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: prochlorperazine / fenofibrate attending: chief complaint: epigastric pain with nausea and vomiting major surgical or invasive procedure: : ercp with sphincterotomy and sludge removal. history of present illness: 53 year old male with hiv infection, htn with history of symptomatic cholelithiasis presenting with acute onset of abdominal pain approximately 6 hours prior to presentation. pain is (r)uq/epigastric, sharp, radiating to the back, moderate to severe intensity, associated with nausea/vomiting, no exacerbating or relieving factors. no fevers/chills, no change in bowel habits, no change in urinary habits, no chest pain/shortness of breath. admitted for further evaluation and treatment. past medical history: pmhx: hiv (most recent viral load undetectable, cd4 count 530), vertigo, gout, mild parkinsons, htn, hypertriglyceridemia. pshx: bilateral inguinal hernias, septorhinoplasty. social history: no tobacco, rare etoh, no illicit drug use. family history: non-contributory. physical exam: on admission: temp:97.9 hr:87 bp:131/75 resp:20 o(2)sat:98 gen: in nad heent: no cervical adenopathy, trachea midline, neck supple resp: no distress cv: regular rhythm abd: soft non-distended, ruq/epigastric tenderness to palpation, no rebound, no guarding extrem: no c/c/e neuro: cn ii-xii grossly intact, slight tremor. pertinent results: 02:30pm wbc-17.1* rbc-5.18 hgb-18.2* hct-51.0 mcv-99* mch-35.1* mchc-35.7* rdw-13.2 02:30pm neuts-73.7* lymphs-19.1 monos-4.4 eos-1.8 basos-0.9 02:30pm plt count-270 02:30pm urea n-14 creat-1.5* sodium-138 potassium-4.0 chloride-97 total co2-24 anion gap-21* 02:30pm alt(sgpt)-74* ast(sgot)-77* alk phos-88 tot bili-2.5* 02:30pm lipase-9845* gallbladder us : 1. cholelithiasis, with distended gallbladder and tender right upper quadrant. this could be a manifestation of early cholecystitis, in the appropriate clinical setting, although no evidence of gallbladder wall thickening or pericholecystic fluid. if clinical concer persists, one could consider a hida scan. 2. fatty infiltration of the liver, though more advanced forms of liver disease, including fibrosis and/or cirrhosis, can have this appearance. 3. right renal cyst. ercp : stones at the galbladder normal biliary tree without any evidence of biliary obstruction. given high suspicion for cholangitis, a biliary sphincteromy was performed. sludge was extracted from the bile duct.(sphincterotomy, stone extraction) otherwise normal ercp to third part of the duodenum abdominal ct : 1. peripancreatic inflammation and stranding of the mesenteric fat, consistent with acute pancreatitis. ill-defined enhancement of the pancreatic parenchyma at the neck is suggestive of necrosis in this area. no other focal fluid collection is seen within the abdomen. 2. extensive atelectasis and consolidation in the lower lobes of both lungs may represent pneumonia abdominal ct : 1. significant worsening of acute pancreatitis with areas of pancreatic necrosis especially within the head, neck and proximal body of the pancreas. a large amount of multiloculated fluid collections in the peripancreatic region extending to bilateral pericolic gutters, left more than right with peripheral enhancement are consistent with pancreatic pseudocysts. overlying infection-abscess formation cannot be excluded. 2. significant cholelithiasis; air in the gallbladder is new since prior exam 9 days ago. 3. thickening of the stomach and duodenal wall as well as mild thickening of the wall of the ascending colon and transverse colon likely secondary to inflammatory process within the abdomen. 4. splenomegaly, mildly increased since prior exam, likely reactive. splenic vein remains patent. 5. bilateral pleural effusions, left more than right with left lower lobe collapse. underlying pneumonia cannot be excluded. cxr for picc line placement : tip of the new right pic catheter ends approximately a centimeter below the superior cavoatrial junction, it was reported to the iv nurse. as discussed with the care team physician, lower lobe is still collapsed and there is small-to-moderate left pleural effusion and small right pleural effusion, overall unchanged. upper lungs are clear. no pneumothorax. heart size normal. . microbiology: stool clostridium difficile toxin a & b test: negative. blood culture-final: no growth. blood culture-final: no growth. urine culture-final: mixed bacterial flora ( >= 3 colony types), consistent with skin and/or genital contamination. blood culture-final: no growth. blood culture-final: no growth. urine culture-final: no growth. urine culture-final: no growth. blood culture-final: no growth. blood culture-final: no growth. blood culture-final: no growth. mrsa screen-final: negative. brief hospital course: mr. was admitted to the hospital, made npo and hydrated with iv fluids. his haart medications were held together. his lft's were elevated and his lipase was 9800. his abdomen was distended and he was a bit more comfortable with a dilaudid pca. he underwent an ercp on and a sphincterotomy was performed along with removal of sludge. following this procedure he was sent to the icu for more vigorous fluid resuscitation. he was placed on iv unasyn for 48 hours and his lft's were slowly declining from a high tbili of 6.1 to normal 5 days later. . he continued to have temperature spikes almost daily. his abdominal pain was gradually decreasing along with his wbc although he remained distended. once he resumed clear liquids, the pain recurred along with nausea. he subsequently had a feeding tube placed for tube feedings, however, due to discomfort, he removed it on 2 different occasions. once afebrile, a picc line was placed on , and tpn started. while on tpn, the patient's blood sugars were routinely monitored, and he received sliding scale insulin when indicated. . due to persistent temperature spikes, he had a repeat abdominal/pelvic ct done on , which showed worsening of his pancreatitis with necrosis around the head and neck and pancreatic pseudocysts. imipenem-cilastatin iv was started on . his pain remained well controlled on a dilaudid pca. as his symptoms improved, he was started on sips of clears on . his diet was slowly advanced to clears on , and to a low fat regular by discharge. some of his home medications were re-introduced. as recommended by infectious disease, his haart medications were held until the patient was ready to restart them all together. the patient will consult , md, his infectious disease provider, an outpatient as to when he should re-initiate haart. on , the dilaudid pca was discontinued, and he was started on dilaudid po prn for pain with continued good effect. imipenem-cilastatin was discontinued on . he retained normal function of his bowels and bladder. . during this hospitalization, the patient ambulated early and frequently, was adherent with respiratory toilet and incentive spirrometry, and actively participated in the plan of care. the patient initially received subcutaneous heparin, which was later placed in the tpn, and venodyne boots were used during this stay. labwork was routinely followed; electrolytes were repleted when indicated. . at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a low fat regular diet and cycled tpn, ambulating, voiding without assistance, and pain was well controlled. the (r) picc line was patent and intact. he was discharged home with nursing and home infusion services, as he was sent home on cycled tpn. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: 1. enalapril maleate 10 mg tablet sig: one (1) tablet po daily (daily). 2. nefazodone 100 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). 3. clonazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day). 4. cyanocobalamin 100 mcg tablet sig: 0.5 tablet po daily (daily). 5. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q6h (every 6 hours) as needed for sob. 8. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 9. norvir 100 mg capsule sig: one (1) capsule po once a day. 10. reyataz 150 mg capsule sig: one (1) capsule po twice a day. 11. viread 300 mg tablet sig: one (1) tablet po every mon-wed-fri. 12. epivir 300 mg tablet sig: one (1) tablet po once a day. 13. allopurinol 300 mg tablet sig: one (1) tablet po once a day. discharge medications: 1. enalapril maleate 10 mg tablet sig: one (1) tablet po daily (daily). 2. nefazodone 100 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). 3. clonazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day). 4. cyanocobalamin 100 mcg tablet sig: 0.5 tablet po daily (daily). 5. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q6h (every 6 hours) as needed for sob. 8. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 9. norvir 100 mg capsule sig: one (1) capsule po once a day: please restart after consulting dr. (id). 10. reyataz 150 mg capsule sig: one (1) capsule po twice a day: please restart after consulting dr. (id). . 11. viread 300 mg tablet sig: one (1) tablet po every mon-wed_fri: please restart after consulting dr. (id). . 12. epivir 300 mg tablet sig: one (1) tablet po once a day: please restart after consulting dr. (id). . 13. allopurinol 300 mg tablet sig: one (1) tablet po once a day. 14. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours as needed for fever or pain. 15. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 16. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 17. ondansetron 4 mg iv q8h:prn nausea 18. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for fever or pain. disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: caregroup discharge diagnosis: 1. acute gallstone pancreatitis. 2. necrotizing pancreatitis. 3. pancreatic pseudocysts. 4. hiv 5. htn discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. . picc line: *please monitor the site regularly, and your md, nurse practitioner, or nurse if you notice redness, swelling, tenderness or pain, drainage or bleeding at the insertion site. * your md to the emergency room immediately if the picc line tubing becomes damaged or punctured, or if the line is pulled out partially or completely. do not use the picc line in these circumstances.please keep the dressing clean and dry. contact your nurse if the dressing comes undone or is significantly soiled for further instructions. followup instructions: ct scan: abdominal/pelvic ct scan with and without contrast. phone: date/time: tuesday, at 1:30pm. location: ra (/ complex), , . . provider: , md (surgery). phone: (. date/time: friday, at 2:00pm. location: 3, . . please call ( to arrange a follow-up appointment with dr. (pcp) in weeks. . please schedule a follow-up appointment with , md (infectious disease) in weeks. you should consult dr. regarding re-initiation of anti-retroviral therapy (haart). procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances endoscopic sphincterotomy and papillotomy diagnoses: unspecified essential hypertension gout, unspecified pure hyperglyceridemia paralysis agitans other specified disorders of biliary tract calculus of gallbladder without mention of cholecystitis, without mention of obstruction fever, unspecified acute pancreatitis asymptomatic human immunodeficiency virus [hiv] infection status cyst and pseudocyst of pancreas 

Answer: The patient is high likely exposed to