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: nsaids attending: chief complaint: gi bleed pancreatic pseudocyst hypotension major surgical or invasive procedure: egd and stent removal embolization - left gastric artery subtotal pancreatectomy with splenectomy, primary takedown of gastro-cystic fistula with gastrohorrhaphy repair. history of present illness: this is a 47 year old male with a pancreatic pseudocyst and he had endoscopic drainage of the pseudocyst on by dr. . he was recently readmitted and discharge on with fever and pseudocyst infection, in which he was discharge home on fluconazole and augmentin. he now returns with abdominal pain, and weakness. past medical history: pancreatitis thought to be due to nsaid use in mid 's, hernia repair egd and pseudocyst-gastrostomy social history: he is a mental health worker. smokes, drinks alcohol one to two times a month. no prior history of heavy alcohol ingestion. denies drug use. family history: family history: positive for colon cancer in the patient's maternal aunt. she was diagnosed with cancer in her 70's, otherwise negative for colon cancer, rectal cancer or other hnpcc related cancers in first or second degree relatives. physical exam: 98.8, 94, 110/70, 22, 100% ra gen: nad cv; rrr pulm: clear to ausc. bilat. abd: soft, distented, mild discomfort to deep palpation difusely pertinent results: 02:25am blood wbc-24.9*# rbc-3.92* hgb-11.7* hct-33.5* mcv-85 mch-29.8 mchc-35.0 rdw-13.0 plt ct-635*# 08:50am blood wbc-11.1*# rbc-2.82*# hgb-8.5*# hct-24.3*# mcv-86 mch-30.1 mchc-34.9 rdw-13.1 plt ct-369 02:09pm blood wbc-10.7 rbc-3.30* hgb-9.9* hct-28.0* mcv-85 mch-29.9 mchc-35.3* rdw-14.0 plt ct-335 06:15am blood wbc-9.2 rbc-3.34* hgb-10.0* hct-27.9* mcv-84 mch-30.1 mchc-36.0* rdw-13.9 plt ct-370 02:25am blood glucose-224* urean-22* creat-1.4* na-142 k-4.3 cl-103 hco3-25 angap-18 06:15am blood glucose-96 urean-9 creat-0.7 na-143 k-4.0 cl-107 hco3-27 angap-13 02:25am blood alt-137* ast-106* ck(cpk)-41 alkphos-80 amylase-44 totbili-0.1 02:25am blood lipase-49 06:15am blood calcium-8.3* phos-3.1 mg-1.6 02:36am blood lactate-3.3* 08:59am blood lactate-1.2 . egd impression: 1. large adherent clot in the fundus of the stomach at the site of the cyst gastrostomy site. 2. distal aspect of the two pigtail stents were seen in the gastric antrum. 3. fresh blood was seen emanating at the cyst gastrotomy site. 4. these pigtail stents were removed with a snare. otherwise normal egd to third part of the duodenum recommendations: 1. continue management in icu 2. consult ir for angio embolization of the bleeding source. . abdominal aorta 4:57 pm indication: upper gi bleeding with the source at the gastric fundus by upper endoscopy. based on the findings on endoscopy with the bleeding site at the gastric fundus, it was decided to proceed with embolization of the left gastric artery. a microcatheter was then advanced into the left gastric artery with the help of a guidewire. another arteriogram was performed, demonstrating no evidence of active extravasation, pseudoaneurysm or neovascularity. four cc's of gelfoam slurry were then slowly injected through the microcatheter into the left gastric artery until stagnation of flow. the microcatheter was then pulled back and another arteriogram was performed demonstrating no opacification of the peripheral branches of the left gastric artery at the gastric fundus. the microcatheter was then removed and another arteriogram was performed from the main catheter engaged into the celiac trunk. once again no active extravasation was documented and there was no opacification of the peripheral branches at the gastric fundus. the catheter was removed. a guidewire was advanced through the sheath and the sheath was then removed from the common femoral artery. an angio-seal closure device was then deployed at the femoral artery puncture site and hemostasis achieved. the patient tolerated the procedure well. there were no immediate complications. impression: no evidence of active extravasation or detectable pseudoaneurysm in the celiac trunk territory. prophylactic embolization of the left gastric artery with gelfoam based on the endoscopic findings of the bleeding site at the gastric fundus. . ct abdomen w/contrast 3:35 am impression: 1. unchanged size of pseudocyst with slightly decreased surrounding stranding. double pigtail drainage catheter is in unchanged position. 2. no other new pathology in the abdomen is identified as a possible source of infection. 3. large filling defect in the stomach is most likely representing food. however, if the patient did not recently eat the possibility of hemorrhage into the stomach should be considered. . chest (portable ap) 4:15 am indication: question of atelectasis. as compared to the previous radiograph, the endotracheal tube has been removed. there is moderate motion artifacts that inhibit a closer morphologic analysis of the lung parenchyma. the subtle area of hypoventilation in the right lung apex could be unchanged. no evidence of newly occurred areas of atelectasis. . ct abdomen w/contrast 11:19 am impression: 1. no significant interval change in the hyper dense pseudocyst noted in the pancreatic tail. there has been interval removal of double pigtail drainage catheter. the air noted in the pseudocyst is most likely related prior connection with stomach. 2. stable absence of pancreatic neck and stable distal pancreatic atrophy with distal ductal dilatation. 3. multiple hypodense liver lesions are consistent with cysts/hemangiomas. . specimen submitted: distal pancreas and spleen. procedure date tissue received report date diagnosed by dr. /cma?????? diagnosis: pancreas and spleen, distal pancreatectomy and splenectomy: 1. pancreas with hemorrhagic pseudocyst and marked acute-on-chronic pancreatitis with necrosis and peripancreatic abscess formation; no residual in-tact pancreatic acinar tissue identified. 2. spleen with incidental littoral cell angioma and simple epithelial cyst (see note). 3. small fragment of unremarkable adrenal tissue. 4. no malignancy is identified. . ct pelvis w/contrast 11:07 am impression: 1. interval decrease in size of a now low-density fluid collection adjacent to the greater curvature of the stomach. 2. status post subtotal pancreatectomy and splenectomy. . brief hospital course: this is a 47 year old male who had egd and pancreatic pseudocyst gastrostomy and 2 stents placed on . he returned with hypotension and a gi bleed. he went for ct abd showing the pseudocyst unchanged measuring approximately 6.6 x 6 cm in the axial plane. there is mild surrounding stranding, slightly decreased since the prior study. there are again mixed attenuation material within the pseudocyst, with increased air components. a large filling defect in the stomach most likely represents food, although hemorrhage into the stomach cannot be excluded. he was admitted to the icu and had hematemesis and ng aspirate revealed frank blood. he received 4 units of prbc for blood loss anemia and aggressive ivf. he was electively intubated for urgent egd and therapy. he went for egd and and stent removal, with bleeding at the site of the tube (fundus). he had a suspected he then went to ir and no bleeding source found, left gastric embolized prophylactically. he was extubated the next day and moved to the floor. his diet was advanced to clears on hd 3. he continued on antibiotics for pseudocyst infection. he was doing well on the floor and able to advance his diet. on , the patient became diaphoretic and briefly unresponsive on the floor. he maintained a pulse and blood pressure. he was transferred to the icu. he had a hct drop from 30.7 to 22.9. ngt lavage revealed brb. he received 2 units of rbc and his hct was stable at 28.1. he went to the or on for: subtotal pancreatectomy with splenectomy, primary takedown of gastro-cystic fistula with gastrohorrhaphy repair. he did well post-operatively. pain: he had an epidural for pain control and was followed by aps. the epidurla was removed on pod 5. he was started on a pca and once taking adequate orals, was switched to po meds. gi/abd: he was npo, with ivf and tpn, and a ngt. the ngt was removed on pod 4 after clamp trials revealed low residuals. he was started on clears on pod 5. his diet was slowly advanced and he was tolerating a regular diet at time of discharge. his abdomen was soft, nondistened and appropriately tender. his incision was opened on the left side for a post-op wound infection and packed with wet to dry gauze. the staples were removed and steri strips applied medications on admission: cipro, percocet prn discharge medications: 1. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 2. acetaminophen 325 mg tablet sig: two (2) tablet po tid (3 times a day). 3. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours. disp:*40 tablet(s)* refills:*0* 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna southeastern mass discharge diagnosis: 1. chronic pancreatitis. 2. pancreatic pseudocyst. 3. gastro-cystic fistula causing recurrent life-threatening hemorrhage from pancreatic pseudocyst into the stomach. . abd pain, fevers, and hypotensive hypotension post-op wound infection discharge condition: good discharge instructions: you were admitted pain, fevers, and hypotensive please return to the ed or call the doctor if: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in 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. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. . * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. * continue to increase activity daily * no heavy lifting (> lbs) for 6 weeks. * continue with wound dressing changes. followup instructions: provider: , md phone: date/time: 9:45 procedure: parenteral infusion of concentrated nutritional substances other endoscopy of small intestine total splenectomy transcatheter embolization for gastric or duodenal bleeding transfusion of packed cells distal pancreatectomy closure of other gastric fistula removal of pancreatic tube or drain diagnoses: other postoperative infection unspecified essential hypertension acute posthemorrhagic anemia hypotension, unspecified hemorrhage of gastrointestinal tract, unspecified chronic pancreatitis other specified diseases of pancreas cyst and pseudocyst of pancreas fistula of stomach or duodenum 

Answer: The patient is high likely exposed to