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: ms. is a 74-year-old woman who presented on in the emergency department at an outside hospital and was transferred to the emergency department at hospital. she was previously well, but has a history of esophageal strictures that had previously been dilated. her gastroenterologist was a physician at the peripheral hospital. her last esophageal dilatation was approximately one year prior. the evening of , she was having dinner when a piece of chicken pot pie got caught in her throat. she felt like it was obstructed distally and attempted to cough to expel the food particle. eventually, she managed to cough the morsel of dinner out, but experienced excruciating pain at the same time. subsequently, she vomited several times and noted bright red blood in her vomitus. the pain subsided a little, and she noted that it radiated to her back and flank. subsequently, the pain remained constant, and she vomited a total of 8 times prior to presenting at the emergency department. she denied any chest pain or shortness of breath, diaphoresis, fever. she had no similar experience in the past. at the peripheral hospital, she had a work-up which ultimately showed a ct scan suggesting a ruptured esophagus. she was then transferred to the hospital for acute management. past medical history: 1. asthma. 2. gastroesophageal reflux disease. 3. esophageal strictures. past surgical history: esophageal dilatations. medications: 1. advair. 2. albuterol. allergies: no known drug allergies. social history: she denies smoking any tobacco, nor drinking any alcohol. she lives at home with her husband. exam: she appeared in moderate distress when seen in the emergency department. she remained afebrile with a temperature of 98.8??????f, pulse 82, respiratory rate 26, blood pressure 115/54, with an oxygen saturation of 96% on 2 liters of nasal cannula. her abdomen was nontender to palpation, with normal bowel sounds, and no peritoneal symptoms. she had clear lung fields throughout. she had a regular pulse with normal heart sounds. she had good peripheral circulation with warm extremities and good pulses. she was grossly neurologically intact. course in hospital: she was admitted and seen in the emergency department at the . her labs were within normal limits except for an elevated white count of 21. chest x-ray had shown a small right pleural effusion. a ct chest showed, again, the right small pleural effusion with contrast extravasation of air into the periesophageal tissues. she was urgently taken to the operating room for repair of the esophageal rupture. she was taken to the or for thoracotomy and exploration of the esophagus. she was primarily repaired in the or and received a g-tube, j-tube, and a jp, as well as a chest tube. postoperatively, she received an epidural for pain management. postoperatively, she did well and recovered slowly in the critical care unit. she was extubated postoperatively with no complications. on postop day #2, she was transferred to the floor for further management. she had a low-grade temperature of 100.3??????f, with remaining vital signs stable. that same day, she was started on tube feeds with the j-tube. initially, she had some nausea with the starting of the tube feeds, but tolerated it well eventually. her course in hospital remained uneventful. subsequently, her chest tube was removed without complications, as well as the ng tube. she started drinking clear fluids and tolerated that with no problems. the jp was left in place due to moderate drainage. she was seen by physiotherapy and was able to move to a chair. she is currently stable. her g-tube can be capped when the patient is able to ambulate. the jp is to remain in place until follow-up for removal. she will require further physiotherapy to help regain her strength until she is able to return to her baseline. tube feeds are currently at 80 cc/h. her g-tube is currently on a trial of clamping. it should continue to be clamped for 4 hours, and then opened to note the amount of drainage. she is currently stable for discharge to rehabilitation. discharge medications: 1. heparin sodium subcu 5,000/ml, 5,000 u q 8 h. 2. albuterol inhaler 1-2 puffs q 6 h prn. 3. albuterol-ipratropium 1-2 puffs q 6 h prn. 4. fluticasone-salmeterol discs inhalation . 5. percocet 5-325 mg po 1-2 tablets q 4-6 h prn. 6. famotidine 20 mg per j-tube . 7. lorazepam 1-2 mg subcu q 6 h. 8. insulin sliding scale. 9. metoprolol 50 mg po tid per j-tube. the patient is to follow-up with dr. in clinic on tuesday, . the patient has been advised to call dr. office to arrange follow-up appointment time at (. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified other enterostomy other esophagoscopy enteral infusion of concentrated nutritional substances other excision of pleura other gastrostomy other repair of esophagus excision or destruction of lesion or tissue of mediastinum diagnoses: esophageal reflux asthma, unspecified type, unspecified stricture and stenosis of esophagus perforation of esophagus interstitial emphysema unspecified chronic liver disease without mention of alcohol 

Answer: The patient is high likely exposed to