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 69 year old male with a past medical history of biliary obstruction who underwent endoscopic retrograde cholangiopancreatography and stent placement two days prior to presentation. he presented to the emergency department with severe abdominal pain. the patient was doing well until early when he presented to his primary care physician with complaint of a left chest pain. a ct scan was obtained and revealed bilateral pulmonary emboli as well as a biliary obstruction. the patient was started on coumadin. the patient had three failed attempts at endoscopic retrograde cholangiopancreatography. he had a pet scan which revealed bilateral lung and liver lesions (per patient). all testing was done in and . the tuesday prior to presentation, the patient underwent a further attempt at endoscopic retrograde cholangiopancreatography which failed. the patient states that he has a constant mid epigastric pain since the procedure but it got worse a couple of hours prior to presentation. he denies fever, chills, nausea or vomiting, changes in bowel habits. past medical history: 1. hypertension. 2. pulmonary embolism , on coumadin. 3. gallstones; question common bile duct stone. 4. status post construction crush injury in with multiple fractures, laparotomies, multiple bowel resections and status post splenectomy. 5. low back pain status post low back pain surgery. 6. stroke with residual weakness in face and left hand and fingers. 7. prior etoh abuse. medications: 1. coumadin 3/2.5 alternating. 2. verapamil 240 q. day. 3. compazine p.r.n. 4. percocet p.r.n. allergies: intravenous contrast (okay if premedicated). social history: prior etoh abuse. eighty pack year tobacco history; quit both three years ago. physical examination: on physical examination, he is pleasant and cooperative in mild distress. temperature 98.4 f.; blood pressure 155/66; 76; 18; 96% on room air. regular rate and rhythm. clear to auscultation bilaterally. abdomen with multiple incisions. tender to tap, diffusely tender with guarding. no groin masses. rectal examination is no masses, guaiac negative. laboratory: white blood cell count 30.0, hematocrit 39.4, platelets 337, pt 22.2, ptt 33.3, inr 3.3. sodium 140, potassium 4.4, chloride 104, bicarbonate 25, bun 35, creatinine 1.2, blood sugar of 116. ast 35, alt 52, alkaline phosphatase 77, total bilirubin 0.3, amylase 60, lipase 20, albumin 4.2. ekg with right bundle branch block. chest x-ray with elevated right hemidiaphragm, no free air. kub with positive air in the colon; no dilated loops. ct scan positive for air between the liver and diaphragm. positive biliary air, thickened sigmoid colon and surrounding inflammation. hospital course: the patient was admitted to the general surgery service, taken to an operating room where he underwent exploratory laparotomy with a sigmoid colectomy, small bowel resection, and sigmoid colostomy and lysis of adhesions. please see operative note for details. preoperatively, the patient was transfused with four units of fresh frozen plasma to reverse his inr. he was started on vancomycin, levofloxacin and flagyl. the patient postoperatively was started on lovenox. his nasogastric tube was discontinued on postoperative day two. he remained n.p.o. the patient started to ambulate. on postoperative day three, vancomycin was discontinued and foley was removed. the patient was started on coumadin p.r. on postoperative day three, the patient was found to have hypomagnesemia, hypokalemia, which was repleted with intravenous and he was continued on levofloxacin and coumadin. the patient is working with physical therapy and ambulating with help. postoperative day six, the patient is taking clears and tolerating that well. he had moderate amount of stool in his ostomy bag. on postoperative day six, the patient also started complaining of abdominal pain and had some distention and tenderness. he had a ct scan suspicious for a partial small bowel obstruction. his pain medication was stopped and then restarted morphine on a low dose. a g-tube was placed; he was placed n.p.o. and started on intravenous fluids. hematology/oncology was consulted for continued high white blood cell count. on postoperative day nine, the patient started having melena and hematemesis. he had an esophagogastroduodenoscopy which showed some erythema and congestion in the stomach compatible with nasogastric tube trauma. no bleeding sites were identified. laparotomy site was not visualized. the patient was transferred to the intensive care unit. he was transfused fresh frozen plasma to correct his coagulopathy as well as packed red blood cells for fall in hematocrit and started on total parenteral nutrition. because of the patient's bleeding problem and need for protection from pulmonary embolism, he had an ivc filter placed. his hematocrit stabilized over postoperative day nine and ten. the patient was transferred to the floor on postoperative day number thirteen and was continuing on total parenteral nutrition and intravenous fluids, with strict n.p.o. he continued to have minimal ostomy output. on postoperative day number seventeen, the patient continued on total parenteral nutrition and intravenous fluids. he was starting to pass gas and was otherwise stable. postoperative day number nineteen, the patient continued to have pain. he had an ostomy enema which he tolerated well with minimal outcome. he had a kub which showed no evidence of partial small bowel obstruction. no dilated loops of bowel and a normal gas pattern. there was some residual oral contrast. he was given a dose of milk of magnesia. he continues to have a lot of pain and the pain service was consulted. the patient was started on a duragesic patch. on postoperative day number twenty, the patient had improved. he had significantly decreased pain. nasogastric tube was clamped with minimal residual. his ileus was resolving. his nasogastric tube was removed. his intravenous fluids were stopped. he was started on sips and advanced to clears which the patient tolerated well. on postoperative day number twenty-one, the patient is afebrile, with vital signs stable, tolerating diet. his pain is well controlled. the patient was discharged home in stable condition. discharge medications: 1. lopressor 25 mg p.o. twice a day. 2. protonix 40 mg p.o. twice a day. 3. percocet one to two tablets p.o. q. four to six hours p.r.n. 4. colace 100 mg p.o. twice a day. disposition: the patient is discharged home with visiting nurses association. discharge instructions: 1. he will stay on a full liquid diet. 2. he may advance to a regular diet over four to five days as tolerated. 3. the patient should follow-up with dr. in seven to fourteen days. 4. he also should follow-up with ostomy nurses for ostomy care. discharge diagnoses: 1. diverticulitis and bowel perforation, status exploratory laparotomy, status post small bowel resection, status post colostomy. 2. status post partial small bowel obstruction. 3. ileus. 4. hypokalemia. 5. hypomagnesemia. 6. postoperative anemia. 7. coagulopathy. 8. status post pulmonary emboli. 9. failure to thrive. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other partial resection of small intestine other endoscopy of small intestine temporary colostomy interruption of the vena cava other lysis of peritoneal adhesions open and other sigmoidectomy other irrigation of (naso-)gastric tube diagnoses: accidental puncture or laceration during a procedure, not elsewhere classified peritoneal adhesions (postoperative) (postinfection) paralytic ileus hemorrhage of gastrointestinal tract, unspecified other and unspecified coagulation defects other pulmonary embolism and infarction diverticulitis of colon (without mention of hemorrhage) 

Answer: The patient is high likely exposed to