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 acute gallstone pancreatitis major surgical or invasive procedure: ercp history of present illness: this is a 60 year old male who presented to hosp. on with increasing abdominal pain. on the morning of admission he noted abdominal discomfort following a meal that developed into severe epigastric, non-radiating, sharp, buring pain accomplanied by nausea and vomiting. he was taken to the ed where he was afebrile and his admission labs were notable for wbc 20.1 amylase 4094 lipase 3000 ast 288 alt 188. an abdominal ct showed diffuse pancreatic enlargement with surrounding inflammation, multiple gallstones, no cbd dilatation, no signs of obstruction and no free air. while admitted to his enzymes and wbc began to trend down while his k+ increased to 8 from 3.6. on he was transferred to surgical icu. his last bm was the am of , described as dark brown, and his last emesis was on arrival at . past medical history: pmh: cad, dmii, htn, hyperlipidemia, cri ( dialysis), suicide attempt (antifreeze) psh: -colectomy for diverticulitis w/ ostomy s/p revision and takedown approx 8y ago. -ventral hernia repair with mesh -l knee repair -l shoulder repair -back surgery social history: lives with wife at home. retired town administrator, non-smoker, rare etoh family history: non contributory physical exam: vs:98.7 123 115/76 19 93%2l nc gen: lying in bed, mildly lethargic but responsive and appropriate, nad cv:tachycardic regular s1 s2 pulm: cta b, no wheeze or rales abd: soft, distended, tympanitic, focally tender epigastrically and llq. no rebound or guarding. midline scar. llq transverse scar. supraumbilical transverse scar. extr: w,w-p, no edema skin: no jaundice pertinent results: 11:12pm blood wbc-11.4* rbc-4.89 hgb-14.6 hct-42.6 mcv-87 mch-29.9 mchc-34.4 rdw-14.0 plt ct-188 06:05am blood wbc-8.1 rbc-3.96* hgb-11.9* hct-34.5* mcv-87 mch-30.1 mchc-34.6 rdw-14.9 plt ct-160 03:39am blood glucose-237* urean-54* creat-3.1* na-146* k-4.8 cl-114* hco3-22 angap-15 06:05am blood glucose-190* urean-59* creat-2.6* na-147* k-4.3 cl-115* hco3-20* angap-16 06:05am blood alt-77* ast-57* alkphos-33* amylase-562* totbili-2.5* 11:12pm blood alt-178* ast-153* alkphos-36* amylase-979* totbili-2.6* 06:05am blood lipase-565* 11:12pm blood lipase-1892* 06:05am blood calcium-6.9* phos-2.7 mg-2.1 11:49am blood %hba1c-8.6* . abdomen u.s. (complete study) 3:55 pm impression: limited study, cholelithiasis and biliary sludge. no acute cholecystitis is evident. no ascites. . brief hospital course: this is a 60 year old man admitted directly from outside hospital with acute pancreatitis. acute necrotizing gallstone pancreatitis: he was npo with iv fluid resuscitation. his pain was adequately controlled. he had a foley in order to closely watch his fluid balance. . he had a ruq u/s on hd 3 and this showed cholelithiasis and biliary sludge. no acute cholecystitis is evident. . a cxr was done on hd 3 and showed free air under the hemidiaphragms. a ct abd showed extensive emphysematous pancreatic necrosis of the neck, body and tail of the pancreas with multiple fluid collections along the greater curvature of the stomach. infected necrotizing pancreatitis cannot be excluded. significant amount of free intraperitoneal air. this is likely related extension of retroperitoneal air into the peritoneal cavity as there is no extravasation of oral contrast that would document bowel perforation. however, bowel perforation cannot be excluded. . he went to the or on for a necrosectomy. he was admitted to the icu on pressre support and broad spectrum antibiotics. . he self-extubated on pod 1. he was stable and transferred to the floor on pod 2. his incision had some spotty drainage along the right side. he had jp drains x . jp#3 was removed on pod#11, as the output was <10cc/day. . on pod 8, he went for ct guided drainage of necrotic debris and fluid from the pancreatic bed. a 14 french pigtail drain was placed and 20cc of brownish fluid and debris was aspirated. cultures had no growth. . jps #1 and 2 and the pigtail drain were left in place upon discharge, with vna to provide home care. fen: he was started on tpn while npo. he was started on clears on pod 6 he was tolerating regular food by pod#9 and the tpn was weaned off. hyperglycemia: his blood sugars were elevated and a hba1c was 8.6. was consulted for blood glucose control. he was started on lantus and a humalog sliding scale and his blood sugars were under control upon discharge. he will follow up as an outpatient. chest pain: on the morning of pod 7, he complained of chest pain. he was worked up with ekg, cxr, cardiac enzymes and was ruled out for a mi. he received asa, morphine and his pain resolved. post-op blood loss anemia: he received 2 units of prbc on pod 8 for a hct of 22.9, with appropriate rise in hct to 28.3. post-op delirium: he had mental status change on pod 4. a head ct revealed no acute intracranial abnormalities or hemorrhage identified. he had a sitter at the bed-side. his mental status continued to slowly improve to baseline at discharge. acute on chronic renal failure (cri): his cr at admission was 3.3. after ivf, his cr returned to his baseline. pt was discharged on pod#12 with vna for diabetic teaching/monitoring and drain and incision care, to follow up with dr. in 2 weeks. medications on admission: metoprolol 50mg',zoloft 50mg', lisinopril 20mg', tricor 145mg', vytorin 10/80mg', omeprazole20mg', asa 81mg', trazodone qhs discharge medications: 1. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 3. trazodone 100 mg tablet sig: one (1) tablet po hs (at bedtime). 4. 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* 5. diltiazem hcl 60 mg tablet sig: two (2) tablet po q6h (every 6 hours). disp:*240 tablet(s)* refills:*2* 6. amylase-lipase-protease 20,000-4,500- 25,000 unit capsule, delayed release(e.c.) sig: one (1) cap po tid w/meals (3 times a day with meals). disp:*90 cap(s)* refills:*2* 7. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 8. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). 9. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 10. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 13. insulin glargine 300 unit/3 ml insulin pen sig: sixty (60) units subcutaneous with breakfast. disp:*qs ml* refills:*2* 14. humalog 100 unit/ml solution sig: 10-40 units subcutaneous four times a day: pt has instructions for sliding scale. disp:*qs ml* refills:*2* discharge disposition: home with service facility: vna of central & discharge diagnosis: acute gallstone pancreatitis necrotizing pancreatitis post-op hyperglycemia post-op delerium post-op blood loss anemia discharge condition: good discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in 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 see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. . * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. * continue to increase activity daily * no heavy lifting (> lbs) for 6 weeks. followup instructions: please follow-up with dr. in 2 weeks. his office should get in touch with you regarding the time for your appointment, likely . procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances percutaneous abdominal drainage other lysis of peritoneal adhesions transfusion of packed cells other laparotomy diagnoses: anemia, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis chronic kidney disease, unspecified peritoneal adhesions (postoperative) (postinfection) calculus of gallbladder without mention of cholecystitis, without mention of obstruction peritoneal abscess delirium due to conditions classified elsewhere acute pancreatitis hernia of unspecified site, with obstruction 

Answer: The patient is high likely exposed to