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: no known allergies / adverse drug reactions attending: chief complaint: ruq pain, jaundice major surgical or invasive procedure: ercp with sphincterotomy history of present illness: 61 yo m with h/o cholecystectomy about 7 years ago p/w ruq pain, jaundice and fever. saw his pcp prior to admission and was sent to ed for uncontrollable shaking and fever. he has been having intermittednt ruq pain for the last few days, and jaundice for the last few weeks. he was initially seen at hospital for complaints of 2 days of rigors and fever and was noted to have common bile duct dilation on ruq u/s to 12 mm and fever to 102. also with elevated ast, alt, bilirubin. amylase and lipase wnl (47 and 47 at outside hospital). also noted to have leukocytosis. he was given a dose of zosyn and toradol for pain control, as well as a 1l bolus of ivf for hypotension and transferred here for further workup and ercp . in the ed, initial vitals were 97.6 71 90/58 16 100% ra. ruq u/s done showing intra and extrahepatic biliary dilation with cbd measuring 1.3 cm diameter with no obstructive cause seen. patient was given a dose of gentamicin 80 mg. he was also given about 3l of iv normal saline for systolic bp in 80s-90s, r ij central line placed and levophed started as well with increase in pressures to 120s. ercp team consulted in ed and recommended giving gentamicin and ercp in am. vs on transfer: 65 128/69 18 97% . on the floor, he has no complaints. pain has resolved, no nausea, vomiting, diarrhea, constipation, headache, or other complaints. has been having intermittent ruq pain about once every 2 weeks x 2-3 years, but acutely worsened over the the past few days, with jaundice occuring over the past week. review of sytems: (+) per hpi (-) denies night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: cholecystectomy () appendectomy bipolar disorder social history: live with wife, no contacts, smoked a pack per day x 30 years but doesn't smoke anymore, has not had etoh in 18 years, no h/o ivdu family history: no h/o gi disease, malignancy physical exam: admission physical exam: general: alert, oriented, no acute distress, jaundiced heent: sclera icteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, ttp in ruq and rul, nondistended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: admission labs: 09:30pm wbc-12.1* rbc-3.85* hgb-11.6* hct-33.3* plt ct-211 alt-216* ast-157* ld(ldh)-182 alkphos-155* totbili-5.7* dirbili-4.7* glucose-107* urean-18 creat-1.4* na-142 k-4.2 cl-111* hco3-22 angap-13 lactate-0.8 05:18am wbc-6.4 rbc-3.46* hgb-10.5* hct-31.5* mcv-91 plt ct-188 pt-13.7* ptt-30.0 inr(pt)-1.2* glucose-86 urean-17 creat-1.3* na-145 k-4.1 cl-116* hco3-23 angap-10 alt-172* ast-111* ld(ldh)-153 alkphos-138* dirbili-4.0* 05:35am blood wbc-5.4 rbc-3.82* hgb-11.4* hct-33.8* mcv-89 mch-29.8 mchc-33.6 rdw-13.9 plt ct-220 06:10am blood na-145 k-4.1 cl-109* 05:35am blood alt-141* ast-67* totbili-2.5* micro: blood cultures x 2 pending liver or gallbladder us (single organ) study date of 9:41 pm intra- and extra-hepatic biliary dilation with the common bile duct measuring up to 1.3 cm in diameter. the obstructing cause is not seen; however, the pancreatic duct is also visualized measuring at the upper limits of normal. chest port. line placement study date of 10:49 pm right internal jugular central venous catheter terminating in the proximal-to-mid svc without evidence of pneumothorax. ercp impression: large peri-ampullary diverticula successful biliary cannulation a moderate diffuse dilation was seen at the main duct with the cbd measuring 13 mm. the intrahepatics were also moderatley dilated. many round stones ranging in size from 7 mm to 12 mm were seen at the main duct. a sphincterotomy was performed in the 12 o'clock position using a sphincterotome over an existing guidewire. the sphincterotomy was performed to facilitate extraction of the stones. a cre balloon was introduced for dilation and the diameter was progressively increased from 8 to 10 mm to extend the sphincterotomy. multiple rounds stones were extracted successfully using a 9 -12mm biliary balloon . a repeat balloon cholangiogram revealed no further filling defects in the bile duct. some pus was seen exiting the duct once the stones were all cleared from the biliary tree. otherwise normal ercp to third part of the duodenum dx: choledocholithiasis, cholangitis recommendations: npo overnight and assess for pain in the am. if no pain, advance diet as tolerated. watch for bleeding, perforation, and pancreatitis. continue iv antibiotics. complete a total of 14 days antibiotics due to cholangitis. no need for repeat ercp unless patient again develops obstructing stones evidenced by increasing lfts, jaundice, ruq. please call dr. office at with any further questions or concerns. please call the on call ercp fellow at with any immediate concerns such as fever, abdominal pain, bleeding, following your procedure. return to the icu for ongoing. brief hospital course: cholangitis: related to cbd stones, given broad spectrum antibiotics (vanc/zosyn) x 2 days and ercp w/ sphincterotomy and stone removal. his symptoms and lfts improved, he was afebrile on discharge and transitioned to po cipro x an additional 12 days. blood cultures were no growth to date at the time of discharge. diabetes insipidus: na of 146 when npo in the setting of ercp, he likely has diabetes insipidus given prior lithium use. he said that he thinks his nephrologist had discussed this with him. no formal testing was done to diagnose this but it seems to be the most likely cause, he will f/u with his nephrologist. medications on admission: seroquel 25 mg qhs klonopin 0.5 mg abilify 10 mg qhs imipramine 50 mg qhs lamictal 100 mg discharge medications: 1. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 12 days. disp:*24 tablet(s)* refills:*0* 2. quetiapine 25 mg tablet sig: 1-2 tablets po qhs (once a day (at bedtime)) as needed for insomnia. 3. clonazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day). 4. aripiprazole 10 mg tablet sig: one (1) tablet po daily (daily). 5. imipramine hcl 25 mg tablet sig: two (2) tablet po hs (at bedtime). 6. lamotrigine 100 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: home discharge diagnosis: primary diagnosis cholangitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with cholangitis (infection of your bile duct system), you underwent an ercp to remove a stone from the bile ducts and will need to continue antibiotics for the next 12 days. please avoid any aspirin, ibuprofen / aleve / motrin / advil / naproxen for the next 5 days. followup instructions: please follow up with your pcp 2 weeks of your discharge from the hospital: , g. . procedure: venous catheterization, not elsewhere classified endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy diagnoses: acute kidney failure, unspecified cholangitis bipolar disorder, unspecified calculus of bile duct without mention of cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to