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: heparin agents attending: chief complaint: fall / hypotension major surgical or invasive procedure: none history of present illness: mr. is a 72year old male, with multiple medical problems, including duodenal resection for adenoidca in the 4th portion of his duodenum, in by dr. . he was noted to have recurrence to mediastinal nodes . he has two recent admissions for signs of small bowel and billiary obstruction. which were treated and patient was most recently discharged on to home as he had refused rehab. he was scheduled to return to clinic for further chemotherapy, however developed nausea, vomiting and lightheadedness the day after his discharge. he had an episode of fall and presented to ed with hypotension. given his concerningly low blood pressure he was admitted to the surgical icu. his surgical course prior to this admission is as follows: : biliary cannulation not possible as d2 was infiltrated with tumor. his ercp was otherwise normal to d3. ptc report: external compression of the common hepatic duct and distal cbd obstruction by duodenal mass. 8 fr internal and external drainage tube with its distal tip were positioned at duodenal third portion. : ugi: irregular narrowing of 2nd part duodenum c/w recurrent tumor : biliary stent: internalized successfully with pigtail passed and remaining through duodenal obstruction into the jejunum : cholangiogram: dilated hepatic ducts and patent biliary drain with terminal pigtail distal to the area of obstruction ir metallic stents unsuccessful, still has ptc to gravity drain past medical history: pmhx/psurghx: --a fib w/ tachy-brady syndrome s/p pacemaker placement on by dr. @ --aaa s/p endovascular repair by dr. with known endoleak per records. --type ii diabetes, insulin-dependent --bilateral le fx s/p fixation 20 yrs ago --morbid obesity --sleep apnea --htn --diabetic retinopathy --chf most likely diastolic as has preserved ef 55% --pulmonary artery hypertension --hyperlipidemia --chronic venous stasis --prior syncope --arthritis -- cardiac cath to abnormal stress which showed no significanty blockage. one vessel coronary artery disease. normal lv systolic function. mild lv diastolic dysfunction. no significant subclavian stenosis on the right or left. angioseal of right femoral artery. - restrictive pattern on pft's social history: social hx: lives w/ wife, no tobacco for 25 yrs (>100 pack-year hx), social etoh, former heavy drinker, retired realtor/salesman family history: non-contributory physical exam: on admission vs: t 98.7 bp 70/50 hr o2sat 94%2l heent: cop, mmm, scleral icterus heart: rrr abdomen: obese, soft, mild tenderness to ruq palpation ptc draining bilious fluid skin: warm, well perfused pertinent results: 02:23am plt count-239 02:23am hypochrom-normal anisocyt-2+ poikilocy-1+ macrocyt-1+ microcyt-1+ polychrom-occasional ovalocyt-1+ schistocy-1+ 02:23am neuts-86* bands-2 lymphs-4* monos-4 eos-1 basos-0 atyps-0 metas-1* myelos-2* 02:23am wbc-7.8 rbc-3.22* hgb-9.8* hct-29.8* mcv-93 mch-30.6 mchc-33.0 rdw-18.6* 02:23am albumin-2.2* calcium-7.9* phosphate-3.5 magnesium-2.3 02:23am alt(sgpt)-77* ast(sgot)-72* ld(ldh)-192 alk phos-311* amylase-15 tot bili-14.2* 02:23am lipase-11 02:23am glucose-283* urea n-60* creat-1.2 sodium-133 potassium-5.7* chloride-107 total co2-15* anion gap-17 12:59pm sodium-130* potassium-5.1 chloride-103 05:40pm plt smr-high plt count-429# 05:40pm hypochrom-1+ anisocyt-1+ poikilocy-occasional macrocyt-1+ microcyt-occasional polychrom-occasional schistocy-occasional 05:40pm neuts-80* bands-5 lymphs-3* monos-6 eos-1 basos-0 atyps-0 metas-2* myelos-3* 05:40pm wbc-17.5*# rbc-3.38* hgb-10.1* hct-31.3* mcv-93 mch-29.9 mchc-32.3 rdw-18.2* 05:40pm ctropnt-0.03* 05:40pm lipase-12 05:40pm alt(sgpt)-112* ast(sgot)-99* alk phos-317* tot bili-14.7* 05:40pm glucose-133* urea n-74* creat-2.0* sodium-132* potassium-5.1 chloride-104 total co2-14* anion gap-19 05:54pm lactate-3.6* 11:08pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-mod urobilngn-1 ph-6.5 leuk-neg 11:08pm urine color-amber appear-clear sp -1.009 11:52pm pt-15.5* inr(pt)-1.4* 11:52pm plt count-378 11:52pm wbc-20.7* rbc-3.22* hgb-9.5* hct-29.4* mcv-92 mch-29.6 mchc-32.4 rdw-18.4* 11:52pm calcium-7.8* phosphate-5.5*# magnesium-2.2 11:52pm lipase-11 11:52pm alt(sgpt)-106* ast(sgot)-85* ld(ldh)-211 alk phos-310* amylase-13 tot bili-15.9* 11:52pm glucose-106* urea n-75* creat-2.0* sodium-134 potassium-5.2* chloride-105 total co2-14* anion gap-20 brief hospital course: briefly, mr. was readmitted to the sicu for signs of sepsis with increased wbc and hypotension. he is a 72m who is s/p (4th portion) for adenocarcinoid tumor (duodenal primary w lung mets) and ccy . he was previously admitted for tumor recurrence in mediastinal nodes , and biliary obstruction. during this last admission, to treat this obstruction, he received a ptc, egd with failed duodenal stent placement , ptc internalization , 2 duodenal stents by gi , and failed metallic stents by gi . he was discharged after his diet was advanced and he tolerated po without any difficulty. however on the day following his discharge he felt lightheaded and had an experienced a fall due to weakness, without loosing consciousness. he was brought to ed, and was found to be hypotensive. he was transferred to sicu, where he temporally required pressors ( no intubation) and was treated with multiple antibiotics for sepsis, presuming his biliary system as the source of infection. after patient was weaned off pressors, with stable vs, he was transferred to omed service for further management. on the floor patient was intermittently hypotensive with poor renal and liver function. bp as well as renal function responded well to volume resuscitation, and during the course pt was also found to have uti. given he already was on cipro for his presumed biliary infection, zosyn was added, which led to a decrease in pt's wbc and an overall clinical improvement. patient was started on chemotherapy on . cisplatin was given. on patient presented with worsening cough and abdominal pain, and later increasingly hypoxic with o2 sats low 80s, 92% on nrb. he subsequently developed worsening mental status. cxr revealed total white out of left lung likely from fluid and collapse. pt was intubated and transferred to icu. he was started on three pressors with no improvement in his hypotension as well as broad spectrum antibiotics. the patient became increasingly more acidotic. family was contact and informed of his morbid state. after discussion with his family, the goals of care were transferred to focus on comfort measures. the patient passed away comfortably. his hospital course is broken down by systems: neuro his pain has been well controlled, however he developed new abdominal tenderness prior to transfer to the icu which was treated with iv dilaudid. cards he transiently required the use of neosynephrine and levophed to maintain his bp in the icu, was completely weaned off pressors as of , however was transferred to the floor on po midodrine. given episodic hypotension he was also started on octreotide tid and albumin with good response. he was v-paced without episodes of arrythmia. pulm o2 requirements were weaned during initial icu stay, on floor stable oxygenation without o2 requirements however (as above) sudden desaturation requiring intubation and ventilation. unclear etiology but most consistent with ards. fen/gi underwent ir tube study where tube was repositioned and contrast was visualized in the jejunum. he tolerated this procedure well without complication. ruq us: limited bedside study demonstrating patent main portal vein with antegrade flow. cbd not identified. on biliary drain was exchanged due to excessive amount of leakage around the drain. he remained jaundiced with scleral icterus and dark urine. lfts, t- improved only mildly during the course. during the course, his diet was slowly advanced as tolerated from clears, and he tolerated po's without nausea or vomiting. renal: pt developed acute renal failure, which was thought to be prerenal with possible hrs in he setting of poor liver function, as well as possible atn in the setting of hypotension. renal was consulted and patient was treated with midodrine/octreotide/albumin for hrs with improvement of renal function. heme given his heparin allergy, pt has been on fondaparinux for the treatment of dvt at his right ue. id was empirically placed on vanco/zosyn this admission. on , flagyl and cipro were added. on , vanco and flagyl were d/c'd. during the course pt was found to have uti, and zosyn was given renally dosed. medications on admission: : asa 325', lopressor 50", nph 35u qam, lasix 20', simvastatin 10', lisinopril 40' discharge disposition: expired discharge diagnosis: . discharge condition: . discharge instructions: . followup instructions: . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified septicemia severe sepsis atrial fibrillation other and unspecified hyperlipidemia acute respiratory failure morbid obesity cardiac pacemaker in situ anticoagulants causing adverse effects in therapeutic use secondary malignant neoplasm of lung obstruction of bile duct chronic diastolic heart failure malignant neoplasm of duodenum 

Answer: The patient is high likely exposed to