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: service: history of present illness: the patient is an 82-year-old male who presented in emergency department for shortness of breath. he also reported abdominal pain and fevers and chills for one day. his medical history is not completely clear; however, the patient reported a history of failure, arrhythmia, and multiple admissions for pneumonia. he was diagnosed with gastric outlet obstruction status post dilation in . his current symptoms started the day prior to admission with the onset of sharp, right upper quadrant pain. it was not associated with nausea, vomiting, or eating. he continued to bladder habits and had normal bowel movements one day prior to admission. he denied bright red blood per rectum or melena. he does have a history of alcohol abuse and is a former cigarette smoker. at , the patient had a normal chest x-ray and kub and was found to have an amylase of 1200 and lipase of 6900, and total bilirubin of 4.2. his white blood count was significant for 25% bands and a fever to 103??????. presumptive diagnosis was ascending cholangitis, and he was given one dose of rocephin and flagyl and sent to for further work-up, including ercp. of note at hospital, he had a drop in his blood pressure to 75/30 after the administration of morphine. blood pressure responded with intravenous fluids and narcan. past medical history: pacemaker placed over 15 years ago, morbid obesity, congestive heart failure, chronic obstructive pulmonary disease, hypertension, history of h. pylori, gastric outlet obstruction secondary to pyloric stenosis, status post dilation in , gastric ulcer per egd in and , pseudogout, chronic atrial fibrillation, status post bilateral cataracts, benign prostatic hypertrophy, osteoarthritis. family history: noncontributory. outpatient medications: bumex 1 mg p.o. q.d., vioxx 25 mg q.d., zantac 150 b.i.d., combivent 2 puffs q.i.d., pulmicort, dilantin 200 b.i.d., potassium chloride, home oxygen 2 l. social history: tobacco: he smokes three packs per day for 20-30 years, none in the last 15 years. alcohol: heavy use in the past, none in the last 15 years. he works as a retired truck driver. physical examination: vital signs: temperature 97.1??????, blood pressure 100/64, pulse 55, respiratory rate 24. general: the patient was tachypneic, nontoxic-appearing, mild jaundiced. heent: oropharynx clear. mucous membranes very dry. jvp not elevated. neck: supple. mildly icteric sclerae. chest: bilateral expiratory wheezes. coarse breath sounds bilaterally but no appreciable rales or rhonchi. cardiovascular: distant heart sounds. normal s1 and s2. there was a 2 out of 6 systolic murmur. no rubs or gallops. abdomen: obese, distended, soft, exquisitely tender to palpation of right upper quadrant. normoactive bowel sounds. extremities: there was + bilateral lower extremity edema. he had erythematous, scaly, and crusting lesions on bilateral shins consistent with chronic venostasis. neurological: the patient was alert and oriented times three. no gross motor or sensory deficits. rectal: no stool. normal rectal tone. guaiac negative. laboratory data: electrocardiogram was av paced with rate of 55 beats per minute, t-waves present but not conductive, consistent with third degree av block. on admission white count was 12, hematocrit 42.9, platelet count 183; sodium 143, potassium 5.1, chloride 102, bicarb 25, bun 57, creatinine 2.3, glucose 77; bilirubin 4.6, alkaline phosphatase 195, ast 97, alt 111. hospital course: the patient was admitted to the general medical service for emergent ercp. he went to the ercp and was found to have suppurative cholangitis and an impacted stone in the distal common bile duct which was bolting into the major pupilla. he had successful biliary sphincterotomy and successful stone extraction. after the procedure, he was transferred to the intensive care unit for respiratory failure, and he was intubated. in the intensive care unit, he developed acute renal insufficiency with creatinine peaking to 4.1. he also developed pseudomonal pneumonia, and pseudomonas grew from his biliary sample. he had persistently elevated lfts throughout his hospitalization and was intermittently pressor dependent for blood pressure support. he was treated with broad-spectrum antibiotics. he had an ileus for one week postprocedure. he was ultimately started on tube feeds which he tolerated at goal. he had low-grade dic which resolved spontaneously. ultimately the patient showed no evidence of progressing from a respiratory status. a family meeting was held on , to discuss the patient's future course. at this time his daughter and son who were present made it clear that he made his wishes known to not be dependent on a ventilator for a prolonged period. the decision was made to withdraw ventilatory support and concentrate care on his comfort. the patient passed away on at 3:35 a.m. from respiratory failure. condition on discharge: death. , m.d. dictated by: medquist36 d: 14:30 t: 14:43 job#: procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy diagnoses: congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified pneumonia due to pseudomonas paralytic ileus cholangitis acute pancreatitis calculus of bile duct without mention of cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to