass in the setting of acute necrotizing pancreatitis. review of systems: (+) per hpi (-) denies starting new medications. all other review of systems negative. past medical history: mild dementia h/o ovarian ca gout bipolar - not active major depression nephrolithiasis thalassemia minor, s/p right hemiarthroplasty ?copd - has not carried this diagnosis before, but clinically presented with copd flare and improved with treatment allergies: nkda social history: lives with her daughter. denies smoking, drinking or any drugs. family history: vertebral malignancy physical exam: physical exam on admission: vs: 98.0 183/92 117 22 95%3l repeat: 98.3 150/86 104 16 93%3l gen: moderate-severe distress due to pain; audible wheezes heent: no trauma, pupils round and reactive to light and accommodation, no lad, oropharynx clear, no exudates cv: regular rate and rhythm, no murmurs/gallops/rubs pulm: loud expiratory wheezes bilaterally gi: soft, non-tender, non-distended; no guarding/rebound ext: no clubbing/cyanosis/edema; 2+ distal pulses; peripheral iv present; right arm with stent/bandage in place neuro: alert and oriented to person, place and situation; cn ii-xii intact, motor function globally derm: no lesions appreciated pertinent results: labs on admission: 03:20am blood wbc-20.0* rbc-5.58* hgb-11.2* hct-37.3 mcv-67* mch-20.1* mchc-30.1* rdw-15.9* plt ct-383 03:20am blood neuts-87* bands-3 lymphs-4* monos-6 eos-0 baso-0 atyps-0 metas-0 myelos-0 nrbc-2* 03:20am blood pt-12.4 ptt-20.1* inr(pt)-1.0 03:20am blood glucose-131* urean-60* creat-0.8 na-150* k-4.5 cl-114* hco3-28 angap-13 03:20am blood alt-14 ast-10 ld(ldh)-272* alkphos-64 totbili-0.8 03:20am blood lipase-150* 03:20am blood probnp-798* 07:56pm blood ck-mb-6 ctropnt-0.12* 03:20am blood albumin-2.7* calcium-9.4 phos-3.1 mg-2.5 07:56pm blood tsh-0.11* 07:56pm blood vitb12-1252* 03:56am blood hapto-288* . urine studies on admission: 07:56pm urine color-yellow appear-clear sp -1.024 07:56pm urine blood-sm nitrite-neg protein-30 glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.5 leuks-neg 07:56pm urine rbc-8* wbc-2 bacteri-none yeast-none epi-<1 07:56pm urine casthy-1* 07:56pm urine hours-random urean-1258 creat-80 na-12 k-53 cl-33 07:56pm urine osmolal-671 . labs prior to death: 04:40am blood wbc-17.2* rbc-3.71* hgb-9.8* hct-31.6* mcv-85 mch-26.4* mchc-31.0 rdw-22.2* plt ct-384 03:47am blood neuts-87* bands-0 lymphs-9* monos-2 eos-1 baso-1 atyps-0 metas-0 myelos-0 04:40am blood pt-13.9* ptt-24.7 inr(pt)-1.2* 04:40am blood glucose-129* urean-98* creat-2.5* na-143 k-4.0 cl-108 hco3-20* angap-19 04:40am blood alt-111* ast-67* ld(ldh)-369* alkphos-442* totbili-3.3* 07:30pm blood ck-mb-1 ctropnt-0.15* 11:14am blood type-art rates-/25 tidal v-500 peep-10 fio2-70 po2-59* pco2-33* ph-7.42 caltco2-22 base xs--1 intubat-intubated vent-spontaneous . pertinent imaging studies: cxr: no previous images. left subclavian picc line extends to at least the upper portion of the svc where it is difficult to assess in the mediastinum. low lung volumes may account for some of the prominence of central vessels. however, there is some increased opacification in the retrocardiac region on the left with poor definition of the hemidiaphragm. this raises the possibility of lower lobe pneumonia and possible effusion. . cta torso: 1. peripancreatic fluid collections and inflammation consistent with a known underlying pancreatitis with no significant pancreatic necrosis identified. high-density material is present within a "pseudocyst" projecting off the pancreatic tail into the lesser sac and is consistent with internal hemorrhage. the amount of blood within the cyst is essentially unchanged dating back to exam and would not account for recent hematocrit drop. there is suggestion of a possible small residual pseudoaneurysm off the splenic artery measuring 3-4 mm. this may self thrombose, but depending on patient's clinical status a dedicated angiogram could be performed (would recommend waiting until at least tomorrow given the high contrast dose of current exam). the vasculature remains patent without any thrombosis. 2. interval increase in size to moderate left and small right pleural effusions result in near complete atelectasis of the left lower lobe and partial atelectasis of the right lower lobe. interval increase in amount of intra-abdominal and pelvic ascites as well as degree of soft tissue anasarca. 3. bilateral hypoattenuating renal lesions, some of which are too small to characterize and others which are clearly simple cysts, unchanged from outside exams. 4. tip of og tube within the gastric antrum. . lenis: limited examination due to soft tissue edema and swelling. among the calf veins, only the left posterior tibial veins were seen. no dvt seen within visualized vessels. . ruq u/s: no ultrasound evidence of cholecystitis. . cxr : dense opacification at the left lung base is probably due to a combination of small left pleural effusion and substantial left lower lobe atelectasis, given leftward mediastinal shift, rather than pneumonia. mild cardiac enlargement is stable. upper lungs are clear of consolidation, but there is still mild residual left perihilar edema, and the hilar vasculature is still dilated. et tube and right internal jugular line, left pic catheter are in standard placements. nasogastric tube passes below the diaphragm and out of view. no pneumothorax. . wrist x-ray: in comparison with study of , overlying cast greatly obscures detail. there appears to be some increased bone formation about the previously described fracture of the distal radius with continued separation of the ulnar styloid process. . head ct: no evidence of an acute intracranial abnormality. . ct torso: 1. interval development of large right lateral abdominal wall/flank extraperitoneal hematoma. active extravasation cannot be assessed without intravenous contrast. 2. unchanged hemorrhagic pseudocyst near the pancreatic tail without any findings of new interval bleeding. overall, slight decrease in the quantity of eripancreatic/intraabdominal/intrapelvic fluid. 3. slight decrease in soft tissue anasarca. decrease in bilateral pleural effusions, which are now small. 4. unchanged non-obstructive right lower pole renal calculi. 5. single new right upper lobe ground-glass opacity is nonspecific and may represent area of developing pneumonitis. . ruq u/s: 1. no evidence for portal or hepatic vein thrombosis. 2. gallbladder sludge. . ct torso: 1. stable bilateral pleural effusions and adjacent compressive atelectasis; however, underlying infectious process cannot be completely excluded in the correct clinical setting. 2. stable ground-glass opacity in the right peripheral upper lung zone. ground-glass opacity in the left upper lobe, new since . findings may represent infectious process, other considerations are edema versus hemorrhage. 3. hemorrhagic pseudocyst near the pancreatic tail is slightly decreased in size compared to the most recent prior without evidence of new interval bleeding; however, active extravasation cannot be excluded in the absence of iv contrast. 4. stable amount of free fluid within the abdomen with fluid collections noted along the lesser curvature and liver hilum relatively unchanged since . 5. stable to slightly decreased right lateral abdominal wall/flank extraperitoneal hematoma/ hemorrhagic fluid, this is contiguous posteromedially with the enlarged right psoas muscle. active extravasation cannot be evaluated in the absence of iv contrast. 6. stable soft tissue anasarca. 7. stable left renal hypodensity likely consistent with cyst. stable nonobstructive renal calculi in the right kidney. brief hospital course: hospital course this is a 77yo f w dementia, and copd who was transferred to for pancreatitis, and atrial fibrillation and subsequently developed respiratory distress in the setting of pna and fluid overload. her course was complicated by multiple pneumonias, a retroperitoneal hematoma and acute renal failure. ultimately she was made comfortable and died on at 9:30am. hospital course by problem list: . # respiratory failure: pt was intubated on in the setting of ams and hypoxic respiratory failure. she was found to have a pna and worsening fluid overload in the setting of aggressive fluid hydration for pancreatitis. she was treated w a course of vanc/zosyn for vap and then was diuresed (once she was medically stable. she was s/p 1 failed trial of extubation thought to be continued fluid overload and poor nutritional state. she extubated and re-intubated on . a trach was placed on . subsequently she developed a new vap on ct of the chest and was placed back on abx. oxygen requirments continued to worsen and she was made comfortable on . . # sepsis: she was intermittently septic requiring pressors during her hospitalization. likely causes were from ventilator-acquired pna. ultimately prior to her death, her wbc rose and she required more ventilatory support, suggesting a pneumonia as the cause for her sepsis and death. . # acute pancreatitis: imaging on admission demonstrated acute pancreatitis c/b with internal hemorrhaging. no clear inciting etiology was identified. she was managed conservatively with bowel rest and fluid resuscitation. patient remained intermittently febrile throughout admission, with periodic decreases in hct, eventually thought to be secondary to an infected hemorrhagic psuedocyst. underlying cause of pancreatitis was never fully understood. her pancreatitis seemed to improve during her admission because lipase trended down to normal. . # rp bleed: she developed a spontaneous retroperitoneal bleed in her right flank which was seen on ct scan on . her hematocrit dropped to 21 and she was transfused several units of prbcs. the bleed stopped spontaneously without intervention. . # hyperbilirubinemia: patient's tbili rose over course of admission, predominantly direct on fractionation. ruq u/s w/o signs of cholecystitis. this was thought to be medication (zosyn) or tpn related. patient completed 10d of zosyn, tpn was switched to fat-free, and then patient was transitioned to tube feeds. her t. bili trended down after the tpn was stopped. her lfts trended up, thought to be due to medications, but these were stable. . #. atrial fibrillation: patient w/ new onset atrial fibrillation this admission, requiring amiodarone gtt. she was loaded with amio and then placed on an amiodarone gtt for a 10g load. she converted back to sinus rhythm and the amiodarone was stopped. she was placed on diltiazem po to control her rate. . # cardiac ischemia: patient developed st elevations and troponin elevation on in setting of new onset afib, w subsequent downtrending of troponins. her elevated troponins was likely due to demand ischemia. she was not thought to have an st elevation mi. . #. right wrist fracture: due to fall at osh. closed reduction at osh, no plan for surgical intervention. orthopedics saw her and changed her splint during this admission. she was not placed in a cast. . #. acute renal failure: creatinine rose intermittently during her hospitalization in the setting of a lasix gtt and also getting iv contrast. ultimately her renal failure was likely from underlying sepsis and atn. . #. end of life care: ms. was made dnr early on her hospitalization. she required ventilator support and failed a trial of extubation. she had a trach placed on . when she developed a new vap and clinically became worse, her family decided to focus her care on comfort. antibiotics were discontinued on . she expired on at 9:30am. an autopsy was requested by her family. medications on admission: home medications: aricept depakote 2 tabs qhs (for the past 2 years) allopurinol namenda "respiratory medications" medications from hospital: advair 250 1 inh albuterol nebs q4h prn whieezing/sob aricept 10 mg po daily colace 100 mg po bid prn d5 1/2 ns @ 125cc/h dilaudid 3 mg q2h prn severe pain, 2 mg q2h prn mod pain dulculoax 10 mmg pr prn namenda 10 mg po daily robitussin elixir 5 cc q4h prn cough singulair 10 mg po hs solu-medrol 40 mg iv q12h tylenol 650 mg op q4h prn pain valproic acid 250 mg per 5 cc 500 mg po bid zorfan 4 mg iv q6h prn n/v allopurinol 300 mg po daily (not on abx) discharge medications: pt expired discharge disposition: expired discharge diagnosis: pt expired discharge condition: pt expired discharge instructions: pt expired followup instructions: pt expired procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances temporary tracheostomy diagnoses: pneumonia, organism unspecified acute kidney failure with lesion of tubular necrosis gout, unspecified atrial fibrillation other persistent mental disorders due to conditions classified elsewhere acute respiratory failure major depressive affective disorder, single episode, unspecified other ascites diarrhea nontraumatic hematoma of soft tissue chronic obstructive asthma with (acute) exacerbation hepatic encephalopathy ventilator associated pneumonia systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction acute pancreatitis other thalassemia cyst and pseudocyst of pancreas hemoperitoneum (nontraumatic) aftercare for healing traumatic fracture of other bone other acute and subacute forms of ischemic heart disease, other other fluid overload 

Answer: The patient is high likely exposed to