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 53 year old woman with metastatic renal cell cancer status post radical nephrectomy, high dose chemotherapy and biliary obstruction, who presents with nausea and poor p.o. intake. her last chemotherapy prior to admission was in with five cycles of cc1-779. the patient had a neck mass resection in which was harvested for dendritic cell vaccine. the patient received her first dose of dendritic cell vaccine in . she had disease progression in with biliary obstruction status post failed ercp with subsequent ptc internalization of the stent. since her last discharge from , the patient continued to have fatigue, poor p.o. intake and nausea. she denies fever, chills, vomiting, diarrhea, melena, bright red blood per rectum. the patient was admitted for hydration and further management of biliary obstruction. past medical history: renal cell ca metastatic to cervical and paracaval nodes, status post right nephrectomy in 5/98, status post il2 in 7/98, status post cc1-779 in 10/00, status post dendritic cell vaccine in . hypertension. biliary obstruction status post failed ercp, ptc with internalization of stent. medications on admission: atenolol 25 p.o. q.d., reglan 10 q.i.d., prilosec 20 q.d., benadryl p.r.n., compazine p.r.n., dilaudid p.r.n. allergies: morphine and demerol. physical examination: on admission temperature was 98.9, pulse 99, respirations 20, blood pressure 124/70, o2 sat 97% in room air. in general, the patient was alert and oriented times three, jaundiced. heent: pupils equally round and reactive to light and accommodation, extraocular movements intact, scleral icterus. oropharynx clear, mucous membranes dry. supraclavicular lymphadenopathy on the right, no jvd. cardiovascular s1, s2, normal, no murmurs, rubs or gallops. lungs clear to auscultation bilaterally. abdomen a bit gastric and right upper quadrant tenderness. extremities had no clubbing, cyanosis or edema. on neuro exam cranial nerves ii-xii were intact, no sensory deficits. laboratory data: on admission white count was 25, hematocrit 34.5, platelets 257, neutrophils 73, bands 16, lymphs 4, monocytes 5. sodium was 129, potassium 4.8, chloride 93, bicarb 20, bun 29, creatinine 1.0, glucose 166. calcium 9.1, phosphate 4.2, mag 1.9, alt 31, ast 18, ldh 408, alka phos 634, total bili 208. hospital course: 1. biliary obstruction. the patient underwent tube injection that showed no biliary ductal dilatation, distal flow, but slow flow likely secondary to extrinsic duodenal compression from tumor. the patient was transferred to the micu because during an interventional radiology procedure the patient developed stridor, shortness of breath. in the micu the patient was started on iv antibiotics. she was then transferred out of the unit on the 26th. interventional radiology did not recommend changing the patient's internal drainage tube, however, recommended letting it drain through an external drain. the patient did have increased abdominal distension and fluid. she had paracentesis on the 28th where 650 cc were drained. the patient was continued on aldactone. her ascites slowly reaccumulated. the patient was treated for sbp. she did grow out pseudomonas and alpha and beta strep from her intestinal fluid. she was on vanco, cipro, ceftriaxone and flagyl. she was also on aldactone for ascites, but it was held secondary to hypotension. the patient continued to have increased ascites and secondary to the patient's hypotension, paracentesis was not able to be performed. the patient was medicated via her pca to keep her discomfort at a minimum and to improve her shortness of breath. 2. id. the patient was admitted with leukocytosis. eventually her intestinal fluid grew out pseudomonas and alpha and beta hemolytic strep. the patient was on cipro, flagyl, ceftriaxone and vancomycin. 3. fluids, electrolytes and nutrition. the patient's fluid status was very difficult to manage. all iv fluids that were put in were being third spaced. however, the patient was hypotensive and it was a precarious balance between volume overload and hypotension. the patient was medicated on dilaudid pca. she was continued on antibiotics. on the 4th the patient was found to have stopped breathing. she expired at 2:30 p.m. , m.d. procedure: venous catheterization, not elsewhere classified percutaneous abdominal drainage diagnoses: malignant neoplasm of liver, secondary unspecified septicemia unspecified protein-calorie malnutrition secondary malignant neoplasm of pleura paralytic ileus obstruction of bile duct secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck secondary malignant neoplasm of adrenal gland secondary malignant neoplasm of small intestine including duodenum 

Answer: The patient is high likely exposed to