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: shortness of breath major surgical or invasive procedure: none history of present illness: 76m h/o pancreatic ca (s/p whipple), upper gi bleed and liver abscesses with recent admission to on , d/c'ed on on antibiotic therapy with vancomycin, meropenam, and caspofungin. he was discharged to new for iv antibiotic therapy after he had improved for a few days before discharge. he had been feeling well after discharge, but returned to the ed today after he began experiencing shortness of breath. his wife also noted that his abdomen, which has known ascites, began looking larger, and that his legs were becoming increasingly swollen. . of note, during his last hospitalization he was found to be bacteremic, with various blood cultures growing out e.coli, klebsiella (sensitive only to the penems), and enterococcus (vanc sensitive). he was also found to have expanding liver absesses; absess fluid grew out e. coli, strep viridans, , enterococcus, and bacteroides. a tap of his peritoneal fluid grew out . he was then started on vancomycin, meropenam, and caspofungin. he also had waxing and mental status throughout his hospitalization with persistent word finding difficulties. . throughout his last admission, he remained in positive fluid status, per discharge summary. he received 1 paracentesis for fluid culture and at the time had 6 l of peritoneal fluid removed which reaccumulated rapidly. the volume overload was attributed to low albumin secondary to liver dysfunction from his large abscesses. . he had persistent pleural effusions during his admission, noted on ct on , moderate on the right and small on the left. there were also two areas of opacity in the left midlung region. per conversation with primary team from last admission, a pleural tap was considered but deferred due to its stable nature. it did, however, increase after the liver abscesses were drained. . in the ed, he had a temperature of 100 degrees per rectum. his heart rate was 92, bp 124/54, rr 14, and his o2 sat was 100% on room air. a chest x-ray and ekg were ordered and he had a ruq ultra-sound. he was started on o2 via nasal cannula. full labs and blood cultures were drawn. he was given percocet 5/325 mg per ngt. . on the floor, he desatted to mid 80's on 4l nc, was hypoglycemic to 50's and had multiple runs of vtach. his hypoxia improved without any intervention. his bs improved after d50. he was always hemodynamically stable with vtach runs. abg showed 7.32/32/102 with lactate of 2.1. he was transferred to micu for more intensive monitoring. past medical history: 1. pancreatic adenocarcinoma- s/p whipple and chemo/xrt 2. liver abscess () has recurred multiple times. in - abscess composed of e. coli, morganella morganii, and enterococcus-rx w/ cefipime, vancomycin, fungizone 3. acute renal failure at osh in dc (thought vanc/ampho) 4. anemia secondary to bleeding duodenal ulcers () 5. e. coli bacteremia () 6. chronic diarrhea-secondary to pancreatic insufficiency 7. hypertension-no longer on rx 8. gerd 9. sigmoid diverticulosis () 10. abdominal aortic aneurysm () 11. pancreatitis 12. ascites-3l removed () 13. dm- well controlled w/ prandin 14. e. coli bacteremia 15: rue dvt 16. ruq u/s on showed multiple liver nodules concerning for abcesses vs. metastases. he received a ct guided drainage of one liver abscess and drain placement on -> growing klebsiella resistant to cetriaxone, enterococcus and yeast. no malignant cells were found on abscess biopsy. he also received a paracentesis and peritoneal fluid grew out and fluid analysis showed elevated wbcs c/w sbp. meropenem and vanco were started on due to ceftriaxone and methacillin resistance profiles. caspofungin started for coverage. he had two other liver nodules also drained by ir, last on . attempted to replace percutaneous drains on after drainage slowed but abscesses were not amenable to drainage by ir. planning for antibiotics will need to be continued for 6 weeks with serial imaging to monitor for resolution of absecesses. social history: lives with wife in . of argentinian decent, travelled to earlier this year, where his liver abcess was diagnosed. used tobacco for >10 yrs as youth. denies etoh, drugs. recently transferred to for iv antibiotics on . family history: non-contributory physical exam: general- sick-appearing man in some distress. did not want to be examined; moaning. heent- perrl, nc. neck- jvd pulm- decreased breath sounds at the bases bilaterally. cv- irregular rhythm; nl s1 and s2. abd- large distended abdomen with hernia above the umbilicus. bowel sounds present. firm, nontender. rectal- deferred extrem- 3+ pitting edema in bilateral lower extremities including both thighs neuro- somnolent. oriented to person. did not know the date or where he was brief hospital course: patient was transferred to the floor out of the micu. his micu stay was complicated by an upper bleed secondary to peptic and duodenal ulcers. he developed acute on chronic renal failure secondary to aggressive diuresis, but remained otherwise stable of the course. . #)sob pt has known pleural effusion and left lower lobe opacities. effusion had increased during last hospitalization after drainage of his liver abscesses. pt had clinically been doing better pre-discharge. now has shortness of breath in bed. also has 3+ pitting edema up to thighs bilaterally and large, protrudent abdomen with increased ascites, and increased jvd. sob likely related to fluid overload from increasing liver dysfunction. patient refused further invasive interventions including thoracentesis. effusions were not responsive to aggressive diuresis. . # upper gib- peptic ulcers found on egd. per gi, not treatable via egd. recommended carafate and ppi iv bid. hct remained stable after bleed post transfusions. no need for repeat transfusions after repeat episode. . #a fib: rate controlled with metoprolol. episodes of tachycardia treated with iv lopressor prn. standing metoprolol dose gradually increased. could not anticoagulate given upper gi bleed and possible intracranial septic emboli. . #)liver abscesses and bacteremia - continued vancomycin, caspofungin, and meropenem. were not amenable to further percutaneous drainage on last admission. would have needed long term antibiotics with serial imaging to assess responsiveness. . # mental status changes- patient was believed to be encephalopathic secondary to his multisystem dysfunction and severe illness as his mental status waxed and waned greatly. he never had focal neurologic deficits except for a persistent word finding difficulty noted on his prior admission. the utility of repeating head imaging to reevaluate his possible septic emboli was believed to be low without further intervention options. in his final days in the hospital, his mental status improved such that he was able to participate in decisions regarding his treatment. . #)ascites- persistent ascites with low albumin minimally responsive to aggressive tube feeds. patient refused repeat paracentesis. . #)pancreatic insufficiency - was given viokase per ng while he was getting tube feeds to assist in breakdown and absorbtion of nutrients. . # renal failure: creatinine elevationa after aggressive diuresis for pleural effusions. slowly declined after discontinuation of diuresis, then stabilized. uop remained consistently at 30-40 cc/hr. . # dm2- controlled with insulin sliding scale. . #)htn- controlled with increasing doses of metoprolol . #)fen- frequent high residuals over this admission. patient switched to tpn given the need for nutrition to increase his albumin. . #)prophylaxis- heparin sc 5000 units . patient pulled out his ng tube on and refused replacement. he explained that he was tired of aggressive treatment. a family meeting was held which included the patient, and it was decided to make mr. measures only. his therapeutic medications were stopped and he was started on a morphine drip. he passed away peacefully 2 days after beginning care. discharge disposition: expired discharge diagnosis: expired discharge condition: expired procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other endoscopy of small intestine diagnoses: esophageal reflux unspecified pleural effusion acute posthemorrhagic anemia acute kidney failure, unspecified atrial fibrillation chronic kidney disease, unspecified paroxysmal ventricular tachycardia bacteremia diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled abscess of liver chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction personal history of malignant neoplasm of other gastrointestinal tract other specified diseases of pancreas nutritional marasmus 

Answer: The patient is high likely exposed to