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: mr. is an 82 year-old male who was emergently transferred from the hospital with ascending cholangitis. he presented with abdominal pain and dehydration. his laboratories upon admission were white count of 11,600. his total bilirubin was 3.3, his alt was 131, ast 697, amylase 48, ptt 22.2. his inr was 1.1. his ct scan was consistent with a common bile duct stone. past medical history: significant for emphysema, hypertension, chronic renal failure, renal insufficiency, parkinson's, history of pneumonia, deep venous thrombosis, status post left nephrectomy, status post splenectomy. he has an allergy to penicillin. medications on admission: synthroid, lasix, verapamil, sinemet, cimetidine and he had been started on vancomycin, levaquin and flagyl at the hospital. physical examination: upon admission was significant for a temperature of 98.4, heart rate 115, 104/59, 22, 94 percent. on examination his neck was supple. he was tachycardic. he was clear to auscultation bilaterally. his abdomen was slightly distended, tender to palpation in the right upper quadrant with guarding. he had deceased bowel sounds. he was guaiac negative and no masses on rectal examination. laboratories were as mentioned. he was admitted to the intensive care unit for an emergent endoscopic retrograde cholangiopancreatography. he was n.p.o. on strict antibiotics. as mentioned he was admitted to the intensive care unit. the endoscopic retrograde cholangiopancreatography completed on at 11 p.m. revealed a dilated irregular common bile duct with multiple large filling defects. additional images showed a wire which transversed the dilated extrahepatic biliary system. final image showed a pig-tail catheter in place traversing the common duct. the actual description of the ercp is as follows: the biliary duct was cannulated at and a sphincterotomy was performed. copious purulent discharge was returned from the common bile duct consistent with ascending cholangitis. diffuse dilation was seen of the common bile duct with the common bile duct measuring 15 mm. irregular stones ranging in size from 5 to 10 mm that were causing the partial obstruction were seen at the common bile duct. there was post obstructive dilatation. a solitary stone was extracted from this vessel using a sphincterotome. a 5 cm x #10 french double pig-tail biliary stent was placed successfully in the common bile duct using a standard introducer kit. the impression at that time was periampullary diverticulum, suppurative cholangitis, choledocholithiasis, biliary dilatation and a successful biliary sphincterotomy along with partial clearance of the common bile duct stone with successful placement of a double pig-tail stent in the common bile duct. the patient was readmitted to the intensive care unit where he remained stabilized on levofloxacin, flagyl and vancomycin. he was on neo-synephrine drip at .25 and a dopamine drip at 5. he was afebrile with stable vital signs at that time. his drips were weaned off on . he received fluid hydration overnight for hypovolemia. patient continued to do well. a right radial line was placed on without complication. on , hospital day number five, the patient required intubation for respiratory distress. he was started on propofol and dopamine. he was diuresed with some success. at that time he was on assist control. he was assessed by nutrition at that time who recommended total parenteral nutrition repletion of electrolytes and a feeding tube. he was successfully extubated on and was continued on tpn and tube feeds. he was still on vancomycin, levaquin and flagyl at this time. his temperature maximum was 100.5. on a chest x-ray revealed nasogastric tube tip in the distal esophagus which was repositioned. a right ij central venous catheter was in the distal superior vena cava. there was small bilateral pleural effusion with a tortuous aorta. there were bilateral rods and a spinal stimulator were in place as well. physical therapy evaluated the patient on and recommended bed motility, transfer and hemodynamic stability prior to increased activity. he continued to be stabilized and was screened for rehabilitation over the next few days of his hospitalization. his dopamine drip was weaned off and he remained afebrile on broad spectrum antibiotics. he had a video swallow examination for dysphagia which revealed no evidence of frank aspiration. at this time honey thick and nectar thickened liquids and soft diet were recommended. it was also recommended that he eat foods that had the same consistency, i.e. no milk and cereal. he was seen by cardiology on for his continued hypotension. he was continued in the intensive care unit through at which point he was transferred to the floor. his temperature was 97.2 and his blood pressure was 116/53 on no drips. his white count was 5.7. his creatinine was 1.6 and he was making adequate urine. he continued to do well and his antibiotics were discontinued on . at this time he remained afebrile. he was seen by physical therapy and they approved him for rehabilitation screening. he was seen by nutrition and he was tolerating adequate p.o. and did not need a dobbhoff tube. he was much more alert and oriented and was deemed stable from this vantage point as well. chest x-ray obtained on revealed improved congestive heart failure with improving bilateral pleural effusion. it showed improvement in his lung volumes with a decrease in the bibasilar atelectasis. he had culture data, blood cultures from which had no growth. he had sputum culture also from the 20th which was also negative for any organism. discharge condition: good. disposition: to rehabilitation facility. follow up: should be with dr. in two weeks. final discharge diagnosis: 1. acute ascending cholangitis. 2. chronic renal insufficiency. 3. hypertension. 4. lymphedema. 5. parkinson's disease. 6. prostate cancer. 7. hypothyroidism. 8. history of deep venous thrombosis. 9. history of small bowel obstruction and exploratory laparotomy. 10. cataract surgery. 11. duodenal periampullary diverticulum. 12. suppurative cholangitis. 13. choledocholithiasis. 14. biliary dilatation. 15. sphincterotomy during endoscopic retrograde cholangiopancreatography. 16. partial clearance of common bile duct stone during sphincterotomy. 17. placement of a stent in the common bile duct during endoscopic retrograde cholangiopancreatography. 18. respiratory failure. 19. pneumonia. 20. hypotension. 21. hypovolemia. 22. extended pressor requirement. 23. failure to thrive with requirement of dobbhoff feeding tube. 24. requirement for physical therapy given prolonged immobility. 25. requirement for tube feedings given inability to tolerate p.o. 26. requirement for total parenteral nutrition during hospitalization. discharge medications: 1. heparin 5,000 units subcutaneously q 12 hours. 2. albuterol 1 to 2 puffs q 4 hours p.r.n. 3. carbidopa/levodopa 25/100 tablets, 1 tablet p.o. t.i.d. 4. pergolide mesylate 1 mg tablet tablet p.o. t.i.d. 5. entacapone 200 mg 1 tablet p.o. t.i.d. 6. albuterol 1 nebulizer 1 q 4 hours p.r.n. 7. synthroid 25 mcg 1 tablet p.o. q.d. 8. digoxin 125 mcg .5 tablets p.o. q.d. 9. pepcid 20 mg p.o., b.i.d. 10. miconazole t.i.d. p.r.n. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy arterial catheterization endoscopic insertion of stent (tube) into bile duct transfusion of packed cells diagnoses: congestive heart failure, unspecified unspecified septicemia pulmonary collapse hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure septic shock other emphysema cholangitis 

Answer: The patient is high likely exposed to