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: patient recorded as having no known allergies to drugs attending: chief complaint: severe gallstone pancreatitis major surgical or invasive procedure: tracheostomy history of present illness: this is a 66 year old male, transferred from with pancreatitis, respiratory failure, ?pna, and nsvt. pt initially presented to on ; by report, he had sudden onset of bdominal/epigastric pain with associated nausea (no vomiting). he was initially afebrile, hypertensive, tachycardic; amylase was 1851, lipase was >6000. past medical history: pna, schizophrenia, syncope pertinent results: liver or gallbladder us (single organ) port 11:00 pm liver or gallbladder us (singl reason: evaluate gallbladder, duct; please measure cbd medical condition: 66 year old man with gallstone pancreatitis, fevers, ?dilation of cbd reason for this examination: evaluate gallbladder, duct; please measure cbd indication: 66-year-old male with gallstone pancreatitis and concern for common bile duct dilatation. right upper quadrant ultrasound: the liver demonstrates a 1.8 x 1.6 x 1.5 cm well circumscribed echogenic focus of the posterior right hepatic lobe compatible with a hemangioma. the gallbladder is contracted and contains sludge and a few small stones. there is no pericholecystic fluid. the contracted state of the gallbladder causes apparent wall thickening. there is no intra- or extrahepatic biliary ductal dilatation. the common bile duct measures 3-4 mm. there is no ascites. incompletely visualized is a right pleural effusion. the pancreas is not well seen due to overlying bowel gas. there is appropriate hepatopetal portal venous flow. the right kidney is unremarkable. impression: 1. contracted gallbladder with small stones and sludge. 2. no intra- or extrahepatic biliary ductal dilatation, with the common duct measuring 3-4 mm. 3. 1.8 cm well circumscribed echogenic focus of the posterior right hepatic lobe is consistent with an hemangioma. 4. limited evaluation of the pancreas due to overlying bowel gas. cardiology report echo study date of patient/test information: indication: atrial/ventricular ectopy. left ventricular function. height: (in) 69 weight (lb): 165 bsa (m2): 1.91 m2 bp (mm hg): 96/51 hr (bpm): 115 status: inpatient date/time: at 11:00 test: portable tte (complete) doppler: full doppler and color doppler contrast: none tape number: 2006w022-0:20 test location: west micu technical quality: suboptimal referring doctor: dr. dr. measurements: left atrium - long axis dimension: 3.5 cm (nl <= 4.0 cm) left atrium - four chamber length: 5.1 cm (nl <= 5.2 cm) left ventricle - septal wall thickness: 1.1 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: 1.1 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 3.6 cm (nl <= 5.6 cm) left ventricle - ejection fraction: >= 60% (nl >=55%) aorta - valve level: *3.7 cm (nl <= 3.6 cm) aortic valve - peak velocity: 1.2 m/sec (nl <= 2.0 m/sec) mitral valve - e wave: 0.7 m/sec mitral valve - a wave: 0.8 m/sec mitral valve - e/a ratio: 0.88 mitral valve - e wave deceleration time: 183 msec tr gradient (+ ra = pasp): *32 mm hg (nl <= 25 mm hg) interpretation: findings: left atrium: normal la size. right atrium/interatrial septum: normal ra size. lipomatous hypertrophy of the interatrial septum. left ventricle: normal lv wall thickness, cavity size, and systolic function (lvef>55%). suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated aortic root. aortic valve: normal aortic valve leaflets. no ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. mild pa systolic hypertension. pericardium: there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. general comments: suboptimal image quality - poor echo windows. suboptimal image quality - ventilator. based on aha endocarditis prophylaxis recommendations, the echo findings indicate a low risk (prophylaxis not recommended). clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. conclusions: the left atrium is normal in size. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated. the aortic valve leaflets appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is mild pulmonary artery systolic hypertension. there is an anterior space which most likely represents a fat pad. impression: preserved global biventricular systolic function. mild pulmonary artery systolic hypertension. based on aha endocarditis prophylaxis recommendations, the echo findings indicate a low risk (prophylaxis not recommended). clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. chest (portable ap) 6:00 am chest (portable ap) reason: interval changes in lung volumes, infiltrate medical condition: 66 year old man new transfer from osh with pancreatitis, elevated peak pressures, abd distention reason for this examination: interval changes in lung volumes, infiltrate ap chest, 6:07 a.m., . history: pancreatitis. impression: ap chest compared to and 24. left lower lobe collapse has not improved. lung volumes are low normal. small bilateral pleural effusions unchanged. no pneumothorax. heart size normal and mediastinum midline. et tube and left subclavian line, and nasogastric tube are in standard placements respectively. ct head w/o contrast 9:49 am ct head w/o contrast reason: intracranial process causing sedation and coma medical condition: 66 year old man with pancreatitis, off all sedation but not responding neurologically reason for this examination: intracranial process causing sedation and coma contraindications for iv contrast: none. indication: 66-year-old male with history of pancreatitis. the patient is now off all sedation but not responding. comparisons: no comparisons are available. technique: ct of the head without iv contrast. findings: there are very severe periventricular hypodensities. these are more severe in the bilateral frontal lobes where there is loss of the - white matter differentiation at some point. there is also encephalomalacia and atrophy involving predominantly the right temporal lobe. there is a lacunar infarct within the left thalamus. the ventricles are prominent. the above findings are most likely secondary to chronic ischemic changes and chronic infarcts. there are calcifications in the falx. there is no evidence of herniation. there is no evidence of hemorrhage, shift of normally midline structures. no evidence of mass effect. there is mild opacification of the bilateral maxillary sinus, ethmoid sinuses, and sphenoid sinuses. there is severe septal deviation to the right side. the ng tube is coiled in the nasopharynx. there is mild opacification of the external auditory canal bilaterally (left greater than right), correlate with physical examination. there is mild opacification of the bilateral mastoid air cells. impression: 1. no evidence of hemorrhage. 2. chronic encephalomalacic changes likely representing chronic infarcts and chronic ischemia. 3. mild opacification of the paranasal sinus, and mastoid air cells as was described above. the feeding tube is coiled within the nasopharynx. if indicated, mri could be performed for further evaluation. object: pancreatitis. r/o seizure. referring doctor: dr. findings: abnormality #1: brief polymorphic bursts of moderate to, at times, moderately high voltage mixed frequency slower theta were seen bifrontally, without clear laterality at times in a somewhat bursting character. no associated sharp or spike activity was seen. background: well-formed and moderately well-sustained moderate voltage 10 hz activity was seen biposteriorly present without significant asymmetry. the anterior-posterior voltage gradient was preserved. hyperventilation: not performed. intermittent photic stimulation: not performed. cardiac monitor: no arrhythmias noted. impression: normal eeg due to some bifrontal slow bursts. whether this represents increased cortical hyperreactivity related to subcortical or deeper midline structures increased irritability is uncertain. no definitive spike discharges were seen. no persistent slowing suggestive of a destructive or structural process could be seen. chest (portable ap) 12:08 pm chest (portable ap); -76 by same physician reason: dobhoff placement? medical condition: 66 year old pancreatitis w/ new dobhoff placement. reason for this examination: dobhoff placement? ap chest, 1:12 p.m. on . history: pancreatitis. new dobbhoff tube placement. impression: ap chest compared to 11:21 a.m.: new feeding tube, with wire stylet in place passes through the distal stomach and out of view. nasogastric tube ends in the upper stomach. et tube and right subclavian line in standard placements. moderate left pleural effusion has increased. left lower lobe atelectasis is stable. atelectasis at the medial aspect of the right lung is worsening. mediastinal venous engorgement and upper lobe vascular dilatation have worsened indicating cardiac decompensation or volume overload although heart size remains normal. no pneumothorax. chest (portable ap) 4:42 am chest (portable ap) reason: ett placement medical condition: 66 year old pancreatitis w/ new dobhoff placement. reason for this examination: ett placement the findings were discussed with dr. at 11 a.m., . reason for examination: evaluation of the et tube placement and dobbhoff placement. portable ap chest radiograph compared to . the et tube is low at the level of the carina. there is no dobbhoff tube inserted demonstrated on the current film. the right subclavian line tip is in mid portion of superior vena cava. the heart size is markedly decreased as well as there is prominent improvement of bilateral pulmonary edema with decreased bilateral, mostly on the left, pleural effusion. impression: 1. low position of the et tube. 2. marked improvement with almost complete resolution of pulmonary edema and decrease in left pleural effusion. brief hospital course: 1. pancreatitis: amylase and lipase were very elevated on admission to (ast and alt mildly elevated). us and ct were suspicious for gallstones in cystic duct with dilation of cbd. persistent fevers are concerning for necrotic pancreas, and most recent ct had findings suspicious for phlegmon. he was started on meropenem, and vancomycin was added when he continued to have fevers. cultures have been negative, but he is growing klebsiella from sputum. - will continue meropenem (d6)/vanco (d2) - continue ivf with goal cvp>12, map>65 - will review osh radiology (ct scans) - ercp consult given concern for stones in duct - repeat cultures - tpn for now given ileus - insulin gtt for tight control - protonix daily . 2. ?pna: cxr concerning for pna at left base, with klebsiella in sputum - continue meropenem/ vanco - repeat sputum culture - repeat cxr (?tappable effusion) . 3. respiratory failure: hypercarbic, ?in setting of sepsis - will ck abg, wean vent as tolerated - treat pna, may need to tap effusion - fentanyl and versed for sedation - trach'ed . 4. ileus: will repeat kub, ngt to suction if necessary, npo with tpn . 5. nsvt: will continue amio gtt, is currently hemodynamically stable, will shock if unstable rhythm - t/c cards input if ectopy persists - replete lytes as needed . 6. hypotension: now stable, was requiring pressors, will give ivf, keep map>65, a-line in place . 7. ppx: sq hep, ppi, bowel meds . 8. fen: npo for now, ivf, replete lytes as above . 9. code: full, confirmed with power of attorney . 10. access: r ij (will need to resite), r a-line () . 11. contact: power of attorney: (, ) . 12. dispo: icu care. . micro: cath tip: no growth; cdiff +; sputum: yeast urine - blood:p sputum: 3+ yeast, cx mod yeast, op flora; blood:ngtd; urine:neg; c.diff:neg; blood:ngtd; cath tip:neg; sputum:cx=yeast, klebsiella (pan-); blood:ngtd; urine: neg sputum from outside hosp klebsiella resist to amp(otherwise sensitive) rads: eeg nonspecific; cxr: no change; ct head: chronic ischemic changes cxr: improved lll consolidation, borderline pulm edema; cxr: l effusion, mild chf; cxr : left effusion, us: no intra/extra hepatic dilatation, some gallstones/sludge mr. on . medications on admission: wellbutrin, buspar, neurontin . discharge disposition: discharge diagnosis: severe gallstone pancreatitis discharge condition: deceased procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances other bronchoscopy transfusion of packed cells infusion of vasopressor agent diagnoses: anemia, unspecified atrial fibrillation depressive disorder, not elsewhere classified unspecified schizophrenia, unspecified paroxysmal ventricular tachycardia acute respiratory failure hypotension, unspecified intestinal infection due to clostridium difficile other emphysema paralytic ileus other encephalopathy acute pancreatitis pneumonia due to klebsiella pneumoniae calculus of gallbladder and bile duct without cholecystitis, without mention of obstruction inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation other premature beats 

Answer: The patient is high likely exposed to