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: gallstone pancreatitis/acute calculous cholecystitis major surgical or invasive procedure: ercp history of present illness: this is an 81 year-old male with a history of cardiomyopathy w/ ef 20% and afib on coumadin who presented to hospital with gallstone pancreatitis/acute calculous cholecystitis now s/p cholecystectomy w/ retained cbd stone being transferred to for repeat ercp. his initial sx started on while he was playing golf. he describes epigastric and ruq abdominal pain followed by nausea and vomiting and was admitted to hospital on . ruq u/s performed on showed innumerable gallstones, mild gb wall thickening and small amt of pericholecystic fluid with prominent cbd at 7mm. his labs were significant at that time for leukocytosis to 16.3 (n 87%, 11 bands), inr 3.8, lipase 9,856, tbili 1.6 (direct 0.4), and mild transaminitis. both surgery and gi teams were consulted and felt that his presentation was most consistent with acute cholecystitis and acute pancreatitis (gallstone vs. etoh). he was monitored for several days while pancreatitis improved and planned for cholecystectomy and intraop cholangiogram, during which time he was treated with zosyn. his wbc trended down to 7.4, ast/alt returned to , lipase trended down to 500s, and tbili increased to 3.8 (dbili 1.0). his inr was reversed with vit k and ffp and he was brought to the or on and gallbladder removed. he was found to have choledocholithiasis under fluoroscopy. ercp was attempted post-operatively, and had a dilated pancreatic duct w/ apparent small stone, but team was unable to selectively cannulate cbd so plan was made to transfer to for repeat ercp. also of note, the patient had difficult to control atrial fibrillation and cardiology c/s was obtained , recommending increased dose of toprol to 100mg daily as well as digoxin 0.25mg daily. . on transfer, the patient reports diffuse abdominal pain (), though no nausea, cp, palpitations or sob. he required supplemental o2 in the ambulance. . ros: + redness/pain on medial aspect of l great toe started yesterday. the patient denies any fevers, chills, weight change, melena, chest pain, shortness of breath, orthopnea, pnd, lower extremity oedema, cough, focal weakness, rash. past medical history: - non-ischemia cardiomyopathy - lvef 20% range (recent abnormal stress test --> cardiac cath - nonobstructive coronary dz) - atrial fibrillation on coumadin - hypertension - hypothyroidism - hyperlipidemia - erectile dysfunction - b12 deficiency - s/p l inguinal hernia repain - colonic polyposis social history: lives alone in his home. he has cared for his wife who has dementia and now is in . worked for , now retired. never smoked. drinks 0-2 alcoholic beverages/day. family history: daughter recently diagnosed with colon cancer, brother with cad physical exam: tmax: 38.4 ??????c (101.1 ??????f) tcurrent: 37 ??????c (98.6 ??????f) hr: 98 (96 - 122) bpm bp: 155/90(106) {146/71(89) - 157/90(153)} mmhg rr: 24 (22 - 27) insp/min spo2: 92% heart rhythm: af (atrial fibrillation) height: 73 inch gen: mild distress secondary to pain heent: eomi, perrl, sclera + icterus, erythema of posterior oropharynx neck: no jvd, carotid pulses brisk, no bruits, no cervical lymphadenopathy, trachea midline cor: irreg irreg. no m/g/r, normal s1 s2, radial pulses +2 pulm: lungs decreased bs at bases bilaterally, no w/r/r abd: distended, laparoscopic incisions without erythema or discharge. tender to palpation, no guarding or rebound tenderness. +bowel sounds ext: erythema/warm of head of the 1st metatarsal bone on the left with slight extension onto dorsum of the foot. l ankle warm compared to r. no edema. 2+ dp pulse b/l. neuro: alert, oriented to person, place, and time. cn ii ?????? xii grossly intact. moves all 4 extremities. strength 5/5 in upper and lower extremities. skin: + jaundice. otherwise no rashes pertinent results: 04:39am blood wbc-9.5 rbc-3.55* hgb-11.3* hct-32.1* mcv-91 mch-31.8 mchc-35.1* rdw-13.1 plt ct-245 04:39am blood pt-16.7* ptt-27.1 inr(pt)-1.5* 04:39am blood glucose-81 urean-11 creat-1.0 na-139 k-3.5 cl-102 hco3-26 angap-15 10:37pm blood alt-30 ast-42* ld(ldh)-228 alkphos-142* amylase-143* totbili-6.8* dirbili-3.6* indbili-3.2 04:39am blood lipase-190* 10:37pm blood lipase-557* 04:39am blood calcium-8.6 phos-3.5 mg-1.9 10:37pm blood albumin-3.4 calcium-8.9 phos-2.8 mg-1.8 uricacd-3.1* blood cx: pending urine cx: pending hospital (): wbc 16.3 (n 87.4, band 11) --> 10.0 --> 10.1 --> 10.4 --> 7.4 hct 41.3 --> 38.5 --> 32.8 --> 30.2 --> 30.6 plt 265 (stable) inr 3.8 --> 4.3 --> 2.1 --> 1.8 na 143, k 4.4, cl 112, co2 26, bun 19 --> 12, creat 1.3 --> 1.0 lipase 9856 --> 3649 --> --> 371 --> 340 --> 534 amylase 627 --> 52 ast 131 --> 22 alt 98 --> 37 ap 95 (stable) uric acid 3.2 tbili 1.6 --> 3.5 --> 3.4 --> 3.9 --> 3.8 direct bili 0.4 --> 1.0 bnp 273 . u/a: negative gluc, neg ket, neg le, neg nitr abd u/s - innumerable gallstones, mild gb wall thickening and small amt of pericholecystic fluid with prominent cbd at 7mm. . abd u/s - cholelithiasis w. thick gallbladder wall w/ some pericholecystic fluid. stone lodged into the gallbladder neck with dilatation of the common duct up to 7mm and some intrahepatic biliary duct dilatation. brief hospital course: assesment: this is an 81 yo m with chf (ef 20%), afib on coumadin presenting to hospital w/ abd pain, found to have acute gallstone pancreatitis and calculous cholecystitis, now s/p lap chole and failed ercp attempt at retreiving visualized cbd stone with plan for repeat ercp in am. plan: 1. acute calculous cholecystitis/pancreatitis: see hpi for pre-admission course. on admission to the icu the patient was febrile (100-101) with a wbc count of 9.2. the patient was continued on on pip/tazo during his hospital course. an ercp was performed successfully on without immediate complications. 2. atrial fibrillation: uncontrolled on transfer with rates in 120s. pain control seems to be at least part of the issue and he was started on iv morphine prn. the patient was started on rate control with metoprolol and digoxin at the osh. he was given 5mg iv lopressor for initial rate control and started in 37.5mg metoprolol tid. additionally, he was given 0.25mg of digoxin in the am. the patient's inr was reversed for surgery (inr 1.5). 3. chf (ef 20%): the patient had a new o2 requirement from baseline. cxr revealed pulmonary edema. additionally, the patient has poor lung volumes secondary to splinting from the pain. the patient has difficult fluid balance keeping up fluid status post-op and preventing volume overload. his betablocker and ace-i were held during his admission, but should be restarted post-ercp. 4. l foot erythema: pt with erythema on his right great toe. the patient was given 1 dose of cochicine at the osh. the differenitial includes gout, cellulitis or septic joint (unlikely given exam). pt is on abx. uric acid wnl, though does have at least moderate alcohol intake putting him at greater risk. pt states pain has improved. joint was monitored during admission and erythema and swelling subsided. 5. prophylaxis: patient received heparin sq for dvt prophylaxis during admission. medications on admission: home medications: coumadin levothyroxine 75 mcg daily lisinopril 10mg po daily toprol xl 100mg po daily monthly b12 injections . medications on transfer: zofran prn tylenol prn zosyn 3.375mg iv q6hr pantoprazole 40mg iv daily metoprolol 5mg iv q6hr percocet 1-2 tabs prn q4hr digoxin 0.25mg iv q6hr one time dose of colchicine 0.6mg synthroid 75 mcg daily discharge disposition: extended care discharge diagnosis: primary 1. gallstone pancreatitis/acute calculous cholecystitis secondary - non-ischemia cardiomyopathy - lvef 20% range (recent abnormal stress test --> cardiac cath - nonobstructive coronary dz) - atrial fibrillation on coumadin - hypertension - hypothyroidism - hyperlipidemia - erectile dysfunction - b12 deficiency - s/p l inguinal hernia repain - colonic polyposis discharge condition: patient dishcarged in stable condition. discharge instructions: 1. you were admitted for a gallstone, which was removed successfully by ercp. you are also receiving antibiotics for this, which you should continue upon transfer to hospital. 2. unless otherwise indicated, you should resume all of your home medications as taken prior to admission. it is very important that you take your medications as prescribed. 3. it is very important that you make all of your doctor's appointments. 4. if you develop worsening fever, chest pain, shortness of breath or other concerning symptoms, please call your pcp or go to your local emergency department immediately. followup instructions: please fall up with your pcp, in 1 week. you can schedule an appointment by calling (. procedure: endoscopic sphincterotomy and papillotomy diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation other b-complex deficiencies other specified disorders of biliary tract acute cholecystitis acute pancreatitis 

Answer: The patient is high likely exposed to