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 / amoxicillin / sulfa (sulfonamide antibiotics) / tetracycline / erythromycin attending: chief complaint: sob- found to have gallstone pancreatitis/cholangitis major surgical or invasive procedure: ercp history of present illness: ms. is a yo woman with hx of dementia, endometrial ca, and prior cva who initially presented to from her nursing facility with sob on . in the ambulance she was given lasix 20mg iv x 1 and at she was given levofloxacin 750mg iv x 1 and solumedrol 125mg iv x 1 for possible asthma / copd flare (no known history of this.) labs revealed lipase >5000, tbili 1.8 at so the patient was transferred to for ercp. she underwent ercp and there was difficulty navigating the duodenem due to tortuosity so the ercp was aborted with a plan for percutaneous biliary drain. the patient was improving symptomatically improving and lipase/lfts were improving. given her improvement and discussions with her health care proxy ( ) plan was made to conservatively manage with iv abx levo/flagyl x 2 weeks and readdress perc biliary drain should she worsen. in addition the patient's blood cultures from from grew gram negative rods, prelim pan sensitive without speciation yet. blood cultures from no growth to date. prior to transfer from the icu the patient feels well, denies n/v, no abd pain, no sob, no chest pain. she is pleasantly demented and aox1-2 but states in general she feels well. during her icu stay the patient rec'd iv abx, underwent unsuccessful ercp as above, and was 2.6 l + legnth of stay. she was not intubated nor on pressors. past medical history: alzeimer's dementia osteoporosis gout pmr on prednisone 5mg po daily depression anxiety anemia h/o fall frequent utis past surgical history: r thr tendon repair l hamstring tah sebaceous cyst social history: nursing home resident, otherwise unknown family history: unknown physical exam: vs t 98.7 hr 80 bp 114/79 rr 16 o2 99% on 3l, 97% on ra gen: nad, aox1-2 (name, , unsure of year, thinks she is in , ma) heent: no scleral icterus, mucus membranes moist cv: rrr, 3/6 sem > rusb pulm: crackles r side way up with bilateral mild wheezes diffusely abd: soft, nondistended, tender on deep palpation of llq, no guarding or rebound tenderness, +bs ext: no le edema, le warm and well perfused pertinent results: imaging: ruq us impression: limited study demonstrating no evidence of gallbladder disease or biliary dilation. cxr pa/l : impression: bibasilar atelectasis and small effusions. limited exam. cxr : in comparison with the study of , the outer portion of the right hemithorax has been excluded from the image. low lung volumes with technically limited study make it difficult to assess the size of the heart. tortuosity of the aorta is seen in a patient with prominent kyphosis that limits evaluation on the frontal projection. some prominence of interstitial markings could reflect elevated pulmonary venous pressure. the left hemidiaphragm is not sharply seen, raising the possibility of some atelectasis or effusion at the left base. ercp : the stomach was entered and seemed to be very friable. the was severe external duodenal compression and deformity and the scope not be safely passed into the second portion. 04:15am blood wbc-13.4* rbc-3.25* hgb-9.9* hct-29.6* mcv-91 mch-30.4 mchc-33.4 rdw-13.6 plt ct-117* 04:15am blood neuts-82* bands-5 lymphs-9* monos-3 eos-0 baso-0 atyps-1* metas-0 myelos-0 04:15am blood glucose-81 urean-41* creat-1.4* na-144 k-4.4 cl-111* hco3-25 angap-12 04:15am blood alt-259* ast-240* ld(ldh)-224 alkphos-89 totbili-0.6 04:15am blood lipase-462* 04:15am blood calcium-8.0* phos-4.0 mg-2.3 04:50am blood lactate-1.6 discharge labs: 06:30am wbc-10.0 rbc-3.29* hgb-9.7* hct-30.9* mcv-94 plt ct-117* glucose-80 urean-29* creat-1.0 na-142 k-4.1 cl-107 hco3-29 angap-10 alt-115* ast-51* alkphos-74 totbili-0.6 brief hospital course: cholangitis: likely secondary to common bile duct obstruction with stone. ercp was unsuccessful, but patient clinically improved and lft's and lipase decreased. she remained afebrile and pain free on levofloxacin and flagyl, and had her diet advanced without difficulty. she should complete a total of ten days of antibiotics. blood cultures are pending from the 16th and 18th, but are currently no growth to date. given friability of gastric mucosa seen on endoscopy patient was started on a ppi. pancreatitis: likely secondary to gallstones as above; patient never experienced abdominal pain and tolerated a po diet. acute renal failure: resolved with iv fluids. duodenal extrinsic compression: when clinically improved from current illness, discuss with patient and family further workup including further imaging with ct abd/pelvis. no current evidence of bowel obstruction dementia: no difficulties with agitation or sundowning. mood stable. pmr: patient was continued on prednisone 5mg po daily code status: dnr/dni medications on admission: - prednisone 5mg po daily - folate 1mg po daily - miralax daily - tylenol 1g qam - alphagan 0.1% dropps - one drop both eyes - pepcid otc 20mg po daily - tums 500mg po daily - vitamin d 400 units - calcium 600mg po bid - milk of mag prn discharge medications: 1. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 2. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 3. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation inhalation q6h (every 6 hours) as needed for sob. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 5. ipratropium bromide 0.02 % solution sig: one (1) inhalation inhalation q6h (every 6 hours). 6. flagyl 500 mg tablet sig: one (1) tablet po every eight (8) hours as needed for shortness of breath or wheezing for 7 days. 7. levofloxacin 750 mg tablet sig: one (1) tablet po every other day for 3 doses. 8. folic acid 1 mg tablet sig: one (1) tablet po once a day. 9. tums 500 mg tablet, chewable sig: one (1) tablet, chewable po once a day. discharge disposition: extended care facility: lifecare of discharge diagnosis: cholangitis discharge condition: mental status: confused - always. level of consciousness: alert and interactive. discharge instructions: you were transferred to the ercp to remove a gallstone. the procedure was unsuccessful, but you continued to improve with antibiotics. you were also started on nebullizers for wheezing, and were weaned off of oxygen. aside from being started on antibiotics, no changes were made to your home medications. followup instructions: please follow-up with your primary care provider within one week of discharge. procedure: other endoscopy of small intestine diagnoses: anemia, unspecified polymyalgia rheumatica long-term (current) use of steroids acute kidney failure, unspecified severe sepsis gout, unspecified other persistent mental disorders due to conditions classified elsewhere chronic kidney disease, unspecified dysthymic disorder osteoporosis, unspecified other septicemia due to gram-negative organisms personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits hypoxemia alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance cholangitis unspecified gastritis and gastroduodenitis, without mention of hemorrhage acute pancreatitis adult failure to thrive hip joint replacement acquired absence of both cervix and uterus personal history of malignant neoplasm of other female genital organs calculus of gallbladder and bile duct with other cholecystitis, with obstruction arthropathy, unspecified, site unspecified history of fall personal history, urinary (tract) infection other obstruction of duodenum 

Answer: The patient is high likely exposed to