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: weakness, fever major surgical or invasive procedure: endotracheal intubation; ercp; cvvhd history of present illness: 63f with prior hodgkin's lymphoma and recently appreciated liver masses presented to osh with weakness, fever to 102, and leukocytosis to 39 starting 1-2d prior to admission. her course began in early when she developed jaundice and malaise; an evaluation disclosed liver masses, ascites, and pleural effusions, with further working demonstrating nhl. she was scheduled to receive her first round of chemotherapy , but was noted to be weak and febrile with an elevated wbc, so she was admitted to . felt to have cholangitis, an ercp was attempted but failed, so she was transferred to for ercp versus percutaneous intervention. before transfer, she became hypotensive to the 70's; she was started on dopamine and transferred to . past medical history: pmhx/shx: hodgkins lymphoma status post radiation and splenectomy htn peptic ulcer disease herniated disk osteoporosis hypercholesterolemia social history: widowed, supportive family (daughters); no etoh or recent tobacco family history: non-contributory physical exam: v/s: bp 107/73 cvp 12 p 98 rr 28 100% on vent 5/450/24/70% gen: cachetic, jaundiced, woman. drowsy, moving spontaneously. oriented. heent: nc/at. icterus chest: sc line in left upper chest. clear anteriorly cv: s1 and s2 normal intensity. no m/r/g abd: distended. soft nt. ext: dusky fingers bilaterally. cool extremities. tlc in r groin. pertinent results: 04:24am wbc-41.0* hct-42.5 04:24am neuts-52 bands-25* lymphs-2* monos-5 eos-0 basos-2 atyps-0 metas-10* myelos-4* nuc rbcs-14* 04:24am alt(sgpt)-304* ast(sgot)-* ld(ldh)-3210* alk phos-508* amylase-132* tot bili-7.2* 04:24am lipase-244* 04:24am glucose-391* urea n-38* creat-2.3* sodium-120* potassium-9.0* chloride-100 total co2-7* anion gap-22* . abdominal u/s: impression: 1. minor biliary dilatation in left lobe. no biliary stent or overt biliary dilatation identified. 2. markedly heterogeneous hepatic echotexture, with appearance most consistent with diffuse metastatic disease. 3. additional soft tissue structure in left upper quadrant (history of prior splenectomy). differential diagnosis includes an enlarged splenule or lymphadenopathy given history of lymphoma and prior splenectomy.. 4. small-to-moderate amount of ascites. bilateral pleural effusions. . ercp : biliary stricture in the middle and upper third of the bile duct, with post-obstructive dilation. a biliary stent was placed. brief hospital course: 63yo woman with non-hodgkins lymphoma and liver massess admitted to osh where she underwent unsuccessful biliary stenting & ercp, now transferred with evidence of severe sepsis. biliary source of sepsis most likely given recent instrumentation of biliary tree. blood cultures with gram negative rods. pt treated with with vancomycin, meropenem and gentamycin. received aggressive fluid resuscitation as well as pressors. ercp performed at , showing biliary stricture. stent was placed. pt developed multi-organ failure including arf with severe metablolic acidosis. likely due to atn. required cvvh in micu for dialysis and ultra-filtration given fluid overload subsequent to fluid resuscitation. pt intubated for worsening mental status as well as improved control of respiratory mechanics in setting of severe acidosis & volume overload. pt showed signs of pancreatitis likely secondary to ercp. pt seen by hematology regarding her nhl. discussion with family revealed that pt would not want such aggressive measures of care. thus, she was made cmo and measures were withdrawn. she died within hours of this change of care. medications on admission: n/a discharge medications: n/a discharge disposition: expired discharge diagnosis: primary: sepsis non-hodgkins lymphoma acute renal failure pancreatitis metabolic acidosis . secondary: hypertension peptic ulcer disease herniated disk osteoporosis hypercholesterolemia discharge condition: dead discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis arterial catheterization endoscopic insertion of stent (tube) into bile duct injection of antibiotic transfusion of other serum diagnoses: acidosis pure hypercholesterolemia acute kidney failure with lesion of tubular necrosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver severe sepsis acute respiratory failure defibrination syndrome septic shock other acquired absence of organ cholangitis obstruction of bile duct septicemia due to gram-negative organism, unspecified other malignant lymphomas, intra-abdominal lymph nodes 

Answer: The patient is high likely exposed to