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 64-year-old man admitted to the hospital on with gallstone pancreatitis. he underwent unsuccessful endoscopic retrograde cholangiopancreatiography there, and was briefly transferred to the on for repeat ercp. successful sphincterotomy and stone extraction was performed. he returned to the hospital where his course was marked by the development of pancreatitis, hypoxic respiratory failure, hypotension, and progressive abdominal distention. he was intubated, received aggressive fluid resuscitation, and was started on broad-spectrum antibiotics, as well as total parenteral nutrition. he had interval imaging of the abdomen, as summarized below, which showed necrotizing pancreatitis, and he was transferred to the for further management. allergies: none known. medications on transfer: 1. imipenem 500 mg intravenously q 6 h. 2. levothyroxine 0.0625 mg q 24 h intravenously. 3. pantoprazole 40 mg intravenously q 12 h. 4. regular insulin infusion u/h continuously. 5. lorazepam 0.5-2 mg q h prn. 6. morphine sulfate prn. past medical history: 1. gallstone pancreatis, as described above. 2. type 2 diabetes mellitus, unknown complications. 3. hypothyroidism, on stable replacement. 4. osteoarthritis and leg cramps treated with quinine and a -ii inhibitor. 5. cerebrovascular accident in with right hand numbness. 6. hypertension, on an ace inhibitor as an outpatient. family history: noncontributory. social history: as reported on transfer, the patient smokes cigars per day. he does not drink alcohol or use drugs. physical examination: temperature 99.5, heart rate 120, blood pressure 161/73. he was intubated. the ventilator was set to volume supported assist control with fractional inspired oxygen of 0.7, tidal volume 700 cu cm, respiratory rate 14, spo2 97%. generally: he was ill-appearing. heent: normocephalic, atraumatic, anicteric, normal conjunctivae. pupils equal, round and reactive to light from 2.5 mm to 1.0 mm. neck: jugulovenous distention was 4 cm. there was no carotid bruit. there was no thyromegaly. a nasogastric tube and an endotracheal tube were in place. nodes: there was no anterior cervical, posterior cervical, supra or infraclavicular, axillary or inguinal adenopathy. heart: the pmi was in the fifth rib space in midclavicular line. it was tachycardia. there was a normal s1 and s2. there was no s3, s4, murmurs, rubs or gallops. lungs: rhonchi bilaterally extending from the bases anteriorly approximately halfway up both fields. abdomen: distended, decreased bowel sounds, tympanitic with percussion splash, but no shifting dullness. he was too heavily sedated to assess for tenderness. there was reducible umbilical hernia. scrotal edema was also appreciated. back: not assessed initially; however, there were no skin lesions appreciated throughout his hospital course. vascular: the carotid and femoral pulses were brisk and equal. extremities: there was no rash, clubbing, or cyanosis. there was +2 edema in the lower extremities from the toes to the midcalves, and from the fingertips to the midforearms. neurologic - mental status: sedated, intubated. cranial nerves: i not tested formally; ii, iii, iv, vi normal, as above. the corneal reflex was present. v and vii symmetric with intact sensation. viii not tested formally. ix, x, xii - gag to manipulation of the ett. not tested. motor: normal bulk and tone. upper extremities and lower extremities: he was paralyzed for transport, but he was able to move all four extremities spontaneously following transfer, as well as prior to transfer. sensory: not assessed. coordination: not assessed. deep tendon reflexes: not assessed. laboratory evaluation am of transfer: white blood cell count 8.3, hemoglobin 9.7, hematocrit 28.8, platelets 143. chemistry - sodium 143, potassium 4.4, chloride 116, bicarbonate 16, blood urea nitrogen 20, creatinine 1.4, glucose 263, calcium 9.1, albumin 3.4, alt 71, ast 125, alkaline phosphatase 91, total bilirubin 4.6, thyroid bilirubin 3.7, inr 1.2. arterial blood gas - ph 7.37, pco2 35, po2 114, sao2 97% on volume supported assist control with an fio2 of 0.5, tidal volume 700, rate 14. lipase last recorded on was 320, amylase 100--last recorded on . ecg taken on : sinus at 64, pr interval less than 0.2, qt 0.4, axis +30, with normal r wave progression, right bundle branch block that was stable from a previous tracing of by report. there was no evidence of ischemia, injury or infarction. chest x-ray from : hazy bibasilar densities, left greater than right, both with pleural effusions. abdominal ultrasound on : showed multiple gallstones without evidence of ductal dilation. splenomegaly (16.5 cm diameter) was also appreciated. computed tomographic angiogram of chest: did not reveal proximal emboli. abdominal ct from : showed bibasilar pulmonary densities, likely reflecting scarring or atelectasis. there was cholelithiasis without evidence of cholecystitis. splenomegaly was also noted. the pancreatic margins were indistinct. interval ct of the abdomen on : showed evidence of greater than 50% necrosis of the pancreas. there was no abscess or free air identified. please see the lmr for the findings of his ercp. hospital course by problems - 1) pancreatitis: the patient's imipenem was continued. in addition, he received a 10-day course of fluconazole. aggressive volume resuscitation was required, and at its peak the patient was 35 kg positive (he went from 101 at baseline to 137.). for the first 4 days, adequate urine output, oxygenation and ventilation were maintained. however, he had persistent fevers and several episodes of hypotension, culminating in oliguria and ultimately anuria. he had a ct-guided fine needle aspiration of the peripancreatic fluid collection which was acellular and sterile. total parenteral nutrition was started, and liberal calcium, magnesium and potassium repletion was required. 2) renal failure: as described above, the patient became oliguric. he was started on continuous venovenous hemofiltration, largely to remove the third space fluid that had accumulated in his resuscitation, but also to provide some clearance of metabolites. his cvvhf was complicated by repeated clotting of the filter, as well as episodes of hypotension following large volume removal. on hospital day #13, cvvhf was discontinued. coincident with this termination, the patient became progressively more febrile, although his cultures, as described above, remained sterile. he was also hypotensive, hypoxic and slightly hypercarbic. 3) type 2 diabetes: the patient's glycemia was controlled adequately with continuous insulin infusion with the dose depending on the presence or absence of total parenteral nutrition administration. 4) hypothyroidism: the patient received half of his usual oral dose parenterally. an interval tsh level was normal. after two weeks, the patient did not show improvement, and his daughter, , was contact regarding the goals of his care. she stated that the patient has a living will and expressly does not want aggressive measures pursued if they mean that his quality of life will be compromised. she specifically stated that he does not want a gastrostomy or tracheostomy. after discussion with the surgical service regarding the very high morbidity and mortality of possible debridement of his necrotic pancreas, she stated that it was her family's wish to withdraw care. comfort measures were then pursued. discharge diagnoses: 1. gallstone pancreatitis. 2. type 2 diabetes mellitus, unknown complications. 3. hypothyroidism, on stable replacement. 4. osteoarthritis and leg cramps treated with quinine and a -ii inhibitor. 5. cerebrovascular accident in with right hand numbness. 6. hypertension, on an ace inhibitor as an outpatient. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage transfusion of packed cells diagnoses: acute kidney failure with lesion of tubular necrosis unspecified septicemia iron deficiency anemia secondary to blood loss (chronic) severe sepsis cardiac arrest paralytic ileus acute pancreatitis chronic respiratory failure 

Answer: The patient is high likely exposed to