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: codeine attending: chief complaint: abdominal pain and jaundice major surgical or invasive procedure: : 1. ultrasound-guided puncture of the left radial artery. 2. selective catheterization of the superior mesenteric artery. 3. selective arteriogram of superior mesenteric artery and its branches. : ptc placement : ultrasound-guided thrombosis of a large pseudoaneurysm arising off a branch of the superior mesenteric artery : 1. ultrasound-guided thrombin injection of the sma pseudoaneurysm percutaneously. 2. internalization of the right-sided ptbd using 8.5 french cook's pigtail catheter which was modified with extra sideholes. : exchange of the ptbd : exchange of ptbd : angiography : coil embolization of pseudoaneurysm x2 : left brachial artery thrombectomy history of present illness: mr. is a 57m who presented to an outside hospital with 3 weeks of abdominal pain and jaundice. his pain was similar to previous episodes of alcohol-induced pancreatitis. he complained of dark urine, acholic stools, and a 15-pound weight loss over 6 weeks. a ct scan performed at the outside hospital showed a large sma branch pseudoaneurysm, compressing the cbd. he was transferred to for further evaluation and management. past medical history: pmh: laryngeal cancer s/p xrt, hypertension, pancreatitis, tuberculosis as a child psh: left knee fracture repair (), excision tuberculosis mass from mandible (), drainage of purulent maxillary sinus social history: smokes 2 ppd for many years. h/o 20-30 beers per week, states 1 per week for the past 4 months. family history: non-contributory. physical exam: vitals: t 98.4, p 84, bp 160/82, rr 20, o2 97ra gen: ao, nad, pleasant; obvious jaundice heent: normocephalic, raspy voice, no lad; cn ii-xii intact, + scleral icterus chest: ctab, no wheeze/rhonchi/rales cv: rrr, no r/m/g; distal pulses palp abd: +bs, s/nd; tender bilateral lq; ruq minimally tender with hepatomegally 5cm below costal margin; not peritoneal, no fluid wave ext: no edema, gross nvi; pt/dp palp; no asterixis. pertinent results: due to length of hospital stay, please see omr for specific laboratory values. admission labs: wbc-7.2 rbc-4.22* hgb-13.7* hct-38.9* mcv-92 mch-32.4* mchc-35.1* rdw-14.0 plt ct-231 pt-18.9* ptt-25.4 inr(pt)-1.7* glucose-126* urean-10 creat-0.8 na-133 k-3.6 cl-97 hco3-29 angap-11 alt-117* ast-78* alkphos-712* amylase-324* totbili-15.7* lipase-352* discharge labs: wbc-7.0 rbc-2.84* hgb-9.3* hct-27.4* mcv-97 mch-32.7* mchc-33.9 rdw-16.1* plt ct-416 glucose-95 urean-13 creat-0.6 na-135 k-4.4 cl-103 hco3-27 angap-9 alt-85* ast-71* alkphos-544* totbili-2.8* lipase-29 pertinent laboratory trends (admission->discharge) hematocrit: 3 8 . 9 - 3 2 . 4 -30.1-25.5-30.6-26.8-31-21.5-28.8-20.9-36.5-22.5-30.2-26-29-27.7 total bilirubin: 15.7-17.6-10.7-12.1-9.8-14.8-10.2-12.1-7.3-12-5.6-2.8 escherichia coli | ampicillin------------ 4 s ampicillin/sulbactam-- <=2 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s brief hospital course: mr. was admitted to the west 2a surgical service for evaluation and management of his biliary obstruction and sma branch pseudoaneurysm. his hospital course was very complicated, involving multiple vascular and interventional radiology procedures, as well as multiple gi bleeds and icu transfers. he was ultimately discharged home on hospital day 25. vascular surgery, gastroenterology, and interventional radiology were all consulted and were intimately involved in his care. events: *hd1 - vascular surgery consulted for assistance in management. taken to endovascular suite for angiography and attempted definitive management. unsuccessful due to location and risk of damage to jejunal blood supply with occlusion. *hd3 - percutaneous transhepatic cholecystostomy tube placed by interventional radiology for biliary decompression. *hd4 - first ultrasound guided thrombin injection into pseudoaneurysm by ir. *hd5 - second thrombin injection, ptc internalized. *hd6 - follow-up ultrasound showed 99% thrombosis of pseudoaneurysm. *hd7 - 4-unit gi bleed per rectum; no source identified on cta; resuscitated in the icu without further bleeding *hd9 - ptc exchanged by ir for larger catheter *hd10 - febrile to 101.7, blood cultures and bile cultures grew e. coli; zosyn started *hd11 - ptc exchanged due to kinking of catheter *hd12 - 5-unit gi bleed per rectum; transferred to icu for resuscitation; egd showed active bleeding through ampulla; obvious blood in ptc drain; cta showed no extravasation and partial reconstitution of the pseudoaneurysm *hd16 - 5-unit melenic/bloody stool and bloody ptc drain output; transferred to icu *hd17 - pseudoaneurysm coil-embolized x2 by ir *hd18 - left brachial artery thrombectomy and repair by vascular surgery *hd22 - medium melenic stool, no change in hematocrit neuro: mr. mental status remained intact throughout his hospital stay. his pain was well-controlled with iv and oral pain medications. cv: he was generally hypertensive on the floor, requiring multiple agents to keep his bp below 140/100. each time he bled, his pressure dropped to 80's/40's, and responded quickly to fluids. during his first icu admission, he needed a nitro drip to control his hypertension. he was stabilized on a regimen of amlodipine and clonidine, on which he was discharged. resp: his respiratory status remained stable throughout his admission. incentive spirometry was encouraged. fen: mr. was kept npo until his pseudoaneurysm and bleeding were stabilized. he was given tpn for nutrition. once stable, he was advanced to a regular diet, which he tolerated well. gi: mr. had several large gi bleeds during his admission. after investigation, these appear to be due to hemobilia from biliary instrumentation. he had several cta's, none of which demonstrated a bleeding source. an upper endoscopy showed fresh blood from the ampulla, as well as significant old blood in the duodenum. he had a ptc drain placed for biliary decompression, which was kept to drainage until his bleeding stopped and his bilirubin began to decrease. the ptc was internalized and he did not have further obstructive symptoms. his admission bilirubin was 17.6, and had decreased to 2.8 at the time of discharge. he will go home with his ptc capped. heme: he had several gi bleeds. he received a total of 14 units of prbc's and 3 units of ffp. his hematocrit on discharge was stable at 27.7. he developed a left radial artery occlusion after an access procedure, and was taken to the operating room with vascular surgery for a left brachial artery thrombectomy and repair. id: he became bacteremic with e. coli after biliary instrumentation, and was given a course of zosyn, which he completed in-house. prophylaxis: he was kept on protomix and venodyne boots. incentive spirometry and early ambulation were encouraged. he was not given heparin subcutaneously due to his bleeding. medications on admission: xanax 0.5mg qid discharge medications: 1. alprazolam 0.25 mg tablet sig: two (2) tablet po qid (4 times a day) as needed for anxiety. 2. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 3. clonidine 0.1 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 4. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: sma branch pseudoaneurysm hemobilia left radial artery occlusion gi bleed discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to dr. surgery service for management of your pseudoaneurysm and bile duct obstruction. you are now being discharged home with visiting nursing services. please follow these instructions to aid in your recovery. if you have bloody or dark stools, please immediately contact our office or go directly to the emergency room. this could represent a very serious condition. please call your doctor or go to the emergency department if: *you experience new chest pain, pressure, squeezing or tightness. *you develop new or worsening cough, shortness of breath, or wheeze. *you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you experience burning when you urinate, have blood in your urine, or experience an unusual discharge. *your pain is not improving within 12 hours or is not under control within 24 hours. *your pain worsens or changes location. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *you develop any concerning symptoms. general discharge instructions: please resume all regular home medications, unless specifically advised not to take a particular medication. please take any new medications as prescribed. please take the prescribed analgesic medications as needed. you may not drive or heavy machinery while taking narcotic analgesic medications. you may also take acetaminophen (tylenol) as directed, but do not exceed 4000 mg in one day. please get plenty of rest, continue to walk several times per day, and drink adequate amounts of fluids. avoid strenuous physical activity and refrain from heavy lifting greater than 10 lbs., until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. please also follow-up with your primary care physician. catheter care: please clean the insertion site of your biliary catheter daily. please cover the insertion site as needed to prevent catching or dislodging. followup instructions: 02:45p , s. sc clinical ctr, surgical specialties cc-3 provider: (st-3) gi rooms date/time: 10:30 provider: , md phone: date/time: 10:30 provider: , md phone: date/time: 4:00 procedure: other endoscopy of small intestine injection or infusion of other therapeutic or prophylactic substance injection or infusion of other therapeutic or prophylactic substance arteriography of other intra-abdominal arteries arteriography of other intra-abdominal arteries other endovascular procedures on other vessels incision of vessel, upper limb vessels other percutaneous procedures on biliary tract other percutaneous procedures on biliary tract replacement of stent (tube) in biliary or pancreatic duct replacement of stent (tube) in biliary or pancreatic duct replacement of stent (tube) in biliary or pancreatic duct diagnoses: other iatrogenic hypotension tobacco use disorder urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure bacteremia peripheral vascular complications, not elsewhere classified other specified disorders of biliary tract embolism and thrombosis of other specified artery staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus chronic pancreatitis cholangitis obstruction of bile duct tachycardia, unspecified other and unspecified alcohol dependence, continuous other severe protein-calorie malnutrition arterial embolism and thrombosis of upper extremity aneurysm of other visceral artery personal history of malignant neoplasm of larynx body mass index less than 19, adult 

Answer: The patient is high likely exposed to