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: penicillins attending: chief complaint: abdominal pain major surgical or invasive procedure: laparscopic converted to open cholecystectomy with adhesion lysis exploratory laparotomy a-line placement ij line placement ercp with stent placment history of present illness: ms. is a 63yo woman with h/o chronic cholecystitis who initially presented for day surgery for a laparoscopic cholecystectomy on . her procedure was converted to an open cholecystectomy because of difficulty with adhesions. there was some minor bleeding in the "hepatic fossa" per the op note; ebl was 140cc. she was extubated without difficulty after the operation, and she was admitted to the surgical floor post-op for monitoring. . overnight, she had problems with persistent abdominal pain for which she received iv morphine, dilaudid and was put on a pca pump. she had nausea and dry heaving but no frank emesis, although there was some concern from the team that she may have aspirated. her urine output fell off and she complained of dizziness with standing. she was receiving standard post-op fluids at 115cc/hr overnight. . at 8am on the morning of transfer, she triggered for marked nursing concern in the setting of increasing oxygen requirement (dropped from 99 to 90% on 2l) and poor urine output. a bladder scan showed 154cc of urine and a foley was placed. she was noted to have crackles and be wheezing. she was started on antibiotics with /flagyl/levo for possible pneumonia. in the setting of her worsening clinical status, she was transferred to the medical icu for further care. . upon arrival to the icu, she was sleepy but answering questions appropriately. she had pain with deep inspiration or movement. . of note, ms. reports having a slight non-productive cough prior to her surgery. otherwise had been feeling well. no fatigue, fevers, or chills. past medical history: hypertension lichen sclerosis hypothyroidism osa on cpap attention deficit disorder s/p tah for uterine abscess (per prior notes) s/p appendectomy social history: works as a school teacher. lives alone. has three children who live nearby. smoked in the past but quit around age 30. has one glass of wine per week. no drugs (per family). . family history: +dm, asthma, and htn in brother physical exam: 100.3 108/50 103 17 96% on 40% face mask sleepy but rousable with some effort. oriented to family, place, and year. face symmetric, pupils equal but small b/l. no scleral icterus. op clear. mmm. neck supple, no thyroid enlargement or adenopathy. s1, s2, regular tachycardia, +2/6 systolic murmur at apex. no rub. decreased breath sounds at bases with bronchial breath sounds at right base. + expiratory wheeze. tender throughout her abdomen, especially at ruq. +peritoneal signs with rebound and guarding present. bowel sounds are present. able to move all her extremities with significant urging. no tremor. finger grip intact b/l. no le edema b/l. dp+1 b/l. no rash. pertinent results: 10:02am blood wbc-8.9 rbc-3.38* hgb-10.4* hct-31.9* mcv-95 mch-30.8 mchc-32.5 rdw-13.3 plt ct-331 10:02am blood neuts-86.0* lymphs-8.3* monos-5.0 eos-0.5 baso-0.1 10:02am blood pt-12.0 ptt-25.3 inr(pt)-1.0 10:02am blood glucose-119* urean-33* creat-2.5*# na-135 k-4.6 cl-99 hco3-24 angap-17 10:02am blood alt-131* ast-104* ld(ldh)-207 alkphos-69 totbili-0.5 10:44pm blood lipase-436* 03:45am blood lipase-1149* 10:44pm blood alt-85* ast-75* alkphos-60 amylase-163* totbili-1.0 dirbili-0.5* indbili-0.5 03:45am blood alt-87* ast-77* ld(ldh)-216 alkphos-70 amylase-500* totbili-1.1 10:02am blood calcium-9.1 phos-5.8* mg-2.0 01:44pm urine osmolal-533 01:44pm urine hours-random urean-568 na-72 uric ac-51.3 01:44pm urine casthy-4* 01:44pm urine rbc-0 wbc-0 bacteri-none yeast-none epi-<1 01:44pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 01:44pm urine color-yellow appear-clear sp -1.014 bal 1:08 am bronchoalveolar lavage gram stain (final ): 3+ (5-10 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. 1:00 pm sputum source: expectorated. gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 1+ (<1 per 1000x field): gram negative rod(s). 1+ (<1 per 1000x field): gram positive cocci in pairs. respiratory culture (preliminary): sparse growth oropharyngeal flora. influenza dfa negative brief hospital course: 63yo woman admitted after open cholecystectomy and transferred to the icu in the setting of persistent post-op pain, hypoxia, and decreased urine output. . # leukocytosis and fever: unclear cause. however on investivgation her cxr was suggestive of infection. given history of recent emesis, may have been from aspiration. on transfer to she was very tachypnic and later the day of transfer she required intubation due to increased work of breathing. she also had a-line and central line placed. also we were concerned about other posible abdominal sources of infection given persistent, severe post-op pain. surgery closely followed the pt while in and due to her presistant pain, increased abomnial distension, and fevers they were concerned about abdominal process. on she had a repeat ercp without albnormality. they she was taken back to or for exploratory lap without casue of fevers and pain found. back in the she had a brochoscopy with bal, and the showed increased thick secretions in rml concerning for aspiration pna. she was continued on tx with vanc/levo/flagyl. her wbc started to trend down and she was transferd to the sicu for closer post operative monitoring. she had a negative flu test. sputum cultuers showed _____. . # acute renal failure: was thought to be prerenal. cr up to >2 on day of admission. given aggressive ivf and it improved to 1.2. medications were renally dosed. . # altered mental status: this as likely from narcotic pain medications, but also partially likely from hypercarbic respiratory failure. alternatively, altered mental status may have been a sign of developing sepsis. at transfer pt was sedated and intuabted. . # respiratory acidosis: be due to underlying osa/chronic hypoventilation vs decreased respiratory drive while on narcotics. she had an a-line placed on day of admission. she will need cpap again once extubated. . # pain control: was very difficult to control. changed from demerol to fentynl. after ercp and ex-lap pain was thought to be mainly from regular post op recovery. . # pancreatits: lipase became elevated as abd enlarged and was more tender. i/o monitored to keep pt hydrated, but not compromise resp funciton. . # anemia: baseline hct 36, at admission was hct 29. hct was serially monitored. active type and screen. negative hemolysis labs. . # htn: home meds were held dut to concern for hypotension due to shock. . # hypothyroidism: continued on levothyroxine . # add: held home adderall . # comm: with surgery ( ) and family (daughter is hcp ) was transfered from to sicu on for closer post operative care by surgery. patient continued to recover on the floor. currently she is up ambulating independently, on regular diet and tolerating well. abdominal incision is oozing small amounts of fluid. dressing changes done daily. she is still having problems with urinary incontinence. urine culture and analysis negative with no urinary retention. will have her follow up with dr. . she will also follow up with dr. . medications on admission: home meds (confirmed with family): ibuprofen 800mg daily lisinopril/hctz 20/25mg daily synthroid 150mcg daily adderall 20mg daily prn project/study needs mvi daily discharge medications: 1. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 2. levothyroxine 75 mcg tablet sig: two (2) tablet po daily (daily). 3. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 4. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 5. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 6. levofloxacin 750 mg tablet sig: one (1) tablet po q24h (every 24 hours). disp:*2 tablet(s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 8. bed semi-electric bed for home dx; asp. pneumonia/abd. incision discharge disposition: home with service facility: vna discharge diagnosis: primary diagnosis: cholecystitis discharge condition: stable discharge instructions: you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. please call your doctor or return to the emergency room if you have any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: provider: , md phone: date/time: 3:00 please follow up with your primary care provider weeks to obtain chext x-ray to ensure pneumonia has resolved. provider: . (urologist) monday at 9:30 building . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization cholecystectomy closed [endoscopic] biopsy of bronchus endoscopic insertion of stent (tube) into bile duct other lysis of peritoneal adhesions reopening of recent laparotomy site diagnoses: acidosis obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified unspecified septicemia severe sepsis unspecified acquired hypothyroidism acute respiratory failure pneumonitis due to inhalation of food or vomitus calculus of gallbladder with other cholecystitis, without mention of obstruction peritoneal adhesions (postoperative) (postinfection) acute pancreatitis laparoscopic surgical procedure converted to open procedure attention deficit disorder without mention of hyperactivity 

Answer: The patient is high likely exposed to