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: history of present illness: the patient is a 47-year-old male with a history of diabetes mellitus, coronary artery disease, hepatitis b, who complains of four days of right upper quadrant pain, not related to activity. no fever, chills, nausea, vomiting, chest pain or shortness of breath. pain is worse with eating. he describes the pain as sharp, but goes up and down in intensity, with anorexia and hiccoughs. last bowel movement was prior to beginning of this pain. past medical history: diabetes mellitus type 2, history of hepatitis b infection, coronary artery disease status post coronary artery bypass graft x 5 in , status post percutaneous transluminal coronary angioplasty in . medications: lipitor 5 mg once daily, glucovance 500 mg three times a day, epivir 300 mg once daily, atenolol 25 mg once daily, aspirin 325 mg once daily, folate once daily, b6 once daily. allergies: no known drug allergies. physical examination: temperature 98.7, pulse 102, blood pressure 149/83, oxygen saturation 99% on room air. tachycardic, regular rhythm. lungs clear to auscultation bilaterally. abdomen distended, tympanic, severe right upper quadrant tenderness, positive sign. rectal examination normal tone, guaiac negative. laboratory data: white blood cells 18.9, hematocrit 39.1, platelets 218. sodium 135, potassium 3.9, chloride 93, bicarbonate 29, bun 16, creatinine 1.4, glucose 286. pt 13.0, ptt 24.2, inr 1.2. chest x-ray showed bilateral atelectasis. right upper quadrant ultrasound showed sludge in the gallbladder as well as gallstones. the gallbladder wall is 3 to 4 mm. the common bile duct is 2 to 3 mm. no pericholecystic fluid, no intrahepatic duct dilatation. kub: stool in intestine, no free air, no obstruction. electrocardiogram: regular rhythm, normal. hospital course: the patient was admitted to gold surgery service. due to his pervious cardiac history, a cardiology consult was obtained which, based on the patient's history (stated that he had a normal stress test two months ago) and history of coronary artery bypass graft in the past five years, he was at no significant risk for cardiac event during surgery. the patient remained stable overnight and was taken to the operating room on , where laparoscopic cholecystectomy was attempted, however, failed due to severity of the patient's disease. open cholecystectomy was performed. drain was placed intraoperatively. the patient was transferred to the post-anesthesia care unit in stable condition. on postoperative day number one, the patient had a fever of 102.8, tachycardic. he complained of incisional pain. no nausea or vomiting. he was started on ampicillin, levofloxacin and flagyl for his cholecystitis. his lopressor dose was increased, which was approved by cardiology, who decided to sign off due to the patient's condition being well. in the evening, however, the patient had an episode of nausea. an electrocardiogram was obtained, which showed sinus tachycardia. at approximately the same time, the patient had desaturation to 84% on 4 liters. a stat portable chest x-ray was obtained, which showed a picture consistent with adult respiratory distress syndrome or flash pulmonary edema. the patient had, at that time, fever of 102.2, heart rate of 118, blood pressure 160/48, oxygen saturation 85% on 10 liters, respiratory rate of 44. an arterial blood gas was done, which showed a ph of 7.32, co2 of 47, o2 of 47, bicarbonate 25, base excess -2. the patient was emergently transferred to the intensive care unit. he was intubated. on postoperative day number two, an echocardiogram was obtained, which showed normal ejection fraction of 45%. the patient has a low-grade fever. his sedation was decreased. he is alert. on postoperative day number three, the patient is afebrile. vital signs are stable. the patient self-extubated overnight, however, was doing fine, with 98% oxygen saturation on room air. the patient was transferred to the floor. on postoperative day number two, the patient had a low-grade fever, otherwise vital signs stable, ambulating, tolerating clears well. his medication was switched to oral. overnight, the patient had another episode of nausea. electrocardiogram was performed, which showed t wave inversions in the precordial leads, v1 through v4. cardiology was consulted and felt that this cardiac ischemia was significant, and he will need cardiac catheterization, which was performed the next morning, which showed a very tight lesion on the patient's left internal mammary artery insertion to the left anterior descending, which was plastied. on postoperative day number six, the patient is afebrile. vital signs stable. he was transfused one unit of blood for a low hematocrit in the face of cardiac disease. over the next couple of days, the patient had a low-grade fever, otherwise feeling well, ambulating, tolerating oral intake. on postoperative day number eight, the patient had a fever of 102.5, some erythema over his cvl was noted. the patient had pa and lateral which showed bilateral effusion and question of pulmonary effusion in the left lower lobe. he had blood cultures performed as well as urinalysis and urine culture, which were all clear. his central venous line was removed and cultured, which was also negative. he was started on kefzol empirically. on postoperative day number nine, he still had a fever of 102. ct of the abdomen was performed, which just showed some perioperative changes in the right upper quadrant, but otherwise negative for abscess, colitis, and otherwise normal. infectious disease consult was obtained, which recommended ct of the chest, given the patient's possible pleural effusions and pneumonia. on postoperative day number ten, he had another set of cultures drawn. ct of the chest was performed, and showed bilateral pleural effusions, left more than right, some epicardial nodes, and very low possibility of left lower lobe pneumonia, more likely being atelectasis. on postoperative day number 11, the patient still had a fever up to 102. his bilateral pleural effusions were tapped with ultrasound guidance, which showed no bacteria on the gram stain, normal cbc of the fluid, and fluid chemical analysis consistent with transudate. on postoperative day number 12, the patient is remaining afebrile. vital signs stable. all cultures are negative to date. the most likely cause at this time is considered to be a drug fever due to antibiotics given to the patient. if the patient remains fever-free until tomorrow morning, which would make it 36 hours fever-free, he is planned to be discharged on . condition at discharge: good. discharge status: the patient is discharged to home. discharge instructions: the patient should follow up with dr. in two to three weeks for postoperative check. discharge medications: 1. enteric-coated aspirin 325 mg by mouth once daily 2. lipitor 5 mg by mouth once daily 3. colace 100 mg by mouth twice a day 4. lopressor 75 mg by mouth three times a day 5. nitroglycerin sublingual .4 mg as needed 6. glucovance 500 mg three times a day 7. epivir 300 mg once daily discharge diagnosis: 1. gangrenous cholecystitis status post open cholecystectomy 2. respiratory distress status post intubation 3. diabetes mellitus type 2 4. history of hepatitis b 5. hypercholesterolemia 6. hypocalcemia 7. drug fever 8. bilateral pleural effusions status post ultrasound-guided drainage , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures other and unspecified coronary arteriography insertion of endotracheal tube thoracentesis cholecystectomy diagnoses: subendocardial infarction, initial episode of care unspecified pleural effusion diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute cholecystitis other specified antibiotics causing adverse effects in therapeutic use coronary atherosclerosis of artery bypass graft 

Answer: The patient is high likely exposed to