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: codeine / zosyn attending: chief complaint: abdominal pain major surgical or invasive procedure: ng tube placement picc line placement central line placement intubation history of present illness: mr. is a 37 year old male with history of idiopathic pancreatitis who presents from with necrotizing pancreatitis. he initially presented on with one day history of severe abdominal pain/llq pain/epigastric pain radiating to left scrotum. also with nausea and dry heaves but no emesis. went to ed for evaluation and found to have elevated amylase (424 --> 681) and lipase (1245 --> 1154). ct scan of abdomen demonstrated significant necrotizing pancreatitis with significant abnormal pleural fluid. patient was hypotensive and was on dopamine intially but weaned off after recieving approximately 4l of ivf's over 2 days. he also become tachycardic to 170's and was treated with lopressor 5mg iv, repeated an unclear number of times. he also had a recurrent fever (tm 105) and was hypoxia with o2 sats in low 90's on 6-8l high flow. he was seen by gastroenterology and treated with aldactone 50 and lasix for ascites and to improve urine output. he had been receiving dilaudid 2-4 mg iv q2h prn for pain. because of the worsening ct scan on and clinical deterioration, patient transferred to for further management. pt arrived on floor looking comfortable and without respiratory distress. related no abdominal pain d/t pain meds. no chest pain, sob, or other discomforts. + fevers, no chills. no uri sxs, no dysuria. past medical history: 1)idiopathic pancreatitis - seen by in - first in after heavy etoh, second after a car accident and light etoh, another after fatty foods (not etoh), another after ercp (amylase range of 1800-, pain relieved by brief hospitalization). - ercp found a normal common bile duct and biliary system but was unable to cannulate the pancreatic duct. - mrcp with no pancreatic divisum () - cf gene negative 2)kidney stones 3)gerd 4)uti 5)spinal stenosis s/p fusion in 6)htn 7)seasonal allergies 8)ulnar nerve entrapment surgery in social history: +tob, pt states no etoh recently but told surgery that he drinks a 6pk of beer a day and told attending 1 br/day on occasion. no ivdu. lives at home with wife and 18mnth old child. family history: non-contributory physical exam: gen: sleepy, arousable vitals: 101.3, 141/83, 120, 20, 98% on 50% heent: perrl, eomi, anicteric sclera, mm dry, op clear neck: supple, no lad, no thyromegaly cardiac: tachy, regular, nl s1 and s2, no mrgs lungs: ctab post, no crackles abd: distended, tense, tender in lower quadrants and epigastric, +ascites and dullness, no caput or spiders, no asterixis, no hsm ext: warm, 2+ dp pulses, no c/c/e neuro: cn iii-xii intact, mae, alert to person, time, but thought at pertinent results: laboratory results: 03:04am blood wbc-8.5 rbc-4.34* hgb-13.1* hct-38.0* mcv-88 mch-30.2 mchc-34.5 rdw-14.2 plt ct-149* 05:57am blood wbc-8.1 rbc-3.60* hgb-10.6* hct-31.9* mcv-89 mch-29.4 mchc-33.1 rdw-13.6 plt ct-473* 03:04am blood pt-13.5* ptt-36.1* inr(pt)-1.2* 03:04am blood glucose-153* urean-15 creat-0.5 na-142 k-4.0 cl-111* hco3-27 angap-8 05:57am blood glucose-70 urean-13 creat-0.4* na-136 k-4.1 cl-100 hco3-28 angap-12 03:04am blood alt-28 ast-53* ld(ldh)-472* alkphos-51 amylase-552* totbili-0.7 05:57am blood alt-37 ast-22 alkphos-244* amylase-127* totbili-0.3 03:04am blood lipase-628* 05:57am blood lipase-95* 03:04am blood albumin-2.7* calcium-7.4* phos-1.0* mg-1.9 05:57am blood calcium-8.6 phos-4.2 02:30am blood vitb12-1299* folate-11.5 08:44pm blood triglyc-238* ct scan abd/pelvis (): severe pancreatitis, prominent areas of nonengancement are seen involving the pancreas suggestion possible necrotic changes (enhancement of head, protion of tail, patchy through body). no interval change in the extensive amount of fluid within the abdomen and pelvis. increased amount of pleural fluid. liver with fatty infiltration. some minmal fatty sparing surrounding the gallbladder and gallbladder is minimally dilated. low density foci throughout the spleen. one or two small stones in left kidney and rounded hyperdensity in right kidney d/t small cyst. brief hospital course: mr. is a 37 year old male with h/o pancreatitis who presents with necrotizing pancreatitis, now with delirium suspected alcohol withdrawal, although pt and family deny alcohol use. 1)necrotizing pancreatitis - 40% necrotized on admission ct scan to our institution, with preservation of pancreatic head and tail. possible etiologies include etoh, gallstones (none seen on admission ct scan), obstruction (ruled-out with ruq u/s), hypertriglyceridemia (triglycerides only mildly elevated in 200s), hypercalcemia, drugs (unlikely; pt only taking atenolol at home), infection, and trauma (no history of trauma). most likely etoh, although patient and his family adamantly deny etoh other than a drink at . repeat ct showed overall improved appearance of pancreas although there is some organization of pancreatic inflammation. he was initially kept npo with ngt to suction. he subsequently received post-pyloric tube feeds while intubated, but pulled out his ngt following extubation. as pancreatic enzymes trended downwards and his clinical status improved, his diet was advanced. he also completed a 7d course of meropenem for necrotizing pancreatitis. surgery followed him closely throughout his hospital stay. 2)fevers: patient presented with persistent fevers throughout his hospital stay. daily blood and urine cultures were unrevealing. both pancreatitis and withdrawal can cause fever. ruled out acalculous cholecystitis with ruq us. patient also presented with diarrhea, but c.diff was negative. he was empirically started on flagyl and zosyn but the latter was stopped due to development of a rash. 3)delirium/? etoh withdrawal: per psychiatric evaluation and high benzodiazepine requirement, acute mental status changes likely secondary to etoh withdrawal. constellation of symptoms includes tachycardia, tremulousness, agitation, coupled with a history of recurrent pancreatitis. head ct without intracranial abnormalities. he was placed on empiric thiamine, folate, and b12. the patient was intubated electively for airway protection since he required large doses of sedatives. at time of discharge his mental status had returned to baseline. 4)respiratory: on admission, patient was tachypneic despite large doses of bzds for withdrawal and as a result, was electively intubated. he was successfull extubated once his clinical status improved and his bzd requirement was decreased. cxray showed large l pleural effusion, likely secondary to pancreatitis. 5)hyperglycemia: likely new onset diabetes secondary to necrosis of his pancreatic beta cells. now with new insulin requirement > 100 units per day while on tpn. he was initially maintained on insulin gtt with increasing requirements but was transitioned to a sliding scale as his clinical status improved. he no longer required insulin at time of discharge. 6)htn: patient was started on low dose beta-blocker and was discharged on atenolol. 7)fen: patient was initially maintained on tpn and tube feeds. once he self d/c'ed his ngt his diet was slowly advanced with help of nutrition. at time of discharge patient was able to tolerate regular diet without any complications. medications on admission: atenolol 50 mg po qd discharge medications: 1. atenolol 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: necrotizing pancreatitis altered mental status respiratory failure hypertension hyperglycemia discharge condition: stable discharge instructions: 1)you are scheduled for an appointment with a gastroenterologist, dr. , for follow-up care for your pancreatitis: 8:20am 2)please schedule a follow-up appointment with your pcp 1 week of your discharge from the hospital. 3)please take all medications as listed in your discharge instructions. your dose of atenolol has been changed to 25mg once daily. 4)please avoid high contents of fat and carbohydrates in your diet. 5)if you experience fevers, chills, sweats, abdominal pain, nausea, vomiting, chest pain, shortness of breath or any other concerning symptoms, please go to the emergency room or contact your pcp . followup instructions: provider: , md phone: date/time: 8:20 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: esophageal reflux tobacco use disorder unspecified pleural effusion congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute respiratory failure long-term (current) use of insulin diarrhea personal history of urinary calculi dehydration other and unspecified alcohol dependence, unspecified tachycardia, unspecified acute pancreatitis alcohol withdrawal 

Answer: The patient is high likely exposed to