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: cholangitis major surgical or invasive procedure: none history of present illness: mr. is a 57 year old male with past medical history of hypertension. he was transferred here from an outside hospital where for further management of chloangitis. he states that the day prior to his admission he had nausea / vomiting and epigastric pain. he had no other symptoms, no bleeding, no melena, no brbpr, no hematemesis, no sob, no chest pain. normal bm in the day prior to visit, also no po intake x 24 hours. currently feels well, no abd pain, no nausea. . he presented to northeast hospitals/ hospital on for evaluation of epigastric pain, nausea, and vomiting he received two liters of intravenous fluids at that time, along with zofran, 3 grams of unasyn, and 1 mg of dilaudid. laboratories there were notable for elevated total bilirubin of 4.3, direct bilirubin of 3.6, normal lipase, elevated alkaline phosphatase of 142, ast 662, and alt 663. wbc was 12.9 with 94% pmn. his ruq at that time demonstrated cholelithiasis, gallbladder sludge and normal common bile duct of 4 mm. his sign was positive. his vital signs at presentation were: 98.1, 100, 18, 135/80, 98% oxygen saturation. his blood pressure subsequently was systolics 90-95. . in the ed, his initial vital signs were: temperature of 98.4, heart rate of 103, blood pressure 90/68, oxygen saturation 93% on room air. he recieved an additional two liters of ivf and 3 grams of unasyn. . he was admitted to the sicu on the . he was given intravenous fluids and unasyn overnight. he was transferred to the the morning after admission () to for . . upon arrival to the icu after , he reports that he feels well. he denies any abdominal pain, fever, chills, or shortness of breath. . review of sytems: (+) per hpi . past medical history: - hypertension - gerd - bph - question of obstructive sleep apnea - status-post turp and appendectomy social history: + tobacco use owns 65 snakes family history: nc physical exam: vitals: t: bp: 103/66 p: 80 r: 16 18 o2: 96% on 3l general: alert, oriented, no acute distress, slightly lethargic after but fully arousable and interactive heent: sclera anicteric, slightly dry mucous membranes, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: awake, alert x3, follows commands, speech coherent. brief hospital course: course: -laproscopic cholecystectomy, very inflamed gall bladder, pus in gall bladder which spilled in abdomen -recheck hct, ebl 100cc +, never on pressors, ivf 1200cc -possible etoh history per anesthesia, started ciwa protocol -2l lr -0.2mg narcan and placed on bipap -abg/mental status improved -------------------- - urology re-inserted foley today - hospital was contact for culture data: no culture in their system at all! - pt was shivering in the pm, blood and urine culture were sent. bp 138/89, hr 108. afebrile. - need sleep study as outpatient - consider auto-cpap on the floor if continues to be on morphine for pain - call out today #) cholangitis: status-post which revealed a stone and significant amount of pus and cholecystectomy. stent was placed at that time. pt had laproscopic cholecystectomy, very inflamed gall bladder, pus in gall bladder which spilled in abdomen on . was continued on antibiotics with unasyn. pt was given low-dose dilaudid for pain control. at time of discharge amylase, lipase, and lft's have trended downward. . #) traumatic foley: 700c pvr with difficulty with foley insertion. this foley was initially self-extracted by patient in confused state. a foley was inserted however, stopped draining. urology c/s was placed and they reinserted foley correctly (prior was with balloon in prostate). the patient will go home with foley catheter in place for 1-2 weeks, with follow up appointment in urology clinic. he was instructed in leg-bag use prior to discharge. . #) sleep apnea: pt has never received a sleep study, no cpap use at home. still in hypercarbic respiratory failure with improving mental status currently. pt needs outpatient sleep study. pt may need auto-cpap on the floor if continues to be on morphine for pain. . #) etoh history: pt consumes 3-5 beers per day, and has stopped drinking before without issue. pt was maintained on ciwa protocol, did well. . #) hypertension: held anti-hypertensives currently given cholangitis and potential development of hypotension related to infection. pressures stable. home medications were resumed prior to discharge. . #) hyperlipidemia: held statin for now. . #) pt started on heparin sc today for dvt ppx. at the time of discharge the patient is tolerating a regular diet, pain is well-controlled with oral pain medication, and patient is ambulating. good urine output. medications on admission: - simvastatin - detrol - prilosec - 'energy booster' - vitamin c - vitamin d/calcium - glucosamine - citalopram (possibly) discharge medications: 1. amoxicillin-pot clavulanate 500-125 mg tablet sig: one (1) tablet po tid (3 times a day): continue until . disp:*6 tablet(s)* refills:*0* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 4. triamterene-hydrochlorothiazid 37.5-25 mg capsule sig: one (1) cap po daily (daily). 5. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. benzonatate 100 mg capsule sig: two (2) capsule po tid (3 times a day). 8. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*60 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: 1. common bile duct stones, status post . 2. cholelithiasis. 3. cholangitis. discharge condition: stable discharge instructions: you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. please call your doctor or return to the emergency room if you have any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower 48 hours after surgery, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: provider: 2 (st-4) gi rooms date/time: 12:00 provider: , md phone: date/time: 12:00 urology appointment:please call your urologist and make an appointment in weeks for a voiding trial. provider: . please call for an appointment in 2 weeks. procedure: endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy laparoscopic cholecystectomy endoscopic insertion of stent (tube) into bile duct diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux tobacco use disorder unspecified essential hypertension unspecified accident injury to bladder and urethra, without mention of open wound into cavity accidents occurring in residential institution cholangitis calculus of gallbladder and bile duct with acute cholecystitis, with obstruction 

Answer: The patient is high likely exposed to