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: the patient is a 56-year-old female, status post laparoscopic cholecystectomy and roux-en-y hepaticojejunostomy and excision of a choledochal cyst on . past medical history: she has a past medical history significant for insulin-dependent diabetes, pancreatitis, gastroesophageal reflux disease, chronic obstructive pulmonary disease, depression, anxiety, alcohol abuse, a right hip fracture (status post repair with a dhs), and tobacco abuse. medications at home: meter-dosed inhaler (for asthma), insulin, protonix, compazine, and percocet. allergies: summary of hospital course: the patient was admitted as part of a workup with diabetes with acidosis, acute renal failure, and cholecystitis. the patient is also a significantly debilitated woman who looked as if she was in poor status of caring for herself and the appearance of somebody who is failing to thrive in her cachexia and just overall general appearance and care. she presented to the hospital and was admitted for what appeared to be a diabetes exacerbation with acidosis, and acute renal failure, and cholecystitis, and dehydration. she was evaluated for an endoscopic retrograde cholangiopancreatography. she was given ceftriaxone and flagyl. cultures were performed. surgery was consulted for the right-sided abdominal pain. it was decided (according to surgery) that the patient was presenting with cholecystitis, choledocholithiasis, dehydration, poor compliance with her diabetes, but no evidence of cholangitis on initial presentation. it was decided by neurology for analgesia as needed. pulmonary, for albuterol as needed and control her asthma. an electrocardiogram was performed just prior to the workup. the ercp fellow was contact. antibiotics were initiated with levofloxacin and flagyl. for her history of pancreatitis, her liver function tests and enzymes will be followed. renal failure with a creatinine of 4; we wanted to rehydrate her with intravenous fluids. foley with q.2h. urine output. levofloxacin and flagyl were initiated for infectious disease coverage. for tubes, lines, and drains a foley was placed. the patient had a peripherally inserted central catheter line to be placed, and normal saline was run at 150 cc an hour. the patient was placed on telemetry. on hospital day two, the patient was further resuscitated. the patient was admitted to the floor and was followed for a period of time, at which time the patient imaged. after serial imaging and acute resuscitation from her acute renal failure and diabetes exacerbation the patient was deemed to have a choledochal cyst. the patient was attempted to maximally optimized for surgery. on , the patient underwent a hepaticojejunostomy and excision of a choledochal cyst. please see the operative dictation. in the postoperative period, the patient did well initially. she was a little bit acidotic as far as post procedure and did okay until she acutely desaturated on the floor and had mental status changes. gases were checked. at this point, the patient was profoundly acidotic and was failing to thrive. at this juncture, after the gas, it was deemed that the patient needed intensive care unit level care. she was transferred to the intensive care unit for respiratory failure and was intubated. the patient had a complicated medical course but eventually was extubated on after the metabolic acidosis was resolving. a chest x-ray was revealing a left lower lobe pneumonia, and the patient was improving from a pulmonary perspective with aggressive pulmonary toilet. the patient was watched very carefully from a pulmonary perspective as if she had little pulmonary reserve. with activity, the patient was desaturating to the 88% range. in terms of the abdominal incision, the staples were intact. there were no signs of infection. however, on , the patient appeared to have a small amount of serosanguineous drainage at the inferior portion of the wound. the staples were removed. the wound was packed for localized wound cellulitis. the patient was continued on zosyn. the patient was transferred out to the floor and seemed to do well. she had been on total parenteral nutrition for nutrition. on , it was deemed that the patient was able to support her caloric needs. she was continued on aggressive pulmonary toilet, and the total parenteral nutrition was no longer needed. on , it was decided after the patient had resolving respiratory issues that the patient would be able to be discharged to a rehabilitation facility with two weeks of intravenous antibiotics including vancomycin and zosyn (a 2-week course to be completed for hospital-acquired pneumonia). in addition to this, the patient was to undergo serial dressing changes in preparation for discharge to rehabilitation. the patient was to complete the 2-week course of antibiotics for hospital-acquired pneumonia. she was to follow up in the office with dr. in two weeks' time. she was to continue dressing changes at the rehabilitation facility for the lower abdominal wound infection. at that point in time, that would be expected to granulate in. the patient's diabetes, which had been under much better control in the hospital setting because of compliance issues, would continue. hopefully, as an outpatient the patient will continue to manage her own diabetes and not have the situation of poor compliance that she has had in the past. discharge diagnoses: 1. choledochal cyst; status post excision. 2. cholecystitis; status post excision of choledochal and gallbladder. 3. asthma. 4. hospital-acquired pneumonia (the patient to complete a 2-week course of treatment). 5. diabetes mellitus. 6. failure to thrive. 7. hyperglycemia. 8. hypokalemia. 9. change in mental status. 10. metabolic acidosis secondary to acute renal failure which prompted intubation. the patient was subsequently extubated. in part, the respiratory failure may have been contributed to by her left lower lobe hospital-acquired pneumonia. condition at discharge: the patient was discharged in stable condition. discharge disposition: to a rehabilitation facility. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube endoscopic sphincterotomy and papillotomy arterial catheterization laparoscopic cholecystectomy transfusion of packed cells transfusion of other serum open biopsy of liver anastomosis of hepatic duct to gastrointestinal tract excision of other bile duct diagnoses: acidosis acute kidney failure with lesion of tubular necrosis other postoperative infection urinary tract infection, site not specified acute respiratory failure calculus of gallbladder with other cholecystitis, without mention of obstruction chronic obstructive asthma with (acute) exacerbation other anomalies of gallbladder, bile ducts, and liver 

Answer: The patient is high likely exposed to