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: morphine attending: chief complaint: biliary obstuction. major surgical or invasive procedure: ercp ir guided biliary drain history of present illness: this is an 88 yo man transferred from osh for ercp for biliary obstruction with obstructive hepatopathy. presented to hospital on with increasing shortness of breath, dizziness, and jaundice. per osh also reported fevers, chills, and nausea. had gveen given bactrim for a uti one week prior. he underwent an abdomen ct which showed intrahepatic and extrahepatic obstruction likely secondary to metastatic cancer to the pancreatic head. he was started on flagyl, zosyn, and vanc and transferred to for ercp. while being prepped for ercp (while under mac) and turned prone he regurgitated coffee-brown material so he was electively intubated due to concern for his risk of aspiration. they proceded with ercp, but were unable to cannulate the biliary tree. a dudodenal stent was placed due to external compression of the duodenum. he was placed on propofol for sedation and his sbp's dropped to the 80's in the pacu. he was started on neo through a piv for pressure support. in the icu the neo was rapidly weaned and he was extubated easily . it was thought that his inability to extubate post-procedure and hypotension were due to sedation rather than aspiration given his rapid improvement. ros: 10 point review of systems negative except as noted above. past medical history: 1. colon cancer with mets s/p colectomy complicated with small and large bowel obstruction with a colostomy. oncologist identified in osh records as dr. . 2. prostate enlargement s/p turp, ? in osh of prostatic mets 3. hypertension 4. hypercholesterolemia 5. gerd 6. s/p tonsillectomy social history: lives alone. per osh records is a nonsmoker, and no alcohol use. known family is sister in . family history: noncontributory physical exam: vitals: gen: well appearing, pleasant male heent: sclera icteric, perrla, eomi, op clear cv: +s1s2, rrr, no mrg appreciated lungs: ctab abd: + ostomy bag in place, + biliary drain in place, +bs, soft, nt, nd ext: no c/c/e pertinent results: admission labs: cbc:11.4 (n 89, no bands)->9.3, hct 25.1->28, plt 388 bmp: 135, 4.2, 102, 23, 19, 1.0, 94 alt 236->218, ast 300->268, ap 856->816, bili 11.8->11.2, lipase 184->120 ptt 28.4, inr 1.3 lactate 0.8 . discharge labs: 05:32am blood wbc-8.2 rbc-2.57* hgb-8.3* hct-25.8* mcv-101* mch-32.3* mchc-32.1 rdw-17.5* plt ct-383 05:32am blood glucose-102 urean-19 creat-0.9 na-139 k-3.5 cl-106 hco3-25 angap-12 05:32am blood alt-97* ast-58* alkphos-662* totbili-5.4* . ua: blood-sm nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-mod urobilngn-neg ph-5.5 leuk-mod rbc-4* wbc-13* bacteria-few yeast-none epi-0 . urine cx : no growth. blood cx : pending. mrsa screen : pending. . cxr port : lung volumes are quite low. with the chin down, the tip of the et tube at the upper margin of the clavicles is 3 cm above optimal placement. be left hilar enlargement and one or more nodules in the left lung. a band of atelectasis is present at the base of the right lung which is otherwise clear. heart is mildly enlarged. no pneumothorax. small bilateral pleural effusions, left greater than right, are likely present. an apparent bulge in the right mediastinal contour could be a skin fold instead. repeat radiographs, conventional if possible, recommended when feasible. . ercp : a large amount of gastric fluid was found when the endoscope was passed into the stomach, suggestive of outflow tract obstruction. unable to pass the scope to the second part of the duodenum due to obstruction, most likely extrinsic compression from colon cancer metastases. a duodenal stent ( 9cm x22mm wallflex enteral duodenal stent) was placed successfully under fluoroscopic guidance to alleviate the gastric outlet obstruction. ref 6502. lot (stent placement) . fluoro : impression: percutaneous transhepatic cholangiogram demonstrating moderate intra- and extra-hepatic biliary ductal dilatation with obstruction of the common bile duct at the level of the ampulla. successful placement of a right transhepatic internal-external biliary draining catheter with the catheter connected to a bag for external drainage brief hospital course: assessment and plan: 88 yo male with pmh of metastatic colon cancer and hypertension who is being admitted to the due to hypotension and need for continued intubation s/p ercp attempt for biliary obstruction. . # hypotension: patient became hypotensive after intubation on propofol. likely secondary to propofol, however also in the differential is hypotension from sepsis. he has two potential sources for sepsis: biliary obstruction and recent apsiration. also could have volume depletion. since coming to the floor his pressures had recovered and phenylephrine weaned off. given the possibility of sepsis, he was started on vancomycin, flagyl and cefepime, but then changed to ceftriaxone and flagyl. the vancomycin was discontinued after the cultures were negative x 48 horus. on the day before discharge he was transitioned to po levofloxacin to complete a full course through , cultures no growth to date at discharge. . # biliary obstruction/obstructive jaundice: the patient underwent a ct at the osh which showed intrahepatic and extrahepatic bile duct dilatation likely due to a metastasis to the pancreatic head from his colon cancer. he failed ercp due to external compression of the duodenum limiting their ability to pass the scope. a duodenal stent was placed by the ercp team to help to decompress the gastric outlet obstruction. given the failed ercp attempt, ir was consulted and performed an ir guided biliary drain on . he was transferred to the floor and his lfts trended down after the stent was placed. his drain was clamped on and with continued improvement of his liver tests and symptoms. he was discharged with a clamped biliary drain to follow up with interventional radiology. if symptoms return, the drain can be unclamped to a bag. . # respiratory distress: the patient presented to the icu intubated since the ercp. on the following morning he was successfully extubated and breathing appropriately on room air. . # anemia, chronic disease: the patient was noted to have coffe-ground regurgitation during the ercp procdure. he was anemic with a hct of 26 at the osh and 25 on admission labs here. vit b12 and folate normal at the osh. fe low, but other fe studies not sent. haptoglobin high makes hemolysis unlikely. most likely due to anemia of chronic disease and possibly due to oncologic treatment. started an iv ppi due to concern for coffee ground regurgitant. his hematocrits were stable and did not need transfusions. . # metastatic colon cancer: patient has multiple mets seen on osh imaging. he will follow up with his outpatient surgeon after discharge. . # hypertension, benign: stable medications on admission: home medications: prevacid 10 mg po daily lipitor 10 mg po qhs discharge medications: 1. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 days. disp:*2 tablet(s)* refills:*0* 2. prevacid 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. discharge disposition: home with service facility: vna of upper discharge diagnosis: metatstatic colon cancer gastric outlet obstruction s/p duodenal stent placement biliary obstruction s/p ir placed drain prostate enlargement s/p turp hypertension, benign hypercholesterolemia gastroesophageal reflux discharge condition: stable discharge instructions: you were admitted to the hospital becuase you had an obstruction in the small bowel and also in your biliary tract. you went for a procedure that stented open your small bowel allowing you to eat liquids and solids. you then went to the have a drain placed in your biliary duct in order to the relieve the obstruction. resume all of your home medications except lipitor, until follow up with your doctors. you will need to continue the levofloxacin for 7 days until . you will need to follow up with your primary surgeon and your primary care doctor. additionally, interventional radiology will contact you to follow up with your drain management. return to the hospital if you experience fevers/chills, abdominal pain, recurring jaundice, or any other concerning symptoms. followup instructions: as above, you will need to follow up with your primary surgeon, dr. when you return home, as well as with your pcp . as soon as possible. you will also need to follow up with the interventional radiology department in order to change the drain in 3 months. they will contact you to schedule this. procedure: other endoscopy of small intestine other percutaneous procedures on biliary tract endoscopic insertion of colonic stent(s) diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia other pulmonary insufficiency, not elsewhere classified other and unspecified angina pectoris pneumonitis due to inhalation of food or vomitus personal history of malignant neoplasm of large intestine hemorrhage of gastrointestinal tract, unspecified obstruction of bile duct intravenous anesthetics causing adverse effects in therapeutic use colostomy status anemia in neoplastic disease secondary malignant neoplasm of other digestive organs and spleen benign essential hypertension acquired hypertrophic pyloric stenosis 

Answer: The patient is high likely exposed to