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 / ampicillin / tetracycline / lactose attending: chief complaint: 1. severe left-sided hydronephrosis 2. chronic pancreatitis major surgical or invasive procedure: : 1. distal pancreatectomy with splenectomy. 2. left nephrectomy history of present illness: ms. is a 58-year-old woman who has a recent history of pancreatitis. she was treated with laparoscopic cholecystectomy a number of months ago. she seems to have been floundering for 4 or 5 months since then with failure to thrive. she has had fevers and chills as well as poor p.o. intake, nausea and occasional vomiting. she was worked up and found to have an usual mass in the distal tail of the pancreas in the setting of a prior gallstone pancreatitis problem. this most likely represented focal effects of pancreatitis this was not certain for sure. an endoscopic ultrasound was performed of this lesion and a mass was found which was irregular. it was biopsied and found to be atypical. furthermore, she had a very large obstructed left kidney from a prior operation on that organ. this was recently drained in that it was 20 cm in size and basically nonfunctional from chronic atrophy. this was drained with a percutaneous nephrostomy tube. past medical history: past medical history: pancreatitis, hypertension, gerd, chronic kidney disease (baseline creatinine 1.7), anemia. past surgical history: cholecystectomy , left dismembered pyeloplasty, pilonidal cyst drainage. allergies: codeine causes abdominal cramps ampicillin causes rash tetracycline causes nausea and vomiting lactose intolerance. medications: lisinopril, citalopram, oxazepam, percocet, multivitamin, and iron. social history: noncontributory family history: noncontributory physical exam: on discharge: vs: 99.9, 79, 172/76, 16, 96% ra gen: lying in bed, nad heent: nc/at, moist oral mucosa neck: neck is not rigid cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: soft, normal tenderness along left subcostal incision. incision covered by steri strip and c/d/i. old jp site with dry dressing c/d/i ext: no edema pertinent results: 06:23pm wbc-22.8*# rbc-4.63# hgb-11.7*# hct-37.2# mcv-80* mch-25.3* mchc-31.4 rdw-16.5* 06:23pm glucose-195* urea n-19 creat-1.5* sodium-138 potassium-4.4 chloride-110* total co2-19* anion gap-13 pathology: pathology examination name birthdate age sex pathology # , 58 female report to: dr. gross description by: dr. goodell/mtd specimen submitted: spleen and distal pancreas, left kidney. procedure date tissue received report date diagnosed by dr. /ttl diagnosis: i. distal pancreas and spleen, distal pancreatectomy (a-h): - chronic pancreatitis with pseudocyst, extensive necrosis, and foreign body giant cell reaction, no malignancy identified. - spleen, unremarkable. - nine unremarkable lymph nodes. ii. left kidney, nephrectomy (i-p): - diffuse acute and chronic interstitial nephritis with tubular atrophy, interstitial fibrosis consistent with chronic obstructive pyelonephritis. - arteriosclerosis and focal glomerular sclerosis consistent with history of hypertension. eeg: impression: this is an abnormal routine eeg due to a moderately slow and disorganized background consisting mostly of theta frequencies reaching up, at times, to 7 hz. the patient was noted to have microblinks at times and there were no discharges associated with these. there were no areas of prominent focal slowing and there were no epileptiform features. overall, this background is suggestive of a moderate encephalopathy. amongst the most common causes of encephalopathy are metabolic derangements, medications, infection, and anoxia. ekg: sinus tachycardia, rate 111. otherwise, normal tracing. compared to the previous tracing of normal sinus rhythm has given way to sinus tachycardia. head ct: impression: no evidence of acute intracranial abnormality. in case of clinical concern for acute infarction/ etiology of seizure, an mri can be obtained if not contra-indicated. chest xray: cardiomediastinal contours are normal. aside from linear atelectasis in the left retrocardiac area, the lungs are clear. there is no pneumothorax or pleural effusion. ng tube tip is out of view below the diaphragm. right ij catheter tip is in the upper to mid svc. 01:10pm blood wbc-17.6* rbc-3.66* hgb-10.3* hct-31.2* mcv-85 mch-28.1 mchc-33.0 rdw-17.1* plt ct-401 01:10pm blood glucose-97 urean-8 creat-1.5* na-134 k-3.6 cl-95* hco3-29 angap-14 01:10pm blood calcium-8.6 phos-4.7* mg-1.7 brief hospital course: the patient was admitted to the general surgical service for evaluation and treatment. on , the patient underwent distal pancreatectomy with splenectomy and left nephrectomy, which went well without complication (reader referred to the operative note for details). after a brief, uneventful stay in the pacu, the patient arrived on the floor npo, on iv fluids and antibiotics, with a foley catheter, and bupivacaine/hydromorphone for pain control. the patient was hemodynamically stable. neuro: the patient received bupivacaine/hydromorphone via epidural catheter with good effect and adequate pain control. on am found to be unresponsive, on epidural was immediately stopped. she was given narcan 0.4 with minimal improvement. she was seen with fluttering eyes earlier which subsided. on exam she is unresponsive to verbal stimuli, she grimaces to noxious stimuli, she makes significant resistance against me opening her eyes, pupils are equal and reactive, normal doll's and corneal, she is hyperreflexic throughout. patient was transferred into icu, head ct was obtained and was normal. in icu patient's metabolic derangements was corrected. patient mental status improved on to baseline. patient stayed in icu until for observation, and remained stable. she was transferred back on the floor to continue postsurgical recovery and treatment. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: on patient developed onset of tachycardia, which was corrected with hydralazine. the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. diet was advanced to clears on , which was well tolerated. currently patient on regular diabetic diet and tolerated well. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. patient's creatinine 1.4-1.8 within patient's baseline. patient voiding without difficulties and independently. id: the patient's white blood count and fever curves were closely watched for signs of infection. patient's wbc was 22.8 on admission and went up post operatively to max 30.8. urine cultures were negative, blood cultures still pending. patient remained afebrile during hospitalization. on discharge wbc was 17.6. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: lisinopril, citalopram, oxazepam, percocet, mvi, and iron discharge medications: 1. citalopram 20 mg tablet sig: 1.5 tablets po daily (daily). 2. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 3. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. simvastatin 20 mg tablet sig: one (1) tablet po at bedtime. 6. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 7. ascorbic acid 500 mg tablet sig: 0.5 tablet po bid (2 times a day). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 11. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 12. oxazepam 15 mg capsule sig: one (1) capsule po tid (3 times a day) as needed for anxiety. discharge disposition: home with service facility: caregroup vna discharge diagnosis: 1. nonfunctional chronically obstructed left kidney with recent infection and a history of chronic pancreatitis, fibrotic atrophic left kidney. 2. 2.1. pancreatic tail mass. 2.2. chronic pancreatitis. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call your doctor or nurse practitioner if you experience the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain is not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. followup instructions: provider: , md phone: date/time: 9:30 3, . please follow up with dr. (pcp) in weeks after discharge . provider: , md phone: date/time: 10:00 3, procedure: nephroureterectomy total splenectomy distal pancreatectomy diagnoses: anemia, unspecified esophageal reflux hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified pulmonary collapse other specified cardiac dysrhythmias encephalopathy, unspecified hydronephrosis chronic pancreatitis cyst and pseudocyst of pancreas chronic pyelonephritis with lesion of renal medullary necrosis 

Answer: The patient is high likely exposed to