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: penicillins / niacin attending: chief complaint: transfer from outside hospital for hepatic abscess major surgical or invasive procedure: drain placement in hepatic abscess ct guided drainage with upsizing of hepatic drain picc line insertion history of present illness: patient is a 60 year old male with rather insignificant pmh who has developed some vague discomfort, feeling of overall weakness, some abdominal discomfort and changes in bowel patterns during approximately last week of . he presented to the on where abdominal ct scan was obtained and found a multi loculated collection in the liver. patient was transferred to the center on for further management. his lfts were elevated as was his wbc. initially, the thought was to drain the collection by ir, however, radiology felt that it was no feasible. overnight, patient developed a septic picture with fevers to 103f, hypotension and tachycardia. he was resuscitated with 5 liters of fluids overnight and was taken to the operating room the morning of with the intention to drain the abscess. the abscess was not clearly identified during the operation. patient lost 1200 cc of blood. his hct dropped from 40 pre-op to 31 post-op. he became hemodynamically unstable and was started on pressors. he was reintubated shortly after the surgery for an uncertain reason. past medical history: pmh: hyperlipidemia, hepatitis a in . hepatic abscess: e.coli/strep anginosis psh: right achilles tendon rupture repair, ex lap for hepatic abscess social history: he is married and works for cmp. he lives in and has three children. he does not smoke and drinks rarely. family history: his mother died of liver ca at age 78. his father has prostate cancer, no history of colon cancer. he has a sister with cad in her 50s and a brother who is healthy. pertinent results: 12:00am blood wbc-25.4*# rbc-3.35* hgb-10.6* hct-31.1* mcv-93 mch-31.7 mchc-34.1 rdw-14.6 plt ct-112*# 05:50am blood wbc-5.9 rbc-3.05* hgb-9.5* hct-29.1* mcv-95 mch-31.2 mchc-32.8 rdw-15.8* plt ct-553* 04:20am blood pt-16.1* ptt-31.2 inr(pt)-1.4* 04:35am blood glucose-118* urean-18 creat-0.8 na-137 k-4.4 cl-104 hco3-27 angap-10 12:50am blood alt-451* ast-1849* ld(ldh)-1734* alkphos-90 amylase-106* totbili-4.3* dirbili-3.8* indbili-0.5 05:50am blood alt-28 ast-30 alkphos-95 totbili-1.0 06:40am blood albumin-2.3* calcium-7.4* phos-2.6* mg-2.1 04:43am blood cea-1.5 afp-<1.0 07:15am blood crp-43.9* 02:40am blood hbsag-negative hbsab-negative hav ab-positive igm hbc-negative igm hav-negative 04:43am blood ca -9: 8 02:40am blood hepatitis e antibody (igm)-test not detected brief hospital course: he was transferred to sicu under the acute care surgery service on , intubated and on pressor support. he underwent ir guided drainage of 25cc purulent/hemorrhagic fluid from the abscess on and a drain was left in place. subsequent ct demonstrated a right posterior fluid collection that was increased in size from previous ct. gram stain on the jp fluid culture initially showed 4+ gpc in pairs, chains and clusters. he was started on vanco/cipro/flagyl. the hepatobiliary service was consulted for assistance in management and he was transferred to the west 1 service under dr. . he remained in the sicu as he was initially hemodynamically labile. he became hypertensive after the ir drainage. iv lopressor was given as well as versed gtt. later on he became hypotensive, was restarted on pressors and bolused 3l ivf before a stress dose of hydrocortisone for secondary to hypotension from sepsis. an id consult was obtained after the patient's liver mass was proven to be an abscess. he was initially treated with vancomycin, ciprofloxacin and flagyl. the cipro was d/c'ed and replaced with cefepime on . the abscess culture on isolated strep anginosus and e. coli which were pan sensitive. on , a right basilic picc line was placed. vanco was stopped on . cefepime was switched to ceftriaxone on . wbc decreased daily from admission wbc of 25 to 5.9 on . lfts decreased significantly from admission. he had low grade temps up to 100.3 on and . on , ct of the abdomen/pelvis was done to re-assess the hepatic abscess and this demonstrated little change in size or appearance of right hepatic abscess containing multiple septations, dense material and foci of gas, but with apparent increase in fluid component. pigtail drainage catheter was retracted but with pigtail loop still within the abscess cavity. the jp drain remained in place along the right hepatic margin averaging 50-80cc output per day. there was slight decrease in moderate right and small left pleural effusions, with associated adjacent relaxation atelectasis. there were two arterially enhancing foci in segment vi of liver. colonic diverticulosis was noted. repeat blood cultures remained negative until when blood cultures isolated streptococcus anginosus (milleri) group. the picc was removed. on , he also had ct-guided exchange of the drainage catheter with up sizing to a 10 french catheter in a larger deeper pocket of the collection. 10 cc were sent to microbiology. this fluid subsequently showed 4+ pmn and 1+ gpcs. the jp was removed on . a left basilic vaxcel picc line was placed on with tip in lower svc. of note, he had h/o bilateral cephalic dvts and a r basilic dvt. he was set up with vna for home iv ceftriaxone and po flagyl to continue for a total of 6 weeks. he was to f/u with id and dr. in 2 weeks with a f/u abd ct. vital signs were stable. he had required brief treatment with tube feeds due to poor po kcal intake. a post pyloric feeding tube was inserted on , but this was removed a few days prior to discharge home as po intake improved and caloric intake was appropriate. he was initially very weak, but pt worked with him and declared him safe for discharge without pt services. he was ambulating independently at time of discharge. abdomen was non-distended and only slightly tender in ruq. he received iv dilaudid initially, but this was not necessary around the time of discharge. he was also taught how to flush the pigtail with normal saline 5ml . pigtail output averaged 18ml/day by day of discharge. medications on admission: crestor 10 mg once daily discharge medications: 1. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 5 weeks. disp:*84 tablet(s)* refills:*0* 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day) for 5 weeks. disp:*102 tablet(s)* refills:*1* 3. amlodipine 2.5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*1* 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 5. ceftriaxone in dextrose,iso-os 2 gram/50 ml piggyback sig: two (2) intravenous q24h (every 24 hours) for 5 weeks: until . disp:*33 doses* refills:*0* 6. saline flush 0.9 % syringe sig: five (5) ml injection twice a day: flush hepatic drain . disp:*50 * refills:*1* 7. outpatient lab work weekly labs cbc, chem 10, ast, alt, alk phos, t.bili fax to attn: rn coordinator and attn: discharge disposition: home with service facility: androscoggin vna discharge diagnosis: hepatic abscesses: strep anginosus, ecoli bacteremic: strep anginosis bilateral cephalic dvts, dvt right basilic discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call dr. office if you have any of the warning signs listed: fever (101 or greater),chills, nausea, vomiting, jaundice, increased abdominal pain/distention, increased drain output or no drain output, picc line malfunction, redness or drainage at drain site empty drain and record all outputs. bring record of drain outputs to next appointment you will continue on antibiotics followup instructions: provider: , md phone: date/time: 10:10 provider: , md phone: date/time: 11:00 provider: , md phone: date/time: 2:50 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances percutaneous aspiration of liver hepatotomy central venous catheter placement with guidance central venous catheter placement with guidance diagnoses: unspecified pleural effusion unspecified essential hypertension sepsis other and unspecified hyperlipidemia abscess of liver septicemia due to escherichia coli [e. coli] streptococcal septicemia diverticulosis of colon (without mention of hemorrhage) acute venous embolism and thrombosis of superficial veins of upper extremity 

Answer: The patient is high likely exposed to