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 attending: chief complaint: upper respiratory tract obstruction (foreign body) cardio resp. arrest / ressucitation abdominal distension major surgical or invasive procedure: 1. esophagogastroduodenoscopy. 2. exploratory laparotomy. 3. debridement and closure of gastric perforation history of present illness: 78-year-old woman who was observed to choke on her food. multiple attempts at the heimlich maneuver were attempted. the patient then became apneic and went in cardiorespiratory arrest. closed chest cardiac massage and mouth to mouth assisted breathing were initiated. a piece of meat could be extracted by hand from her upper respiratory tract. ressucitation manoeuvers were succesful and patient was transferred to the ed at where she presented with a distended abdomen and abdominal pain. a chest x-ray showed a very large amount of free air under the diaphragm. there was no indication of mediastinal air at all. the patient was taken emergently to the or for explorative laparotomy. past medical history: hypertension, depression, hiatal hernia s/p appendectomy social history: oh: moderate consumption family history: noncontributory physical exam: vitals: 36.1, 65, 119/61, 24, 92% (ra) general: no apparent distress neck: supple lungs: clear to ascultation bilaterally heart: normal s1s2, regular rate and rhythum abdomen: soft, grossly distended, nonlocalized tenderness, no hernias, prior appendectomy incision on the right extremities: no clubbing, cyanosis or edema neurologic: alert and oriented x3, no focal deficits on discharge: alert, oriented, nad; slightly depressed mood; 99.3 63 116/84 18 97 2l cta bilat rrr, no abnormal sound or murmur soft, non tender, non distended wound: dry, clean, no drainage extremities normotherm, no cyanosis, no clubbing neuro: no focal deficit pertinent results: 06:02am blood wbc-12.2* rbc-2.68* hgb-8.8* hct-25.8* mcv-96 mch-32.6* mchc-34.0 rdw-13.8 plt ct-215 06:02am blood pt-14.5* ptt-34.4 inr(pt)-1.4 06:02am blood k-3.4 06:05am blood k-4.3 06:05am blood mg-1.8 brief hospital course: the patient was admitted on for an emergent esophagogastroduodenoscopy, exploratory laparotomy, and debridement and closure of gastric perforation. the operation went well with no complications. she was admitted to the surgical intensive care unit postoperatively as she was difficult to wean from extubation. she was sedated on a propofol drip. she was started on vancomycin, levofloxacin, flagyl, and diflucan for broad spectrum empiric coverage. her pain was well controlled with morphine. she was afebrile with stable vital signs and was extubated without incident on pod0. the cardiology team evaluated the patient for assymptomatic, hemodynamically stable bradycardia and agreed to start low dose metoprolol for blood pressure control in spite of the bradycardia. on pod1, vancomycin was discontinued. she was transferred to the floor. her nasogastric tube was putting out minimal drainage. on pod2, her central venous line was discontinued. she ambulated without issues. on pod3, her ng tube was removed. physical therapy was initiated for mobility and balance training. on pod4, she was started on sips of thick clears. home medications were resumed. her iv fluids were discontinued. on pod6, antibiotics were discontinued (total 7-day course). as the patient's history reveals three episodes of difficult swallowing in less than 2 weeks prior to the event, a bed-side swallow evaluation was ordered and demonstrated oral/pharyngeal/esophageal dysphagia. her diet was advanced to thin liquids w/ ground solids. on pod7, a brain mri was normal, excluding prior cvas. a video swallow showed slight tongue weakness and esophageal motility dysfunction with abnormal emptying and tertiary contractions. the gi consultant/dr recommended to continue the protonix treatment and potentially perform an egd once the surgical wound has healed. patient's diet was changed to regular w/ soft consistency and thin liquids. patient is discharged on pod8 to a rehabilitation center for mobilization/physical therapy in good condition, afebrile. she will be follwe up by dr on and further gi follow up will be organized then. medications on admission: lisinopril 20', norvasc 10', lexapro 40', trazodone discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours). 2. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 3. insulin regular human 100 unit/ml solution sig: per sliding scale injection asdir (as directed). 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 5. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 6. escitalopram 10 mg tablet sig: two (2) tablet po daily (daily). 7. trazodone 50 mg tablet sig: 1.5 tablets po hs (at bedtime) as needed. 8. clonazepam 1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed. 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 10. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 12. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. 13. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 14. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 15. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: - discharge diagnosis: gastric perforation s/p foreign body obstruction of the upper resp. tract, cardiorespiratory arrest, heimlich and ressucitation manoeuvers discharge condition: good discharge instructions: please consult the emergency room in case of fevers (>101.4), nausea, vomiting, abdominal pain, or redness, swelling or draiange at wound site. take pain medication as needed for pain. do not drive while taking narcotic medication! followup instructions: you have a follow up appointment with dr. on monday at 10.00 am. his office is located in building, floor 3 (). dr. office will then organize your gi follow up with dr . please also schedule an appointment with your pcp 2 weeks of your discharge from the hospital. md, procedure: other endoscopy of small intestine suture of laceration of stomach diagnoses: unspecified essential hypertension cardiac complications, not elsewhere classified accidental puncture or laceration during a procedure, not elsewhere classified other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus foreign body accidentally entering other orifice foreign body in respiratory tree, unspecified injury to stomach, without mention of open wound into cavity 

Answer: The patient is high likely exposed to