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: no known allergies / adverse drug reactions attending: chief complaint: pancreatitis major surgical or invasive procedure: extubation (patient was transferred into the hospital intubated) insertion of post-pyloric feeding tube history of present illness: 51 y/o male with cad, alcohol abuse, h/o pancreatitis (last episode 8 months ago), initially presented to on with abdominal pain, nausea, and vomiting x 1 day. the abdominal pain was diffuse, beginning first as cramps, and associated with foul-smelling, bilious vomiting, nausea, and profuse sweating. in addition, he had some vague chest pain associated with the epigastric area that was relieved with one tablet of sublingual nitroglycerin. he did not have any bouts of diarrhea or constipation. furthermore, he did not endorse any history of fever, chills, shortness of breath or palpitations. . in the emergency room at the outside hospital, he was found to have a white blood cell count of 13,000, an amylase level of 1201, and a lipase level of >. the patient was afebrile and had a clear chest and abdominal x-ray; however, he was found to have pancreatitis upon further investigation by ct scan of the abdomen. iv fluids (rate of 150cc/hr) and pain management were started immediately, and a regimen of imipenem initiated. unfortunately, due to his worsening tachypnea and evidence of respiratory failure, his iv fluids were increased to 200cc/hr and he was transferred to the icu; there, his antibiotics were changed to zosyn, and he was given 250 mcg of fentanyl and 25 mg of versed. he was also intubated and sedated for delirium tremens. . in the outside icu, septic work-up (blood and urine cultures) were negative until , and stool samples for c. diff. also returned negative. another ct scan of his abdomen was performed on to investigate the underlying cause of his fever, revealing pancreatic necrosis. after this diagnosis, he was transferred to the for further management and admitted to the icu. his course is outlined by problem below: . 1. necrotizing pancreatitis - he was seen by both surgery and gi, who recommended supportive care with npo status, ivf and initiation of enteral feeds. ct-guided pancreatic aspiration was discussed, however, as patient improved clinically, this was deferred. his course was notable for hypervolemia and third-spacing pancreatitis, which has since improved. he has clinically improved; culprit felt to be alcohol with gallstones and tg as possible contributers. he was not given antibiotics here as he completed a 12-day course of zosyn/imipenem at osh. he had a ppft placed 2 days ago which he self d/c'd, so this was replaced today by ir. plan for ten, and initiate po's per gi. . 2. arf - he also developed arf with peak cr of 1.6. this improved over the next few days and he has been auto-diuresing heavily approximately 60-200 cc/hour. this is felt to be secondary to post-atn diuresis. improved to baseline. now diuresing massively with 200 cc/hr. monitoring lytes, uop with goal i/o = even, fluid boluses being given as needed. . 3. fever - since initial presentation with negative infectious work-up at osh and here. felt to be necrotizing pancreatitis. . 4. diarrhea - occuring over last few days; cdiff at osh negative x 1. not sent here. no abd pain, n/v. . 5. tachycardia - sinus, felt to be hypovolemia, fever, benzo w/d. on bb, ivf prn. now in 100s-110s, improved from 120s-130s. . 6. alcohol withdrawal c/b delirium tremens - extubated and off vent . was on maximal doses of fentanyl and versed while intubated. once extubated, he was converted to iv methadone to help taper requirments. now on 10 mg iv methadone with plans to taper off by tomorrow. was on high doses of midazolam as well, now on valium as needed (required 2 doses over 24 hours). . currently, patient feels well with only c/o diarrhea since the weekend. no f/c/s, abd pain, n/v. no tremors. no cp/sob. still has foley. feels weak and deconditioned. . 10-pt ros otherwise negative in detail except for as noted above. past medical history: - coronary artery disease --> post-mi (12 years ago) with stent x 3 - hypertension - hyperlipidemia - pancreatitis (last episode 8 months ago) - alcohol abuse social history: - former firefighter, now part-time bartender - divorced with three children - tobacco: none - alcohol: heavy drinker, drinks heavy liquor and beer regularly (approximately drinks a day); last drink was the day prior to admission - illicits: none family history: family history: - father: alive at age 76, with history of brain cancer, cardiovascular disease, and stroke - mother: passed away at age 55 of myocardial infarction; history of diabetes mellitus - siblings: brother with history of cardiovascular disease and hyperlipidemia; older brother is healthy physical exam: vitals: tm=99/t=98.5, hr=106, bp=135/82, rr=18, spo2: 96% on room air general: patient was lying comfortably in bed with a post-pyloric feeding tube inserted; able to communicate clearly and completely, oriented to time, person and place heent: sclera aninteric, mm dry, op clear neck: supple, jvd normal, no lad chest: cta-b, no w/r/r cv: rr tachycardic, no m/g/r, normal s1 s2 abdomen: soft, non-tender, non-distended abdomen with bowel sounds present; there was no rebound tenderness or guarding, no organomegaly gu: foleys catheter inserted, no edema ext: warm, well perfused, 2+ pulses, no clubbing or cyanosis; no peripheral edema neurological: ao x 3, non-focal skin: no stasis dermatitis, ulcers, scars, or xanthomas pertinent results: 04:45am blood wbc-10.9 rbc-2.55* hgb-7.9* hct-23.4* mcv-92 mch-30.8 mchc-33.6 rdw-13.8 plt ct-581* 03:41am blood wbc-14.0* rbc-2.39* hgb-7.5* hct-22.6* mcv-95 mch-31.4 mchc-33.2 rdw-13.9 plt ct-535* 10:13pm blood wbc-10.9 rbc-2.47* hgb-7.7* hct-23.5* mcv-95 mch-31.0 mchc-32.6 rdw-14.1 plt ct-475* 10:13pm blood neuts-83.5* lymphs-9.3* monos-3.1 eos-3.8 baso-0.2 04:45am blood glucose-110* urean-27* creat-1.1 na-145 k-3.4 cl-110* hco3-22 angap-16 04:15pm blood glucose-106* urean-32* creat-1.5* na-145 k-4.2 cl-112* hco3-25 angap-12 10:13pm blood glucose-100 urean-32* creat-1.5* na-150* k-4.5 cl-113* hco3-25 angap-17 10:13pm blood alt-24 ast-32 ld(ldh)-508* alkphos-65 amylase-34 totbili-0.8 10:13pm blood lipase-59 04:45am blood calcium-8.3* phos-4.3 mg-2.1 10:13pm blood albumin-2.9* calcium-8.7 phos-4.4 mg-2.4 10:13pm blood triglyc-198* 02:35am blood type-art po2-77* pco2-33* ph-7.50* caltco2-27 base xs-2 11:52pm blood type-art temp-37.3 rates-/32 peep-5 fio2-40 po2-111* pco2-32* ph-7.46* caltco2-23 base xs-0 intubat-intubated vent-spontaneou 03:53am blood type-art po2-88 pco2-47* ph-7.35 caltco2-27 base xs-0 10:14pm urine hours-random urean-474 creat-43 na-131 k-32 cl-95 : urine culture --> negative : mrsa screen + blood culture --> both negative brief hospital course: 51 yo m with htn, hld, cad, alcoholism admitted with necrotizing pancreatitis, alcohol withdrawal and acute renal failure. the patient presented with severe, necrotizing pancreatitis to an outside hospital. he had a lipase> and ct imaging with a pancreatic phlegmon. this was felt due to alcohol abuse. he also was found to have non-obstructive gallstones and hypertriglyceridemia with levels >1000; both of which may have contributed to his pancreatitis. the patient was started on broad spectrum antibiotics and completed a 2 week course of zosyn. while at the outside hospital, the patient received aggressive iv fluids and developed respiratory distress requiring intubation prior to transfer. after transfer, he slowly improved. he was successfully extubated and after a short course of post-pyloric -enteral feeding, the patient was advanced to clear liquids and then a regular diet without problems. was counselled extensive on the need for alcohol cessation and was started on crestor and niacin for triglyceride control. consideration can be made as an outpatient for cholecystectomy as passed gallstone may have contributed to his presentation (though etoh abuse seems to be the more likely, predominant cause of his symptoms, he does have gallstones confirmed on outside hospital ultrasound). his hospital course was complicated by alcohol withdrawal and delirium tremens requiring high doses of benzodiazepines. he ultimately improved and the withdrawal symptoms resolved. he had acute renal failure initially and this resolved with volume rescucitation. the patient had diarrhea throughout much of his hospitalization. multiple stool studies were sent for c diff and all were negative. this may be related to the pancreatitis. he was given anti-diarrheals as needed. the diarrhea improved on a regular diet towards the end of his hospitalization. the patient continued to have fever spikes to 100 throughout his hospitalization even after completing his antibiotic. he had no findings of a new acute infection and this seemed to be related to the pancreatitis. his fever curve trended down and he had no temperatures above 99 in the days prior to discharge. the patient had a sinus tachycardia to 100-120 for much of his hospitalization. this seemed most related to relative hypovolemia and anemia. he received volume rescucitation and 1 unit prbc transfusion with improvement though he continues to have some asymptomatic tachycardia with exertion up to 120. the patient should have a repeat hct measured at his follow-up appointment and may require further transfusion as an outpatient. anemia. the patient has anemia of chronic disease and probable iron deficiency anemia. he was started on iron supplements. he received 1 unit of prbc's. on discharge he was persistently anemic to 23. the patient should have a repeat hct measured at his follow-up appointment and may require further transfusion as an outpatient. the patient has chronic htn, hld and continues on beta-blocker, acei and statin therapy. he was counselled extensively on the need for alcohol cessation. medications on admission: - metoprolol 12.5 mg daily - lisinopril 20 mg daily - crestor 10 mg daily - fish oil & multivitamins discharge medications: 1. metoprolol succinate 25 mg tablet extended release 24 hr sig: 1.5 tablet extended release 24 hrs po once a day. disp:*45 tablet extended release 24 hr(s)* refills:*5* 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*4* 3. rosuvastatin 5 mg tablet sig: two (2) tablet po daily (daily). 4. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*4* 5. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*4* 6. multivitamin with folic acid 200 mcg tablet, chewable sig: one (1) tablet, chewable po once a day. 7. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. outpatient lab work blood draw: cbc. to be drawn at your follow-up appointment. discuss the results with your primary care doctor. please discuss whether or not you need additional transfusion for anemia. discharge disposition: home discharge diagnosis: necrotizing pancreatitis alcohol abuse alcohol withdrawal hypertriglyceridemia cholelithiasis acute renal failure diarrhea sinus tachycardia anemia of chronic disease probable iron deficiency anemia hypertension hyperlipidemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted because of severe inflammation of your pancreas. this was due to alcohol use. you must stop using alcohol. you also have gallstones and very high triglycerides and these may have contributed to the pancreas inflammation. please discuss gallbladder removal with your primary care doctor. in addition, take the prescribed medications (crestor and niacin) to reduce your triglyceride levels. your hospitalization was complicated by several other problems including alcohol withdrawal and anemia. please follow-up with your primary care doctor to continue discussing alcohol cessation and to have your blood counts checked - you may require transfusion in the near future. take iron supplements as prescribed to aid in new red blood cell production. followup instructions: location: with: urgent care clinic address: 1400 vfw parkway, , phone: when: wednesday at 2pm procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours parenteral infusion of concentrated nutritional substances diagnoses: unspecified essential hypertension acute kidney failure, unspecified pure hyperglyceridemia other and unspecified hyperlipidemia acute respiratory failure other specified cardiac dysrhythmias iron deficiency anemia, unspecified calculus of gallbladder without mention of cholecystitis, without mention of obstruction diarrhea hyperosmolality and/or hypernatremia other and unspecified alcohol dependence, unspecified acute pancreatitis alcohol withdrawal 

Answer: The patient is high likely exposed to