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: the patient is a 73-year-old male with diabetes, hypercholesterolemia, gastroesophageal on the day of admission with rigors and abdominal pain. he states that the abdominal pain started on saturday evening, five days prior to admission. it was diffuse in quality, was not radiating, was associated with nausea, but no vomiting. he also denied diarrhea. the abdominal pain persisted until the morning of presentation where it became more severe in intensity. his last bowel bright red blood per rectum at the time. the patient reports that on the day of admission and an admission to increasing abdominal pain, he also experienced rigors and intermittent shortness of breath. patient was first taken to the where he was found to have a temperature of 103.5 and a blood pressure of 60 systolic. his total bilirubin was 2.7. his alkaline phosphatase was 211, ast was 133 and alt was 40 there. right upper quadrant ultrasound at the time revealed a stone in the neck of the gallbladder and possibly cholecystitis. a ct scan confirmed cholecystitis, as well as a stone near the ampule. blood cultures grew gram positive cocci and gram negative rods. the patient received timentin and was transferred for endoscopic retrograde cholangiopancreatography at the . past medical history: 1. status post right rotator cuff repair three weeks prior to admission. 2. hypercholesterolemia. 3. type 2 diabetes, controlled with diet and avandia. 4. gastroesophageal reflux disease. 5. depression. 6. atrial fibrillation, status post electrical cardioversion. he is on amiodarone maintenance. 7. history of kidney stones. 8. history of transurethral resection of prostate. home medications: 1. lisinopril 40 mg twice daily. 2. avandia 2 mg daily. 3. atorvastatin 20 mg daily. 4. amiodarone 200 mg daily. 5. pantoprazole 40 mg. 6. celexa 40 mg. 7. enteric coated aspirin 325 mg. 8. folic acid 1 mg daily. medications on transfer: 1. timentin 3.1 grams for two days. 2. ceftriaxone in the emergency department. social history: the patient lives with his wife. is a retired photographer. he has five children that are involved in his care. he quit tobacco ten years ago. he consumes one glass of alcohol per day. family history: father had diabetes. mother had coronary artery disease and died of >.....<at age 56. physical examination: temperature 99.7. heart rate 92. blood pressure 157/68. oxygen saturation 97% on room air. generally, he is alert, comfortable, sitting in bed in no acute distress. head, eyes, ears, nose and throat: mildly icteric sclerae. normal conjunctivae. throat was clear. heart: regular normal s1, s2, there was no s3, s4, murmurs, rubs or gallops. lungs: he had bronchial breath sounds, crackles at the bases. abdomen: soft, mildly distended. he had tenderness to palpation in the right upper quadrant without rebound or guarding. rectal: guaiac negative. there was no mass appreciated. laboratory evaluation: significant for total bilirubin of 2.7. alkaline phosphatase 211. ast of 133, alt of 40. amylase and lipase were normal. hospital course: the patient was admitted to the surgical intensive care unit and started empirically on levofloxacin and vancomycin pending isolation and antibiotic susceptibilities of the organisms identified at the . the patient's surgical intensive care unit course was complicated by hypotension necessitating several fluid boluses and intravenous pressors. he was evaluated by the endoscopic retrograde cholangiopancreatography service and the surgical service. he went to the endoscopic retrograde cholangiopancreatography suite, however, after initiation of local anesthesia, the patient felt bronchospasm and his procedure was aborted. he was returned to the floor. there were no complications after that. on , the patient was transferred to the medical floor and switched to ampicillin and levofloxacin after the microbes were isolated. specifically, the patient was found to have enterococcus faecium, sensitive to ampicillin, tetracycline and vancomycin, however, was resistant to ciprofloxacin. he also had klebsiella pneumonia resistant to ampicillin, sensitive to augmentin, ciprofloxacin, levofloxacin, tobramycin and bactrim. patient developed diarrhea on hospital day three and was empirically treated with metronidazole with prompt resolution. the remainder of his hospital course was marked by resolution of his abdominal pain, abatement of fevers. he underwent magnetic resonance cholangiopancreatography which revealed a stone in the neck of the gallbladder, a microperforation on the posterior aspect of the gallbladder with a direct extension into a abscess in the liver measuring 2.5 x 2.3 x 3 cm. after extensive consultation with general surgery and interventional radiology, initial hopes of ptc decompression were deferred as his anatomy was not amenable to safe needle localization. given this, and his stable clinical status, it was felt that the best course of action would be continued antibiotics for 1-2 weeks, followed by elective cholecystectomy. discharge diagnoses: 1. cholecystitis complicated by hepatic abscess. 2. status post right rotator cuff repair three weeks prior to admission. 3. hypercholesterolemia. 4. type 2 diabetes, controlled with diet and avandia. 5. gastroesophageal reflux disease. 6. depression. 7. atrial fibrillation, status post electrical cardioversion. he is on amiodarone maintenance. 8. history of kidney stones. 9. history of transurethral resection of prostate. discharge medications: 1. pantoprazole 40 mg every 24 hours. 2. augmentin 500/125 po t.i.d. for 30 days. 3. amiodarone 200 mg daily. 4. enteric coated aspirin 325 mg daily. 5. atorvastatin 10 mg daily. 6. celexa 10 mg daily. disposition: the patient is discharged to home with instructions to return to the emergency department in the event that he develops abdominal pain or fevers. pfts in anticipation of his operation were scheduled for in the . likewise, the patient should be evaluated by cardiology in the week prior to his surgery. , m.d. dictated by: medquist36 d: 02:12 t: 14:24 job#: procedure: venous catheterization, not elsewhere classified arterial catheterization diagnoses: pure hypercholesterolemia atrial fibrillation abscess of liver other septicemia due to gram-negative organisms cholangitis drug-induced delirium surgical or other procedure not carried out because of contraindication calculus of bile duct with acute cholecystitis, without mention of obstruction perforation of gallbladder 

Answer: The patient is high likely exposed to