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, nausea, vomiting major surgical or invasive procedure: percutaneous tracheostomy history of present illness: patient is a 65 year-old male with gallstone pancreatitis who presents as a transfer from an osh for possible ercp and cholecystectomy. the patient initially presented to hospital ed on c/o abdominal pain x 3 days. ct showed cholelithiasis without pericholecystic fluid; the patient was afebrile and without leukocytosis. he was sent home and scheduled for outpatient elective cholecystectomy. then on , a day prior to the scheduled elective cholecystectomy, the patient presented to the hospital ed with nausea, vomiting, and epigastric pain radiating to his back. ct was suggestive of acute pancreatitis. he was admitted to the micu, where he remained afebrile and initially without leukocytosis. this morning the patient's wbc rose to 20.5 (from 10.9) and he was switched to imipenem. he was transferred to the icu on . past medical history: hypertension, dmii, chronic renal insufficiency (1.4 baseline) social history: retired, no etoh, no tobacco, no drugs physical exam: on admission: vs: t 100 hr 105 bp 132/88 rr 29 spo2 97% 4l nasal cannula pe: general: combative, agitated heent: mucous membranes dry; ng tube in place skin: b/l flank ecchymoses cv: rrr, no r/m/g lungs: mild expiratory wheeze, no crackles abdomen: + bowel sounds, tender to palpation in epigastrium and ruq, no rebound, distended pertinent results: 08:35pm blood wbc-22.2* rbc-5.15 hgb-15.1 hct-45.3 mcv-88 mch-29.2 mchc-33.2 rdw-14.5 plt ct-190 08:35pm blood pt-15.7* ptt-32.7 inr(pt)-1.4* 08:35pm blood glucose-103 urean-39* creat-2.1* na-146* k-3.6 cl-118* hco3-17* angap-15 08:35pm blood alt-254* ast-57* ck(cpk)-138 alkphos-155* amylase-1082* totbili-1.2 dirbili-0.8* indbili-0.4 08:35pm blood lipase-604* 08:35pm blood albumin-2.8* calcium-6.1* phos-3.5 mg-2.4 02:15am blood caltibc-127* ferritn-551* trf-98* 02:20am blood wbc-7.2 rbc-2.96* hgb-8.6* hct-26.2* mcv-88 mch-29.1 mchc-33.0 rdw-14.4 plt ct-396 02:20am blood glucose-114* urean-35* creat-1.3* na-142 k-3.9 cl-111* hco3-21* angap-14 02:20am blood alt-8 ast-17 alkphos-72 amylase-45 totbili-0.4 02:20am blood lipase-26 . per outside hospital report: ct - multiple gallstones, no pericholecystic fluid, no free fluid radiology report ct pelvis w/contrast study date of 2:42 pm impression: 1. lack of enhancement in the pancreatic head and neck and extensive peripancreatic fluid, in keeping with severe pancreatitis. interval worsening in comparison to prior ct . 2. the superior mesenteric vein and splenic vein are patent, but exhibit luminal narrowing. these vessels may therefore be compromised by the peripancreatic inflammation.subotimal arterial bolus makes evaluation for arterial compromise difficult though none is seen. 3. complete atelectasis of the lower lobe of the left lung. consolidation in the basilar segments of the right lower lobe consistent with atelectasis and possible superimposed pneumonia. 4. moderate amount of ascites in the abdomen and pelvis. 5. mild fullness of the collecting system of the right kidney has developed since the prior ct. there is no significant caliceal dilatation, and the right ureter is not dilated. . radiology report bilat lower ext veins study date of 8:50 am impression: 1. no evidence of deep vein thrombosis in either leg. the tibial veins could not be assessed as no son window was accessible. 2. small fluid collections seen in the right groin measuring about 1.9 cm. . - ct abd/pelvis: . 12:16 pm blood culture blood culture, routine (final ): staphylococcus, coagulase negative. isolated from one set only. sensitivities performed on request.. aerobic bottle gram stain (final ): reported by phone to at 13:58pm on . gram positive cocci in pairs and clusters. brief hospital course: pt was initially transferred to for gallstone pancreatitis, he was febrile, agitated and combative upon arrival, his hospital course was complicated by respiratory failure, multisystem organ failure and a prolonged icu course. he was discharged to ventilatory rehab on with a tracheostomy. he recovered from his pancreatitis with supportive care and agressive resussitation. . neuro: pt intubated and sedated with propofol shortly after arrival/admission. he was empirically placed on ciwa scale and given thiamine and folate for possible etoh withdrawl. he was eventually transitioned to fentanyl and versed drips. at time of discharge pt is trached and ventilated but otherwise alert and oriented, nodding appropriately, and not requring sedation. pt taking zyprexa prn for agitation . cardiovascular: hypertensive during his hospital course controleld with beta blockade which was tritated up as iv lopressor while pt was npo and hydralazine prn. . respiratory: pt was intubated on in the icu for respiratory failure, on a bedside percutaneous tracheostomy was placed as respiratory status was not improving as quickly as desired. the patient was able to be weaned from assist control with moderate ventilatory support to pressure support at the time of discharge. initially requiring a propofol drip for tachypnea while on pressure support, by discharge pt was tolerating pressure support with no sedation required. . gi/gu: initially presenting with elevated transaminases, bilirubin, amylase and lipase indicitive of obstruction and likely gallstone pancreatitis, there were no obstruting stones on imaging and lfts, bilirubin, amylase and lipase all normalized during his hospital course with supportive care. ercp was not preformed as lfts and bilirubin were normalizing, as was wbc. . heme: hct trended down during his hospital course secondary to illness and dilution. there was no bleeding episodes during his admission and no transfusion requirement. the pt did recieve albumin during his icu course for volume/colloid support . fen: very agressive fluid rehydration at time of admission given pancreatitis, acute on chronic renal failure and tachycardia. tpn was started for nutritional support on as a prolonged npo course and bowel rest was anticipated. as his pain improved, as did his nurological status - his amylase and lipase normalized and pt was transitioned to tube feeds via a dubbhoff nasoenteric feeding catheter. . endocrine: regular insulin sliding scale during hospital course. he was transiently on an insulin drip whcih was transitioned to riss by the time of discharge. . renal: pt has a history or cri (1.4) presented with cr of 2.1 and muddy brown casts consistent with acute tubulat necosis. agressive fluid rehydration for both renal and pancreatic issues. he was also on an hco3 drip for his acidosis/atn. once renal function normalized, he was diuresed with a lasix drip due to massive total body water overload from his resussitation. his creatine normalized to his baseline by time of discharge on . . id: initially presenting with a leukocytosis of 22.2, he trended down and normalized to a wbc of 7.2 on the day of discharge. he had positive blood cultures on growing out coagulase negative staff aureus. he did have persistent diarrhea during his hospital course. despite multiple negative c-diff assays, the pt was placed on an empiric course of po vanc and flagyl extending for 5 days after . pt also was intermittenly febrile during his hospital course with no clear source. lower extremity duplex exams were done to rule out dvt as source of fever. pt was pan-cultured several times with no positive blood cultures ( aline source thought to be contaminant as all other cultures were negative) medications on admission: meds: (upon transfer) labetalol 100 mg tid imipenen 250 mg iv q6hr heparin 5000 tid protonix iv daily riss zofran 4mg iv q8hr prn nausea dilaudid 1mg iv q2hr prn pain (home meds) labetalol 300mg po bid lisinopril 20mg po daily metformin 500mg po bid lantus insulin, dose unknown discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 2. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: six (6) puff inhalation q4h (every 4 hours) as needed for wheezing. 3. ipratropium bromide 17 mcg/actuation aerosol sig: four (4) puff inhalation q4h (every 4 hours) as needed for wheezing. 4. acetaminophen 160 mg/5 ml solution sig: 15-20 ml po q6h (every 6 hours) as needed for fever. 5. chlorhexidine gluconate 0.12 % mouthwash sig: four (4) ml mucous membrane (2 times a day). 6. labetalol 100 mg tablet sig: one (1) tablet po bid (2 times a day). 7. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 8. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 9. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 10. insulin regular human 300 unit/3 ml insulin pen sig: units subcutaneous four times a day: sliding scale insulin. 11. olanzapine 5 mg tablet, rapid dissolve sig: three (3) tablet, rapid dissolve po tid (3 times a day) as needed for agitation. 12. vancomycin 125 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 5 days. 13. amylase-lipase-protease 30,000-8,000- 30,000 unit tablet sig: 1-2 tablets po daily (daily). 14. hydralazine 20 mg/ml solution sig: twenty (20) mg injection q6h (every 6 hours) as needed for sbp>160. 15. flagyl 500 mg tablet sig: one (1) tablet po three times a day for 5 days. discharge disposition: extended care facility: - discharge diagnosis: gall stone pancreatitis respiratory failure hypertension diabetes diarrhea discharge condition: stable with ventilatory support discharge instructions: call your physicain if you experience increasing abdominal pain, chest pain, shortness of breath, jaundice, uncontrollable nausea or vomiting, or any other symptoms which are concerning to you. followup instructions: call the office of dr. to schedule a follow-up appointment for 2 weeks. ( procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances temporary tracheostomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus diagnoses: acidosis pneumonia due to other gram-negative bacteria acute kidney failure with lesion of tubular necrosis unspecified pleural effusion unspecified septicemia severe sepsis chronic kidney disease, unspecified pulmonary collapse acute respiratory failure alkalosis intestinal infection due to clostridium difficile calculus of gallbladder without mention of cholecystitis, without mention of obstruction other ascites diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled hyperosmolality and/or hypernatremia cholangitis acute pancreatitis alcohol withdrawal hypertensive chronic kidney disease, benign, with chronic kidney disease stage i through stage iv, or unspecified paroxysmal supraventricular tachycardia 

Answer: The patient is high likely exposed to