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: history of present illness: the patient is a 66-year-old male admitted to in for 10 days of abdominal pain and right upper quadrant tenderness. the patient had an open cholecystectomy on complicated by injury to the common bile duct. the right and left hepatic ducts were clipped and a drain placed. the patient had persistent bile leak and was sent to ir for guided biliary drain placement. only the left hepatic duct was able to be accessed and drained. the patient also developed r pv and r hv thrombosis. complicated by sepsis, the patient was treated with iv ceftazidime and gentamicin. over the past 5-6 days, the patient had increasing creatinine from 1.2 to 2 to 3. the patient also found to have a 4 cm lobulated mass in the mid pole of the right kidney. patient was admitted to for further work-up and treatment. past medical history: hypertension, cholecystitis, hypercholesterolemia, renal mass. past surgical history: open cholecystectomy. social history: he was visiting daughter here in the united states. patient lives in . allergies: no known drug allergies. medications on admission: amlodipine 5 mg p.o. b.i.d., dulcolax 10 mg p.o. once daily p.r.n., ceftazidime 1 gram q.24 hours, colace 100 mg p.o. b.i.d., gentamicin 60 mg q.12h., heparin iv at 1450 u/h, maalox tbsp p.r.n. q.6h., milk of magnesia 30 ml p.o. once daily, megace 800 mg p.o. once daily, toprol xl 100 mg p.o. once daily, oxycodone 5-10 mg p.o. q.6h., and senokot 2 tabs p.o. b.i.d. p.r.n. physical examination: on admission, vital signs were temperature 99.6, heart rate 100, bp 196/58, respiratory rate 26, o2 was 100% on room air. the patient appeared jaundiced, in no acute distress. positive scleral icterus. mucous membranes were moist. lungs were clear bilaterally with decreased breath sounds in the right lower lobe. heart: s1, s2 was normal, with a regular rate and rhythm. abdomen was soft, nondistended, right upper quadrant tenderness, positive bowel sounds, capped biliary drain, and a healed open cholecystectomy scar. extremities: negative edema. bilateral dorsalis pedis pulses. negative rashes. neurologically, he was alert and oriented x3. cranial nerves grossly intact. white blood cell count 9.7, hematocrit 26.1, platelet count 383, pt 15, ptt 27.1, and inr 1.3, sodium 132, potassium 4.6, chloride 104, co2 17, bun 33, creatinine 2.5, glucose 104, calcium 89, magnesium 2.1, phosphorus 4.4. it was noted on a chest x-ray that he had a right pleural effusion. he was wearing o2 two liters to be titrated to keep sat greater than 95%. hospital course: initially, he was made n.p.o. and calorie counts were started. nutrition consult was obtained. tube feed recommendations were recommended due to patient's risk for decreased p.o. intake and frequency of being n.p.o. for procedures. the patient was started on unasyn 1.5 grams iv q.8h. gentamicin was stopped. patient had a left percutaneous transhepatic catheter present. he also, of note, had a right portal vein, right hepatic artery and right hepatic vein thrombosis. the patient underwent cholangiogram on . opacification of the ducts in the lateral segment of the left lobe of the liver was noted. this was draining into the first portion of the duodenum through a widely patent, but slightly irregular tract. no leakage of the contrast material occurred. a new 12 french biliary drain was placed over the wire, and the wire was removed. on , he underwent an mrcp to evaluate the anatomy of the biliary system, in particular the left biliary duct. thrombosis of the right portal vein with a nonocclusive thrombus was seen within the proximal left portal vein with involvement of segment and ivb and proximal segment iii involvement. the right hepatic veins were thrombosed until 1.5 cm before its junction with the ivc. the middle hepatic veins were thrombosed until 3 cm before the junction with the ivc. the left hepatic vein was widely patent. three clips were visualized in the porta hepatis. a clip was noted at the base of the left hepatic duct, as well as a clip at the base of the right hepatic duct, and a third clip just distal to the common hepatic duct which was not seen. the common bile duct was of normal caliber. there was mild right intrahepatic biliary dilatation communicating with the subcapsular, multiloculated bilomas. there was concern for infection. an external-internal drainage catheter was seen entering the periphery of the left lobe of the liver, coursing within a left hepatic duct prior to exiting the intrahepatic biliary system, then coursing through the hilum of the liver and directly entering the duodenal bulb. stenosis of the origin of the gastroduodenal artery and the left hepatic artery with patent flow distally was noted in the hepatic arteries. no right proximal hepatic artery was seen. the distal peripheral right hepatic artery branches were seen, but their feeding arteries were not seen. right renal carcinoma was noted infiltrating the lower pole of the right kidney. the left lateral lobe of the liver volume was 460 cc. on , he underwent a ct-guided drainage of the subphrenic collection. this collection was perihepatic and subphrenic seen on the mr . there was successful ct-guided drainage, and a catheter placed within the right subphrenic/perihepatic collection. moderate right pleural effusion was noted with adjacent atelectasis. the patient was given oxycodone for pain on the right side of his abdomen. he was maintained on iv heparin. it was noted that he was short of breath with minimal exertion despite wearing o2. a physical therapy consult was obtained to assist with patient's decrease in endurance. on , a nasointestinal tube was placed, and tube feedings were started. a nephrology was obtained for acute renal failure. recommendations included renally dosing all medications with avoidance of nephrotoxic drugs. patient was started on a renal diet. a ua demonstrated red blood cells, a small amount of bilirubin, 1+ protein, and muddy brown granular casts. gentamicin level was drawn; this was 3.7. urine sodium was 47, and phenol was 1.47%. during this time, his vital signs were stable, although he did experience a drop in his red blood cell count from a baseline of 28.4 down to 24.2. he was transfused with 2 units of packed cells on . his hematocrit increased to 30.7. his white blood cell count on admission was 26.1. this trended down to 18.7. bile culture gram stain was negative. urine culture was negative. he did experience some diarrhea after starting his tube feedings. stools were sent for c. diff, and these were negative. his creatinine gradually improved from a baseline of 2.7 down to 1.2 and later decreasing further to 0.8. his lfts improved slightly after admission, but his alkaline phosphatase continued to trend upward from a baseline of 313 up to 651. his total bilirubin increased as high as 7.3 on hospital day 5. this trended down to 2.8 by hospital day 13. he was maintained on iv normal saline for hydration. his urine output improved with resolving acute renal failure. the patient's appetite improved somewhat, and he was taking in an increased amount of calories. tube feeds were cycled using novasource pulmonary at 70 cc/h x12h. which provided 1260 kcal. a repeat abdominal ct was done on to assess the subphrenic, perihepatic fluid collection. this demonstrated a 10 x 4 cm subcapsular right hepatic collection containing the drainage catheter, essentially unchanged in appearance. there was a stable moderate to large right pleural effusion with adjacent atelectasis. there was also stable right renal cell carcinoma and bilateral renal cysts. around hospital day 10 and 11, it was noted that patient's platelet count was dropping each day down as low as 88 on hospital day 10. patient's blood was sent for heparin antibody. this returned positive. heparin had been stopped prior to the return of the result. his platelet count started to trend back up. he was placed on lepirudin at 0.15/h. this was titrated. on , he underwent a picc placement with satisfactory position in the mid svc. there was interval increase in the size of the right-sided pleural effusion. after 11 days of unasyn, the patient was switched to oral ciprofloxacin. on hospital day 14, it was noted that the total bilirubin had increased. the capped left ptc was opened. total bilirubin decreased somewhat from 5.1 down to 3.3. the pigtail drain was draining approximately 25 cc/d. at this point, the patient was ambulating better and taking in approximately 1500 kcal orally. he was feeling better. vital signs were stable. patient was progressing well with physical therapy. on , he underwent abdominal ct with contrast to evaluate for intraperitoneal bleeding. no evidence of intraperitoneal hemorrhage was noted. he had a stable perihepatic free-fluid collection. the right hepatic collection containing the drainage catheter was largely unchanged in appearance, and again a moderate to large right pleural effusion with adjacent atelectasis was unchanged. patient was preopped for right hepatic resection with right nephrectomy for bile duct injury and renal cell carcinoma, right portal vein thrombosis and right hepatic vein thrombosis. the patient was taken to the operating room by dr. on . under general anesthesia, he underwent right hepatic lobectomy, repair of duodenum with patch, a roux-en-y hepaticojejunostomy over a 12 french silastic catheter, a right radical nephrectomy with evacuation of a subphrenic hematoma, and tru- cut biopsy of the left lobe of the liver. please see operative report for details. patient received 14.4 liters of crystalloid, 2 units of fresh frozen plasma, and 6 units of packed red blood cells. patient recovered in the pacu, he was intubated, and he was transferred to the surgical intensive care unit. this is part i of the discharge summary. please see part ii. , procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances open and other left hemicolectomy enteral infusion of concentrated nutritional substances hemodialysis other electric countershock of heart injection or infusion of thrombolytic agent closed (percutaneous) [needle] biopsy of liver closed (percutaneous) [needle] biopsy of liver venous catheterization for renal dialysis percutaneous abdominal drainage percutaneous abdominal drainage temporary ileostomy other lysis of peritoneal adhesions nephroureterectomy open and other sigmoidectomy transfusion of packed cells cardiopulmonary resuscitation, not otherwise specified small-to-small intestinal anastomosis transfusion of other serum other cholangiogram transfusion of platelets anastomosis of hepatic duct to gastrointestinal tract lobectomy of liver incision of vessel, abdominal veins replacement of stent (tube) in biliary or pancreatic duct transfusion of coagulation factors suture of laceration of duodenum diagnoses: thrombocytopenia, unspecified acute kidney failure with lesion of tubular necrosis other postoperative infection unspecified essential hypertension acute and subacute necrosis of liver severe sepsis perforation of intestine hematoma complicating a procedure malignant neoplasm of kidney, except pelvis accidental puncture or laceration during a procedure, not elsewhere classified paroxysmal ventricular tachycardia defibrination syndrome peritoneal adhesions (postoperative) (postinfection) septicemia due to anaerobes acute vascular insufficiency of intestine obstruction of bile duct other suppurative peritonitis nontraumatic compartment syndrome of abdomen portal vein thrombosis 

Answer: The patient is high likely exposed to