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: patient recorded as having no known allergies to drugs attending: chief complaint: esophageal scc major surgical or invasive procedure: transitional esophagectomy, pyloroplasty, feeding jejunostomy, removal of gastric tube, wedge resection of stomach. history of present illness: 61m w/t3n0m0 mid esophageal scc s/p chemorads, s/p tri-incisional esophagectomy past medical history: pmh: pvc's, arthritis, gout, gerd, esophageal cancer s/p chemo cisplantin and 5fu and xrt finished psh: inguinal hernia repair social history: lives with and is cared for by daughter. quit smoking 30 yrs ago, stopped etoh in when dx w/ esophageal ca, no illicit drugs physical exam: on day of discharge afebrile, vital signs stable general: nad card: rrr pulm: clear to auscultation bilterally abd: soft, non tender, non distended, g tube in place wound sites - clean, dry, intact. pertinent results: 11:55pm type-art po2-112* pco2-41 ph-7.36 total co2-24 base xs--1 11:55pm glucose-93 k+-4.5 11:55pm o2 sat-97 11:55pm freeca-1.14 11:49pm glucose-100 urea n-6 creat-0.6 sodium-137 potassium-4.7 chloride-107 total co2-19* anion gap-16 11:49pm ck(cpk)-587* 11:49pm ck-mb-6 ctropnt-<0.01 11:49pm calcium-7.8* phosphate-4.6* magnesium-1.8 11:49pm wbc-6.5 rbc-3.14* hgb-10.0* hct-29.1* mcv-93 mch-31.8 mchc-34.3 rdw-16.7* 11:49pm plt count-170 11:49pm pt-16.0* ptt-36.3* inr(pt)-1.4* 08:47pm type-art po2-86 pco2-39 ph-7.34* total co2-22 base xs--4 08:47pm glucose-85 k+-3.4* 08:47pm o2 sat-96 06:45pm type-art po2-247* pco2-44 ph-7.30* total co2-23 base xs--4 06:45pm glucose-91 k+-3.7 06:45pm o2 sat-99 06:45pm freeca-1.07* 06:40pm glucose-101 urea n-7 creat-0.5 sodium-140 potassium-4.1 chloride-108 total co2-19* anion gap-17 06:40pm calcium-7.8* phosphate-4.5 magnesium-1.0* 06:40pm wbc-7.4 rbc-3.28* hgb-10.6* hct-30.8* mcv-94 mch-32.5* mchc-34.6 rdw-17.3* 06:40pm plt count-190# 06:40pm pt-16.8* ptt-35.9* inr(pt)-1.5* 05:07pm type-art po2-241* pco2-44 ph-7.30* total co2-23 base xs--4 05:07pm lactate-3.4* na+-136 k+-3.5 cl--108 05:07pm hgb-9.8* calchct-29 02:13pm tidal vol-579 po2-237* pco2-41 ph-7.38 total co2-25 base xs-0 -assist/con comments-or 7 02:13pm glucose-82 lactate-2.0 na+-137 k+-3.7 cl--105 02:13pm hgb-11.5* calchct-35 02:13pm freeca-1.15 10:36am type-art rates-/15 tidal vol-410 po2-199* pco2-36 ph-7.45 total co2-26 base xs-2 -assist/con intubated-intubated 10:36am glucose-91 lactate-2.1* na+-138 k+-3.9 cl--100 10:36am hgb-12.1* calchct-36 10:36am freeca-1.23 brief hospital course: the patient was admitted following the above surgery. he remained intubated and was transferred to the sicu following surgery for monitoring. he remained on ivf, epidural and foley in place, j tube to gravity, ngt in place, left neck bulb suction, ancef perioperatively. overnight the patient required multiple boluses. 2 units of prbc given, extubated peri-op ancef stopped. tube feeds at 30cc/hr diuresis started to goal of liters negative, ancef started for wound erythema chest tube discontinued, ng tube still in place, cont tube feeds and antibiotics; transfer to the floor for further monitoring patient complained of pain in right arm and forearm. rheumatology was consulted for past history of gout. they recommended toradol and solumedrol 40mg iv x 1. patient improved following the above medications. ng tube discontinued. physical therapy began to see the patient. tube feeding was advanced as tolerated towards a goal of 75 cc/hr. ng tube was removed. - epidural capped and flagged for removal. roxicet started for pain control. foley was removed. he was passing flatus. he recieved 4 mg of solumedrol for ongoing gout. - passed grape juice test (he swallowed grape juice without any leakage of blue fluid into his jp drain at his anastamosis). jp was removed. clear liquid diet was started. - recieved indomethacin instead of diclofinac, which did not work. was switched back to home dose od diclofinac and colchicine. - toradol was added again for gout. physical therapy got him out of bed and ambulating and recommended home with services. - the patient was discharged home. he will continue home tube feeds. he will continue on a full liquid diet. every other staple was removed- the rest will be removed in the office. he will continue a bowel regimine. he will continue keflex for 2 more days for wound erythema, which has resolved. medications on admission: : colchine 0.6', omperazole 40'', carafate, oxycontin, oxycodone discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed. disp:*300 ml(s)* refills:*0* 2. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 50 mg/5 ml liquid sig: five (5) ml po bid (2 times a day). disp:*1 month supply* refills:*2* 4. diclofenac sodium 25 mg tablet, delayed release (e.c.) sig: four (4) tablet, delayed release (e.c.) po bid (2 times a day). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 3 days. disp:*12 capsule(s)* refills:*0* 7. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day for 1 months. disp:*60 capsule, delayed release(e.c.)(s)* refills:*0* 8. dulcolax 5 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day as needed for constipation: please take if you feel bloated or constipated. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: esophageal cancer discharge condition: stable discharge instructions: call dr. office if you experience chest pain, shortness of breath, fever, chills, nausea, vomiting, diarrhea, or abd pain. call should you have difficulty swallowing. continue on a full liquid diet- no solid food. incision: call if wound develops discharge. remove steri-strips in 10 days or sooner if start to come off if your feeding tube sutures become loose or break, please tape tube securely and call the office . if your feeding tube falls out, save the tube, call the office immediately . the tube needs to be replaced in a timely manner because the tract will close within a few hours. do not put any medication down the tube unless they are in liquid form. flush your feeding tube with 50cc every 8 hours if not in use and before and after every feeding. take stool softners with narcotics. no driving while taking narcotics. you may shower. no bathing or swimming for 6 weeks followup instructions: follow-up with dr. on at 11am on the clinical center, . report to the radiology department for a barium swallow at 10am and a chest x-ray before your appointment with dr. . do not eat or drink after midnight the night before your appointment. follow-up with rheumatologist: call for an appointment will need to start allopurinol in future. follow-up with your pcp about your new medications, including lopressor procedure: other enterostomy enteral infusion of concentrated nutritional substances total esophagectomy other pyloroplasty local excision of other lesion or tissue of stomach diagnoses: esophageal reflux unspecified pleural effusion pulmonary collapse alkalosis malignant neoplasm of other specified part of esophagus 

Answer: The patient is high likely exposed to