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: codeine attending: chief complaint: ruq update and fever major surgical or invasive procedure: ercp with stent removal and stent change history of present illness: the patient is a 60 year old woman with history of situs inversus, s/p cholecystecomy, copd presenting with ruq pain and fever. she initially presented to hospital in nh after developing progressive abdominal pain over the past 1-2 weeks. the pain was in the epigastric region/ruq without radiation or peritoneal signs. she also had a fever to 102. she also has had fatigue and some anorexia. her evaluation there was notable for wbc: 10k, platelets normal, inr p, lfts: tuberculosis 4.2, alk phos 289, normal amylase,lipase. she reportedly received a dose of zosyn. she was admitted to the medical service. her admission vitals were 102.3 112 119/78 20 96%ra. she was transfered for ercp. past medical history: bipolar disorder s/p cholecystectomy copd hypothyroidism rls hypothyroidism social history: lives alone. not currently working. former cook and waitress. walks with cane. no etoh or drugs. 1ppd since age 8 (52pack-years) family history: non-contributory physical exam: tmax: 36.5 ??????c (97.7 ??????f) tcurrent: 36.5 ??????c (97.7 ??????f) hr: 83 (83 - 83) bpm bp: 109/72(80) {109/72(80) - 109/72(80)} mmhg rr: 14 (14 - 14) insp/min spo2: 95% heart rhythm: sr (sinus rhythm) general appearance: well nourished, no acute distress, overweight / obese eyes / conjunctiva: perrl, no(t) conjunctiva pale, no(t) sclera edema, no scleral icterus head, ears, nose, throat: normocephalic, poor dentition lymphatic: cervical wnl cardiovascular: (s1: normal), (s2: normal) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (percussion: resonant : ), (breath sounds: wheezes : diffuse bilat) abdominal: soft, bowel sounds present, tender: epigastrium and ruq, no peritoneal signs extremities: right: absent, left: absent, no(t) cyanosis, no(t) clubbing musculoskeletal: no(t) muscle wasting skin: warm neurologic: attentive, follows simple commands, responds to: verbal stimuli, movement: purposeful, tone: not assessed pertinent results: 12:45am blood wbc-11.5* rbc-3.59* hgb-12.0 hct-37.2 mcv-104* mch-33.3* mchc-32.1 rdw-16.8* plt ct-305 12:45am blood glucose-95 urean-9 creat-0.7 na-135 k-3.4 cl-102 hco3-22 angap-14 12:45am blood alt-54* ast-98* alkphos-219* amylase-26 totbili-5.7* 12:45am blood calcium-8.4 phos-3.5 mg-1.6 07:00am blood lithium-0.4* received specimen in cytolyt. prepared one thinprep slide. clinical data: 60 year old with known cbd stricture possibly ischemic in nature post ccy comes with cholangitis. she has had a stent placed at an osh. possible stent migration vs. blockage. report to: dr. . diagnosis: brush at stricture (common hepatic duct): negative for malignant cells. glandular epithelial cells with focal reactive changes, inflammatory cells, abundant squamous cells, bile salts, bacteria and fungal forms morphologically consistent with spp. diagnosed by: , ct(ascp) reason for this examination: please review ercp images done ercp. comparison: . history: 60-year-old female with known cbd stricture. findings: 19 ercp images were obtained and submitted for review without a radiologist present. these demonstrate narrowing of the common hepatic duct with upstream biliary tree dilatation. two plastic stents were deployed over the region of the stricture. impression: common hepatic duct stricture with upstream biliary dilatation. plastic stents were deployed. , m.d. brief hospital course: 60 year old woman with history of cholecystitis s/p ccy and recent ercp, copd presenting with cholangitis. cholangitis: the patient was placed on cipro and flagyl, ivf, and monitored with serial abdominal exams. she was initially held npo and then her diet was advanced. the leukocytosis resolved. blood cultures were ultimately negative. she was discharged to complete a total of 7 days of cipr and flagyl. she will return for stent change in 3 months. copd: - home advair and albuterol bipolar: no active issues. - home meds restless legs: - continue home meds medications on admission: levoxyl 100 mcg daily nexium 40 mg premarin 0.625 mg daily trazodone 100 mg qhs advair 250/50 "1-2 puffs" prn albuterol 90 mcg 2sprays prn compro 25 mg pr q4-6prn imitrex 100 mg tab prn risperdal 0.5 mg morphine 15-30 mg tid lidoderm patch patches daily lyrica 75 mg tid mirapex 0.5 mg qid 60 mg senna 1-2 tabs q8prn risperdal 2 mg qhs fiber laxative 1 tab discharge medications: 1. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 2. pramipexole 0.25 mg tablet sig: two (2) tablet po tid (3 times a day). 3. pramipexole 0.25 mg tablet sig: six (6) tablet po hs (). 4. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 5. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 7 days. disp:*21 tablet(s)* refills:*0* 6. lithium carbonate 300 mg capsule sig: one (1) capsule po qhs (once a day (at bedtime)). 7. dicyclomine 10 mg capsule sig: one (1) capsule po qid (4 times a day). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. duloxetine 30 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 10. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 11. risperidone 2 mg tablet sig: one (1) tablet po hs (at bedtime). 12. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 13. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 14. premarin 0.625 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: cholangitis bipolar disorder copd abdominal pain discharge condition: stable discharge instructions: you were admitted with cholangitis and had a biliary stent changed while hospitalized. you should continue all antibiotics prescribed. you will need to return to have this stent removed in 3 months. the gi department will be contacting you. followup instructions: please call dr. at for a follow up appointment in weeks. as above, you will be contact by the gi department for a repeat ercp and stent removal in approximately 3 months. procedure: endoscopic dilation of ampulla and biliary duct other closed [endoscopic] biopsy of biliary duct or sphincter of oddi replacement of stent (tube) in biliary or pancreatic duct diagnoses: unspecified acquired hypothyroidism mechanical complication due to other implant and internal device, not elsewhere classified chronic obstructive asthma, unspecified cholangitis obstruction of bile duct bipolar disorder, unspecified infection and inflammatory reaction due to other internal prosthetic device, implant, and graft restless legs syndrome (rls) 

Answer: The patient is high likely exposed to