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: zosyn / morphine / penicillins attending: chief complaint: recurrent cholangitis major surgical or invasive procedure: 1. biliary bypass (roux-en-y hepaticojejunostomy). 2. partial appendectomy. 3. liver biopsy. 4. extended adhesiolysis history of present illness: this 65-year-old gentleman who has a history of a presumed unresectable pancreatic malignancy over 4 years ago. this was never biopsy proven. he ultimately received an indwelling metallic stent for this for an anticipated short term survival. as it turns out, he has survived over 4 years. there appears to be no evidence of tumor at this point in time. he never received adjuvant therapies. in the interim, he has had obstruction of the metal stent and on multiple occasions, has had cholangitis. most recently, he had a significant cholangitis and pneumonia and during that period of time, he was found to have biliary obstruction above the stent in the liver. a plastic stent was placed through the metal stent in order to obtain drainage of the biliary tract. he settled out from this and went to rehabilitation for a week and now comes back for definitive operative approach to his long-term festering bile duct infection. past medical history: s/p metal stent placement recurrent cholangitis htn asthma diabetes cholecystectomy esophageal stricture social history: retired maintenance technician for the . smoker, alcohol, last drink new year's eve. family history: nc physical exam: discharge exam: vs: 97.8 po, 96/60, 56, 16, 97% ra gen: well in nad heent: ncat. perrla. sclerae anicteric. o-p intact, no exudate. neck: supple. no . cv: rrr lungs: cta(b) abd: soft, nt, nd. midline incision well approximated with small area erythema and scant serosang drainage. nt, nd. ext: no edema. skin: intact. pertinent results: 02:33pm glucose-169* urea n-6 creat-0.8 sodium-136 potassium-4.0 chloride-104 total co2-25 anion gap-11 02:33pm alt(sgpt)-60* ast(sgot)-75* alk phos-175* tot bili-2.0* 02:33pm albumin-3.2* calcium-8.7 phosphate-4.3 magnesium-1.5* 02:33pm wbc-8.8 rbc-2.93* hgb-10.3* hct-28.7* mcv-98 mch-35.0* mchc-35.7* rdw-14.8 02:33pm plt count-224 . pt 35.4/inr 3.7 (coumadin on hold) . studies: liver bx: chronic inflammation, no malignancy cxr: low volumes/atelectasis. r retrocardiac opacity c/w rll pna ekg: sinus rhythm and frequent atrial ectopy. diffuse low voltage. left atrial abnormality. right bundle-branch block. q-t interval prolongation. compared to the previous tracing of the rate has slowed. the q-t interval is prolonged and sinus rhythm has appeared. . micro: biliary stent cx: mixed bacterial x2, not speciated. cath-tip cx staph aureus coag (+)/mrsa ( to vanc) bcx2: staph aureus coag (+)/mrsa ( to vanc), sputum cx: neg, ucx: neg cdiff: neg, cath-tip cx: no sig growth brief hospital course: the patient was admitted following the above procedure. he had an ngt placed intraoperatively, foley to gravity, jp drain in the abdomen, diet npo, ivf for hydration, epidural for pain control. epidural removed, continued on pca for pain control, continued npo, ivf continued npo, ivf, pca for pain, mild confusion noted and patient placed intermittently in restraints transferred to the unit for significant bradycardia followed by tachycardia, continued npo, ivf, cardiac enzymes negative diet advanced to clears, started on amiodarone changed to oral metoprolol for rate control, d/c pca, started on po pain medication, central line removed, picc line placed vancomycin started for central line infection (mrsa), diet advanced to regular, started on heparin drip continued heparin drip, coumadin started, continued po lopressor, regular diet, transfused one unit rbc, central line placed for hypotension - heparin drip stopped, lovenox started, continued coumadin, transferred to the floor for continued monitoring, po pain medication - continued coumadin, lovenox, diet advanced from clears to regular - held coumadin and discontinued lovenox due to supratherapeutic inr - continued to hold coumadin for supratherapeutic inr - vanco d/c'd as iv rn unable to place picc due to inr this am of 3.7. abx changed to po linezolid for discharge to rehab. plan to restart coumadin tonite at 2.5mg, and repeat inr daily at rehab until reaches therapeutic goal of 2.5-3.5. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, voiding without assistance, and pain was well controlled. he ambulatated with assistance, and will require conditioning at rehab by physical therapy. medications on admission: accupril 20', advair 250/50", combiven inh d, fentanyl patch, flonase ns qd, glucatrol 5 , singulair 10', zyrtec 10 discharge medications: 1. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 2. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. quinapril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po tid (3 times a day). disp:*45 tablet(s)* refills:*2* 5. linezolid 600 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 6. combivent 18-103 mcg/actuation aerosol sig: inhalation four times a day. 7. singulair 10 mg tablet sig: one (1) tablet po once a day. 8. zyrtec 10 mg tablet sig: one (1) tablet po once a day as needed for allergy symptoms. 9. warfarin 2.5 mg tablet sig: one (1) tablet po once daily at 4 pm. 10. percocet 5-325 mg tablet sig: one (1) tablet po every hours as needed for pain. discharge disposition: extended care facility: bostonian - discharge diagnosis: primary: 1. biliary stricture and obstruction. 2. extensive adhesions of the peritoneum and upper abdomen. 3. liver mass. 4. new onset atrial fibrillation secondary: 1. hypertension 2. asthma 3. diabetes type 2 4. esophageal stricture discharge condition: good discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *any bleeding, significant bruising, coffee-ground vomit, dark colored stool, blood in urine or stools. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . incision care: -your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: please call the office of dr. to arrange a follow up appointment in weeks at procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified insertion of other (naso-)gastric tube other lysis of peritoneal adhesions removal of t-tube, other bile duct tube, or liver tube other appendectomy transfusion of packed cells insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt open biopsy of liver anastomosis of hepatic duct to gastrointestinal tract incision of other bile ducts for relief of obstruction diagnoses: other iatrogenic hypotension unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled portal hypertension atrial fibrillation asthma, unspecified type, unspecified other specified cardiac dysrhythmias peritoneal adhesions (postoperative) (postinfection) abscess of liver other postprocedural status surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation cholangitis other complications due to other internal prosthetic device, implant, and graft stricture and stenosis of esophagus calculus of bile duct without mention of cholecystitis, with obstruction other and unspecified diseases of appendix 

Answer: The patient is high likely exposed to