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: service: blue general surgery history of present illness: this is a 59-year-old female with jaundice who underwent an endoscopic retrograde cholangiopancreatography with stent placement who was found to have a stricture of the common bile duct. ct scan revealed a mass at the end of the pancreas overriding the pain, fevers, chills, nausea and vomiting requiring intravenous antibiotics and repositioning the stents and was discharged from the hospital previously. after that admission, she returned for a planned whipple operation. past medical history: significant for hypertension. retrograde cholangiopancreatographies and a right forearm surgery. allergies: she has no known drug allergies. medications: she takes oxycontin, prevacid, and anti-emetics. physical examination: her vitals are afebrile. heart rate of 60. blood pressure 128/76. respiratory rate 16, 98% on room air. her lungs are clear to auscultation bilaterally. her heart was regular rate and rhythm with no murmurs, rubs or gallops. her abdomen is soft, nontender, nondistended, bowel sounds are present. her extraocular muscles were intact. her pupils equal, round and reactive to light. her neck was supple with no lymphadenopathy. she was anicteric. she had 2+ carotids. her extremities were warm and well-perfused with no cyanosis, clubbing or edema. laboratories: her white blood cell count was 3.1, hematocrit of 28.0, platelet count 206,000. sodium 143, potassium 4.1, chloride 110, bicarbonate of 28, bun 6, creatinine 0.5, blood glucose of 96, calcium 8.2, magnesium 1.7, phosphorus 3.8, alt 61, ast 42, alkaline phosphatase of 438, t bilirubin 0.9, albumin at 2.8. her electrocardiogram was normal with no st segment changes. her chest x-ray was normal as well. hospital course: patient was taken to the operating room on where a whipple procedure was performed along with a liver biopsy and cholecystectomy. patient was transferred to the post anesthesia care unit postoperatively. due to low blood pressure, she required neo-synephrine drip and was kept on a ventilator. she spent the night in the intensive care unit. her epidural was shut off at that time in order to increase her blood pressure. patient did well with her epidural off and was able to be extubated. she did well after extubation and was able to be transferred to the floor. she was continued on her intravenous antibiotics at that time and her nasogastric tube was kept to suction. she was started on tpn at that time. she was also transfused for a low hematocrit. the patient did well and she was taken down to radiology where an upper gastrointestinal was performed which showed that her gastrojejunostomy anastomosis was intact and there was no leak. furthermore, she was also taken to interventional radiology where a tube study was performed which showed that the choledochojejunonastamosis was intact and there was no leak and that bile was flowing into the small bowel. at that time the t tube was clamped. physical therapy was consulted to work with her in terms of ambulation and strength. she did well and was able to walk ad lib and tolerate climbing stairs. her nasogastric tube was removed after the upper gastrointestinal and patient had episodes of nausea and vomiting. she was started on anti-emetics including zofran, reglan and erythromycin and her diet was slowly advanced. her jp drain which had high output slowly decreased over time and was removed postoperatively. nutrition was also consulted to assess her ability to take adequate po nutrition. calorie counts were done and the patient was encouraged to take as much high caloric foods as possible. patient had full return of bowel function and did well. her nausea persisted however, her vomiting stopped and patient was advanced to a regular diet. patient did well and was continued on her tpn throughout her hospital course and found that she was able to tolerate adequate po. patient was planned for discharge at this time on only after she is able to tolerate adequate po and take in enough calories to be weaned off of her tpn. please see addendum for change in discharge date and her nutritional assessment. discharge condition: patient is discharged in stable condition. discharge medications: 1. percocet 1-2 tablets po q. 4 hours prn. 2. colace 100 mg po b.i.d. 3. she is also given reglan and erythromycin for her nausea. patient is encouraged to take as much po high calorie foods as possible and nutrition is following her. patient is currently planned for discharge on . discharge diagnoses: 1. pancreatic head carcinoma, status post whipple procedure. 2. hypertension. 3. right forearm surgery. 4. endoscopic retrograde cholangiopancreatography. discharge follow-up: follow-up with dr. in one to two weeks. please see addendum for changes in discharge date and discharge medications. , m.d.,ph.d. 02-366 dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances radical pancreaticoduodenectomy cholecystectomy biopsy of lymphatic structure other cholangiogram open biopsy of liver diagnoses: acidosis unspecified protein-calorie malnutrition malignant neoplasm of head of pancreas hemangioma of other sites other hamartoses, not elsewhere classified 

Answer: The patient is high likely exposed to