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: no known allergies / adverse drug reactions attending: chief complaint: right upper quadrant pain major surgical or invasive procedure: laparoscopic cholecystectomy history of present illness: this is a m with a history of dm2 presenting with severe ruq since last night. he's actually had intermittent mild pain x 9 days (~ day each time), but it became worse overnight without any precipitating factors. sharp, ruq, non-radiating pain. no f/c/n/v/d. past medical history: diabetes, htn, gerd, depression, asa 81, colace psh: tonsillectomy, jaw surgery, eye surgery, bilateral open inguinal hernia repairs social history: lives alone. no t, very rare etoh, no ivdu. family history: nc physical exam: (admit) vs 99.6 67 180/81 18 99% ra gen nad, aaox3 but in pain cv rrr pulm ctab abd soft, extremely ttp ruq, +g, no rebound; well healed incisions ext wwp, no edema general: nad, alert and oriented, sitting in chair paper vital signs: bp=139/79, hr 77, resp. rate 18, oxygen saturation 98% (2 liters) cv: ns1, 2, -s3, -s4 lungs: clear upper, diminshed bases abdomen: soft, slightly distended, non-tender, steri-strips to port sites ext: no pedal edema bil. pertinent results: 04:35am blood wbc-6.7 rbc-3.22* hgb-9.6* hct-29.7* mcv-92 mch-29.9 mchc-32.4 rdw-12.7 plt ct-212 03:46am blood wbc-7.3 rbc-3.04* hgb-9.1* hct-27.7* mcv-91 mch-29.9 mchc-32.9 rdw-12.7 plt ct-179 07:55pm blood wbc-9.3 rbc-3.50* hgb-10.5* hct-32.1* mcv-92 mch-29.9 mchc-32.6 rdw-12.7 plt ct-182 08:20am blood neuts-83.9* lymphs-11.5* monos-3.9 eos-0.3 baso-0.4 04:35am blood plt ct-212 03:46am blood plt ct-179 05:05am blood glucose-116* urean-20 creat-0.8 na-145 k-4.0 cl-109* hco3-27 angap-13 04:35am blood glucose-156* urean-23* creat-0.9 na-138 k-3.4 cl-104 hco3-26 angap-11 03:46am blood glucose-133* urean-21* creat-1.1 na-139 k-3.8 cl-103 hco3-27 angap-13 04:35am blood alt-22 ast-31 alkphos-71 amylase-15 totbili-1.4 11:23pm blood ck(cpk)-127 08:20am blood alt-13 ast-25 alkphos-90 amylase-38 totbili-1.0 04:35am blood lipase-10 08:20am blood lipase-27 11:23pm blood ck-mb-4 ctropnt-<0.01 05:05am blood calcium-8.4 phos-2.4* mg-1.9 04:35am blood calcium-8.1* phos-2.3* mg-1.9 10:53am blood lactate-2.1* : ekg: artifact is present. sinus rhythm. ventricular ectopy. low voltage in the limb leads. non-specific st-t wave changes. compared to the previous tracing of ventricular ecopy and low voltage are new. tracing #2 : liver/gallbladder ultrasound: impression: findings concerning for acute cholecystitis in the appropriate clinical setting with a positive son sign in a distended gallbladder containing stones and sludge. : chest x-ray: frontal chest radiograph: interstitial edema is not significantly changed; however, there is increasing opacification at the right lung base which may represent atelectasis, although superimposed infection cannot be excluded. there are small bilateral pleural effusions. there is no pneumothorax. azygos fissure is again noted. the cardiomediastinal silhouette is stable. a small amount of free air underneath the hemidiaphragms is again noted consistent with recent laparotomy. : ekg: normal sinus rhythm. non-specific st-t wave changes. compared to tracing #1 the rate is slightly faster. other findings are similar. tracing #2 : chest x-ray: findings: in comparison with the study of , there is little change in the amount of free intraperitoneal gas beneath the hemidiaphragm, consistent with prior surgery. some residual opacification at the left base is consistent with atelectasis and possible effusion, though in the appropriate clinical setting, the possibility of supervening pneumonia would have to be considered. no evidence of pulmonary vascular congestion at this time. brief hospital course: the patient was seen in the emergency department and was determined to have acute cholecystitis. he was taken to the operating room for a laparoscopic cholecystectomy. due to the patients severe disease, this was noted to be a very difficult dissection, and the cystic duct was taken using stapler rather than the classic clips. the remainder of the procedure was prolonged, but otherwise uncomplicated. the patient tolerated the procedure well and was taken to the pacu for further recovery. he recovered from anesthesia without difficulty and was transferred to the floor for observation. his initial recovery was uneventful and on the normal course for a difficult cholecystectomy. on pod 2, however, the patient was noted to have desaturations to 81% ad was found to be in new onset afib. this was controlled with lopressor and the patient was transferred to the intensive care unit. a ct pe protocol was negative for pe, and the patient was loaded with diltiazem and a drip was maintained overnight. the patient converted back to normal sinus rhythm and his oxygen saturations recovered to his normal preop levels. he was given lasix for his fluid overload and to assist in prevention of continued afib. following this, the patient was transferred back to the floor for the remainder of his recovery. he returned to the regular floor on . he continued to have episodes of rapid heart rate which were controlled with metoprolol. his regular diet was resumed. his foley catheter was discontinued on pod #4 and he has been voiding without difficulty. he was evaluated by physical therapy who recommended a rehabilitation facility to improve his overall conditioning in hopes of him attaining optimal recovery. today he will complete his final day of unasyn. he is preparing for discharge to a rehabilitation facility. his vital signs are stable and his episodes of rapid heart rate have diminished. he is tolerating a regular diet. he is voiding without difficulty. he will follow-up with the acute care service in 2 weeks. medications on admission: : enalapril 5mg daily, lactulose tspns , metformin 1000mg and 500mg at noon, omeprazole 20mg daily, paroxetine 10mg daily discharge medications: 1. enalapril maleate 5 mg tablet sig: one (1) tablet po daily (daily): hold for blood pressure <110, hr <60. 2. acetaminophen 325 mg tablet sig: 1-2 tablets po tid (3 times a day): as neeeded for pain. 3. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. disp:*20 tablet(s)* refills:*0* 4. paroxetine hcl 10 mg tablet sig: one (1) tablet po daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 6. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 7. metformin 500 mg tablet sig: one (1) tablet po once a day. 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) cc injection tid (3 times a day). 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po tid (3 times a day): hold for blood pressure <110, hr <60. discharge disposition: extended care facility: newbridge on the - discharge diagnosis: acute cholecystitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - with additional person for assistance discharge instructions: * you were admitted to the hospital with abdominal pain from inflammation of your gallbladder. during surgery the gallbladder was noted to be very diseased. * you have done well and should continue to eat well and stay well hydrated. follow the general direction below: you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. please call your doctor or return to the emergency room if you have any of the following: * 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. * 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. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: call the acute care clinic at for a follow up appointment in 2 weeks. please follow-up with your primary care provider, . , in 1 week. the telephone number is #. provider: , dpm phone: date/time: 4:10 provider: , m.d. date/time: 10:40 procedure: laparoscopic cholecystectomy diagnoses: esophageal reflux unspecified essential hypertension atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes depressive disorder, not elsewhere classified acute cholecystitis other fluid overload 

Answer: The patient is high likely exposed to