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: fever major surgical or invasive procedure: none history of present illness: 46 year-old gentleman with history of pancreas divisum and recurrent pancreatitis presents for his whipple operation today. however, he was found to be febrile in the pre-op area to 101.4. the patient has not checked his fevers in the past few days and has not noticed any chills. however, he reports that he completed a course of antibiotics for a scalp wound infection 3 weeks ago. futhermore, he has a picc line in place since for tpn. his picc line was pulled back 4 days ago, and he has had pain with infusions since then. the patient feels well otherwise - he reports no nausea or vomiting and is able to tolerate a low fat diet. because the patient is febrile without a clear etiology, his whipple has been postponed. he will be admitted to dr. service for fever workup. past medical history: pmhx: recurrent pancreatitis with known divisum s/p eus with non-diagnostic fna by dr. of pancreatic head "fullness", peptic ulcer disease, ptsd from war, fe-def anemia, chronic back pain . pshx: cervical fusion 5yrs ago, left inguinal hernia treated remotely, eus with biopsy social history: married, lives with wife. as supervisor for army corps of engineers. non-smoker, recovering alcoholic with no current alcohol x 7months, denies illicit substance use. family history: father with stomach, lung, throat ca. mother died of mi and had dm2. physical exam: vs: tm 101.4, tc 100.8, 82, 132/74, rr 18, 100% ra gen: nad, a&o x 3 heent: scalp wounds healing - no active drainage lungs: clear b/l cv: rrr, nl s1 and s2 abd: soft, nt, nd ext: l arm with picc - slight erythema at picc insertion site; no clubbing/cyanosis/edema of le b/l pertinent results: 05:20pm wbc-5.7 rbc-4.08* hgb-10.5* hct-31.8* mcv-78* mch-25.6* mchc-32.9 rdw-14.1 05:20pm plt count-353 05:20pm pt-14.7* ptt-35.3* inr(pt)-1.3* 05:20pm glucose-109* urea n-14 creat-0.9 sodium-138 potassium-3.1* chloride-104 total co2-23 anion gap-14 05:20pm alt(sgpt)-47* ast(sgot)-33 ck(cpk)-51 alk phos-93 amylase-38 tot bili-0.9 all all blood culture catheter tip-iv mrsa screen sputum stool urine all inpatient stool clostridium difficile toxin a & b test-final inpatient urine urine culture-final inpatient sputum gram stain-final; respiratory culture-final; legionella culture-preliminary; fungal culture-preliminary; acid fast smear-final; acid fast culture-preliminary inpatient blood culture blood culture, routine-final inpatient sputum gram stain-final; respiratory culture-final inpatient stool fecal culture-final; campylobacter culture-final; ova + parasites-final; fecal culture - r/o vibrio-final; fecal culture - r/o yersinia-final; fecal culture - r/o e.coli 0157:h7-final; cryptosporidium/giardia (dfa)-final; clostridium difficile toxin a & b test-final inpatient mrsa screen mrsa screen-final inpatient catheter tip-iv wound culture-final {serratia marcescens} inpatient blood culture blood culture, routine-final inpatient blood culture blood culture, routine-final {serratia marcescens}; aerobic bottle gram stain-final; anaerobic bottle gram stain-final inpatient urine urine culture-final inpatient cardiac echo ; the left atrium is normal in size. the right atrial pressure is indeterminate. left ventricular wall thicknesses and cavity size are normal. there is mild to moderate global left ventricular hypokinesis (lvef = 40 %). right ventricular chamber size is normal with mild global free wall hypokinesis. the ascending aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. impression: mild to moderate global biventricular systolic dysfunction. mild mitral regurgitation. brief hospital course: mr. was admitted to the hospital for his whipple procedure which was cancelled due to a temperature of 101. he was transferred to the surgical floor for a fever work up and subsequently spiked to 103. he was pan cultured and his picc line was removed and in the interim became hypotensive with rigors prompting transfer to the icu. he required pressor support and was placed on broad spectrum antibiotics. the infectious disease service was consulted for further management and review of his initial cultures show i/2 blood cultures + serratia as well as the picc tip. meropenum was initiated and he remained afebrile with a normal wbc. his pressors were weaned off and he maintained stable hemodynamics. following transfer to the surgical floor he continued to make good progress. he remained afebrile and eventually was switched to oral antibiotics. his tpn continued as he began a clear liquid diet and over a 48 hour period he was advanced to a regular diet which was tolerated well. on his tpn was weaned off and his central line was removed. mr. was discharged home on and will continue oral antibiotics through . he will return for surgery on with dr. medications on admission: iron 325 mg qd, nexium 40 mg qd, zoloft 100 mg , vit c 500 mg qday discharge medications: 1. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 2. ascorbic acid 500 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. sertraline 100 mg tablet sig: two (2) tablet po daily (daily). 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. cipro 500 mg tablet sig: one (1) tablet po twice a day. disp:*18 tablet(s)* refills:*1* 6. clindamycin hcl 300 mg capsule sig: one (1) capsule po four times a day. disp:*36 capsule(s)* refills:*1* 7. quetiapine 50 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*0* 8. dilaudid 2 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: sepsis discharge condition: stable discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down 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. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. followup instructions: your operation with dr. () is booked for . his secretary will call you the day before to let you know where to report and the time to report. nothing to eat or drink after midnight . procedure: parenteral infusion of concentrated nutritional substances diagnoses: severe sepsis septic shock iron deficiency anemia, unspecified other and unspecified infection due to central venous catheter chronic pancreatitis surgical or other procedure not carried out because of contraindication other specified diseases of pancreas septicemia due to serratia 

Answer: The patient is high likely exposed to