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: no known allergies / adverse drug reactions attending: chief complaint: abdominal pain, nausea major surgical or invasive procedure: ct guided aspiration of peripancreatic fluid collection history of present illness: 32m relatively healthy reports sudden onset diffuse abdominal pain and severe nausea at 11:30 am one day prior to presentation followed by diarrhea starting in the evening. after several episodes of emesis and diarrhea, reports lightheadedness and near syncopal episode. he called ems and taken to local hospital where sbp, per report, in the 60s, hr in 130s. per osh, ct scan was consistent with pancreatitis and concerning for liver infarction. denies recent binge alcohol intake, denies trauma or steroid usage. reports much milder but similar abdominal pain, diffuse, which self-resolved approximately 2 weeks ago and was not limited to right upper quadrant or associated with nausea. past medical history: pmh: depression, anxiety, chronic neck pain since mva in psh: none social history: teacher, married, no children, no smoking, approximately 7 drinks per week family history: no history of pancreatitis, liver disease physical exam: admission physical exam: vitals: 98.9 116 129/91 20 100%2lnc gen: nad, aaox3 cv: tachycardic, regular rythym pulm: clear to auscultation, slightly decreased at bases abd: abdomen firm, tender to palpation diffusely but greatest in right upper quadrant, mildly distended, no ecchymosis periumbilical or in flanks dre: no gross blood, guiaic +ve ext: no edema discharge physical exam: vitals: 98.3 87 100/76 18 97%ra gen: nad, aaox3 cv: rrr pulm: clear to auscultation, easy work of breathing abd: soft, non-tender to palpation, non-distended, no palpable masses, no ecchymosis ext: no edema/clubbing/cyanosis pertinent results: ct a/p: the lung bases are clear. there are small bilateral simple pleural effusions. the heart is normal in size, without pericardial effusion. a moderate sliding hiatal hernia is present. abdomen: the pancreas is diffusely enlarged and edematous with marked surrounding fat stranding, compatible with acute inflammation. fat stranding and free fluid are seen dissecting throughout the peritoneum and retroperitoneum, with preferential involvement of the anterior perirenal and pararenal spaces. fluid tracks inferiorly through the bilateral paracolic gutters into the pelvis. there are no loculated collections suspicious for pseudocyst formation. there is diffuse hypodensity throughout the entire left and medial right lobes of the liver, with more focal involvement of the medial left lobe. density is -25 , and the morphology is nonencapsulated with multiple internal coursing vessels. the gallbladder is non-distended, without wall edema or calcified stones. spleen is normal in size. adrenals are normal. the kidneys are symmetric, without stones or hydronephrosis. the stomach and small bowel are normal. pelvis: there is mild colonic wall thickening, most significant at the splenic flexure, likely due to third spacing. bladder and distal ureters are normal. prostate and seminal vesicles are unremarkable. small bilateral fat-containing inguinal hernias are present, left greater than right. retroperitoneal and mesenteric lymph nodes are not pathologically enlarged. no suspicious lytic or sclerotic osseous lesions are present. impression: 1. acute pancreatitis with diffuse abdominal fat stranding, moderate ascites, and small bilateral pleural effusions. 2. fatty infiltration of the liver, most significant in the medial left lobe. brief hospital course: mr. was admitted for one day of sudden diffuse abdominal pain and severe nausea, followed by diarrhea, emesis and near syncope. taken to osh where sbp, per report, in the 60s, hr in 130s. per osh, ct scan was consistent with pancreatitis. he was transferred to , at which time lipase was 3200 and u/a grossly positive. a ruq u/s demonstrated no evidence of cholelithiasis or cholecystits, and a ct scan demonstrated acute pancreatitis. he was initially admitted to the icu for acute care. he was started on zosyn for uti and fluid resuscitated. he did well and was transferred to the floor on hd1 for further care. he recieved conservative management of his pancreatitis. neuro: hospital course was complicated by episode of acute agitation with fever on hd2, at which point he was transferred back to the icu. he required four-point restraints and haldol. a psychiatry consult was obtained and valium started with concern for dt's. head ct at this point was negative. he remained combative, not following commands, tachypneic and mildly hypoxic. a precedex drip was started for presumed dt's. he slowly improved and the drip was weaned . at that point he was transferred to the floor and remained lucid. psychiatry and sw continued to follow. cv: originally tachycardic, he responded to fluid resuscitation and remained hemodynamically stable throughout the hospital stay. pulm: during acute dt's he was tachypneic with abg demonstrating hypoxia; however this resolved with resolution of acute agitation and he had no further issues. fen/gi: he was made npo at admission with ivf. on a dobhoff was placed for tf's; he self-dc'd this the same day. it was replaced however he again self d/c'd. the following day a picc was placed and tpn started. he was started on clears on , diet was slowly advanced and tpn d/c'd once tolerating regular diet. id: pt was persistently febrile during the first week of his hospital stay; he was cultured and started empirically on vanc/ as well as the zosyn that had been started at admission. no cultures showed any growth, and he defervesced on . after that point he remained afebrile throughout the hospital course. it was thought that the uti was sufficiently treated, and as he had no other infectious source antibiotics were discontinued. he also had ct-guided aspiration of his pancreatic pseudocyst which also had no growth. prophylaxis/health maintenance: he was maintained on subcutaneous heparin with venodynes in place for prevention of dvt. while inpatient, he was seen by psychiatry, nutrition, social work, and case management. mr. is discharged to home on , he is tolerating a regular diet, he has no pain currently, he is alert and oriented, ambulating without assistance. he will follow up with his regular primary care physician and outpatient psychiatrist. he will also follow up with dr. in 3 weeks. medications on admission: celexa 10'', ativan 1', tylenol with codeine prn for neck pain discharge medications: 1. celexa 10 mg tablet sig: one (1) tablet po twice a day. 2. ativan 1 mg tablet sig: one (1) tablet po once a day. 3. tylenol-codeine #3 300-30 mg tablet sig: 1-2 tablets po every eight (8) hours as needed for pain. 4. aspirin low dose 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. discharge disposition: home discharge diagnosis: pancreatitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: general discharge instructions: please begin to take a baby aspirin daily. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. followup instructions: provider: , md phone: date/time: 11:30 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances percutaneous abdominal drainage diagnoses: dysthymic disorder encephalopathy, unspecified hyperosmolality and/or hypernatremia other and unspecified alcohol dependence, unspecified acute pancreatitis alcohol withdrawal 

Answer: The patient is high likely exposed to