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: ascending cholangitis major surgical or invasive procedure: ercp history of present illness: 80 m with h/o gallstone pancreatitis, cad s/p stent, alzheimer's dementia, presenting with somnolence and ams. most of his history is relayed per his wife as the patient is intermittently attentive and hard of hearing. as per wife, patient has been less active than usual for about the past week. he has also had decreased po intake for about 1-2 days. last night, she noticed him to be having some difficulty breathing while lying on the couch. he also had one loose bm in her presence. he became increasing somnlent and unresponse and she took him to the ed. he was first admitted at , where inital vs include temp 104.7 (rectal), hr 120, rr 48, bp 158/97. his lab was notable for cbc 4>42<66 with 22% bands, k 2.7, cr 1.3, alt 644, ast 1173, alp 401, t-bili 5.8, lipase 5405. ct abd/pelvis with contrast was notable for findings compatible with mild acute pancreatitis and acute cholecystitis. there was concern of small distal common bile duct calculus. pt got fluids, received potassium repletion and was started empirically on zosyn. he was transferred to for further workup and ercp. before transfer he also underwent an mrcp. on arrival to the micu, patient appeared comfortable and was only complaining of slight epigastric pain. patient's vs on arrival: 97.7 140/95 100 25 95% ra past medical history: dementia hearing loss cad s/p stenting in (1 vessel disease) prostatic cancer s/p radiation therapy acute cholecystitis/pancreatitis in (rx. with abx) mds social history: former smoker, quit 35 years ago. has 1-2 drinks etoh/day. lives with wife. is retired research physicist. used to be in the navy. family history: brother had mi in his 70s. sister has . sister: gastric cancer. physical exam: admission exam: general: appears jaundiced, in nad, alert and oriented to person and place but not date () heent: positive sclera icterus, otherwise mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, +s1/s2, +systolic murmur heard best left sternal border, otherwise no rubs, gallops lungs: + crackles in llb posteriology, no rales/rhonchi/wheezing abdomen: +bs, no tenderness, no rebound/guarding/rigidity, somewhat distended, hypertympanic in ruq gu: has foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred. discharge exam: anicteric sclera non tender, nondistended, +bs otherwise unchanged pertinent results: 09:01pm blood wbc-11.6* rbc-4.51* hgb-14.1 hct-41.3 mcv-92 mch-31.3 mchc-34.2 rdw-13.9 plt ct-65* 09:01pm blood neuts-89.8* lymphs-5.7* monos-4.3 eos-0.1 baso-0.1 03:00am blood pt-17.0* ptt-36.4 inr(pt)-1.6* 09:01pm blood glucose-105* urean-24* creat-1.6* na-142 k-4.0 cl-111* hco3-21* angap-14 03:00am blood alt-382* ast-276* alkphos-244* totbili-6.9* 09:01pm blood albumin-3.3* calcium-7.4* phos-4.1 mg-2.2 06:45am blood wbc-5.1 rbc-3.94* hgb-12.3* hct-37.0* mcv-94 mch-31.2 mchc-33.3 rdw-14.6 plt ct-77* 06:45am blood pt-11.9 ptt-30.4 inr(pt)-1.1 06:45am blood glucose-83 urean-20 creat-1.4* na-143 k-3.8 cl-111* hco3-24 angap-12 06:45am blood alt-144* ast-44* alkphos-151* totbili-1.9* blood cx: ngtd ercp: normal major papilla. cannulation of the biliary duct was successful and deep with a sphincterotome using a free-hand technique. contrast medium was injected resulting in complete opacification. the common bile duct was 8 mm in size. there were two filling defects in the cbd consistent with stones. a sphincterotomy was performed in the 12 o'clock position using a sphincterotome over an existing guidewire. two stones were extracted successfully from the cbd using a balloon catheter. brief hospital course: 80m with dementia, h/o gallstone pancreatitis, cad s/p stents , prostate cancer, dementia, presenting with cholangitis and pancreatitis. # cholangitis: he was hemodynamically stable. his lfts were downtrending without treatment, suggestive of a passed stone. given the osh findings, he underwent ercp, which showed 2 stones, which were removed with a balloon catheter. he was continued on antibiotics, ivf and bowel rest. after the procedure he felt improved. his diet was advanced without difficulty. he was discharged with 7 more days of cipro and flagyl. he will follow up with his pcp for repeat labs and discussion of possible cholecystectomy. # acute pancreatitis: patient with osh imaging findings suggesting inflammatory changes and small fluid around pancreas on abdominal ct. no signs of necrosis. with bowel rest and ivf the lipase down trended and he was asymptomatic. # thrombocytopenia: this is consistent with his diagnosis of mds. they were near baseline. # : cr was 1.6 on admission. after ivf his creatinine returned to baseline. # ams: he returned to his baseline with treatment of his cholangitis. transitional issues: - f/u labs - discussion of ccy medications on admission: - aspirin 81 mg qd - lisinopril 20 mg qd - simvastatin 20 mg qd - omeprazole 40 mg qd - celexa 10 mg qd - flomax 0.4 mg qd - ferrous sulfate 65 mg - razadyne 8 mg - vitamin d 1000 u qd discharge medications: 1. lisinopril 20 mg po daily 2. tamsulosin 0.4 mg po hs 3. ciprofloxacin hcl 500 mg po q12h rx *ciprofloxacin 500 mg 1 tablet(s) by mouth twice per day disp #*14 tablet refills:*0 4. metronidazole (flagyl) 500 mg po q8h rx *metronidazole 500 mg 1 tablet(s) by mouth three times per day disp #*21 tablet refills:*0 5. aspirin 81 mg po daily please do not take this medication until 6. citalopram 10 mg po daily 7. ferrous sulfate 325 mg po bid 8. omeprazole 40 mg po daily 9. razadyne *nf* (galantamine) 8 mg oral 10. vitamin d 1000 unit po daily discharge disposition: home with service facility: vna discharge diagnosis: cholangitis cholelithiasis discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted from an outside hospital for an infection in your gallbadder. you underwent a procedure, called ercp, with removal of multile gall stones. also, you were treated with antibiotics. with this you felt much improved. you will need to continue the antibiotics for another 7 days. please complete the course as prescribed. you will also need to follow up with your primary care doctor. at that time you should have repeat labs to make sure your lfts have returned to . also, you should discuss whether cholecystectomy is worth undergoing. followup instructions: name: ,md specialty: primary care address: 21 hwy , , phone: when: at 11:30am procedure: endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy diagnoses: acidosis thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery acute kidney failure, unspecified unspecified septicemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified personal history of malignant neoplasm of prostate percutaneous transluminal coronary angioplasty status sepsis chronic kidney disease, stage iii (moderate) unspecified hearing loss alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance cholangitis acute pancreatitis calculus of bile duct without mention of cholecystitis, with obstruction 

Answer: The patient is high likely exposed to