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: toradol attending: chief complaint: abdominal pain major surgical or invasive procedure: ercp with sphincterotomy and stone/sludge extraction history of present illness: mr. is a 57m with being transferred from the icu for ercp. he was recently admitted to the for abdominal pain, inability to tolerate po, nausea, and vomiting x 1.5 weeks. prior to this admission he developed a wound in his abdomen after a previous hernia repair, and was treated surgically at the for an abdominal abscess. at , he received a ct scan which showed interval enlargement of his ventral hernia, and underwent surgical repair on with placement of two jp drains. us showed gallbladder sludge with enlarged common bile duct 6-8mm. cxr was concerning for pneumonia, and he was started on levofloxacin . pertinent labs included na 130, wbc 11.6, hct 34, tbili 5.9, ast 149, alt 207, alk phos 51, amylase 89, lipase 28, haptoglobin 235. vitals t 98.8, rr 16, bp 111/65, 94% / 2l nc. he was transferred to the icu for worsening liver enzymes, abdominal pain, concern for cholangitis and plan for ercp. on arrival to the micu, patient's vs: 98.2, 97, 117/89, 17, 97% on ra past medical history: past medical history: - ventral hernia repair - incisional hernia repair - small bowel perforation s/p repair - copd - osteoporosis - gerd - hyperlipidemia - l hip fx - appendectomy social history: - lives alone in . disabled. he has one child. used to smoke 3ppd, currently smokes ppd. denies alcohol and other recreational drugs. previously chef. family history: - mother with copd, father with . physical exam: admission exam: general: alert, oriented, no acute distress heent: sclera anicteric, oropharynx dry but clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: large midline incisional hernia with dressings, bilateral jp drains with serosanginous fluid. moderate tenderness throughout, worse in epigastric, left-side. bowel sounds diminished. no organomegaly, no rebound or guarding gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred. pertinent results: admission labs: 05:44pm blood wbc-8.5 rbc-3.95* hgb-11.7* hct-34.4* mcv-87 mch-29.5 mchc-33.9 rdw-14.2 plt ct-255 05:44pm blood neuts-79.6* lymphs-11.5* monos-7.2 eos-1.5 baso-0.2 05:44pm blood pt-12.5 ptt-30.3 inr(pt)-1.2* 05:44pm blood glucose-91 urean-3* creat-0.5 na-139 k-3.9 cl-101 hco3-25 angap-17 05:44pm blood alt-73* ast-52* ld(ldh)-175 alkphos-56 totbili-6.1* dirbili-4.0* indbili-2.1 05:44pm blood albumin-3.0* calcium-7.9* phos-1.8* mg-1.8 10:16pm urine color-yellow appear-clear sp -1.008 10:16pm urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirub-sm urobiln-neg ph-7.5 leuks-neg 10:16pm urine rbc-6* wbc-1 bacteri-few yeast-none epi-0 cxr: impression: 1. right subclavian picc line has its tip in the distal svc near the cavoatrial junction. lung volumes are low with small bilateral layering effusions and patchy bibasilar opacities which most likely represent compressive atelectasis, although bilateral pneumonia or aspiration cannot be entirely excluded. no pneumothorax. no evidence of pulmonary edema. overall cardiac and mediastinal contours are likely within normal limits given portable technique. surgical clips are seen overlying the epigastric region. midline surgical skin staples are seen overlying the mid abdomen along with at least two abdominal surgical drains ruq u/s: impression: 1. no evidence of biliary obstruction. prominence of the free segment of the common duct is noted, a commonly seen finding, but the common hepatic duct is nondilated and there is no intrahepatic biliary ductal dilation. distal common bile duct and pancreatic duct could not be evaluated due to overlying bowel gas. 2. no gallstones or evidence of cholecystitis. brief hospital course: 57m s/p ventral hernia repair at osh, copd, numerous previous abdominal surgeries who presents with abdominal pain, elevated tbili, cbd dilatation transferred from osh for ercp. # biliary obstruction: underwent ercp on for rising bilirubin. sphincterotomy done w/ stone and sludge extraction. he was treated with post-procedure ciprofloxacin to continue through . his diet was gradually advanced, which he tolerated without n/v. he had formed bm. transaminases and bilirubin improved. elective cholecystectomy is recommended, for which follow up with his surgeon at was arranged. no follow-up with gi is required. # post-op ileus: pt was transferred from osh with ng tube for decompression, and this was removed at time of ercp. diet advanced with success, passed flatus and stool. # ventral hernia: recently repaired on at osh, with two jp drains still in place. surgery consult service following. incisional pain was managed with oxycodone and ultimately oxycontin was added. he continued to have 25-50cc/24h per jp , drains were kept in place. this was discussed with his surgeon dr at , who agreed with plan to discharge pt home with drains in place. he will see patient in follow up next week. vna was arranged for care. # chest imaging showed bibasilar opacities. patient did not have clinical signs/sx of pneumonia. picture more consistent with atelectasis. chronic issues: # copd: outpatient on flovent, in hospital was stable on ipratropium, albuterol prn without sx or oxygen requirement. # osteoporosis: stable. continued home calcium carbonate 1.25g po once daily and vit d 1000u daily. held alendronate 70mg po (once weekly) # gerd: continued omeprazole 20mg po bid # anemia: normocytic anemia. continued home cyanocobalamin 1000mcg po daily transitional issues: - cholecystectomy recommended - follow-up with dr. as above - continue cipro through medications on admission: preadmissions medications listed are incomplete and require futher investigation. information was obtained from transfer records. 1. alendronate sodium 70 mg po weekly 2. calcium carbonate 1250 mg po daily 3. cyanocobalamin 1000 mcg po daily 4. omeprazole 20 mg po bid 5. pravastatin 40 mg po daily 6. vitamin d 1000 unit po daily discharge medications: 1. calcium carbonate 1250 mg po daily 2. cyanocobalamin 1000 mcg po daily 3. omeprazole 20 mg po bid 4. vitamin d 1000 unit po daily 5. ciprofloxacin hcl 500 mg po q12h duration: 5 days end date rx *ciprofloxacin 500 mg 1 tablet(s) by mouth twice a day disp #*10 tablet refills:*0 6. docusate sodium 100 mg po bid rx *docusate sodium 100 mg 1 tablet(s) by mouth twice a day disp #*30 tablet refills:*1 7. oxycodone (immediate release) 5 mg po q4h:prn pain duration: 7 days rx *oxycodone 5 mg 1 tablet(s) by mouth every six (6) hours disp #*28 tablet refills:*0 8. oxycodone sr (oxycontin) 10 mg po q12h pain please hold for sedation rx *oxycontin 10 mg 1 tablet(s) by mouth every twelve (12) hours disp #*14 tablet refills:*0 9. polyethylene glycol 17 g po daily rx *polyethylene glycol 3350 17 gram 1 packet by mouth once a day disp #*7 packet refills:*1 10. senna 1 tab po bid:prn constipation rx *senna 8.6 mg 1 tablet by mouth twice a day disp #*14 tablet refills:*1 11. promethazine 25 mg po q6h:prn nausea rx *promethazine 25 mg 1 tablet by mouth every six (6) hours disp #*28 tablet refills:*0 12. alendronate sodium 70 mg po weekly 13. pravastatin 40 mg po daily discharge disposition: home with service facility: , discharge diagnosis: # biliary obstruction # s/p ventral wall hernia repair at secondary diagnoses: # copd # osteoporosis # hyperlipidemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: see below followup instructions: name: ,md when: friday at 1pm location: surgical specialties address: , , , phone: md procedure: endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy diagnoses: esophageal reflux tobacco use disorder acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified other and unspecified hyperlipidemia osteoporosis, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus other postprocedural status calculus of bile duct without mention of cholecystitis, with obstruction other specified aftercare following surgery other digestive system complications 

Answer: The patient is high likely exposed to