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: patient is a 74-year-old man who is transferred from an outside hospital on . he presented to the outside hospital with a history of a couple days of abdominal pain in the right upper quadrant without radiation. the pain had gradually increased. he had no chest pain. no shortness of breath. on the evening of the 24th, patient's abdominal pain actually began to decrease and he fell asleep around 2 a.m. and in the morning he had a normal bowel movement, was not loose and he had juice for breakfast, but developed chills soon thereafter. he called his primary care physician who told him to go to the emergency department. on the way to the emergency department, he developed nausea and vomited some clear fluids. other than that, he did not vomit. he had minimal pain that morning in the lower abdomen bilaterally. he has no prior history of this abdominal pain, no history of bright red blood per rectum, no hematemesis. at the outside hospital, his temperature was 101. chest x-ray was questionable for a right lower lobe infiltrate and the patient was hypotensive. ultrasound of gallbladder was consistent with stones. he had cardiac enzymes, ck 146, troponin .2, pt was 17, inr 1.9, white blood cell count 17, .2 bands, total bilirubin was 6.7, direct bilirubin 3.9, alt 226, ast 204, amylase 41, bicarbonate 18. patient was given levofloxacin, flagyl, tylenol, three liters of normal saline. past medical history: 1. patient had a pacer placed five years ago for bradycardia and heart block. 2. he has a history of hypertension. medications at home: zestril, norvasc. allergies: no known drug allergies. physical examination at emergency room: patient's temperature was 98.4. pulse 105. blood pressure 108/66. respiratory rate 30. saturating 97% on nasal cannula. in general, he appeared uncomfortable. his sclera were mildly icteric. chest: he had bilateral wheezes at bases without crackles or rhonchi. cardiovascularly, he was tachycardic with a regular rhythm. his abdomen was tender in the right upper quadrant with positive sign. he had mild guarding, bowel sounds were present. he was mildly distended. he was not tympanitic. he had no tap tenderness. extremity was warm with no edema. rectal was guaiaced, scant positive loose stool in rectal vault, no masses palpated, nontender. laboratories at this time: white blood cell count 11.4, hematocrit 33, platelets 95,000. chem-7: sodium 140, potassium 2.9, chloride 107, bicarbonate 16, bun 29, creatinine 1.4, glucose 120. arterial blood gases at that time was ph 7.39, pco2 23, po2 89, bicarbonate 14 and a base deficit of 8. alt was 232. ast 185. alkaline phosphatase 96, t bilirubin 5.8, amylase 26, lipase 9. his urinalysis had moderate bilirubin, white blood cells per high powered field. patient's lactate was 4.6. the patient was admitted with presumed cholecystitis/cholangitis septic. the plan at that time was for aggressive resuscitation as well as antibiotics. ampicillin, levofloxacin and flagyl. also at that point, it was being determined whether to take patient to the operating room or to have a percutaneous drainage of his gallbladder. hospital course: the patient was admitted to the surgical intensive care unit. patient was in shock, which seemed to be a combination of septic, as well as cardiogenic shock. patient had a low systemic vascular resistance and also a low cardiac output. therefore, it was deemed safer for the patient to undergo percutaneous drainage of the gallbladder. gastrointestinal was consulted and they recommended possible follow-up endoscopic retrograde cholangiopancreatography if percutaneous drainage of the gallbladder did not resolve the infection. cardiology was also consulted. patient ruled out for myocardial infarction. their recommendation was to follow cardiac index. on , radiology placed a self-locking cholecystostomy tube without complications. patient was aggressively resuscitated with fluids. his blood pressure improved but his cardiac index remained low. he was put on dobutamine drip. on hospital day number two, the patient had a cardiac index of 2.02 and an svr of 960. he had good urine output. his white blood cell count was down to 14.3. gastrointestinal follow-up: still questionable cholangitis without adequate drainage of the common bile duct. a endoscopic retrograde cholangiopancreatography was done on hospital day number three. patient was actually intubated earlier that morning because of respiratory distress. stent was placed. the gallbladder filled with contrast. also with dark cloudy bile was visualized. it was determined that patient needs a sphincterotomy but it was not done at that time because of his coagulopathy, despite ongoing ffp transfusions and vitamin k administration. he was felt to have some underlying liver insufficiency (possibly etoh-related as patient made and drank his own wine). on surgical intensive care unit day number four, patient was given platelets and ffp in order to get the inr below 1.5 and platelets above 50,000. on surgical intensive care unit day number five, the ventilator was weaned and the patient was extubated. he was also transfused one unit of platelets, two units of ffp. during this time, patient is on penicillin day number four, zosyn day number five and gentamicin day number five. surgical intensive care unit day number six, patient was clinically improving. white blood cell count was 10.5. inr at this time was 1.5. patient got a hida scan which failed to light up the gallbladder as well as the duodenum. bilirubin had been steadily rising. so, it was thought that there was an obstructed common bile duct. endoscopic retrograde cholangiopancreatography again was performed on surgical intensive care unit day number seven. stent was occluded and was removed. a 4 mm common bile duct stone was removed. surgical intensive care unit day number eight, total bilirubin decreased to 8.7. on surgical intensive care unit day number eight, patient also began to become irritable and was refusing some treatments. psychiatry was asked to see him. it was their opinion that he was delirious and not capable of making an informed decision. they suggested haldol for his agitation. patient was transferred out of the surgical intensive care unit to the floor on hospital day number nine. he is doing well. his foley was discontinued. his central venous line was discontinued. patient was also less irritable. the one-to-one sitter was discontinued. since coming to the floor, patient's total bilirubin had continued to drop. he has continued to do well and his mental status normalized. on hospital day number ten, he was tolerating a regular diet. he was up out of bed, ambulating. his percutaneous draining continued to drain bile at about 250 cc daily. the patient had had accumulation of peripheral edema due tofluid retention during his septic state. this improved, but later on in his course, he was noted to have clear/ green fluid draining around his cholecystostomy tube (the bile was much darker green). ultrasound showed that the tube was in the gallbladder and there was no biloma. he was continued on antibiotics therefore. on hospital day number 14, he is ready for discharge. he will go home with vna visiting twice a day to change his bile bag, as well as to change his dressing. he will remain on levaquin 500 mg for three weeks. he is being discharged on norvasc and zestril. he is to follow-up with dr. and his pcp. , 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 endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy endoscopic insertion of stent (tube) into bile duct trocar cholecystostomy diagnoses: unspecified essential hypertension unspecified septicemia aortic valve disorders acute respiratory failure cholangitis calculus of gallbladder and bile duct without cholecystitis, with obstruction 

Answer: The patient is high likely exposed to