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: penicillins attending: chief complaint: cholangitis with e.coli bacteremia major surgical or invasive procedure: * you underwent an ercp to place a sent in your common bile duct on . this procedure helped to alleviate the obstruction in your duct. * you underwent a repeat ercp on to remove multiple gallstones from your common bile duct. the stent that was placed on was removed during this procedure. history of present illness: 57m with hiv (: cd4 977, viral load 50), hbv, hcv, htn, polysubstance abuse, who presented to center on in the evening with complaints of days of abdominal pain, bloating, nausea, vomiting, and diarrhea. he reports fevers to 103.7 at home. the patient had a temperature of 100.2 in the ed and remained afebrile with stable vital signs and no further episodes of vomiting or diarrhea during his admission. his abdominal pain and bloating did progressively worsen and blood cultures grew gram negative rods, white count was 16, tbili 11.5. he was treated conservatively and made npo, given ivf, and started on levaquin and flagyl. the patient denies any history of gallbladder disease or pancreatitis. the patient was transferred to on the evening of for ercp and further management. ercp was performed and showed a large amount of thickened pus and stones in the cbd. a biliary stent was placed. past medical history: hiv diagnosed 22 years ago (: cd4 977, viral load 50), hbv, hcv, htn, reactive airway disease, chronic pain, mrsa, ckd baseline cr 1.3-1.8 social history: social: 1 ppd x 10 years, ivda - clean for 8 months, past cocaine use, past alcohol use, lives alone, unemployed, in a relationship family history: non-contributory physical exam: vs: 98.8 97.5 70 154/90 18 94ra gen: aaox3, nad heent: icteric cv: rrr, nml s1/s2 resp: scattered wheezing, otherwise clear no ronchi, areas of consolidation, good air entry abd: soft, obese, nontender, non tympanic, nondistended, no masses palpated ext: no c/c/e pertinent results: 03:08am blood wbc-15.3*# rbc-3.43* hgb-13.6*# hct-36.9*# mcv-108* mch-39.7* mchc-36.9* rdw-14.8 plt ct-130* 04:20am blood wbc-8.6 rbc-3.10* hgb-11.8* hct-35.0* mcv-113* mch-38.2* mchc-33.8 rdw-14.5 plt ct-207 04:20am blood glucose-102* urean-20 creat-0.7 na-140 k-3.6 cl-106 hco3-28 angap-10 03:08am blood alt-54* ast-44* alkphos-209* amylase-19 totbili-10.7* dirbili-8.2* indbili-2.5 04:20am blood alt-22 ast-31 alkphos-110 amylase-67 totbili-3.0* brief hospital course: 57m with hiv (: cd4 977, viral load 50), hbv, hcv, htn, polysubstance abuse, who presented to center on in the evening with complaints of days of abdominal pain, bloating, nausea, vomiting, and diarrhea. he reports fevers to 103.7 at home. the patient had a temperature of 100.2 in the ed and remained afebrile with stable vital signs and no further episodes of vomiting or diarrhea during his admission. his abdominal pain and bloating did progressively worsen and blood cultures grew gram negative rods, white count was 16, tbili 11.5. he was treated conservatively and made npo, given ivf, and started on levaquin and flagyl. the patient denies any history of gallbladder disease or pancreatitis. the patient was transferred to on the evening of for ercp and further management. ercp was performed and showed a large amount of thickened pus and stones in the cbd. a biliary stent was placed on during initial ercp. pt was treated in sicu following procedure with iv antibiotics (cipro -->cefepime/flagyl due to e.coli sensitivities) with good effect. mr. remained stable while in the icu, although his oxygen saturations remained low on ra thereby requiring 2-4l supplemental o2. he reported some mild improvement in pain, but was still tender on physical exam. there was improvement in his laboratory values immediately following the ercp but had still not normalized. a second ercp was scheduled on for removal of gallstones. the patient's second ercp was notable for the removal of stones from the cbd. there was no evidence of pus in the duct. the previously placed biliary stent was removed and a sphincterotomy was performed. follwoing the ercp, the patient was transferred to the floor on . his diet was slowly advanced from clears to regular, which he tolerated well. pts vital signs remained stable since transfer from icu, and on pt stated that he felt well to be discharged home. at the time of discharge, mr. was stable, afebrile, ambulating and mentating at baseline, and tolerating a regular diet. his laboratory values have normalized and he feels ready to be discharged home. he was educated regarding his post-discharge plans to follow-up with dr. in clinic to discuss removal of his gallbladder. he was educated regarding warning signs and symptoms and to seek medical evaluation for them if necessary. he was informed that he would require a two week treatment with oral antibiotics. mr. expressed understanding of these plans and agreement with them. medications on admission: crixivan 800 q8, lactobacillus 2 pills daily, combivir'', methadone 10''', oxy ir 15'''', norvir 600'', retrovir 300'', spiriva 1 puff daily, albuterol prn discharge medications: 1. indinavir 400 mg capsule sig: two (2) capsule po bid (2 times a day). 2. lamivudine-zidovudine 150-300 mg tablet sig: one (1) tablet po bid (2 times a day). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. ritonavir 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. methadone 10 mg tablet sig: one (1) tablet po tid (3 times a day). 6. tiotropium bromide 18 mcg capsule, w/inhalation device sig: caps inhalation daily (daily). 7. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: inhalation q6h (every 6 hours) as needed for wheezing. 8. cefpodoxime 200 mg tablet sig: one (1) tablet po every twelve (12) hours for 14 days. disp:*28 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: * cholangitis, with e. coli bacteremia discharge condition: condition: good mental status: aaox3 ambulatory status: ambulating w/o help, independent discharge instructions: * you were admitted to the hospital because of an infection in the ducts which drain bile from your gallbladder (cholangitis) as well as an infection in your blood. * you were treated with iv antibiotics and responded well to this treatment. * you underwent two procedures (ercps) to help clear the blockage in one of the ducts which drains bile from your gallbladder (the common bile duct). * during these procedures, the gastroenterologists removed many stones from your common bile duct and performed a procedure to enlarge the opening of this duct. * you responded well to this treatment and your laboratory values improved afterwards. * you should continue to take oral antibiotics (cefpodoxime) for 2 weeks. * you should call dr. office (number below) to schedule a follow-up appointment in 2 weeks to discuss having your gallbladder removed. * you may continue a low fat, regular diet. * you may continue to do your regular activities. * you may shower/bathe as normal. followup instructions: * you should follow-up with dr. in the surgery office at to discuss having your gallbladder removed. * you should follow-up with your primary care doctor (pcp) as needed following discharge. * you should follow-up with your infection disease (id) doctor as needed following discharge. procedure: endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy endoscopic insertion of stent (tube) into bile duct removal of t-tube, other bile duct tube, or liver tube diagnoses: unspecified viral hepatitis c without hepatic coma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified bacteremia cholangitis asymptomatic human immunodeficiency virus [hiv] infection status viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta calculus of bile duct without mention of cholecystitis, without mention of obstruction other, mixed, or unspecified drug abuse, in remission 

Answer: The patient is high likely exposed to