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: reglan attending: chief complaint: abdominal pain, nausea and vomiting major surgical or invasive procedure: none history of present illness: patient reported to a referring hospital presenting with one day of nausea, vomiting and abdominal pain described as "the worst pain of his life." the pain was located in the epigastric region with no radiation. past medical history: 1. duodenal mass 2. whipple - s/p pancreaticoduodenectomy w/open cholecystectomy () (benign) 3. cad s/p stent 4. dm type 2 5. htn 6. arthritis 7. hypercholesterolemia 8. afferent loop syndrome 9. pancreatitis 10. pancreatic duct anastomotic stricture 11. revision of pancreatico-jejunostomy anastomosis (). social history: 1ppd, quit >23 years ago. alcohol history is significant only for occasional use. he has no known environmental exposures. family history: non contributory physical exam: on discharge the patient looked well and his vital signs were stable and within normal limits. the patient was not in any acute distress and ambulating well. his pulmonary exam was clear to ausculation bilaterally, cardiovascular exam - regular rate and rhythmn, his abdomen was soft, nontender and non distended with no organomegaly, and he had bowel sounds present. pertinent results: 01:02pm lactate-1.7 10:29am ck-mb-notdone ctropnt-<0.01 06:09am glucose-191* urea n-19 creat-1.3* sodium-141 potassium-4.5 chloride-111* total co2-21* anion gap-14 06:09am alt(sgpt)-314* ast(sgot)-275* ld(ldh)-240 alk phos-76 amylase-372* tot bili-2.6* dir bili-2.4* indir bil-0.2 06:09am lipase-921* 06:09am calcium-7.5* phosphate-2.1* magnesium-1.4* 06:09am wbc-12.8* rbc-3.42* hgb-11.1* hct-31.2* mcv-91 mch-32.4* mchc-35.6* rdw-14.0 06:09am plt count-205 06:09am pt-13.4* ptt-28.7 inr(pt)-1.2* . ct abdomen/pelvis 1. enhancement of the bile ducts consistent with acute cholangitis. 2. pancreatic duct dilation and peripancreatic stranding could suggest pancreatitis.correlation with biochemistry recommeded 3. mildly dilated intra-hepatic ducts with decreased pneumobilia. 4. increased peribronchial and interstitial opacities in the lung bases. brief hospital course: the patient was admitted as a direct admit to the floor. he complained of epigastric abdominal pain, nausea and was vomiting. on the floor his blood pressure was low at 80's systolic after 1 liter of normal saline and he was thus transferred to the intensive care unit. he underwent an emergent ct scan of the abdomen and pelvis that showed 1. enhancement of the bile ducts consistent with acute cholangitis. 2. pancreatic duct dilation and peripancreatic stranding could suggest pancreatitis. 3. mildly dilated intra-hepatic ducts with decreased pneumobilia. 4. increased peribronchial and interstitial opacities in the lung bases. . neuro: his pain was well-controlled with iv and oral dilaudid. . cardiovascular he was fluid resuscitated in the intensive care unit with good response and transferred to the floor in hemodyanically stable condition. . pulmonary no issues . fen/gi: . renal: . heme the patient's hematocrit remained stable throughout his hospitalization. . infectious disease he was started empirically on vancomycin and zosyn. his blood cultures grew out klebsiella that was pan-sensitive (except for penicillin). he was discharged on oral augmentin for a 10-day course. he was discharged in stable condition on hospital day #5 with plans for ercp 2 days later. medications on admission: metformin lisinopril lipitor tricor discharge medications: 1. augmentin 500-125 mg tablet sig: one (1) tablet po three times a day for 10 days. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: 1. cholangitis 2. pancreatitis 3. klebsiella bacteremia discharge condition: good to home with plans for follow-up discharge instructions: discharge instructions: please call your doctor or return to the er for any of the following: * you experience a return of abdominal pain, nausea or vomiting * 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. continue on antibiotics for 10 days. * continue to amubulate several times per day. followup instructions: 1. you are scheduled for an endoscopic retrograde cholangiopancreatography (ercp) on tuesday, . please report to the hospital for this as directed. the phone number for dr. is ( and the phone number for ercp is (. please call for details regarding this procedure. dr. will follow-up the results of this study. procedure: venous catheterization, not elsewhere classified diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled percutaneous transluminal coronary angioplasty status bacteremia cholangitis acute pancreatitis 

Answer: The patient is high likely exposed to