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: epigastric/chest pain major surgical or invasive procedure: ercp with stent placement, no sphincterotomy seconary to supratheraputic inr history of present illness: hpi: 87yo man with h/o cad s/p cabg , mult pci since, ischemic cmy with lvef 35%, afib on coumadin, possible as and/or mr, diet controlled dm2, ?cri, gout, who presented to hospital at 4am on with pain in his epigastrium and chest, and was transferred here out of concern for cholangitis. the patient reports intermittent discomfort in his chest and epigastrium which began 1-2 weeks ago, with no precipitating factors such as exertion or food. he describes it as a cramping pain, with radiation to his r shoulder, but not to his back or arms. he did say that it felt worse at night while lying down. the pain felt different than his prior angina, and he treated it with tylenol with some relief. however, on the night pta, the pain recurred and he was unable to get back to sleep. his wife called ems, and he was to hospital. ros is notable for: chronic doe, prehaps with some increase over baseline; increase in his rle swelling (has chronic l>r edema from prior surgeries; denies f/c/v, diarrhea, constipation, changes in stool or urine color or frequency. he does have some erythema and swelling of his left 5th digit, which started 3 weeks ago, and which he thinks may have been from a bug bite. at hospital, he was found to have ekg without change and normal cardiac enzymes. cxr showed bilateral pleural effusions, l>r. he was felt to be in chf on exam, given lasix for diuresis. his labs came back with wbc 12.4 with 88% pmns, 8% bands, and abnl lfts (ast 122, alt 54, ap 307, tbili 3.3, dbili 2.5, tprot 7.3, alb 3.5). his lipase was elevated at 2214, and his bun and cr were elevated at 36/1.4, unclear if chronic or acute. an abd u/s revealed several small gallstones in the gallbladder, without thickening of his gb walls, and with no biliary dilatation. he received levaquin + ctx, vomited once and received zofran. his inr was 2.8, and he was given 5mg vit k sq once (no ffp). after discussion with the ercp fellow at , the patient was transferred here for further care and plan for ercp. past medical history: cad s/p cabg , mult pci since ischemic cardiomyopathy with lvef 35% cardiac murmur consistent with mr afib on coumadin dm2, diet controlled ckd (?) gout social history: sh: lives at home with his wife on the ; previously smoked pipes and cigars, quit several years ago and then restarted, quit again 2 weeks ago. rare etoh use. no illicits. worked as a master craftsman for gte until 21y ago, since retired. still crafts things for enjoyment. does not have a garden or work outside often. . family history: noncontributory physical exam: afebrile, mild hypertension to 140/100, sats >90% on room air gen -- pleasant, cooperative heent -- poor dentition, op clear, anicteric sclera, conjunctiva nonerythematous, neck supple, no carotid bruit. heart -- regular, holosystolic murmur at apex not radiating to carotids lungs -- clear bilaterally abd -- soft, nontender, mildly distended, appropriate bowel sounds ext -- no edema, rash or lesion gait -- unsteady pertinent results: 07:20pm glucose-69* urea n-36* creat-1.6* sodium-139 potassium-3.6 chloride-101 total co2-28 anion gap-14 07:20pm alt(sgpt)-64* ast(sgot)-141* alk phos-309* amylase-901* 07:20pm digoxin-0.8* 07:20pm wbc-16.6* rbc-3.54* hgb-13.0* hct-38.9* mcv-110* mch-36.6* mchc-33.4 rdw-15.4 07:20pm neuts-74* bands-20* lymphs-2* monos-2 eos-0 basos-0 atyps-0 metas-1* myelos-1* nuc rbcs-1* brief hospital course: mr. is an 87 year old male admitted as a trasfer from to the for sepsis/pancreatitis. 1. pancreatitis/e.coli septicemia -- ercp revealed obstructive gallstone, and a stent was placed. outside blood cultures positive for pan sensitive e. coli. he received antibiotics, including initially rocephin at outside hospital, ampicillin on transfer, then ciprofloxacin since , with a stop date planned for . a follow up appointment as an outpatient for repeat ercp and stent removal should be planned for weeks post discharge (initial ercp date ). he improved dramatically after ercp, with no abdominal pain and tolerating a full diet on discharge. 2. acute renal failure -- improved to baseline with lasix and supportive care of sepsis. ace inhibitor and digoxin held. 3. cad/ischemic cardiomyopathy -- some question of acs on admission, however no ecg changes and symptoms consistent with pancreatitis. his antiplatelet medications were held due to interventions, and should be held 10 days post ercp. his beta blocker was restarted when he improved from his inital presentation. a statin was added during his hospitalization as well, and should be followed up with liver enzymes and lipid profile in 5 weeks after discharge. his home dose lasix was restarted as well, three days prior to discharge. 4. atrial fibrillation/coumadin -- mr. received ffp on presentation in order to perform ercp. after the procedure, it was restarted at his home dose of 4 mg po qhs. however, his inr was affected by the simulateous administration of ciprofloxacin, and was supratheraputic to 3.6 on . it was held the night prior to discharge, with instructions for the rehab facility to follow inr closely, and adjust coumadin appropriately. he was rate controlled appropriately throughout his hospitalization, although his digoxin was held secondary to renal insufficiency. it can be restarted at the discretion of his primary physician. 5. hypertension -- mildly elevated blood pressures in the latter part of his hospitalization, controlled with lasix and metoprolol. ace inhibitor held initially because of renal insufficiency. restarted day prior to discharge. he should have crt/potassium checked one week after restarting ace (instructions given to rehab facility). medications on admission: unknown discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 5. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 7. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 8. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 9. lisinopril 5 mg po qday discharge disposition: extended care facility: nursing & rehabilitation center - discharge diagnosis: 1. gallstone pancreatitis s/p ercp with stent placement 2. e.coli sepsis, resolved 3. acute renal failure, resolved discharge condition: stable discharge instructions: you were hospitalized with gallstone pancreatitis in the icu. you had acute renal failure, which recovered to your normal kidney function. you will be discharged to a rehabilitation facility in order to gain strength and continue to receive help with your medications. followup instructions: follow up with dr. in one week. you should be evaluated as an outpatient for obstructive sleep apnea. the gastroenterology outpatient clinic will call you with a follow up appointment for ercp and common bile duct stent removal. procedure: endoscopic insertion of stent (tube) into bile duct transfusion of packed cells diagnoses: mitral valve disorders unspecified pleural effusion congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified gout, unspecified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease long-term (current) use of anticoagulants septicemia due to escherichia coli [e. coli] acute pancreatitis calculus of bile duct with acute cholecystitis, with obstruction 

Answer: The patient is high likely exposed to