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: jaundice and cholangiocarcinoma of the bile duct. major surgical or invasive procedure: 1. staging laparoscopy with laparoscopic intra-abdominal ultrasound. 2. classical whipple pancreaticoduodenectomy. 3. liver wedge biopsy. 4. hepaticojejunostomy separate from whipple procedure. 5. combined gastrojejunostomy tube (mixed tube) placement. history of present illness: this 84-year-old woman presented about a month ago with painless obstructive jaundice. a workup included an ercp which revealed a constricting mass effect in the distal bile duct. brushings from this procedure were suspicious for adenocarcinoma. she had a stent placed, and her jaundice was relieved. a ct scan showed a large mass in the bile duct a few centimeters in size. there appeared to be no gross evidence of any metastatic disease either in her liver or peritoneal cavity. the ct scan did show some aberrant anatomy including a completely replaced right hepatic artery flowing directly behind this mass. however, the portal vein completely opened, and it did not seem to be a widely infiltrative lesion. past medical history: possible hcm mild as/mild ai mild to mod mr tr/pi hypertension dyslipidemia hypothyroidism s/p resection of bladder tumor s/p masectomy for brca social history: no etoh. former smoker. family history: n/c physical exam: nad eomi, perrla lungs clear heart :rrr abd: soft nontender, incision clean dry and intact pertinent results: 09:36pm glucose-110* urea n-24* creat-0.8 sodium-142 potassium-4.8 chloride-112* total co2-21* anion gap-14 09:36pm wbc-24.3*# rbc-3.38* hgb-10.4* hct-31.1* mcv-92 mch-30.8 mchc-33.5 rdw-13.8 09:36pm plt count-342 09:36pm pt-13.6* inr(pt)-1.2* 07:28pm type-art temp-36.8 tidal vol-560 po2-157* pco2-42 ph-7.34* total co2-24 base xs--2 intubated-intubated vent-controlled 07:28pm glucose-114* lactate-3.3* na+-139 k+-4.2 cl--109 07:28pm hgb-10.5* calchct-32 07:28pm freeca-1.18 07:28pm freeca-1.18 05:51pm type-art temp-36.8 rates-/8 tidal vol-570 o2 flow-1.5 po2-149* pco2-38 ph-7.40 total co2-24 base xs-0 intubated-intubated vent-controlled 05:51pm glucose-169* lactate-1.9 na+-138 k+-4.6 cl--109 05:51pm hgb-10.6* calchct-32 04:43pm type-art o2-39 po2-148* pco2-34* ph-7.44 total co2-24 base xs-0 intubated-intubated 04:43pm glucose-165* lactate-2.9* na+-139 k+-4.2 cl--108 04:43pm hgb-10.2* calchct-31 04:43pm freeca-1.14 03:32pm type-art o2-55 po2-162* pco2-39 ph-7.41 total co2-26 base xs-0 intubated-intubated 03:32pm glucose-156* lactate-3.6* na+-138 k+-4.1 cl--108 03:32pm freeca-1.17 brief hospital course: pateint was admitted and operation was preformed. pt tolerated the procedure well and and was taken to the pacu in good condition. pod2 pt found to have asymptomatic afib w/ rvr, and was transferred to the icu for rate control, and rij was converted to a swan and a line placed. per cardiology amiodarone and beta blocker were started, heparin and tube feeds. dccv on which converted to nsr. changed iv to po amio. pod 7 pt transferred back to floor, continued on whipple pathway. pod 8 - fluid collections were suspected, jp culture grew enteroccus (no vre), prevotella species, vanc flagyl and levoflox started. picc placed and ct on pod 9: . 1. fluid collection near the region of the pancreatic head resection site. there is a small portion of the uncinate process identified. the fluid collection may represent a biloma or hematoma. an abscess cannot be ruled out, but there is no history of symptoms suggestive of infection in this patient per clinical service. there is a smaller collection also present anterior to the liver between the stomach and liver. findings were discussed with the surgical service on . if necessary, the fluid collection can be drained percutaneously. 2. decreased biliary dilatation. . pod 10 wound opened for erythema. culture grew; probable enterococcus. heavy growth. staphylococcus, coagulase negative. moderate growth of two colonial morphologies. klebsiella pneumoniae. sparse growth. (pan-sensitive) probable enterococcus. sparse growth. second morphology. . pod 12 pt given one unit prbc for hct 25.7 to 33.8. vac placed on wound. pod 13 c. diff sent x3 for diarrhea and all negative. right arm swelling, u/s: no dvt. pod 18 pt having hematemesis and melenic stools hct 31-->19, transferred to icu. gi consulted. scoped: clot in entire stomach remanant- could not identify bleeding source, too much clot to remove. gastro-jej anastomosis looked ok, old blood in distal limb and not much by way of blood in proximal limb. transfused 5 units prbc and 2 ffp. transeferred back to floor pod 24. pod 25 vac changed. pod 27 pt on regular diet w/ boost supplements. pt discharged to rehab in good condition. medications on admission: lipitor 10' norvasc 10' levoxyl 100' zebeta 10' discharge medications: 1. octreotide acetate 100 mcg/ml solution sig: one (1) injection q8h (every 8 hours). 2. miconazole nitrate 2 % powder sig: one (1) appl topical prn (as needed). 3. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day). 4. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 5. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily). 6. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 10. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 1 days. 11. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). discharge disposition: extended care facility: & retirement home - discharge diagnosis: cholangiocarcinoma of the bile duct. discharge condition: good good discharge instructions: resume your regular medications. take all new medications as directed. do not drive while taking narcotics. you may shower tomorrow. allow water to run over the wound, but do not scrub. pat the wound dry. do not take a bath or swim until after follow-up appointment. no heavy lifting (> 10 lbs) for 6 weeks. please call your doctor or return to the er if you experience: -fever (> 101.4) -inability to eat/drink or persistant vomiting -increased pain -redness or discharge from your wound -other symptoms concerning to you followup instructions: please follow up with dr. in 1 week. call his office, , to arrange the appointment. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other enterostomy other endoscopy of small intestine other endoscopy of small intestine other endoscopy of small intestine enteral infusion of concentrated nutritional substances other electric countershock of heart laparoscopy radical pancreaticoduodenectomy pulmonary artery wedge monitoring transfusion of packed cells open biopsy of liver anastomosis of hepatic duct to gastrointestinal tract other immobilization, pressure, and attention to wound diagnoses: other iatrogenic hypotension anemia, unspecified other postoperative infection cellulitis and abscess of trunk unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation secondary malignant neoplasm of other specified sites personal history of malignant neoplasm of breast mitral valve insufficiency and aortic valve insufficiency rheumatic heart failure (congestive) other and unspecified hyperlipidemia blood in stool personal history of malignant neoplasm of bladder secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes disruption of external operation (surgical) wound laparoscopic surgical procedure converted to open procedure malignant neoplasm of other specified sites of gallbladder and extrahepatic bile ducts 

Answer: The patient is high likely exposed to