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: patient is an unfortunate 56-year-old male smoker with no significant past medical history who presented to a hospital in in of this year for complaint of abdominal distention and weight loss. patient was found to be jaundiced and underwent an abdominal ct scan which showed multiple abdominal masses from the posterior aspect to the stomach to the spleen and also tail of the pancreas, plus lymphadenopathy and likely liver metastases. the patient was briefly hospitalized in for mental status changes, but after hydration, returned to baseline mentation and left against medical advice to travel to to seek appropriate medical care. the patient traveled on a bus with his sister, who is very involved in his care for 23 hours, and when arriving in , was weak and unable to ambulate. patient was brought to the emergency department. in the emergency department, the patient was minimally responsive. temperature of 95.7, blood pressure of 100/65, pulse of 105, sating of 95% on 3 liters and 89% on room air. he had a chest x-ray showing a right lower lobe infiltrate. was started on levo and flagyl, and he had a vq scan that was intermediate probability for pulmonary embolus. he had a head mri which was negative for lesions, and he was started on heparin for question of pulmonary embolus given the high clinical suspicion. he was also given narcan as there had been some question of narcotics given at the outside hospital and had minimal improvement in mental status. the morning of transfer to the micu, the patient was found by his floor team with a blood pressure of 80/45, 93% on 2 liters nasal cannula. was given 2 liters of normal saline bolus with improvement of blood pressure to the 90s with saturations which dropped to the low 90s on 7 liters face mask. the patient again became minimally responsive and had no change in mental status with narcan administration. past medical history: unremarkable. medications: the patient's only medication on admission was vicodin. allergies: the patient has no known drug allergies. social history: the patient is divorced with two young children. he has a 65 pack year tobacco history. no history of alcohol or iv drug use. the patient has large extended and very involved family. on transfer to the micu, the patient's temperature is 95.0, blood pressure of 93/60, pulse of 105, and sating of 93% on 7 liters face mask. in general, he is uncomfortable with orientation only to self. heent revealed anicteric sclerae. neck: jugular venous distention at about 7 cm. chest: the patient was using accessory muscles to breathe, had diminished breath sounds at the right base, and bronchial breath sounds throughout. cardiovascular examination was notable for being tachycardic. abdomen: it was soft and distended. he did have hepatomegaly and normoactive bowel sounds. extremities: the patient had 2+ edema bilateral lower extremities that was taught with weeping skin, however, his extremities were warm with adequate capillary refill. neurologically, the patient was moving all four extremities spontaneously and could follow simple commands. patient's white count on admission was 12.0, hematocrit 42.9, platelets 168. the patient had an inr of 2.9, ptt of greater than 150. patient's electrolytes were notable for a bun of 105 and a creatinine of 2.3. patient's lfts were grossly elevated as well. he had an alt of 154 and ast of 427, and ld of 993, and alkaline phosphatase of 735, and a t bilirubin of 3.1. given the concern for pulmonary embolus, the patient had an echocardiogram which showed no evidence of right ventricular dysfunction. patient's urinalysis was unremarkable. in short, this is a 56-year-old man with reported abdominal mass diagnosed on ct scan at outside hospital presenting here with change in mental status, hypoxic, acute renal failure, infiltrate on chest x-ray, and hypotension. hospital course: patient was aggressively fluid resuscitated as needed, and started on dopamine. the patient required intubation to support his ventilation during this time. patient was also started on stress dosed steroids and broad-spectrum antibiotics given concern for sepsis or possible adrenal insufficiency. despite aggressive intervention, the patient's clinical status continued to deteriorate. the patient's acute renal failure worsened, and he continued to space fluids. patient developed marked ascites, which was thought to be likely to metastatic disease in his belly. he had a diagnostic tap done which was consistent with spontaneous bacterial peritonitis, however, no cultures ever grew from this. patient's cytology from this tap was negative as well. patient's family understood his poor prognosis, however, patient had stated a clear wish to continue being intubated until passing away, and not to be disconnected from any life-support measures, plus patient was made cpr not indicated by dr. . patient was supported with fluids and pressors. unfortunately, his coagulopathy and renal failure continued to worsen and despite fluid, pressors, and ventilatory support, the patient because bradycardic, and finally arrested on the morning of . patient was pronounced at 9:40 am on . family was notified and postmortem examination was arranged for. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube percutaneous abdominal drainage arterial catheterization diagnoses: pneumonia, organism unspecified malignant neoplasm of liver, secondary acute kidney failure, unspecified unspecified septicemia acute respiratory failure other malignant neoplasm without specification of site 

Answer: The patient is high likely exposed to