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: this is a 57 year old gentleman, with a history of hypertension and dyspepsia. he was transferred from for acute gallstone pancreatitis. about five to six weeks prior to admission, the patient presented to with chest pain and epigastric pain, for which he was rule out myocardial infarction. he had an outpatient esophagogastroduodenoscopy which showed hiatal hernia. an abdominal ct showed evidence of gallstones. he was started on h2 blockers for hiatal hernia. however, he continued to experience chest and epigastric discomfort afterwards. he described discomfort mostly as gassy abdominal pain. he also had anorexia with weight loss of ten to fifteen pounds in the past four weeks. he described significant abdominal discomfort, which was better with leaning forward. otherwise, he still had normal bowel movement with the last bowel movement the night prior to admission. when he was at his son's house the night prior to admission, he didn't look well. he complained of severe abdominal discomfort, mostly gassy and passed out transiently at his son's house with nausea and vomiting and diaphoresis afterwards. he was brought in by ems to and was rule out myocardial infarction again. he was also noted to have significant elevation of the amylase to 4,000 for which he was transferred to for urgent endoscopic retrograde cholangiopancreatography. while at , he received one dose of zosyn and received 3.6 liters of normal saline infusion. he also received one dose of 40 mg intravenous lasix for worsening of hypoxia. past medical history: hypertension. hiatal hernia. helicobacter pylori, s/p antibiotic treatment. dyspepsia. cholelithiasis. diverticulosis. esophagogastroduodenoscopy in showed hiatal hernia. abdominal ct showed evidence of gallstones, chronic low back pain. allergies: no known drug allergies. medications at home: zantac, zyrtec. medications on transfer: zosyn 3.75 mg intravenous q. six hours. dilaudid for pain. social history: smoking, quit about five years ago. retired sheriff. works as a plumber right now. divorced. lives by himself. social alcohol. physical examination: temperature 99.6; heart rate 134; blood pressure 119/76; respirations 16; oxygen saturation 93% on 40% facial mask. general: pleasant, elderly man, in no acute distress. head and neck examination: anicteric. neck supple. cardiovascular: tachycardiac. regular rate. lungs clear to auscultation bilaterally. abdomen: distended. decreased breath sounds. positive guarding and rebound. extremities: no edema. neurologic: awake, alert and oriented times three. nonfocal examination. laboratory data: from an outside hospital on presentation: white count of 18.8; hematocrit of 40.2; coagulase pt 12.4; ptt 21.4; inr of 1.97. sodium of 139; potassium of 5.3; chloride 103; bicarbonate 25; bun 35; creatinine 1.5. glucose 253. calcium 8.5. aminase 4372. lipase still pending. total protein 5.7. albumin 3.1. total bilirubin of 1.9. direct bilirubin of 0.4. alt 188. ast 73. alkaline phosphatase 214. electrocardiogram showed sinus tachycardia at 100; normal axis; no st or t wave depressions. examination on presentation here revealed white count of 13.4; hematocrit of 52; glucose of 308; sodium 140; potassium 5.6; chloride 113; bicarbonate 17; glucose 45; bun 1.9; glucose 168; calcium 7.6; magnesium of 1.7; phosphorus of 7.2. albumin 3.4. total bilirubin of 2.2. alt 180; ast 49; alkaline phosphatase 206. amylase 1,576; lipase 1,693. arterial blood gases 7.15; 52, 106, lactate of 2.3. triglycerides of 187. hdl of 48. ldl 33. ck 91. ck mb 5. troponin 0.12. pt of 15.2. inr of 1.5. ptt 29.6. electrocardiogram shows sinus tachycardia at 124; normal axis; normal interval. left atrial enlargement. new peak t waves in v2 to v3. no stt depression or elevation. arterial blood gases preintubation was 7.15, 52, 106. later, 7.00, 63 and 86. hospital course: urgent surgical and endoscopic retrograde cholangiopancreatography consultation were called, as the patient's abdomen appeared quite distended with diffuse tenderness on admission. he was also aggressively resuscitated with intravenous fluids initially and his tachycardia improved significantly. however, he became more progressively hypoxic with increased oxygen requirement and developed bilateral wheezes as well. he was intubated electively for impending respiratory failure and likely intervention by endoscopic retrograde cholangiopancreatography. he had stat abdominal ct without intravenous contrast on admission, given acute renal failure, which showed significant ileus, gallstones, inflammatory stranding around the pancreas and dilated common bile duct of 12 mms. he went for urgent ercp to decompress the obstruction. however, the endoscopic retrograde cholangiopancreatography wasn't able to find ampulla, given distorted anatomy and inflammation around the area but it did show a stone in the duodenum. the patient's liver function tests, amylase and lipase started to trend downward after endoscopic retrograde cholangiopancreatography. it was thought that the patient passed the stone spontaneously. he was started on meropenem for empiric coverage, given his critical condition. the patient continued to deteriorate clinically during the first few days of his hospital stay. initially, he developed significant hypotension which required multiple vasopressors and significant acidemia with metabolic and respiratory acidosis, which required bicarbonate infusion. he also developed acute anuric renal failure with worsening abdominal hypertension. trans bladder pressure revealed intra-abdominal pressure as high a 32 mms of mercury. a swan-ganz catheter was placed on admission for hemodynamic monitoring and esophageal balloon was also placed later for monitoring of intra-thoracic pressure. transthoracic echocardiogram was obtained which revealed normal sized ventricle with depressed left ventricular function and some septal hypokinesis. he also had renal ultrasound to rule out obstruction given acute renal failure, which showed no evidence of hydronephrosis. he also had follow-up abdominal ct without intravenous contrast which again showed stable appearance of pancreas but significant worsening of soft tissue swelling and interval increased size of pleural effusion and ascites. surgical services was consulted for possible surgical decompression for acute abdominal compartment syndrome. however, after a long discussion with various surgical teams, the decision was made to continue medical management, given high risk of surgical intervention. renal team was also consulted for possible dialysis, if volume and electrolytes became an issue and if anuria persisted. a quinton catheter was also placed in anticipation of possible dialysis. fortunately, the patient stabilized by hospital day number three with improved hemodynamics. the vasopressor was slowly weaned off and urine output started to increase. his abdominal pressure also slowly came down, although his bun and creatinine continued to trend upwards initially, despite the improved urine output. the renal team recommended holding hemodialysis unless the patient developed signs of uremia with acidosis, electrolyte abnormalities or fluid over load. per renal team, as the diuretic phase of atn usually hurries the recovery of renal function, hemodialysis during this phase may only interfere with the natural course of recovery. after a few days of delay, eventually he started to show evidence of recovery of renal function with steadily trending downward bun and creatinine. as his renal function started to come back, he auto diuresed greatly with fluid balance down to 16 liters positive from initial 33 liter positive. his peripheral edema improved significantly. his hyponatremia, due to post atn diuresis, was corrected with free water boluses by tube feeds and d-5-w by intravenous infusion. he spiked a temperature on admission, post endoscopic retrograde cholangiopancreatography and later pulling out the quinton catheter on hospital day number nine but all the cultures including blood, urine, catheter tip and clostridium difficile all remained negative so far except for swabs of e. coli and klebsiella in sputum on admission. he finished a ten day course of meropenem and remained afebrile afterwards. currently, he had a new picc line placed for intravenous medications. he also developed a transient thrombocytopenia initially which raised the suspicion for heparin induced thrombocytopenia. however, heparin antibody came back negative and his platelet count came back to normal rapidly. he had been transiently on intravenous argatroban infusion for deep vein thrombosis prophylaxis while he is off heparin. currently, he is again on subcutaneous heparin for deep vein thrombosis prophylaxis. he also had a surveillance bilateral lower extremity dopplers, which showed no evidence of deep vein thrombosis. his hematocrit had been trending down slowly, which was likely due to slow gastrointestinal bleeding, given guaiac positive stools and bone marrow suppression in the setting of acute illness. the plan was to transfuse for hematocrit less than 25 unless oxygenation became an issue given the volume issue. as he is getting close to be weaned off the ventilator, sedation was also titrated downward. standing dose of haldol was started for his agitation and delirium. currently, he is tolerating minimum pressure support well. the plan was to extubate him soon, as long as he is able to support spontaneous breathing and protect his airway. in terms of nutritional support, he had only been on tpn for a few days because he tolerated the tube feeds near the post pyloric nasogastric tube very well. the plan was for the patient to continue supportive care and minimize complications. he will likely need rehabilitation once he stabilizes clinically. dr., 12-664 dictated by: medquist36 d: 11:46 t: 06:31 job#: procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube venous catheterization for renal dialysis percutaneous abdominal drainage pulmonary artery wedge monitoring insertion of sengstaken tube other excision or destruction of lesion or tissue of pancreas or pancreatic duct other excision or destruction of lesion or tissue of pancreas or pancreatic duct other excision or destruction of lesion or tissue of pancreas or pancreatic duct other excision or destruction of lesion or tissue of pancreas or pancreatic duct other excision or destruction of lesion or tissue of pancreas or pancreatic duct injection or infusion of oxazolidinone class of antibiotics diagnoses: unspecified pleural effusion urinary tract infection, site not specified acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) acute respiratory failure pneumonitis due to inhalation of food or vomitus paralytic ileus acute pancreatitis calculus of gallbladder without mention of cholecystitis, with obstruction 

Answer: The patient is high likely exposed to