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: abdominal pain and fever major surgical or invasive procedure: none history of present illness: 59 y/o male with a h/o gbm s/p partial resection and chemoradiation and cholangiocarcinoma currently completing second cycle of gemcitabine and cisplatin who presented with lower abdominal pain and fever the day of admission. pt states he has been doing fairly well until yesterday when he developed a fever. in the ed, he was noted to have temp of 103 and he was pan-cultured and started on iv cefepime. he was noted to be hemodynamically stable without obvious source of infection on clinical examination. no urinary tract symptoms. no gi symptoms. ct abdomen done in er was negative. u/a was negative. pt was admitted for further management of his pain and the fever. . ros: pt denies recent n/v/d. pt admits to sick contacts but denies recent travel. pt denies any urinary symptoms. pt denies rash or joint complaints. past medical history: gbm cholangiocarcinoma emphysema, dx h/o 'hepatitis' contracted in a lab (on the job) treated with abx for 2 years in the 's sigmoid colon perforation - s/p resection with colostomy renal insufficiency social history: 50 pack-year smoking history but has recently quit smoking. etoh: 4 beers/wk, in the past up to 1 case beer/week. works as a blacksmith in a steel foundry x 35 years, many people at work with lung disease but also many smokers. married with two daughters, one son. family history: no known h/o cancers; father deceased (unknown age) cad, mother deceased (unknown age) cva; 2 brothers, 3 sisters, reportedly healthy, 3 children reportedly healthy physical exam: pe: vitals: t 98.5 hr 75 bp 112/62 rr 16 96%ra general: wd/wn 59 y/o male in nad. heent: nc/at. perrla. eomi. mm dry. op with evidence of thrush. neck: no lad or jvd. cv: normal s1, s2 without m/r/g. pulm: ctab without wheezes or crackles. abdomen: soft, nt/nd with normoactive bs. no rebound or guarding. stoma intact. ext: no c/c/e. 2+ dp b/l. pertinent results: ct abdomen and pelvis interval appearance of increased amount of ascites, which still remains small. no evidence of obstruction or perforation. otherwise, similar appearance of the abdomen and pelvis to examination of four days prior. . cxr no acute cardiopulmonary process identified. . abdominal u/s heterogeneous appearance of the right lobe of the liver consistent with known history of cholangiocarcinoma. gallbladder edema likely attributable to liver dysfunction as there is no evidence of cholecystitis. trace ascites. . lenis no evidence of dvt. . cxr no acute cardiopulmonary process. no evidence of free air. . kub no evidence for obstruction or free intraperitoneal air. . wbc-1.9*# rbc-2.95* hgb-10.2* hct-30.7* plt ct-301# wbc-9.5 rbc-3.04* hgb-9.5* hct-28.4* plt ct-444* neuts-67 bands-3 lymphs-3* monos-15* eos-0 baso-1 atyps-0 metas-4* myelos-5* promyel-2* gran ct-3350 glucose-194* urean-16 creat-0.7 na-136 k-4.2 cl-103 hco3-23 glucose-111* urean-15 creat-0.6 na-138 k-3.4 cl-108 hco3-23 alt-19 ast-29 ld(ldh)-306* alkphos-193* totbili-1.6* lipase-21 albumin-2.0* calcium-7.5* phos-1.7* mg-2.3 tsh-5.3* t3-145 free t4-1.2 lactate-2.3* brief hospital course: 59 y/o male with a h/o gbm and cholangiocarcinoma who recently completed cisplatin and gemcitabine chemotherapy who presented with fever to 103 at home and lower abdominal pain. the following issues were addressed during this admission. . 1. fever the pt was admitted after spiking a temp to 103 at home. during this admission, workup was started to discern the etiology for his fever. several sets of blood cultures were sent. one bottle returned at positive for coag negative staph. he was given one day of vancomycin but this was stopped when blood culture was consistent with contamination. cxr and clinical exam revealed no evidence of pulmonary process. u/a and urine cultures were negative. pt was initially started on cefepime. on hospital day #1, pt had no further fevers and coverage was changed to cipro/flagyl for better abdominal coverage. the night of hospital day #1, pt spiked another temperature and became tachycardic, subsequently transferred to the for concern for developing sepsis. pt was stabilized in the and no infectious source was found. pt continued to have low-grade temperatures. he was transferred to the oncology floor. all cultures were negative and no infectious source was identified. the most likely etiology for pt's fevers was secondary to inflammation in his abdomen from his known malignancy. pt was continued on empiric cefepime. abdominal u/s revealed no evidence of cholecystitis and only trace ascites. there was discussion of possibly draining his ascites. surgery was consulted. after full discussion with the primary oncology team and surgery, it was determined that paracentesis would be extremely risky. pt declined paracentesis. . given pt's worsening functional status, a family meeting with dr. occurred and the pt and his family agreed that if the pt did not improve over the next couple days that pursuing comfort measures would be the pt's desire. on , the pt and family decided to pursue comfort measures only. the pt passed away with his family at his side on . medications on admission: keppra 1000 mg po bid famotidine 20 mg po tid ativan 0.5 mg tid prn compazine 10 mg q8h prn nausea olanzapine 5 mg qhs prn iss discharge medications: pt expired discharge disposition: expired discharge diagnosis: cholangiocarcinoma discharge condition: none discharge instructions: pt expired. followup instructions: none md procedure: venous catheterization, not elsewhere classified transfusion of packed cells diagnoses: unspecified septicemia chronic kidney disease, unspecified other emphysema pressure ulcer, buttock pressure ulcer, lower back systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction malignant neoplasm of extrahepatic bile ducts colostomy status anemia in neoplastic disease personal history of malignant neoplasm of brain 

Answer: The patient is high likely exposed to