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: md-76 r attending: chief complaint: abdominal pain major surgical or invasive procedure: : laparoscopic cholecystectomy - dr. history of present illness: patient is an 88 year old male with multiple medical problems including cad s/p cabg in , prostate cancer s/p xrt and hld presenting to the ed with abdominal pain. patient has been in the ed for greater than 12 hours when our service was consulted. per preexisting reports by emergency department patient presented with epigastric pain versus chest pain and was ruled out for an mi. he continued to have back pain as well as epigastric pain thus the cta of the torso was obtained to rule out aortic dissection. patient underwent a non-contrast ct scan prior to the cta. he continued to have some abdominal pain versus discomfort and received a total of morphine iv 15 mg by the time acs surgery was called to examine the patient. at the time of our exam patient was very sleepy and minimally engaged. he was difficult to arouse. he was able to answer questions appropriately, but was unable to recall some history information. past medical history: pmh: hld, cad (imi/cabg ), prostate ca (xrt ) psh: 4-vessel cabg , ptca/stent lcx , repair rfa pseudoaneurysm social history: lives at home denies tobacco, denies etoh family history: nc physical exam: admission: vs: 98 110 94/64 20 96% ra patient examined in the ed, very drowsy and difficult to wake up, keeps falling asleep during the interview and exam, has been receiving morphine iv for multiple hours rrr cta b/l abdomen is soft, thin, minimally distended, tender in the rlq and ruq, minimal tympany, no rebound tenderness, no guarding pertinent results: cta torso - no pulmonary embolism, acute aortic process, or ischemic colitis. distended gallbladder with small pericholecystic fluid and cholelithiasis. this appearance may be related to a third-spacing state, but given the suggestion of hyperemia in the gallbladder fossa and a possible cystic duct stone, symptoms should be correlated clinically. if indicated, hida scan may be obtained for further evaluation. us may assess for a possible cystic duct stone. large fecal load. increased displacement of left inferior and superior pubic ramus fractures without significant interval bony callus formation. moderate-sized hiatal hernia brief hospital course: mr. is an 88m who presented to the ed complaining of lower abdominal pain. he was worked up for mi in the ed and eventually underwent a cta of his torso which demonstrated possible cholecystitis. he became increasingly tachycardic and hypotensive during his ed course and was started on levophed prior to admission to the micu. a right ij was placed in the ed. after further evaluation, mr. was taken to the or for laparoscopic cholecystectomy, which he tolerated without difficulty. he was admitted to the tsicu postoperatively for hemodynamic monitoring given his initial decompensation in the ed. on , mr. was noted to be increasingly hypercarbic and had a significant respiratory acidosis, and was intubated. he required levophed with propofol, both of which were weaned off. his ventillator support was weaned. on he was transferred to the floor and advanced to a regular diet. on his foley was discontinued and he voided. his platelets were shown to be trending down at a nadir of 49 so a hit panel was sent, heparin was stopped and fondaparinux was restarted. his antibiotics were also changed to po augmentin. his blood cultures grew back pansenstive ecoli so we continued him on that regimen. he was also shown to be fluid overloaded, without respiratory compromise so we gave him 10 iv lasix, which he responded well. his home meds were also restarted. on he was dischrged home on po augmentin. medications on admission: - aspirin 162 mg po qdaily - tamsulosin 0.4 mg mg po qhs - lisinopril 2.5 mg po qdaily - simvastatin 60 mg po qdaily discharge medications: 1. acetaminophen 650 mg po q6h 2. amoxicillin-clavulanic acid 875 mg po q12h rx *amoxicillin-pot clavulanate 875 mg-125 mg 1 tablet(s) by mouth twice a day disp #*14 tablet refills:*0 3. aspirin 162 mg po daily 4. docusate sodium 100 mg po bid rx *docusate sodium 100 mg 1 capsule(s) by mouth twice a day disp #*100 capsule refills:*0 5. hydromorphone (dilaudid) 2-4 mg po q4h:prn pain rx *hydromorphone 2 mg tablet(s) by mouth every 4-6 hours disp #*60 tablet refills:*0 6. tamsulosin 0.4 mg po hs 7. simvastatin 40 mg po daily 8. lisinopril 2.5 mg po daily discharge disposition: home discharge diagnosis: acute cholecystitis s/p laparoscopic cholecystectomy discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital with acute cholecystitis. you were taken to the operating room and had your gallbladder removed laparoscopically. you tolerated the procedure well and are now being discharged home to continue your recovery with the following instructions. during your stay, you received lasix for fluid overload, as you had edema in your extremities and groin. please f/u with your pcp for further diuretic management. your platelets were trending down so we got a hit panel which is still pending. your blood cultures grew ecoli at admission so we started you on unasyn while you were here. you are being discharged on augmentin for 7days. please follow up in the acute care surgery clinic. you need to call activity: o do not drive until you have stopped taking pain medicine and feel you could respond in an emergency. o you may climb stairs. o you may go outside, but avoid traveling long distances until you see your at your next visit. o don't lift more than lbs for 4 weeks. (this is about the weight of a briefcase or a bag of groceries.) this applies to lifting children, but they may sit on your lap. o you may start some light exercise when you feel comfortable. o you will need to stay out of bathtubs or swimming pools for a time while your incision is healing. ask your doctor when you can resume tub baths or swimming. how you feel: o you may feel weak or "washed out" for a couple of weeks. you might want to nap often. simple tasks may exhaust you. o you may have a sore throat because of a tube that was in your throat during surgery. o you might have trouble concentrating or difficulty sleeping. you might feel somewhat depressed. o you could have a poor appetite for a while. food may seem unappealing. o all of these feelings and reactions are normal and should go away in a short time. if they do not, tell your . your incision: o tomorrow you may shower and remove the gauzes over your incisions. under these dressing you have small plastic bandages called steri-strips. do not remove steri-strips for 2 weeks. (these are the thin paper strips that might be on your incision.) but if they fall off before that that's okay). o your incisions may be slightly red around the stitches. this is normal. o you may gently wash away dried material around your incision. o avoid direct sun exposure to the incision area. o do not use any ointments on the incision unless you were told otherwise. o you may see a small amount of clear or light red fluid staining your dressing or clothes. if the staining is severe, please call your . o you may shower. as noted above, ask your doctor when you may resume tub baths or swimming. your bowels: o constipation is a common side effect of narcotic pain medications. if needed, you may take a stool softener (such as colace, one capsule) or gentle laxative (such as milk of magnesia, 1 tbs) twice a day. you can get both of these medicines without a prescription. o if you go 48 hours without a bowel movement, or have pain moving the bowels, call your . pain management: o it is normal to feel some discomfort/pain following abdominal surgery. this pain is often described as "soreness". o your pain should get better day by day. if you find the pain is getting worse instead of better, please contact your . o you will receive a prescription for pain medicine to take by mouth. it is important to take this medicine as directed. o do not take it more frequently than prescribed. do not take more medicine at one time than prescribed. o your pain medicine will work better if you take it before your pain gets too severe. o talk with your about how long you will need to take prescription pain medicine. please don't take any other pain medicine, including non-prescription pain medicine, unless your has said its okay. o if you are experiencing no pain, it is okay to skip a dose of pain medicine. o remember to use your "cough pillow" for splinting when you cough or when you are doing your deep breathing exercises. if you experience any of the following, please contact your : - sharp pain or any severe pain that lasts several hours - pain that is getting worse over time - pain accompanied by fever of more than 101 - a drastic change in nature or quality of your pain medications: take all the medicines you were on before the operation just as you did before, unless you have been told differently. if you have any questions about what medicine to take or not to take, please call your . followup instructions: clinic- please call to make your appointment for 7-10days. pcp- follow up with your primary care physician this week. urology provider: , m.d. phone: date/time: 10:00 procedure: laparoscopic cholecystectomy central venous catheter placement with guidance diagnoses: congestive heart failure, unspecified unspecified essential hypertension severe sepsis personal history of malignant neoplasm of prostate aortocoronary bypass status other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia septic shock chronic systolic heart failure septicemia due to escherichia coli [e. coli] acute cholecystitis other fluid overload 

Answer: The patient is high likely exposed to