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: abdominal pain major surgical or invasive procedure: transplant pancreatectomy history of present illness: 49 year old male s/p pancreas and kidney transplant in ' and ' presents from osh with 2-3 day history of worsening abdominal pain, nausea, vomiting and diarrhea. imaging at osh was read as large abscess extending to the transplanted pancreas past medical history: kidney tx pancreas tx l. cea cabg right fem- htn dm gerd viterectomy transplant pancreatectomy social history: he was a past smoker but has quite several times with the latest time being six months ago. alcohol use on a social level. no drug use. family history: significant for cad. physical exam: t 97.0 p 120 bp 210/100 rr 28 o2 100ra pe: gen - alert and oriented times 3, in acute distress cv - tachycardic, regular rhythm pulm - ctab abd - diffusely tender throughout to mild palpation,+guarding ext - well healed incisions in bilateral lower legs, legs warm labs: 9.7 135 99 28 90.2 18.3>----<356 ----|---|---<235 ----<11.7 28.8 4.1 27 1.3 57.0 amylase 206 lipase p pertinent results: 02:30pm urine color-yellow appear-clear sp -1.022 02:30pm wbc-18.3*# rbc-3.59* hgb-9.7* hct-28.8* mcv-80* mch-27.0 mchc-33.6 rdw-14.3 02:30pm albumin-3.4 calcium-9.1 phosphate-2.7# magnesium-1.4* 02:30pm alt(sgpt)-12 ast(sgot)-14 ck(cpk)-71 alk phos-74 amylase-206* tot bili-0.4 02:30pm urine blood-tr nitrite-neg protein-neg glucose-1000 ketone-neg bilirubin-neg urobilngn-neg ph-8.0 leuk-neg 02:30pm urine rbc-0-2 wbc- bacteria-none yeast-none epi-0-2 02:30pm glucose-235* urea n-28* creat-1.3* sodium-135 potassium-4.1 chloride-99 total co2-27 anion gap-13 09:53am blood wbc-6.7 rbc-3.49* hgb-9.9* hct-29.4* mcv-84 mch-28.3 mchc-33.6 rdw-14.5 plt ct-383 09:53am blood pt-16.9* inr(pt)-1.5* 09:53am blood glucose-292* urean-36* creat-1.7* na-135 k-3.7 cl-102 hco3-23 angap-14 02:30pm blood alt-12 ast-14 ck(cpk)-71 alkphos-74 amylase-206* totbili-0.4 09:53am blood calcium-9.0 phos-2.3* mg-1.4* 09:53am blood fk506-10.6 brief hospital course: a kub was initially done showing no evidence of free air or acute intrathoracic process. ct scan demonstrated marked distention of what appeared to be the duodenal segment of the pancreas. based upon clinical presentation, he was brought to the operating room by dr. on . he underwent exploratory laparotomy, bowel resection, and transplant pancreatectomy for torsion of the pancreas and peritonitis. per dr. note, the roux limb had marked congestion and distention extending down through the mesocolon of the sigmoid colon and into the pancreatic duodenal anastomosis. the duodenal segment of the pancreas also appeared to be very distended and necrotic. it appeared that there was a volvulus of the mesentery of the roux limb as it traversed the mesocolon leading to congestion, obstruction, and ultimately necrosis of the duodenal segment and likely the very end of the roux limb. a jp drain and ng were placed. please see operative report for further details. in pacu iv lopressor and labetalol were given for elevated sbps. urine output was great. aside from this, pacu stay was uneventful. postop hct was 26.8 from preop hct of 28.8. pod 0, he had a temp of 102. blood and urine cultures were sent. urine was negative and blood was negative to date. initially, he was started on an insulin drip to manage his glucoses. when diet was advanced, the drip was changed to glargine and sliding scale humalog insulin with good control. once passing flatus, diet was slowly advanced and tolerated. pain medication was switched to po pain medication. creatinine decreased to 1.1, but then trended up to 1.8 on pod 4. lisinopril was held given that bp was well controlled. it was felt that tacrolimus contributed to the elevated creatinine given that tacrolimus level increased to 23.9 on pod 4. several doses of prograf were held and resumed on when the trough level was 10.6. pt evaluated him and felt that he was safe for discharge home without pt. he became ambulatory without assist. surgery was called on given recent left fem-ant tib bypass with ptfe in . of note, pulses were as follows: rle fem 2+ pt-mp lle fem 2+ dp=mp pt-non-dopp l great toe ulcer, not infected and heal ulcer, not infected. no further recs were made. coumadin was resumed at 1mg qd. inr was 1.5 on . he will f/u with dr. . the jp was removed and the abdominal incision was well approximated and without signs of infection. he was discharged home in stable condition. medications on admission: fosamax 70/week, norvasc 5', lipitor 10', lisinopril 10', metoprolol 50'', percocet, panafil, zemplar 1', prednisone 5', ranitidine 150'', prograf 4'', bactrim, warfarin 5' discharge medications: 1. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 2. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*30 tablet(s)* refills:*0* 4. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 5. insulin glargine 100 unit/ml solution sig: twenty eight (28) units subcutaneous once a day. disp:*1 bottle* refills:*2* 6. insulin lispro 100 unit/ml solution sig: follow sliding scale subcutaneous four times a day. disp:*1 bottle* refills:*2* 7. syringes sig: one (1) four times a day: please provide low dose insulin syringes (25 or 26 gauge needles) for 4-5x/day injection. disp:*1 box* refills:*2* 8. glucometer one touch ultra 1 9. test strips one touch ultra test strips for qid testing 1 box refill: 2 10. lancets qid testing 1 box refill:2 11. warfarin 1 mg tablet sig: one (1) tablet po once a day. 12. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 13. tacrolimus 1 mg capsule sig: one (1) capsule po q12h (every 12 hours). 14. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 15. zantac 150 mg tablet sig: one (1) tablet po twice a day. 16. tacrolimus 1 mg capsule sig: one (1) capsule po q12h (every 12 hours). 17. aspirin 325 mg tablet sig: one (1) tablet po once a day. 18. outpatient lab work cbc, chem 7, ast, t.bili, calcium, phosphorus, pt/inr, and trough prograf fax to transplant office attention transplant coordinator fax inr to surgeon ( dr. discharge disposition: home with service facility: gentiva discharge diagnosis: torsed pancreas transplant h/o renal transplant dm i discharge condition: good discharge instructions: please call transplant office if fever, chills, nausea, vomiting, inability to take any of your medications, decreased urine output, incision redness/bleeding/drainage or any concerns. labs on followup instructions: please call to schedule follow up appointment with provider: , md phone: date/time: 11:00 provider: lab phone: date/time: 1:00 provider: ,equipment date/time: 1:00 procedure: radical pancreaticoduodenectomy diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension aortocoronary bypass status ulcer of other part of foot surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled acute pancreatitis ulcer of heel and midfoot kidney replaced by transplant peritonitis (acute) generalized complications of transplanted pancreas 

Answer: The patient is high likely exposed to