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: obstructive jaundice major surgical or invasive procedure: cholecystectomy open head of pancreatic biopsy hepatico-jejunostomy history of present illness: mr. is a 77 year old, delightful gentleman who has widespread recurrent renal cell cancer that is metastatic to multiple locations including the flank, the pancreas and probably the bone. he recently had the evolution of obstructive jaundice, only to an obstructive likely tumor metastasis in the head of his pancreas. he had an endoscopic biliary stent placed, but developed stent failure and cholangitis. he now presents for definitive biliary bypass and confirmation of histopathology at the root of this obstruction. past medical history: pmh: pancreatic head mass, obstructive jaundice, rcc, cad, ^chol, htn psh: r nephrectomy , cabg social history: he stopped smoking over 40 years ago and he does not drink alcohol. family history: his mother had a gallbladder operation but otherwise he has no pertinent family history physical exam: hr 65, bp 128/66 gen: looks strong, fit, healthy, and well for his age. he is very intelligent, alert, and interactive during the examination. and physical and history. he wears bilateral hearing aids but otherwise his head and neck exam is normal. he has no scleral icterus. cv: rrr, no murmurs. sternal wound well healed. pulm: cta bilat. abd: soft, nontender, nondistended. pertinent results: 05:17am blood wbc-9.8 rbc-2.69* hgb-8.7* hct-26.0* mcv-97 mch-32.4* mchc-33.5 rdw-14.5 plt ct-196 06:00pm blood hct-29.0* 08:10am blood wbc-16.8*# rbc-3.07* hgb-10.2* hct-30.2* mcv-99* mch-33.1* mchc-33.6 rdw-15.8* plt ct-177 03:55am blood glucose-142* urean-11 creat-0.9 na-137 k-3.8 cl-104 hco3-24 angap-13 03:55am blood alt-38 ast-52* alkphos-87 amylase-58 totbili-0.6 08:10am blood lipase-290* 03:55am blood lipase-105* 08:10am blood alt-26 ast-38 alkphos-107 amylase-337* totbili-0.8 03:55am blood calcium-7.8* phos-2.8 mg-1.9 . ct head w/o contrast 3:27 pm impression: no evidence of an intracranial hemorrhage or mass effect. . carotid series complete 2:58 pm impression: less than 40% stenosis of the proximal internal carotid arteries bilaterally. . brief hospital course: he was admitted on for a hepaticojejunostomy/cholecystectomy for biliary obstruction. his post-op course was complicated by three unresponsive episodes, with stable vs, requiring transfer to the sicu on . pt transferred back to floor on following day and unresponsive episodes did not reoccur gi/abd: he was npo, with ivf and a ngt. the ngt was removed on pod 3. he was started back on a diet on pod 4 and this was slowly advanced. he was tolerating a regular diet at time of discharge. his incision was c/d/i. the staples were d/c'd prior to discharge. pain: he had good pain control with an epidural - aps was following along. his epidural remained in place until pod 5. he was transitioned to po meds. event : pt found unresponsive, however his vitals were stable--> stat ct head/ct torso.ct head : no evidence of an intracranial hemorrhage or mass effect ct torso: 1.no pulmonary embolism. 2. multiple pancreatic masses unchanged. 3.post-hepaticojejunostomy without fluid surrounding the hepaticojejunostomy site. carotid ultrasound : less than 40% stenosis of the proximal internal carotid arteries bilaterally. neuro consult obtained: his exam was notable for anisocoria but reactive pupils and asterixis. the asterixis indicates that there is likely a metabolic abnormality which may be the etiology of these episodes. infectious causes have been ruled out by negative u/a and chest ct. seizure is very unlikely, given the closed eyes, lack of eye/head deviation, absence of motor activity, and absence of post-ictal state. the episodes are also too long in duration to suggest seizure. however, if he continues to have frequent episodes, it may be worthwhile to get an eeg to capture a spell. otherwise, eeg could be considered non-urgently. vascular issues are also very low probability, given that he is lying in bed during the events, has a normal blood pressure, and has no other abnormalities suggesting brainstem localization on exam (other than anisocoria, but normal eoms). medications may be a cause, especially the lyrica or neurontin. it would be useful in the setting of these events to hold all sedating medications (neurontin and lyrica), or at least to decrease the dose. : normal eeg in the waking and drowsy states. there were no focal abnormalities or epileptiform features. neurontin and lyrica discontinued based on recommendations per neurology. patient also felt that neurontin and lyrica were not helping with his shingles and he preferred to discontinue these medications. pt did not have any issues after he stopped neurontin and lyrica. pod#7: pt doing well clinically tolerating a regular diet, ambulating and pain well controlled. incision c/d/i. pt discharged to home and is to follow up with dr. and neurology in weeks. medications on admission: toprol, accupril, lyrica, neurontin discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 3. quinapril 5 mg tablet sig: two (2) tablet po daily (daily). 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. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours for 2 weeks. disp:*25 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: pancreatic head mass post-op unresponsive episodes x 3 discharge condition: good a+o x 3 tolerating diet pain controlled 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 vomitting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomitting, 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 take your neurontin or lyrica. discuss with your pcp if there is a need to restart these meds. discuss your unresponsive episodes with your pcp before considering restarting these medications. . continue to ambulate several times per day. . it is ok to shower, no tub baths. incision dry and keep clean and dry. followup instructions: please follow-up with dr. in weeks. call ( to schedule an appointment. please follow-up with neurology in weeks. call ( to schedule an appointment. please follow-up with your pcp 2 weeks re: your medications. do not restart neurontin or lyrica without talking to your pcp. procedure: cholecystectomy other lysis of peritoneal adhesions closed [aspiration] [needle] [percutaneous] biopsy of pancreas anastomosis of hepatic duct to gastrointestinal tract diagnoses: unspecified essential hypertension coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status secondary malignant neoplasm of other specified sites personal history of tobacco use hemorrhage complicating a procedure peritoneal adhesions (postoperative) (postinfection) acute cholecystitis obstruction of bile duct personal history of malignant neoplasm of kidney acquired absence of kidney secondary malignant neoplasm of bone and bone marrow other alteration of consciousness secondary malignant neoplasm of other digestive organs and spleen other drugs and medicinal substances causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to