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: abdominal pain recurrent pancreatitis major surgical or invasive procedure: 1. exploratory laparotomy. 2. pancreatic pseudocyst gastrostomy. 3. jejunal tube placement. 4. external drainage of pancreatic pseudocyst. 5. repair of fascial wound dehiscence. 6. mesh interposition graft using surgisis mesh. history of present illness: this is a 65 year old male who was admitted here in for etoh pancreatitis. he returns now with recurrent pancreatitis past medical history: etoh pancreatitis c.diff hepatitis b (dx ), hyperlipidemia, cellulitis after fly bite ( tx with penicillin) social history: lives with domestic partner in and on ; currently self employed as interior designer; frequent etoh on weekends; former 15 p-y smoker (quit ) family history: mother died of ?pancreatic cancer, brother with heart valve dz/renal calculi physical exam: avss ncat, nad, talking, a&ox3 eom full, anicteric. neck supple chest clear heart regular, no mrg abdomen soft, distended, tender to deep palpation, tympanitic to percussion with hyperactive bs, no rebound or guarding le bilateral 1+ edema to halfway up shins, 2+dp pulses bilaterally cn2-12 intact, 5/5 strength of ue/le pertinent results: 03:10pm blood wbc-12.8* rbc-4.24* hgb-13.7* hct-39.3* mcv-93 mch-32.3* mchc-34.9 rdw-14.0 plt ct-530* 06:53am blood wbc-9.3 rbc-3.56* hgb-11.2* hct-32.6* mcv-92 mch-31.5 mchc-34.4 rdw-13.9 plt ct-361 03:10pm blood glucose-129* urean-16 creat-1.3* na-135 k-6.2* cl-98 hco3-30 angap-13 07:30am blood glucose-76 urean-12 creat-1.1 na-137 k-4.3 cl-100 hco3-26 angap-15 06:53am blood glucose-130* urean-7 creat-0.8 na-138 k-3.5 cl-101 hco3-30 angap-11 03:10pm blood alt-87* ast-113* alkphos-525* amylase-659* totbili-1.1 dirbili-0.1 indbili-1.0 07:30am blood alt-34 ast-30 alkphos-257* amylase-308* totbili-0.7 06:53am blood alt-17 ast-19 alkphos-181* amylase-238* totbili-0.5 03:10pm blood lipase-581* 07:30am blood lipase-129* 06:53am blood lipase-157* 10:45am blood albumin-2.7* calcium-8.4 phos-4.1 mg-1.7 cholest-116 06:53am blood calcium-7.9* phos-2.9 mg-1.7 10:45am blood triglyc-112 02:05am blood wbc-17.0* rbc-3.25* hgb-9.8* hct-29.8* mcv-92 mch-30.1 mchc-32.9 rdw-15.0 plt ct-492* 04:59am blood wbc-19.4* rbc-3.53*# hgb-10.4*# hct-32.8*# mcv-93 mch-29.4 mchc-31.7 rdw-15.0 plt ct-742*# 05:00am blood wbc-10.4 rbc-2.85* hgb-8.2* hct-25.4* mcv-89 mch-28.8 mchc-32.3 rdw-15.1 plt ct-614* 05:00am blood glucose-96 urean-10 creat-0.8 na-141 k-3.2* cl-101 hco3-33* angap-10 05:05am blood k-3.8 06:53am blood alt-17 ast-19 alkphos-181* amylase-238* totbili-0.5 05:40am blood alt-16 ast-24 alkphos-235* amylase-246* totbili-0.4 04:40am blood alt-16 ast-24 alkphos-193* amylase-73 totbili-0.4 06:30am blood alt-14 ast-26 alkphos-152* amylase-40 totbili-0.4 07:30am blood lipase-129* 05:40am blood lipase-138* 12:55pm blood lipase-69* 06:30am blood lipase-26 05:00am blood calcium-7.7* phos-3.6 mg-1.8 07:15am blood albumin-2.0* calcium-7.5* phos-3.2 mg-1.7 iron-16* 07:15am blood caltibc-91* ferritn-709* trf-70* 06:10am blood caltibc-87* ferritn-782* trf-67* 07:15am blood triglyc-189* 06:10am blood triglyc-179* . ct abdomen w/contrast 6:24 pm impression: large pancreatic pseudocyst replacing the head, neck, and body of the pancreas, with smaller pseudocysts about the tail of the pancreas. no ongoing pancreas necrosis. pseudocyst compresses the splenic vein, smv, common bile duct, and duodenum, but there is no thrombosis, aneurysm or obstruction. . ct pelvis w/contrast 12:49 pm impression: 1. interval increase in size of both previously noted dominant pseudocysts. 2. the pancreatic pseudocyst surrounds and encases the gastroduodenal artery. attention to this area should be paid during subsequent surgical procedures. 3. interval increase in amount of parapancreatic fluid/inflammatory changes. 4. interval increase in intrahepatic and extrahepatic biliary dilatation. 5. interval increase in size of the left pleural effusion. 6. new small pericardial effusion. . ct abdomen w/contrast 3:16 pm impression: 1. status post cyst-gastrostomy with marked improvement in previously noted large fluid collection within the head of the pancreas. compared to prior exam, there is slightly increased abdominal and pelvic ascites. 2. extensive peripancreatic stranding extending into the mesentery inferiorly consistent with pancreatitis. 3. resolution of intrahepatic biliary dilatation likely related to decompression of large pseudocyst within the head of the pancreas. 4. small stable bilateral pleural effusions, left greater than right. . brief hospital course: this is a 65 year old male who presented with recurrent pancreatitis. his amylase and lipase were elevated to 659 and 581. pancreatitis: he was npo with ivf. he was severely dehydrated on admission and received aggressive ivf resuscitation. we monitored his labs, watching his amylase and lipase trend down. his abdominal pain began to improve. he was then allowed clear fluids on hd 5, he had a slight bump in his amylase/lipase. on , he was ordered for a picc and tpn and was made npo. he continued on tpn and we monitored his amylase, lipase and alk phos. alkphos amylase totbili lipase 09:32am 300* 271* 0.7 144* 09:32am 275* 271* 0.5 164* 05:40am 235* 246* 0.4 138* 06:38am 200* 255* 0.4 146* 06:53am 181* 238* 0.5 157* 06:25am 188* 203* 0.5 100* due to insurance and disposition issues, he remained in house on tpn. on hd 19, , his wbc increased to 16k and then 18k the next day. he also complained of increased pain. we obtained a ct and this showed interval increase in size of both previously noted dominant pseudocysts, an interval increase in amount of parapancreatic fluid/inflammatory changes. he also required iv fluid bolus x 3 for hypotension and low urinary output. he was schedule to go to the or on thursday . c.diff: he contracted c.diff during his previous hospitalization and was taking antibiotics. he continued on antibiotics while here. we rechecked his stool and he continued to be positive for c.diff. his antibiotics continued. urinary tract infection: he complained or urinary frequency. a urine culture on revealed gnr, enterococcus sp. he was started on vancomycin and unasyn. his picc line was also removed for potential line infection. = = = = = = = = = = = = = = = = = = ================================================================ he went to the or on for s/p cyst-gastrostomy, j-tube. he stayed in the icu for monitoring due to fluid shifts. he did well post-operatively and was transferred to the floor. he continued with ivf, ngt and we started j-tube feedings. the ngt was removed on , pod 4. his diet was advanced to clears on pod 5. we were able to remove the superior drain on pod 6, the remaining drain had an amylase of 118. his wound was slightly opened and packed with w->d dressing. a swab showed enterobacter aerogenes, ciprofloxacin---------<=0.25 s. he was started on cipro and will complete his course at rehab. on pod 8, while sitting in the chair, he coughed hard and felt something "" and starting draining fluid from his abdomen. he had a fascial dehiscence and went to the or on for: 1. repair of fascial wound dehiscence. 2. mesh interposition graft using surgisis mesh. he had 2 jp drains in place and these were to wall suction. on discharge the drains were to bulb suction. continue with abdominal binder at all times. his previous drain, that was placed at the original surgery, was removed on pod 12. this had an amylase of 41. his diet was advanced and he was also on tubefeedings at this time to supplement his diet. his tubedfeedings were stopped at time of discharge. c.diff: his last 3 stool samples were negative for c.diff. he reported some loose stool, however he was also receiving tubefeedings during this time. medications on admission: lipitor 20', protonix 40' discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 3. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 doses. 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 5. multi-vitamin w/minerals capsule sig: one (1) capsule po once a day. discharge disposition: extended care facility: & rehab center - discharge diagnosis: 1. recurrent pancreatitis and large peri-panreatic fluid collection (pancreatic pseudocyst) 2. necrotizing pancreatitis. 3. biliary obstruction. 4. malnutrition 5. fascial wound dehiscence post-op edema post-op hypokalemia post-op urinary tract infection +c.diff discharge condition: good diet: regular continue with jp drain care to bulb suction continue with abdominal binder 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 vomitting, 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 skin, or the whites of your eyes become yellow. * 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. * 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 amubulate several times per day. followup instructions: , md phone:. please follow-up in 2 weeks. call to schedule your appointment. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other enterostomy enteral infusion of concentrated nutritional substances reclosure of postoperative disruption of abdominal wall presacral sympathectomy internal drainage of pancreatic cyst other pancreatotomy diagnoses: urinary tract infection, site not specified unspecified protein-calorie malnutrition disruption of internal operation (surgical) wound hypopotassemia intestinal infection due to clostridium difficile urinary complications, not elsewhere classified obstruction of bile duct acute pancreatitis cyst and pseudocyst of pancreas 

Answer: The patient is high likely exposed to