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: epinephrine / keflex attending: chief complaint: decreased uop and increasing le edema major surgical or invasive procedure: : paracentesis : ercp : paracentesis history of present illness: 73 yo man pod 11 s/p exlap, liver bx, mesenteric bx, portal exploration () for metastatic cholangiocarcinoma, s/p ercp/common hepatic stent () coming in with decreased uop and increasing le edema. pt was discharged from on . since then family describes patient with decreased po intake secondary to poor appetite, but pt without nausea, vomiting, or diarrhea. has had regular but small bm since discharge; not taking much pain meds. also c/o decreased uop consistently since discharge. concurrently family describes pt w/increasing abdominal girth and increasing serous drainage from medial portion of wound incision with movement, requiring dressing changes 3x/day, 3x/night. also with increasing le edema b/l. for this reason pt saw cardiologist 1 day pta, who gave him "iv lasix" in office. todaypt returned and saw pcp who put him on "antibiotic". today pt took two doses of nl lasix. otherwise no med changes. ros: denies sob/cp/n/v/d/constipation/dysuria/myalgias/arthralgias/ fever/chills past medical history: -cholangiocarcinoma -diabetes mellitus ii (oral meds) -atrial fibrillation (on amiodorone) -chronic left ventricular systolic heart failure (last ef 35% per daughter) -h/o pneumonia and effusion which was tapped in recently -mass encircling the biliary stent which was biopsied and found to be cholangiocarcinoma, s/p biliary stent c/b infection s/p stent removal -depression -hyperlipidemia -prior mi by ekg -hypertension -anemia psurgh: -status post cholecystectomy -: exploratory laparotomy, liver biopsy and lymph node biopsy. social history: italian but speaks some english. he is a retired truck driver. he denies smoking or illicit drug use. he uses glasses of wine per day. he lives with his wife; daughter is nearby. family history: positive for colon cancer, diagnosed in his 50's. no other family members with rectal cancer, colon cancer or hnpcc-related cancers. the patient states he has never had a colonoscopy. physical exam: sleepy but arousable 98.8 100 104/59 18 100% perrl, anicteric, moist mucus membranes, no jvd, no sublingual incteris, cn grossly intact, no lad tachycardia + soft systolic murmur no r/g bibasilar rales no wheezes/rhonchi soft but distended + diffuse ttp + bs no hsm appreciated incision c/d/i, no gross oozing noted gu-foley in place b/l loss of dermis at buttocks b/l 2+ edema to mid calf pertinent results: on admission: wbc-10.2 rbc-3.66* hgb-11.4* hct-32.3* mcv-88 mch-31.0 mchc-35.2* rdw-15.2 plt ct-343# pt-13.1 ptt-27.7 inr(pt)-1.1 glucose-171* urean-29* creat-2.3*# na-127* k-4.9 cl-91* hco3-23 angap-18 alt-61* ast-72* ld(ldh)-257* ck(cpk)-67 alkphos-941* totbili-5.0* albumin-3.2* calcium-8.6 phos-3.4 mg-1.8 at discharge: wbc-10.5 rbc-4.04* hgb-12.1* hct-35.5* mcv-88 mch-29.9 mchc-34.1 rdw-16.6* plt ct-109* glucose-120* urean-52* creat-4.6* na-140 k-4.2 cl-112* hco3-18* angap-14 alt-29 ast-42* alkphos-884* totbili-2.7* calcium-7.9* phos-3.5 mg-1.7 brief hospital course: 73 y/o male with known cholangiocarcinoma who underwent ex-lap with dr on and was unable to be resected. since his discharge on the 18th he was noted to have increased abdominal girth, lower extremity swelling and poor appetite as reported by family. ultrasound of abdomen on admission shows new ascites. he had a paracentesis on with the removal of 4 liters of fluid. culture done on the fluid revealed e coli. he had empirically been started on vanco and zosyn which was narrowed to zosyn with a 14 day recommended course. following the paracentsis he was transferred to the sicu for hypotension to the 80's most likely due to sbp on he underwent a gall bladder scan which showed findings consistent with a bile leak and was sent on for ercp. he had a bare metal stent placed on his previous admission once he was found to be unresectable. during ercp;, the previous uncovered metal stent was visualized and noted to be patent in the left hepatic system within the common hepatic duct stricture. the right hepatic system did not fill with contrast. large bile duct leak in the mid common bile duct, probably at the site of lymph node biopsy. successful placement of a 10mm x 60mm biliary covered wallstent in the common bile duct within the previously placed uncovered metal stent 8mm x 60mm. on the same day he underwent placemnt of a pigtail drain into the collection in his abdomen (right flank) which immediately drained about 800 cc of bilious appearing fluid. large volumes were being drained daily of liters. he was receiving albumin and fluid replacements. the drain was removed on and insertion sutured, with no leak. he was transferred back out of the sicu and was making daily improvements in appetite, ambulation and bowel function. he was seen by the renal team for acute on chronic renal failure. management included some medications to be renally dose and the addition of bicarbonate to his regimen. he did not require renal replacement therapy. at the current time of discharge the plan is to keep patient off diuretics with monitoring of his labs and reinstitution once the kidney function improves. in regards to his known chf, digoxin and amiodarone were renally dosed and volume status carefully monitored. diuretics will stay on hold per renal recommendations until kidney function improves. daily weights will be requested. he was also seen by cardiology during this admission for medication management. he was seen by the wound care nurse stage ii decubitus ulcers. stage ii pressure ulcer: duoderm gel/allevyn foam dressing. change q 3 days medications on admission: amiodarone 100', digoxin 0.125', lasix 40', glipizide 7.5", metformin 750", lopressor 25", atorvastastin 80', aspirin 325', lisinopril 5', plavix 75' discharge disposition: extended care facility: - discharge diagnosis: unresectable cholangiocarcinoma chronic heart failure (systolic, ef 45%) acute on chronic renal failure, currently off diuretics stage ii decubitus () ulcer. bile leak, e coli recovered from fluid unresectable cholangiocarcinoma chronic heart failure (systolic, ef 45%) acute on chronic renal failure, currently off diuretics stage ii decubitus () ulcer. bile leak, e coli recovered from fluid unresectable cholangiocarcinoma chronic heart failure (systolic, ef 45%) acute on chronic renal failure, currently off diuretics stage ii decubitus () ulcer. bile leak, e coli recovered from fluid discharge condition: stable discharge instructions: weigh patient daily. call if greater than 3 pound weight gain in a day call dr office at for fever > 101, chills, nausea, vomiting, diarrhea, yellowing of skin or eyes, increased abdominal pain or other concerning symptoms monitor insion for redness, drainage or bleeding. top portion of incision has been opened and requires a ns wet to dry dressing twice daily nutritional status important, assure patient receiving supplements three times daily. please note patient has appointment with dr (wednesday) in addition to other appointments in next 2 weeks followup instructions: , md phone: date/time: 4:30 md date/time 3:20 pm dr. phone: date/time: 1:30 , l. call to schedule appointment procedure: percutaneous abdominal drainage percutaneous abdominal drainage endoscopic insertion of stent (tube) into bile duct diagnoses: acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation chronic kidney disease, unspecified other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia chronic systolic heart failure pressure ulcer, buttock other specified disorders of biliary tract malignant neoplasm of extrahepatic bile ducts pressure ulcer, stage ii other suppurative peritonitis 

Answer: The patient is high likely exposed to