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: abdominal pain x3days major surgical or invasive procedure: percutaneous cholecystostomy tube placement stent exchanged history of present illness: 25f had and biliary stent placement for mirizzi's syndrome. she was pregnant at the time. she has not had her gallbladder out and she failed to make the appointment to have the stent taken out. today she presents with sharp, non-radiating ruq pain x3days. pain has been consistent, associated with fevers, chills (rigors), severe nausea, and 1 episode of bilious vomiting. denies diarrhea. last bm and flatus 3-4 days ago, but pt. notes that is normal. transferred from this evening where she was treated with /flagyl. past medical history: pmh: none psh: biliary stent placement ( ); 2 c-sections (last in ) social history: lives in , ma with her boyfriend and 2 kids. no a/t/d. family history: nc physical exam: on admission: pe: 99.0 105 114/62 20 100 nad rrr ctab abd soft, non-distended; ttp in the ruq, positive sign. normoactive bs in all 4 quadrants. ext warm/well-perfused with no c/c/e. on discharge: afvss gen: nad aox3 cvs: reg pulm: no resp distress abd: s/at/nd perc drain in place pertinent results: osh labs: wbc 23.9 hct 33.2 plt 318 . na 130 k 2.8 cl 95 bicarb 23 bun 17 cr 1.7 . . admission labs: 08:23pm wbc-18.6* rbc-4.04* hgb-9.3* hct-28.4* mcv-71* mch-23.1* mchc-32.7 rdw-16.5* 08:23pm plt count-287 08:23pm neuts-81.8* lymphs-10.8* monos-7.0 eos-0.1 basos-0.4 08:23pm glucose-92 urea n-20 creat-1.1 sodium-135 potassium-3.9 chloride-103 total co2-21* anion gap-15 08:23pm alt(sgpt)-9 ast(sgot)-12 alk phos-64 tot bili-1.6* 08:23pm albumin-3.6 09:00pm urine ucg-negative 09:00pm urine color-yellow appear-clear sp -1.021 09:00pm urine blood-lg nitrite-pos protein-75 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-7.0 leuk-sm liver/gallbladder u/s: --impression: 1. findings suggestive of acute cholecystitis with mucosal sloughing and necrosis. 2. cholelithiasis without evidence of choledocholithiasis. 3. distal cbd not visualized due to bowel gas. : --findings: esophagus: limited exam of the esophagus was normal stomach: limited exam of the stomach was normal duodenum: limited exam of the duodenum was normal major papilla: a plastic stent placed in the biliary duct was found in the major papilla. the plastic stent was removed using a snare. evidence of a previous sphincterotomy was noted in the major papilla. biliary tree: an occlusion cholangiogram was performed to define the biliary tree. a limited amount of contrast was used due to concern for cholangitis. however, no pus, no thick bile, no biliary stones were extracted from the common bile duct. evidence of extrinsic compression was noted at the middle third of the common bile duct. this was compatible with a stone in the cystic duct as seen previously. due to these findings, a 9cm by 10fr cotton biliary stent was placed successfully. impression: a plastic stent placed in the biliary duct was found in the major papilla. the plastic stent was removed using a snare. evidence of a previous sphincterotomy was noted in the major papilla. an occlusion cholangiogram was performed to define the biliary tree. a limited amount of contrast was used due to concern for cholangitis. however, no pus, no thick bile, no biliary stones were extracted from the common bile duct. evidence of extrinsic compression was noted at the middle third of the common bile duct. this was compatible with a stone in the cystic duct as seen previously. due to these findings, due to these findings, a 9cm by 10fr cotton biliary stent was placed successfully. otherwise normal to third part of the duodenum recommendations: npo today - diet orders as per the primary team. the patient's clinical picture is not explained by these findings - cholecystitis is the most likely cause: further management per dr service. continue iv antibiotics. follow-up with dr. and dr . brief hospital course: 25 year old female with biliary stent placed for mirizzi syndrome , now with acute cholecystitis and concern regarding infected stent. patient had and stent replacement. she also had a percutaneous cholecystotomy tube placed and she was treated with iv antibiotics. by the time of discharge she was tolerating regular diet, afebrile and adequate pain control. she will follow up as an outpatient with for stent removal and with dr. . her drain will remain in place until follow up and she will be placed on po antibiotics. . # acute cholecystitis: the patient was treated with unasyn for her acute cholecysistis. she underwent due to concern for acute cholangitis given the fact that she has had a previous stent. showed that the patient's bile duct stent was working properly and there was no pus in the bile duct. again noted was the stone in the cystic duct, which was felt to be intermittently compressing the common bile duct. for this reason, a stent was again placed in the common bile duct. it was felt that the patient's symptoms were primarily related to acute cholecystitis rather than cholangitis. drain to be left in place until follow up with antibiotics . # anemia: microcytic, likely blood loss, either gi or gu or hemolysis/dic, unclear , at least partially acute (hct 33 at osh). pt did report lightheadedness prior to this event. guaiac negative, denies blood in vomit, report mentrual cycles not particularly heavy. no prior baseline. - blood smear, fibrinogin, hapto, inr, fdp, d bili - q8h hct . # : the patient's kidney fuction improved from the presentation to osh to the time of admission to . it improved with fluid resuscitation. . # non-gap metabolic acidosis: most likely related to fluid resuscitation and gastric losses from vomiting. the patient was given lactated ringers for further volume resusciation and her acidosis resolved. . # urinary tract infection: treated with unasyn as above. . # left black eye: the patient was noted to have a black eye on admission. the patient reported it occurred as an injury related to falling down the stairs. the was concern about physical abuse. social work was consulted medications on admission: none discharge medications: 1. augmentin 875-125 mg tablet sig: one (1) tablet po every twelve (12) hours for 10 days. disp:*20 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: cholecystitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital for an infected gall bladder. you were admitted to the icu for a short peroid of time because you were very sick. we treated your symptoms with the placement of a percutaneous cholecystostomy tube and antibiotics. this tube will stay in place. you are ready to return home until your surgery to remove your gallbladder which will be with dr. at the end of six weeks. however, you must follow-up with dr. in her office in weeks. you will be taking the antibiotic augmentin twice daily for the next 10 days. please take this prescription as written and be sure to finish the entire prescription. the tube in your abdomen will remain in place until your surgery. please monitor the output and empty the drain twice daily. the fluid in this drain should have green/brown drainage, if this turns into frank red blood please seek medical attention or if severe go to the emergency room. if this drain begins to put out more than 50 millileters daily please call the office. follow drain care instructions as ordered, your nurse should provide you with a container to measure the drainage. if you return home and you have increased abdominal pain, nausea, vomiting, fever, constipation, or you are unable to tolerate food please seek medical attention or come to the emergency room if it is severe. please keep yourself well hydrated and take it easy for the next week. please follow a low fat diet, the gall bladder secretes bile which is important for fat absorption and its secretion is stimulate when you eat food and foods especially high in fat. that is why you have pain when you eat so it is best to avoid these foods for now. while you were in the hospital, your heart rate was elevated and your blood pressure at times was elevated. we gave you medication to help with this. it is important that you have your blood pressure and heart rate checked by your pcp within the next 1-2 weeks. please call them to make an appointment. followup instructions: please follow-up with dr. call ( to make an appointment. call pcp to make an appointment for a blood pressure and heart rate check. provider: 2 (st-4) gi rooms date/time: 1:00 provider: , md phone: date/time: 1:00 md, procedure: endoscopic insertion of stent (tube) into bile duct percutaneous aspiration of gallbladder diagnoses: acidosis urinary tract infection, site not specified iron deficiency anemia secondary to blood loss (chronic) acute cholecystitis cholangitis 

Answer: The patient is high likely exposed to