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: obstructive jaundice w/pancreatic mass major surgical or invasive procedure: ercp staging laparoscopy exploratory laparotomy reduction of internal hernia cholecystostomy tube placement history of present illness: 69 y/o male with ankylosing spondylitis and hypertension presented w/new onset of obstructive jaundice. pt. referred from hospital in . upon arrival pt. had been found to have bilirubin on 40. pt. had undergone ercp at hospital without relief of symptoms. on exam pt. was very jaundiced, itchy, and weak. past medical history: ankylosing spondylitis hypertension anemia proteinuria social history: lives in family history: sister treated by dr. for pancreatic process physical exam: gen: wd, wn, nad heent: perrl&a, ncat, non-icteric sclera chest: ctab no w/c/r appreciated cv: rrr, nl s1s2, no m/r/g appreciated abd: soft, mildly distended, incision clean, dry, and intact, drain site w/ostomy bag, non-tender to palpation, normal active bowel sounds ext: mild edema bilat lower extrem, no clubbing, no cyanosis, l groin w/resolving hematoma gu: scrotal swelling --> improved pertinent results: 10:13pm urine color-dkamb appear-clear sp -1.010 10:13pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-lg urobiln-4* ph-6.5 leuks-neg 10:13pm urine rbc-0 wbc-0 bacteri-none yeast-none epi-0 10:00am blood cortsol-28.8* 01:10pm blood cortsol-38.9* 12:15pm blood ck-mb-3 ctropnt-<0.01 07:40pm blood ck-mb-4 ctropnt-0.01 04:00am blood ctropnt-0.02* 09:05pm blood lipase-27 08:46am blood lipase-132* 04:45am blood lipase-118* 06:40am blood alt-76* ast-116* ld(ldh)-232 alkphos-263* totbili-15.9* 07:10am blood totbili-17.1* 12:15pm blood alt-113* ast-249* ck(cpk)-200* alkphos-331* totbili-20.5* 05:21am blood alt-79* ast-106* alkphos-393* amylase-76 totbili-27.0* 06:11pm blood ck(cpk)-83 08:46am blood ck(cpk)-66 amylase-69 03:53am blood alt-64* ast-84* alkphos-333* totbili-23.4* 11:38pm blood ck(cpk)-77 10:13pm blood alt-71* ast-92* alkphos-378* amylase-84 totbili-27.2* dirbili-21.3* indbili-5.9 09:05pm blood amylase-82 04:45am blood glucose-85 urean-14 creat-0.7 na-140 k-3.1* cl-104 hco3-27 angap-12 04:45am blood plt ct-536* 04:55am blood plt ct-388 07:00pm blood pt-11.5 ptt-26.1 inr(pt)-0.9 12:50pm blood hypochr-2+ anisocy-1+ poiklo-normal macrocy-normal microcy-normal polychr-occasional target-1+ 12:50pm blood neuts-66 bands-0 lymphs-22 monos-10 eos-2 baso-0 atyps-0 metas-0 myelos-0 04:55am blood wbc-14.1* rbc-3.37* hgb-10.0* hct-29.8* mcv-89 mch-29.6 mchc-33.4 rdw-18.4* plt ct-388 06:45am blood wbc-13.5* rbc-3.34* hgb-9.7* hct-29.7* mcv-89 mch-29.1 mchc-32.8 rdw-18.1* plt ct-368 06:40am blood wbc-18.2* rbc-3.38* hgb-9.7* hct-29.0* mcv-86 mch-28.8 mchc-33.5 rdw-17.9* plt ct-386 brief hospital course: pt. was admitted to s/p ercp on . post ercp pt. was hypotensive with other vital signs wnl. pt. was afebrile with adequate urine output. a cxr showed no free air effectively ruling out the possibility of a perforation during the ercp. also the pt underwent an mrcp that showed dilitation of intrahepatic ducts, nodular wall enhancement in the distal pancreas, a mass in the neck of the pancreas, and a large cystic lesion on the right kidney. furthermore, there appeared to be ductal dilation in the uncinate region as well as gross side branching in the distal part of the pancreatic duct. this was all consistent with intraductal papillary mucinous tumor. we knew from a pre-hospital brushing from that he had adenocarcinoma harbored in this. on hospital day 4 the pt. was taken to the or and scheduled for a staging laparotomy with subsequent whipple procedure. however, upon opening the abdomen it was discovered that the pt. had a small bowel obstruction w/a clear transition point. when the whipple was initiated with the open cholecystectomy anesthesia indicated that the pt. had become tachycardic and hypotensive. this continued and it was felt that the pt. was becomming septic. the procedure was abondanded, a cholecystostomy tube was placed, a central line placed in the l groin, and the pt. was taken to the pacu. pt. was hemodynamically stable upon transport to the pacu after receiving fluids, blood, and pressors in the or. post-op the pt. developed a hematoma at the site of the central line. an ultrasound was performed that showed no evidence of a pseudoaneurysm or av malformation. pod 1 the pt. had stable crits. and was extubated in the evening and did well through the night. the pt. did well for the rest of his hospital course. on pod 3 he developed hiccoughs that gradually resolved on their own. he remained afebrile with stable vital signs. antibiotics were discontinued after five days of therapy. on pod 8 pt. was tolerating a regular diet and had complete return of bowel function. on pod 10 pt. was deemed ready for rehab and discharged to a skilled nursing facility for continued care and recouperation. medications on admission: prinivil 10 atenolol 50 qday discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 2. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 3 days. disp:*3 tablet(s)* refills:*0* 3. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once a day for 3 days. disp:*6 tab sust.rel. particle/crystal(s)* refills:*0* 4. colace 100 mg capsule sig: one (1) capsule po twice a day: - while taking pain medication - hold for diarrhea. disp:*40 capsule(s)* refills:*0* discharge disposition: extended care facility: tcu discharge diagnosis: pancreatic cancer intraductal papillary mucinous tumor incarcerated inguinal hernia with small bowel obstruction hypertension anemia ankylosing spondylitis discharge condition: good discharge instructions: - pt. may eat a reguar diet. - pt. to resume home medications. - pt. may sponge bath or cover ostomy bag and shower. no baths or soaking in tub. - no heavy lifting - anything more that a gallon of milk - pt. to call clinic or return to ed if t>101.5, chills, nausea, vomitting, severe pain, erythema or purulent drainage from wound sites, or any other concern. followup instructions: - please follow-up with dr. in 2 weeks. please call his clinic to arrange an appointment . procedure: exploratory laparotomy transfusion of packed cells other cholecystotomy endoscopic retrograde cholangiopancreatography [ercp] manual reduction of hernia diagnoses: other postoperative infection unspecified essential hypertension unspecified septicemia hematoma complicating a procedure malignant neoplasm of head of pancreas other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation multiple involvement of mitral and aortic valves systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction obstruction of bile duct surgical or other procedure not carried out because of contraindication diseases of tricuspid valve inguinal hernia, with obstruction, without mention of gangrene, unilateral or unspecified (not specified as recurrent) ankylosing spondylitis 

Answer: The patient is high likely exposed to