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: biliary colic post cholecystectomy abdominal pain major surgical or invasive procedure: laporascopic cholecystectomy roux en y hepatico jejunostomy history of present illness: the patient is a 53-year-old asian female with a history of symptomatic cholelithiasis. she had an ercp in and was referred for laparoscopic cholecystectomy. past medical history: chronic cholecystitis social history: lives with family in the area. niece is the family contact person family history: noncontributory physical exam: gen: intubated, sedated perrla, eomi cv: rrr, no m/r/g pulm: coarse bs bilat, decreased at the bases with crackles abd: soft, distended, incision c/d/i with improving erythema, t-tube, drain intact ext: 2+ edema pertinent results: 03:10pm blood wbc-15.8* rbc-2.95* hgb-8.7* hct-26.3* mcv-89 mch-29.5 mchc-33.0 rdw-17.1* plt ct-270 03:12am blood wbc-16.5* rbc-3.16* hgb-9.3* hct-27.2* mcv-86 mch-29.3 mchc-34.0 rdw-17.5* plt ct-315 02:12am blood wbc-17.8* rbc-3.15* hgb-9.2* hct-27.0* mcv-86 mch-29.2 mchc-34.0 rdw-18.1* plt ct-327 02:00am blood wbc-24.0* rbc-3.36* hgb-9.8* hct-28.7* mcv-86 mch-29.2 mchc-34.1 rdw-18.3* plt ct-306 02:09am blood wbc-26.3* rbc-2.39* hgb-7.6* hct-21.5* mcv-90 mch-31.8 mchc-35.3* rdw-14.8 plt ct-310 09:34am blood hct-24.7* 02:25pm blood hct-24.7* 08:40pm blood wbc-39.0* rbc-2.79* hgb-8.7* hct-25.0* mcv-89 mch-31.2 mchc-34.8 rdw-15.9* plt ct-226 03:47am blood wbc-38.5* rbc-2.70* hgb-8.4* hct-24.6* mcv-91 mch-31.2 mchc-34.3 rdw-15.7* plt ct-230 06:58pm blood wbc-46.2* rbc-2.96* hgb-9.5* hct-27.1* mcv-92 mch-32.1* mchc-35.1* rdw-13.7 plt ct-296 08:04pm blood wbc-33.8* rbc-2.89* hgb-9.4* hct-26.5* mcv-92 mch-32.6* mchc-35.5* rdw-13.6 plt ct-235 08:44am blood hct-27.1* 12:52am blood hct-26.3* 04:21pm blood hct-26.5* 05:19am blood wbc-24.2* rbc-2.91* hgb-9.3* hct-27.3* mcv-94 mch-31.8 mchc-34.0 rdw-13.1 plt ct-236 09:07pm blood hct-27.4* 06:50am blood wbc-10.5 rbc-3.27* hgb-10.2*# hct-30.4* mcv-93 mch-31.2 mchc-33.5 rdw-12.3 plt ct-185 05:30am blood wbc-15.8* rbc-4.07* hgb-13.2 hct-37.3 mcv-92 mch-32.5* mchc-35.4* rdw-12.9 plt ct-219 03:10pm blood plt ct-270 10:10pm blood pt-13.2* ptt-38.4* inr(pt)-1.2* 03:41pm blood pt-12.2 ptt-33.2 inr(pt)-1.1 02:12am blood pt-12.4 ptt-32.4 inr(pt)-1.1 12:17pm blood pt-12.0 ptt-37.2* inr(pt)-1.0 08:40pm blood plt ct-226 11:36pm blood pt-15.5* ptt-53.2* inr(pt)-1.4* 01:20am blood pt-12.1 ptt-37.4* inr(pt)-1.0 05:19am blood plt ct-236 02:21pm blood ptt-44.7* 12:54am blood pt-12.1 ptt-62.0* inr(pt)-1.0 05:40am blood plt ct-222 03:10pm blood glucose-137* urean-14 creat-0.4 na-129* k-3.5 cl-102 hco3-20* angap-11 03:12am blood glucose-105 urean-13 creat-0.3* na-130* k-3.8 cl-96 hco3-28 angap-10 02:12am blood glucose-148* urean-9 creat-0.3* na-130* k-4.2 cl-97 hco3-28 angap-9 07:39pm blood glucose-121* urean-9 creat-0.3* na-130* k-4.4 cl-96 hco3-31 angap-7* 02:22am blood glucose-108* urean-10 creat-0.4 na-133 k-4.0 cl-99 hco3-27 angap-11 08:40pm blood na-135 k-4.0 11:36pm blood glucose-169* urean-9 creat-0.3* na-132* k-4.4 cl-102 hco3-25 angap-9 01:20am blood glucose-118* urean-7 creat-0.3* na-135 k-3.9 cl-101 hco3-27 angap-11 09:07pm blood k-3.2* 06:50am blood glucose-128* urean-14 creat-0.3* na-130* k-3.7 cl-101 hco3-23 angap-10 12:40am blood glucose-165* urean-16 creat-0.4 na-131* k-3.9 cl-95* hco3-27 angap-13 08:00pm blood glucose-139* urean-12 creat-0.5 na-131* k-3.7 cl-95* hco3-27 angap-13 01:55am blood alt-114* ast-89* alkphos-325* totbili-5.9* dirbili-4.7* indbili-1.2 10:10pm blood ast-78* ld(ldh)-306* alkphos-259* amylase-79 totbili-6.4* 03:41pm blood ck(cpk)-67 02:00am blood alt-185* ast-72* ld(ldh)-350* alkphos-164* amylase-70 totbili-8.2* dirbili-6.3* indbili-1.9 02:22am blood alt-505* ast-472* alkphos-130* totbili-3.5* 08:40pm blood alt-454* ast-605* alkphos-123* totbili-2.9* 06:58pm blood alt-524* ast-758* alkphos-125* amylase-92 totbili-1.7* 05:19am blood alt-61* ast-68* alkphos-197* totbili-1.0 dirbili-0.8* indbili-0.2 12:54am blood alt-52* ast-20 ld(ldh)-313* alkphos-83 totbili-1.6* dirbili-1.0* indbili-0.6 06:34pm blood ck(cpk)-80 12:40am blood ck(cpk)-266* 08:00pm blood alt-250* ast-275* alkphos-140* amylase-231* totbili-2.9* 03:12am blood lipase-71* 02:12am blood lipase-56 02:09am blood lipase-67* 11:36pm blood lipase-109* 05:30am blood lipase-13 03:12am blood ck-mb-notdone ctropnt-<0.01 03:41pm blood ck-mb-notdone ctropnt-<0.01 06:34pm blood ck-mb-notdone 03:10pm blood calcium-7.7* phos-2.3* mg-2.0 03:12am blood albumin-1.7* calcium-7.4* phos-2.3* mg-2.2 03:41pm blood calcium-7.1* phos-2.8 mg-2.0 02:00am blood albumin-1.7* calcium-7.5* phos-2.9 mg-2.1 07:39pm blood calcium-7.3* phos-3.5 mg-2.1 02:22am blood albumin-1.5* calcium-7.4* phos-4.0 mg-2.0 03:47am blood calcium-7.0* phos-3.2 mg-1.6 06:58pm blood calcium-7.7* phos-4.2 mg-1.7 05:19am blood calcium-7.1* phos-2.1* mg-2.2 04:39am blood albumin-2.1* calcium-7.8* phos-2.6* mg-2.1 uricacd-0.9* 06:50am blood calcium-7.7* phos-1.4* mg-1.8 12:40am blood calcium-8.8 phos-1.4* mg-2.0 08:00pm blood calcium-9.3 phos-3.4 mg-2.0 02:22am blood triglyc-250* 01:20am blood triglyc-173* 02:22am blood vanco-16.0 03:22pm blood type-art temp-38.3 peep-5 po2-122* pco2-39 ph-7.30* caltco2-20* base xs--6 intubat-intubated vent-controlled 04:01am blood type-art po2-123* pco2-40 ph-7.49* caltco2-31* base xs-7 04:01pm blood type-art po2-303* pco2-46* ph-7.42 caltco2-31* base xs-5 02:42am blood type-art po2-107* pco2-49* ph-7.42 caltco2-33* base xs-5 08:26am blood type-art po2-95 pco2-58* ph-7.37 caltco2-35* base xs-5 09:33pm blood type-art po2-127* pco2-53* ph-7.37 caltco2-32* base xs-4 03:58pm blood type-art po2-pnd pco2-pnd ph-pnd caltco2-pnd base xs-pnd 06:02pm blood type-art temp-38.3 rates-/18 tidal v-500 peep-5 fio2-50 po2-174* pco2-51* ph-7.42 caltco2-34* base xs-7 intubat-intubated vent-spontaneou 04:44am blood type-art po2-151* pco2-38 ph-7.47* caltco2-28 base xs-4 03:57am blood type-art po2-112* pco2-43 ph-7.43 caltco2-29 base xs-4 09:48pm blood type-art temp-37.8 po2-160* pco2-62* ph-7.32* caltco2-33* base xs-3 03:15pm blood type-art po2-145* pco2-43 ph-7.39 caltco2-27 base xs-1 06:05am blood type-art temp-38.9 rates-/16 peep-5 fio2-60 po2-153* pco2-53* ph-7.43 caltco2-36* base xs-9 intubat-intubated vent-spontaneou 03:22pm blood lactate-1.1 04:01pm blood lactate-1.9 02:27am blood lactate-0.9 07:02am blood lactate-1.1 09:48pm blood lactate-2.0 05:35pm blood glucose-162* lactate-3.6* na-132* k-4.6 cl-103 03:15pm blood glucose-148* lactate-2.9* na-131* k-3.7 cl-105 03:06am blood lactate-1.1 06:05am blood glucose-130* lactate-1.7 02:09am blood freeca-1.19 04:01pm blood freeca-1.03* 02:12am blood freeca-1.14 04:44am blood freeca-1.04* 07:19pm blood freeca-1.14 04:01pm blood freeca-1.23 01:50pm blood freeca-1.01* brief hospital course: is a female who presented with symptomatic biliary colic and a laparoscopic cholecystectomy. her postoperative course was complicated by development of abdominal pain, which prompted a ct scan on day 1 that demonstrated a large perihepatic fluid collection. drainage of the fluid collection confirmed a biloma. ercp was performed which demonstrated complete cutoff of the common bile duct just above the duodenum. subsequent ptc was able to place a transhepatic catheter in the right anterior duct only. they were unable to access the right posterior system. the ercp demonstrated a complete transection of the right anterior and left hepatic ducts at their origin with the common hepatic duct, but we were unable to visualize the posterior system. presumably this system was also transected and is freely draining bile into the peritoneal cavity. based upon these findings, the patient is taken to the operating room for washout of subdiaphragmatic and subhepatic abscesses which were presumably causing the current clinical condition. a follow-up ct scan on , after drainage of the biloma on , that demonstrated persistent subdiaphragmatic fluid collection. a second drain was placed on . over the past several days, she has continued to develop an elevated white count and tachycardia and remains febrile. based upon this, she was taken to the operating room for washout and definitive repair with roux en y hepatico jejunostomy. she was managed postoperatively on tpn. she remained intubated in the postoperative period but was successfully extubated on post-operative day 5 following a successful trial of pressure support ventilation. during this period however she remained febrile and a repeat ct scan on pod4 revealed new l subhepatic and r pleural fluid collections which were drained by interventional radiology and revealed sterile, nonbilious fluid. iv zosyn, started emperically prior to her reoperation was continued and vancomycin was added on pod5 for incisional erythema but was stopped 48hours later as the pt developed a rash. she continued to be pan cultured daily but to date, these cultures have revealed only pan-sensitive enterobacter from the original peritoneal drains which were operatively placed. one day following her extubation, pod6, she became acutely hypertensive and developed respiratory distress with pulmonary edema on cxr. she was given iv lasix with a good response but did require reintubation to maintain adequate oxygenation. since that time, she has required minimal ventilatory support, with improved arterial blood gas measurements. at this time, she is requiring minimal amounts of prn ativan and fentanyl for sedation. her blood pressure and heart rate have remained well controlled on iv metoprolol and clonidine. she is requiring minimal ventilatory support . she has 3 abdominal drains putting out nonbilious fluid and a biliary stent which continues to have good output. she has one additional r pleural drain, also with minimal output. her lft's continue to trend down with a tbili of 5.9 and a dbili of 4.7 today. a ct scan from showed no biliary dilation and no intrabdominal fluid collections. she continues to have excellent urine output and is positive roughly 10kg for this admission. a gentle lasix diuresis was begun today. she is being treated with iv zosyn for pan sensitive enterobacter from her abdominal fluid collections. she is tolerating goal tpn but has not tolerated enteral feeds due to high 4hour residuals. she is stable for transfer per the family's request. she will have continued care at the where she has been accepted by dr . medications on admission: none discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 2. artificial tear with lanolin 0.1-0.1 % ointment sig: one (1) appl ophthalmic prn (as needed). 3. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed. 4. fentanyl citrate (pf) 0.05 mg/ml solution sig: one (1) injection infusion (continuous infusion). 5. propofol 10 mg/ml emulsion sig: one (1) intravenous titrate to (titrate to desired clinical effect (please specify)). 6. albuterol 90 mcg/actuation aerosol sig: six (6) puff inhalation q4h (every 4 hours) as needed. 7. ipratropium bromide 17 mcg/actuation aerosol sig: six (6) puff inhalation q4-6h (every 4 to 6 hours) as needed. 8. clonidine 0.2 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qfri (every friday). 9. clonidine 0.1 mg tablet sig: one (1) tablet po tid (3 times a day). 10. piperacillin-tazobactam 4.5 g recon soln sig: one (1) recon soln intravenous q8h (every 8 hours). 11. lorazepam 2 mg/ml syringe sig: one (1) injection q4h (every 4 hours) as needed. 12. magnesium sulfate 50 % (4 meq/ml) solution sig: one (1) injection prn (as needed). 13. sodium phosphate 3 mmole/ml solution sig: one (1) intravenous asdir (as directed). 14. pantoprazole 40 mg recon soln sig: one (1) recon soln intravenous q12h (every 12 hours). 15. potassium chloride 20 meq/50 ml piggyback sig: one (1) intravenous prn (as needed). 16. metoprolol tartrate 5 mg/5 ml solution sig: one (1) intravenous q4h (every 4 hours) as needed for hypertension. 17. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) intravenous q 12h (every 12 hours). 18. albumin, human 25 % parenteral solution sig: one (1) intravenous (2 times a day). discharge disposition: home discharge diagnosis: symptomatic cholecystitis common bile duct injury discharge condition: stable, icu level care and intubated discharge instructions: you are being transferred to the at your family's request followup instructions: follow-up with dr regarding issues related to your bile duct repair. ( procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other partial resection of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances thoracentesis percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage laparoscopic cholecystectomy transfusion of packed cells other cholangiogram other cholangiogram other percutaneous procedures on biliary tract anastomosis of hepatic duct to gastrointestinal tract percutaneous hepatic cholangiogram endoscopic retrograde cholangiopancreatography [ercp] choledochoenterostomy diagnoses: other postoperative infection unspecified pleural effusion unspecified essential hypertension acute posthemorrhagic anemia accidental puncture or laceration during a procedure, not elsewhere classified iatrogenic pneumothorax calculus of gallbladder with other cholecystitis, without mention of obstruction other specified disorders of biliary tract cholangitis obstruction of bile duct peritoneal abscess acute edema of lung, unspecified other specified disorders of gallbladder 

Answer: The patient is high likely exposed to