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: azithromycin / zosyn attending: chief complaint: failure to thrive major surgical or invasive procedure: 1. ptc demonstrating approximately 1-cm focal high-grade stricture of the distal duct just proximal to the hepaticojejunostomy . 2. uncomplicated balloon cholangioplasty of the diseased segments with satisfactory results . 3. uncomplicated placement of 8 french, 25-cm internal-external biliary drain . history of present illness: the patient is a 69 year old man with a history of pud s/p gastric resection followed by roux-en-y in the distant past, recently hospitalized ~3 months following a whipple procedure , who presents with failure to thrive. he underwent the aforementioned procedure on , and had a very complicated post-operative course with anastomotic leak of the hepaticojejunostomy and of the pancreaticojejunostomy, associated with multiple intra-abdominal fluid collections (pathology revealed moderately differentiated t2n0 adenocarcinoma). he had multiple ir drains placed, and was taken back to the or on for repair of the pancreaticojejunostomy. his course was also complicated by allergic reactions to multiple antibiotics, acute renal failure, pulmonary failure requiring a tracheostomy, and cholangitis. he was dependent on tpn for an extended period of time. despite all of this, he was discharged home on doing well, afebrile, tolerating a regular diet, and ambulating with a walker. he was last seen by dr. on and was taking in reasonable po intake since then. he last underwent ercp on , which demonstrated a widely patent choledochojejunostomy, and his pd stent was removed. he is sent to the ed by his nurse, who found him to be orthostatic with sbp ~90 mmhg. he has not had nausea or vomiting, and denies fevers/chills at home. he has been taking adequate po intake by report and has been moving his bowels normally. past medical history: htn pud s/p perforation social history: he used to work as property manager but is now retired. married; wife and grown children very involved. he has 40 pack-year smoking history; quit a while back. no alcohol use. family history: non-contributory. physical exam: discharge day examination vs: 99.0 98.0 96 156/86 20 98ra gen: nad cv: rrr chest: ctab abd: s/nt/nd, well-healed abdominal incisions ext: wwp pertinent results: 04:30pm alt(sgpt)-72* ast(sgot)-53* alk phos-* tot bili-1.0 dir bili-0.6* indir bil-0.4 04:30pm ggt-624* 03:50pm glucose-95 urea n-20 creat-1.6* sodium-134 potassium-5.3* chloride-102 total co2-24 anion gap-13 03:50pm estgfr-using this 03:50pm calcium-8.8 phosphate-4.9* magnesium-1.6 03:50pm wbc-16.7*# rbc-3.59* hgb-10.4* hct-32.8* mcv-91 mch-28.9 mchc-31.6 rdw-15.7* 03:50pm neuts-86.5* lymphs-5.0* monos-1.0* eos-7.4* basos-0.1 03:50pm plt count-732* 03:50pm pt-14.4* ptt-26.1 inr(pt)-1.3* 12:56pm glucose-84 urea n-21* creat-1.3* sodium-138 potassium-4.5 chloride-104 total co2-26 anion gap-13 12:56pm alt(sgpt)-149* ast(sgot)-199* ld(ldh)-239 alk phos-3096* amylase-68 tot bili-1.0 12:56pm lipase-35 12:56pm wbc-7.9 rbc-3.05* hgb-9.1* hct-28.2* mcv-92 mch-29.7 mchc-32.1 rdw-15.8* 12:56pm neuts-64.0 lymphs-14.4* monos-3.9 eos-17.5* basos-0.2 12:56pm plt count-612* 12:56pm pt-14.1* ptt-27.8 inr(pt)-1.2* ct abdomen/pelvis : 1. mild intrahepatic biliary ductal dilation. please note , an early anastomotic narrowing at the hepaticojejunostomy cannot be excluded. 2. moderate bilateral pleural effusion and compressive atelectasis at the lung bases. 3. partial gastrectomy and whipple with distorted anatomy likely secondary to previously noted post-op complications. 4. increased soft tissue attenuation along the mesenteric root with mesenteric tethering and calcification, could represent scarring, however attention on followup ct is recommended. 5. multiple foci of contained extraluminal air, the largest abutting the anterior abdominal wall, likely trapped air along prior catheter sites. 6. hyperdense right renal cyst, could be hemorrhagic, unchanged. ir-guided placement of power picc : uncomplicated ultrasound and fluoroscopically guided dual lumen power picc line placement via the right basilic venous approach. final internal length is 41 cm, with the tip positioned in svc. the line is ready to use. ptc, ptbd, balloon cholangioplasty : 1. ptc demonstrating approximately 1-cm focal high-grade stricture of the distal duct just proximal to the hepaticojejunostomy. 2. uncomplicated balloon cholangioplasty of the diseased segments with satisfactory results. 3. uncomplicated placement of 8 french, 25-cm internal-external biliary drain. brief hospital course: admitted to surgical service for hydration and nutritional support. power picc line placed under ir guidance, tpn initiated. sbp 80s, cxr and blood cultures obtained, sbp improved with bolus. vanc / started. started flagyl. overnight, febrile to 102.5, tachycardic, initially hypertensive, tachypneic, hypoxic (chf)-> diuresed for resp distressed, then became hypotensive sbp 70s; transferred to sicu, transfused 2u prbc, resuscitated. ir for ptc showing 1cm high-grade stricture of distal duct just proximal to hepaticojejunostomy. balloon cholangioplasty of diseased segments. placed 8fr 25cm internal-external biliary drain. advanced diet to regular diet plus supplements. bile cultured. overnight, spiked fever 101.3 at mn, started fluc, ordered stool cx for c.diff, cxr, pan cx'd. transferred to floor. on tpn. still on vanc//flagyl/fluc. on megestrol. wbc 11.6->14.6. d/c'd megestrol, started dronabinol. foley removed at mn. overnight, noticed that skin became more flaky with continued abx use. wbc 14.6->15.0. dermatology consulted -> started lactic acid lotion. wbc 15->15. no new events. cxr done to assess interval change. bile cx growing vre, stopped vanc, started linezolid. ptc capped. afternoon tpn held for k 5.6, no ekg changes. tpn restarted with lower k+ content. discharged to rehab in stable condition: afebrile, vital signs stable, tolerating regular diet with tpn for nutritional support, ambulating without assistance. id recommends the following antibiotic course: 14 days total of linezolid and fluconazole. medications on admission: dilaudid prn omeprazole 20 mg po qd lopressor 25 mg po bid discharge medications: 1. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 2. ursodiol 300 mg capsule sig: two (2) capsule po bid (2 times a day). 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day): hold for sbp <100; hr <60. 4. marinol 5 mg capsule sig: one (1) capsule po twice a day. 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for wheeze. 6. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for sob,wheezing. 7. ammonium lactate 12 % liquid sig: one (1) liberal appl topical (2 times a day) as needed for desquamation. 8. hydroxyzine hcl 25 mg tablet sig: one (1) tablet po qid (4 times a day) as needed for itching. 9. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 10. pantoprazole 40 mg iv q24h 11. diphenhydramine 25 mg iv q6h:prn itching 12. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 13. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 14. ondansetron 4-8 mg iv q8h:prn nausea 15. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed): as directed per regular insulin sliding scale. 16. linezolid 600 mg tablet sig: one (1) tablet po q12h (every 12 hours). 17. fluconazole in saline(iso-osm) 400 mg/200 ml piggyback sig: one (1) intravenous q24h (every 24 hours). discharge disposition: extended care facility: - discharge diagnosis: primary: septic shock, cholangitis, dehydration. secondary: s/p whipple in with complicated post-operative course discharge condition: good 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. picc line: *please monitor the site regularly, and your md, nurse practitioner, or nurse if you notice redness, swelling, tenderness or pain, drainage or bleeding at the insertion site. * your md to the emergency room immediately if the picc line tubing becomes damaged or punctured, or if the line is pulled out partially or completely. do not use the picc line in these circumstances.please keep the dressing clean and dry. contact your nurse if the dressing comes undone or is significantly soiled for further instructions. followup instructions: please call ( to schedule a follow-up appointment with dr. in weeks. procedure: parenteral infusion of concentrated nutritional substances other percutaneous procedures on biliary tract dilation of intestine percutaneous hepatic cholangiogram diagnoses: unspecified pleural effusion unspecified septicemia severe sepsis personal history of tobacco use pulmonary collapse surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation septic shock other specified disorders of biliary tract rash and other nonspecific skin eruption dehydration cholangitis personal history of malignant neoplasm of other gastrointestinal tract acquired absence of organ, stomach 

Answer: The patient is high likely exposed to