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: history of present illness: this patient was first admitted to the micu. this is a 59 year-old female with cholangiocarcinoma diagnosed in status post exploratory laparotomy, status post chemotherapy with irinotecan and gemcitabine followed by resection two months later of the left lobe of the liver in who is being followed by without recurrence until recently. she was found to have tumor in the dome of her liver and underwent radiofrequency ablation in . afterward the lesion was transformed into a 5 by 5 .2 cm low attenuation area with some "air droplets." she did well afterwards except for some nausea and vomiting and was not keeping up with her po intake. this issue becoming prominent about five days ago. yesterday she came to the emergency room, the day prior to admission at an outside hospital in with poor po intake and was found to have a blood pressure in the 90s and was given intravenous fluids. she then had some coffee ground emesis in the emergency room and was found to have a hematocrit of 34 and was transferred to the intensive care unit. there she went into rapid atrial fibrillation with a heart rate of 170s and blood pressure of 80/60, which converted after more intravenous fluids were given. hematocrit was 32.6 six hours after the first hematocrit despite the fluid. the patient was not transfused. nasogastric lavage was done revealing 400 cc of coffee ground. this was followed by ct of the abdomen, which showed a 10 cm hepatic fluid air collection consistent with abscess. the patient was given 500 each of levaquin and flagyl. she was also being treated for hypokalemia and was found to have platelets of 60. the patient was transferred to for further management of hypertension and abscess. here the patient spent three days in the micu where she received the esophagogastroduodenoscopy for workup of the coffee ground emesis that revealed severe gastritis, esophageal varices and no sign of recent or active bleeding. h-pylori antibodies were negative and the patient's hematocrit remained stable during the admission in the intensive care unit. the patient also received a drainage tube in her hepatic abscess per interventional radiology and was started on a course of intravenous zosyn. her platelets when transferred to the floor were 45. past medical history: hypothyroid on synthroid. laparoscopic cholecystectomy, appendectomy and bto, depression on paxil, gastric duodenal ulcer in with massive gastrointestinal bleed and perforation. subsequent oversewing in gastric duodenal artery ligation, hepatic and subphrenic abscesses at this time. fungal infection of abdomen after liver resection. social history: the patient lives with her husband , has two children. drinks a rare glass of wine every six months. smoked until age 27 one to two packs times twelve years. no other drugs, over counters, herbals. family history: noncontributory. medications: paxil 30 mg, nexium 40 mg q.d., synthroid 50 mcg q.d. allergies: no known drug allergies. physical examination: temperature 98.2. heart rate 87. blood pressure 93/52. respiratory rate 16. o2 sat 99% on room air. weighing 93 kilograms on admission. general, pleasant, fully alert and oriented in minimal distress. heent nasogastric tube in place when arriving to the micu. when arriving to the floor nasogastric tube had been discontinued. anicteric. oropharynx clear, somewhat dry. neck supple. cardiovascular regular rate and rhythm. normal s1 and s2. no murmurs, rubs or gallops appreciated. lungs clear to auscultation bilaterally. abdomen positive bowel sounds, soft, mild epigastric and right upper quadrant tenderness, but no rebound or guarding. no hepatosplenomegaly. no stigmata of chronic liver disease. extremities left upper extremity picc line. no clubbing, cyanosis or edema bilaterally. skin no rash. neurological grossly intact, conversant, articulate. laboratories/studies: most recent creatinine was .6, bun 8, hematocrit stable on at 31.8, white count 14.0, platelets count risen from 45 to 161. hospital course: the patient had a stable micu course for three days and was transferred to the floor on . her hematocrit remained stable. her platelet count began to rise and the patient continued on intravenous zosyn. on the patient was taken to ct scan and per interventional radiology the patient's drains were placed with larger tubes and at that time there was instrumentation across the diaphragm and a chest tube was placed though the pneumothorax was very small. serial chest x-rays showed no further pneumothorax. the chest tube was never placed on suction or even hooked up to a pleura-vac. the patient remained afebrile on the floor with the cultures pending. infectious disease was consulted for recommendations on length of antibiotic course as well as the possibility of changing to po medications for discharge. infectious disease will make their further recommendations when the cultures have identified a culprit organism. the patient is now tolerating a full po diet and ambulating in the hallways and denies pain except for at drainage sites. the rest of the hospital course will be dictated by the oncoming intern. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage other endoscopy of small intestine percutaneous abdominal drainage diagnoses: thrombocytopenia, unspecified mitral valve disorders unspecified pleural effusion bacteremia abscess of liver chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction personal history of malignant neoplasm of other gastrointestinal tract 

Answer: The patient is high likely exposed to