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: percocet / ranitidine attending: chief complaint: fevers, back pain, confusion major surgical or invasive procedure: ir upsizing of ptc catheter history of present illness: 64yo man with a history of large lipsosarcoma s/p multiple resections with large residual tumor despite trials of chemotherapy who recently had ptc catheter placed at , internal and external drainage, for obstructing jaundice secondary to tumor. ercp was attempted and not able to access biliary tree. he was dischared 6 days ago with bilirubin down to 2, afebrile, with ptc capped. on the day prior to presentation he devoloped low grade fevers and the catheter was flushed easily. on the day of presentation he continued to have low grade fevers, and the ptc was placed to bag drainage without output. he then developed confusion and severe back pain, and he was brought from home by family to hospital where his temp was 102, he was tachycardic to the 150s and hypotensive, with elevated bilirubin. treated for sepsis with vancomycin and started on levophed. attempts were made to transfer him to , because his prior care had been there, however no icu beds were available and therefore he was transferred to . on arrival he was tachycardic with blood pressures in low 100s on levophed, alert and oriented, with fevers to 103. treated with zosyn. currently denies abdominal pain, no nausea or vomiting. tolerating less and less pos, mostly liquids. decreased appetite. regular bms, no blood, no diarrhea. no dysuria. no chest pain or shortness or breath, no cough. past medical history: - liposarcoma s/p 50lb tumor excision with several more smaller exvisions, residual tumor s/p chemo (last ) followed at - obstructive jaundice with ptc placed at - hypothyroid social history: no etoh, no smoking family history: nc physical exam: 0.4 mcg/kg/min levophed 98.9 110 100/73 16 96% 4l nc gen: pleasant man in nad, a+ox 3 heent: +scleral icterus, mmdry cv: tachycardic lungs: decreased bases abd: soft, obese nt/nd, palpable mass right abdomen ext: no c/c/e pertinent results: 11:20pm wbc-8.6 rbc-3.73* hgb-11.4* hct-35.3* mcv-95 mch-30.5 mchc-32.3 rdw-14.7 11:20pm neuts-92* bands-3 lymphs-1* monos-3 eos-0 basos-0 atyps-0 metas-1* myelos-0 11:20pm plt count-302 11:20pm pt-16.3* ptt-33.2 inr(pt)-1.4* 11:20pm glucose-133* urea n-14 creat-1.6* sodium-134 potassium-3.9 chloride-102 total co2-21* anion gap-15 11:20pm alt(sgpt)-94* ast(sgot)-124* alk phos-578* tot bili-4.0* dir bili-3.4* indir bil-0.6 11:20pm lipase-29 11:20pm calcium-7.3* phosphate-1.9* magnesium-1.4* 11:28pm lactate-3.2* 05:02am wbc-21.8*# rbc-3.45* hgb-11.1* hct-33.0* mcv-96 mch-32.2* mchc-33.6 rdw-14.8 05:02am plt count-330 05:02am pt-16.1* ptt-48.2* inr(pt)-1.4* 05:02am glucose-116* urea n-17 creat-1.6* sodium-132* potassium-4.3 chloride-103 total co2-19* anion gap-14 05:02am alt(sgpt)-118* ast(sgot)-161* alk phos-555* amylase-25 tot bili-5.2* 05:02am calcium-7.2* phosphate-3.3 magnesium-1.4* 05:02am lipase-22 05:02am crp-117.8* 05:16am lactate-2.5* 01:13pm hct-32.5* brief hospital course: pt was admitted to surgical icu under red/west3 service, placed on broad-spectrum abx (vanco zosyn), and provided ivf resuscitation for presumptive dx of cholangitis and biliary obstruction, possibly from obstructed ptc drain. he remained stable and underwent upsizing of the ptc cathether on by interventional radiology from 8fr to 10fr, a pullback cholangiogram demonstrated severe common ductal narrowing/occlusion, and moderate amount of blood coming from drain as well as puncture site (most likely source is intraductal tumor infiltration at the level of the common duct). subsequent hct was stable at 32.5. blood cultures obtained at time of admission were positive for gnr, and zosyn was changed to meropenem. after completing the procedure an icu bed became available at and he accordingly was transferred there to resume his prior care. medications on admission: dilaudid 4mg q4hrs fentynyl patch 25 mcg q 72hrs remeron 15mg qhs synthroid 25 mcg qam mvi 1000 tums daily laxative/stool softener discharge medications: levothyroxine sodium 25 mcg po/ng daily lr at 100 ml/hr albuterol 0.083% neb soln 1 neb ih q6h:prn wheezing dextrose 50% 12.5 gm iv prn hypoglycemia protocol norepinephrine 0.03-0.25 mcg/kg/min iv drip titrate to map>65 famotidine 20 mg iv q24h ondansetron 4 mg iv q8h:prn nausea glucagon 1 mg im q15min:prn hypoglycemia protocol pantoprazole 40 mg iv q24h hydromorphone (dilaudid) 0.5 mg iv q2h prn pain insulin sc (per insulin flowsheet) sliding scale vancomycin 1000 mg iv q 12h meropenem 1000 mg iv q8h discharge disposition: extended care facility: discharge diagnosis: cholangitis liposarcoma hypothyroid discharge condition: fair discharge instructions: pt transferring to for further care followup instructions: can follow-up with dr. as necessary, (. otherwise remaining follow-up will be via his primary caretakers at the and . md procedure: venous catheterization, not elsewhere classified other cholangiogram other percutaneous procedures on biliary tract diagnoses: unspecified acquired hypothyroidism other postprocedural status cholangitis other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms personal history of malignant neoplasm of other sites 

Answer: The patient is high likely exposed to