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: aspirin / iodine attending: chief complaint: abdominal pain major surgical or invasive procedure: laparoscopic cholecystectomy history of present illness: history of presenting illness this patient is a 77 year old male who complains of abd pain after accidental dislodgement of of perc chole tube. patient complains of pain mostly in the right upper quadrant but also diffusely timing: sudden onset severity: moderate duration: hours location: abdomen context/circumstances: above mod.factors: worse with time past medical history: type ii dm htn ckd - bl cr 2.5 gout gastritis/ulcer/gerd -> last egd in with gastritis presumed cad dyslipidemia le dvt in nstemi in social history: his social history is significant for the absence of current tobacco use, was former smoker. no etoh abuse. wife takes care of him. family history: mother with cad s/p cabg physical exam: physical examination upon admission: temp: 98.0 hr: 48 bp: 120/46 resp: 16 o(2)sat: 97 constitutional: comfortable chest: clear to auscultation cardiovascular: regular rate and rhythm, normal first and second heart sounds abdominal: tender mostly in the right upper quadrant; soft physical examination upon discharge: : vital signs: t=99.3, bp= 152-175/60-80, hr=71, resp. rate 20, 99% room air general: nad neuro: alert and oriented x 3, speech clear, no tremors cv: ns1, -s2, -s3, -s4 lungs: clear, no adventitious bil. abdomen: steri-strips to umbilical port site and right upper quadrant port site, no erythema, mild tenderness right upper quadrant, no rebound, no guarding extremites: weak dp bil., feet warm, no ankle edema, +1 upper foot edema bil., no calf tenderness bil. skin: ecchymotic areas lateral aspect of right arm pertinent results: 05:50am blood wbc-7.1 rbc-2.76* hgb-7.8* hct-24.3* mcv-88 mch-28.2 mchc-32.1 rdw-16.6* plt ct-201 03:35pm blood hct-25.4* 04:12pm blood wbc-7.0 rbc-2.74* hgb-8.0* hct-23.7* mcv-87 mch-29.4 mchc-33.9 rdw-17.1* plt ct-225 05:50am blood neuts-69.1 lymphs-21.3 monos-5.0 eos-4.4* baso-0.2 07:15am blood neuts-68.5 lymphs-20.7 monos-5.4 eos-5.1* baso-0.3 04:12pm blood pt-14.4* ptt-24.4 inr(pt)-1.2* 04:10pm blood glucose-125* urean-25* creat-3.2* na-139 k-4.3 cl-108 hco3-24 angap-11 05:50am blood glucose-110* urean-26* creat-3.6* na-140 k-4.2 cl-108 hco3-24 angap-12 03:35pm blood glucose-141* urean-26* creat-3.8* na-139 k-4.4 cl-107 hco3-23 angap-13 09:54pm blood ck(cpk)-41* 06:30am blood alt-12 ast-13 alkphos-88 totbili-0.5 05:35am blood alt-16 ast-13 alkphos-91 totbili-0.5 07:15am blood lipase-23 04:12pm blood lipase-63* 09:54pm blood ck-mb-1 ctropnt-0.02* 01:21pm blood ck-mb-1 ctropnt-0.02* 01:03am blood ctropnt-0.02* 05:50am blood calcium-8.7 phos-3.1 mg-2.3 03:16am blood type-art po2-108* pco2-37 ph-7.42 caltco2-25 base xs-0 04:27pm blood lactate-1.5 03:16am blood freeca-1.19 current labs: chemistry renal & glucose glucose urean creat na k cl hco3 angap 08:45 121*1 24* 2.7* 141 4.9 111* 21* 14 : ekg: sinus bradycardia. one ventricular premature beat noted. inferior and lateral non-specific t wave flattening. prominent u waves. compared to the previous tracing of the described st-t wave abnormality is new. possible metabolic abnormality suggested. : cat scan of abdomen and pelvis: impression: 1. no evidence of bile leak with trace stranding along the site of the prior cholecystostomy tube. 2. nondistended gallbladder with diffuse mural thickening and adjacent stranding/pericholecystic fluid. this could reflect smouldering infectious process, be related to recent tube decompression or reflective of third spacing with heart disease given the presence of bilateral pleural effusions. : gallbladder scan: impression: the cystic duct remains obstructed, putting this patient at risk for acute cholecystitis in the absence of a cholecystostomy drain. : ultrasound of abdomen: impression: 1. limited right upper quadrant ultrasound performed in preparation for replacement of percutaneous cholecystostomy tube. given the above findings and lack of patient's symptoms, a percutaneous cholecystostomy tube was not placed at this time. it was recommended that if the patient's symptoms return or laboratory values worsen, a repeat ultrasound be performed to determine feasibility of percutaneous cholecystostomy tube placement. 2. string from prior percutaneous cholecystostomy tube is partially left within the patient. attempted removal was unsuccessful. : echo: impression: normal biventricular cavity sizes with preserved global and regional biventricular systolic function. mild mitral regurgitation with normal valve morphology. pulmonary artery hypertension : ekg: artifact is present. sinus bradycardia. non-specific st-t wave changes. the q-t interval is prolonged. compared to the previous tracing of the q-t interval is longer. : chest x-ray: impression: ap chest compared to at 12:24 and 4:44 p.m.: moderately severe pulmonary edema has improved over three hours. borderline cardiomegaly unchanged. small bilateral pleural effusions are presumed. no pneumothorax. et tube and right subclavian line are in standard placements respectively and an orogastric tube passes into the stomach and out of view. : cat scan of the head: impression: no acute intracranial process. 3:55 pm blood culture source: line-central line. blood culture, routine (pending): 5:03 pm mrsa screen source: nasal swab. **final report ** mrsa screen (final ): no mrsa isolated. : chest x-ray: impression: 1. standard position of a right-sided central line in the upper svc. no pneumothorax. 2. stable chronic pleural thickening. 3. mild pulmonary vascular congestion without overt edema. brief hospital course: 77 year old gentleman admitted to the acute care service after dislodgement of his percutaneous cholecystotomy tube. he also reported fatigue and weakness which was attributed to mild exacerbation of congestive heart failure. he was evaluated by cardiology because of his findings on presentation and recommendations for his daily care were addressed. after evaluation, he was cleared for his cholecystectomy. prior to his surgery, he was taken to ir for attempted removal of a single wire from the percutaneous cholecystostomy site. they were unsuccessful at removing it and the wire fell out without any intervention. on , the patient went to the or for uncomplicated laparoscopic cholecystectomy. his operative course was stable. he was extubated after the procedure and monitored in the recovery room where he desaturated requiring re-intubation for concern of persistent neuromuscular blockade. he was admitted to the icu for further management. chest x-ray was performed that showed significant pulmonary edema, so diuresis was performed with lasix. the vent was weaned overnight, and on , the patient extubated without problem. had persistent confusion on pod1, and head ct was obtained that was normal. his confusion improved later in the day and patient remained hemodynamically stable and was transferred to the surgical floor pod #1. he completed his course of meropenum for enterobacter and klebeiella in the urine. he was weaned off his intravenous analgesia and started on oral agents. he has been followed by the renal service for his history of cri. he did receive 1 u prbc on ppod #2 to 21 to help improve renal perfusion. his current hematocrit is 24. he has had his electrolytes monitored and his creatinine has decreased to baseline of 2.7. he has been cleared by renal to resume his valsarten. he reports localized right rib pain after falling. nursing staff made aware of this and are following-up on it. no visible signs of hematomas or localized right hip pain. ecchymotic areas visible right lower arm. chest x-ray done shows stable chronic pleural thickening and mild pulmonary vascular congestion without overt edema. his oxygenation saturation on room air has been maintained at 99% room air. his vital signs are stable and he is afebrile. he is tolearting a regular diet with assistance in setting up his meal. he continues to have episodes of mild confusion, but re-orients easily. he has been evaluated by physical therapy and recommendations made for discharge to a rehabilitation facility where he can further regain his strength and mobility. right subclavian central line d/c , dsd applied he will follow up with the acute care service on . medications on admission: : tylenol 1000''', atorvastatin 40', calcitriol 0.25 qod, plavix 75', cyclobenzaprine 10''', fluticasone 50'', folic acid 1', lactulose, ranitidine 150', tamsulosin 0.4', timolol maleate 0.5 %', valsartan 160', colace 100'', senna 8.6'',torsemide 5', labetalol 200''', amlodipine 10' discharge medications: 1. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for diarrhea. 4. torsemide 5 mg tablet sig: one (1) tablet po daily (daily). 5. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily): hold for heart rate <60, systolic blood pressure <100. 6. hydralazine 10 mg tablet sig: three (3) tablet po tid (3 times a day). 7. labetalol 200 mg tablet sig: 0.5 tablet po bid (2 times a day): hold hr <50, systolic blood pressure <100. 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 9. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 10. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain/fever. 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for wheezing, sob. 12. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for indigestion. 13. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for spasms. 14. valsarten sig: one y (160) mg once a day. 15. insulin sc ( per sliding scale) discharge disposition: extended care facility: for the aged - discharge diagnosis: chlolecystitis pulmonary edema (post-op) discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive ( hard of hearing) activity status: ambulatory - needs assistance with ambulation, walker use discharge instructions: you were admitted to the hospital after your cholecystostomy tube fell out. your electrolytes and liver studies were monitored. once you stabilized, you were taken to the operating room where you had your gallbladder removed. you did well during the operation and you are now preparing for dishcharge back to the rehabilitation facility. followup instructions: please follow up with the acute care service in 2 weeks. your appointment is scheduled on , 2:30pm in the acute care clinic, , room 3a. the telephone number is # md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube laparoscopic cholecystectomy diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery esophageal reflux urinary tract infection, site not specified congestive heart failure, unspecified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site acute kidney failure, unspecified chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified acute on chronic diastolic heart failure hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia old myocardial infarction personal history of venous thrombosis and embolism acute cholecystitis diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms other pulmonary insufficiency, not elsewhere classified, following trauma and surgery 

Answer: The patient is high likely exposed to