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: abdominal pain. transfer from osh for ercp major surgical or invasive procedure: ercp with stent placement history of present illness: 68 yo m xferred from with ascending cholangitis. had 6 days diffuse abd pain, getting progressively worse over 6 days. pt initially thought that this was an attack of his diverticulitis and did not seek treatment. but pain was last pm, so pt went to . + jaundice, dark yellow x 1 day, ttp ruq reported. +chills. +vomiting. +food aversion. at osh ed, ruq u/s w/1.1 duct, sludge. ct done at showing ascending cholangitis (w/o pancreatic mass). at osh, tbili 9.8, dbili 6.3, wbc 16. given unasyn 3 g iv, zofran, dilaudid, 1 l ns. tx for inavailabilit yof ercp. pain on arrival to ed, hd stable. ros: +ha. no chest pain, no sob. + diffuse r sided abdominal pain, upper and lower quadrants. no hematochezia. no dysuria. . ed course: at osh, given unasyn 3g. upon arrival to the , pt is in abd pain. given dilaudid and ivf. t bili was up to 9.1. pt has significant transaminitis. no antibiotics given at ed. vs were: hr 93, bp 207/134. ercp was called. surgery was made aware of the patient. 4u of ffp were ordered in the ed to reverse inr of 2.7. pain medication was given, and the pt's bp was 162/100 upon arrival to the floor. past medical history: pmhx: h/o sbo atrial fibrillation on coumadin dm ii afib on coumadin hx etoh abuse( not current), diverticulitis, hyperchol, hypothyroid psh: ventral hernia, sm bowel rsxn x3 (once for benign mass), b tka l tha social history: pt currently retired. lives with wife. currently doesn't use etoh or tobacco. normally very active. family history: brothers with cad. family members with dm ii. physical exam: physical exam on arrival to the floor. t: 98.6 bp: 162/100 p: 97 rr: 12 o2 sats: 95%ra pain gen: nad heent:icteric sclerae. small pupils. perrla. neck: no masses cv: irregularly irregular. no murmurs rubs or gallops resp: ctab abd: multiple abdominal scars. obese abdomen. +ttp ruq and rlq. + sign. very tympanic. hypoactive bowel sounds. back: no cva tenderness rectal: guaiac: no stool in vault. guiaiac neg. ext: no cce, 2+/4 symmetric pedal pulses neuro: not tested. pt is alert and oriented x 3. pertinent results: 03:32am blood wbc-13.9* rbc-5.21 hgb-16.2 hct-47.0 mcv-90 mch-31.1 mchc-34.4 rdw-13.7 plt ct-273 03:32am blood neuts-84.7* lymphs-11.0* monos-3.9 eos-0.2 baso-0.2 03:32am blood plt ct-273 03:32am blood pt-27.1* ptt-28.6 inr(pt)-2.7* 03:32am blood glucose-147* urean-26* creat-1.4* na-141 k-3.5 cl-103 hco3-26 angap-16 03:32am blood alt-736* ast-348* alkphos-266* amylase-29 totbili-9.1* 03:32am blood lipase-28 03:32am blood redhold-hold 03:32am blood greenhd-hold . osh data: ekg: initially at osh: afib, rate 131, lateral st seg depression. given 50 of lopressor with resolution of lat st seg depressions. cxr: not done kub osh: multiple air fluid levels ruq us at osh: distended gb wtih suspected sludge biliary dilatation of uncertain etiology. ct abd osh: report only: findings c/w ascending cholangitis esophagus: limited exam of the esophagus was normal stomach: limited exam of the stomach was normal duodenum: limited exam of the duodenum was normal major papilla: there was pus discharge in the major papilla. cannulation: cannulation of the biliary duct was successful and deep with a sphincterotome using a free-hand technique. contrast medium was injected resulting in partial opacification. biliary tree: many stones ranging in size from 5mm to 10mm that were causing partial obstruction were seen at the lower third of the common bile duct and middle third of the common bile duct. given suspicion of cholangitis, full cholangiogram was not obtained. procedures: a 7cm by 10 fr cotton- biliary stent was placed successfully using a oasis system stent introducer kit. impression: pus in the major papilla multiple stones in the bile duct. a biliary stent was placed. brief hospital course: a/p: 68m with 6 days of abdominal pain dx'ed with cholangitis at osh (ruq tenderness, rising bili, us findings) trasnferred to for ercp. . 1. abd pain: pt had ascending cholangitis by ct scan with evidence of dilated ducts by us from osh. he was evaluated by the biliary team and went for an ercp on hd #2. on admission the patient was placed on unasyn iv. see above for ercp results. a stent was succesfully placed. no sphincterotomy was performed since the inr was 2.1 despite the administration of 4units ffp. he was transferred to the after the procedure because he received general anesthesia with intubation for the ercp. he was transferred to the floor prior to discharge. his abdominal pain resolved and he was tolerating a regular diet on discharge with stable vitals. he will need a repeat ercp in 6 weeks (to be booked with anesthesia) for stent removal and possible sphincterotomy. he was instructed to stop his coumadin 5 days prior to that procedure. a surgery consult was also obtained during this admission for possible cholecystectomy in the future. he will follow up with surgery as an outpatient. 2. afib: the patient's coumadin was held on admission. he was restarted at a lower dose of 2.5mg po daily at the time of discharge. he was instructed that he will need to have his inr followed closely in the next several days while on po antibiotics. 3. htn: baseline hx and exacerbated by pain. the patient was initially treated with dilaudid but once his pain resolved he had persistent htn. his lopressor was increased to 100mg po bid with excellent control of his bp. he will be discharged on this regimen with lisinopril. of note, on the evening of admission he required 2 doses on hydralazine to adequately control his bp. medications on admission: coumadin 5-10 mg based on inr lisinopril 40 qd metoprolol 50 levothyroxine 50mcg qd lipitor 40 mg qd sertraline 100mg qd zofran prn dilaudid prn discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 4. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 6. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*20 tablet(s)* refills:*0* 7. augmentin 875-125 mg tablet sig: one (1) tablet po twice a day for 8 days. disp:*16 tablet(s)* refills:*0* 8. coumadin 5 mg tablet sig: one-half tablet po once a day. 9. lipitor 40 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: ascending cholangitis hypertension discharge condition: stable discharge instructions: you were admitted with ascending cholangitis and had a stent placed in your biliary system. you should call your pcp or return to the er if you develop fevers, chills, nausea, or vomiting. followup instructions: you will need to have a follow up ercp in 6 weeks for stent removal and sphincterotomy. your coumadin will need to be stopped 5 days prior to the procedure. please call for an appointment. you will also need to follow up with dr. at for possible gall bladder removal in the future. please call to schedule an appointment in weeks. please resume your prior coumadin regimen. we suggest you have your inr checked on with results sent to your pcp. on antibiotics your inr can change so this needs to be monitored carefully. procedure: endoscopic sphincterotomy and papillotomy transfusion of other serum diagnoses: pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism atrial fibrillation long-term (current) use of anticoagulants dehydration cholangitis knee joint replacement hip joint replacement calculus of bile duct without mention of cholecystitis, with obstruction 

Answer: The patient is high likely exposed to