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 perf diagnosed at osh after vomiting major surgical or invasive procedure: left thoracotomy, repair of esophageal perforation, reduction of gastric volvulus and hiatal hernia, intercostal muscle flap buttress, tube gastrostomy, and egd - laparotomy with feeding jejunostomy tube placement history of present illness: 87f c/o lower abdominal pain this afternoon. she then vomited x 1.5 hours, described as coffee ground emesis, after which she was brought to . crepitus was found on palpation of her neck; an xr demonstrated free air in the soft tissues. a ct scan of the head through the pelvis was performed, demonstrating a lower esophageal perforation. she was intubated at . she became transiently hypotensive, requiring pressors, but was weaned off prior to transfer. past medical history: osteoarthritis, s/p fall with r hip fracture s/p r thr, large paraesophageal hernia, macular degeneration psh: hysterectomy ~30 years ago social history: retired, but actively volunteered until ~6 months ago (when she fell). lives with caretaker. daughter is hcp. family history: non contributory physical exam: general: frail, in nad, answers questions approp. heent: unremarkable chest: clear. 2 left chest tubes to pneumostat. draing serosang draiange in small amts. cor: rrr s1, s2 abd: soft, rouns, nt, nd. g-tube to gravity, j-tube feeding extrem: no c/c/e neuro: alert answers questions approp. no deficits pertinent results: chest/abd ct impression: 1. no evidence of obstruction, free air, or extravasation of orally administered contrast. 2. persistent moderate right greater than left pleural effusions with associated atelectasis. 3. 2mm right middle lobe pulmonary nodule. in the absence of significant risk factors (ie history of malignancy or smoking history) no follow up is required. if these risk factors are present consider follow-up in on year. head ct ct head without contrast: there is no intracranial hemorrhage, shift of normally midline structures, or evidence of acute major vascular territorial infarct. a 6 mm left basal ganglia hypodensity may represent a chronic lacunar infarct versus a prominent virchow- space. atherosclerotic calcification of the cavernous carotids is noted bilaterally. imaged portions of the paranasal sinuses and mastoid air cells are well aerated. impression: no intracranial hemorrhage or edema. if there is continued clinical concern for acute infarct, recommend mri with diffusion-weighted imaging. cxr findings: in comparison to the previous examination of , , the two left-sided chest tubes are in unchanged position. the overall extent of the left-sided and right-sided pleural effusion has not substantially changed. the extent of retrocardiac atelectasis however has slightly increased. the size of the cardiac silhouette is unchanged. no newly appeared pulmonary opacities. impression: unchanged position of left-sided chest tubes. no pneumothorax. no overall change in the extent of bilateral pleural effusions, slight progression of retrocardiac atelectasis. brief hospital course: pt was admitted to the icu intubated w/ ngt for decompression on ivab- vanco, zosyn, flu. taken to the or for left thoracotomy for primary repair the distal esophagus w/ intercostal flap and washout. 3 chest tubes and drain were placed in the left chest for drainage. post op pt was admitted to the icu, sedated, intubated, on neo for bp support. remained on broad spectrum abx. pleural fluid postive for gnr and albicans. lasix drip started on pod#2. extubated on pod#3. noted to have right effusion on cxr-thoracentesis done for 1 liter. post op anemia w/ hct 24- trasnfused prbc. pod#5 tpn begun for nutritional suppport while awaiting j-tube placement. pod#6 transferred from the icu. evaluated by pt for rehab screening and ongoing treatment. pod#9 to or for open j-tube. pod#10 right picc placed () w/ tip at cavoatrial junction for ongoing antibiotics. tpn weaned and tf started. pod#11 lethargic, difficult to arouse. head ct done neg, neuro consult done- ms thought to be metabolic in nature. also had just been started on reglan -rec'd one dose prior to mental status changes- reglan d.c'd. hct ~24 transfused. ms improved later that same day. pod#12 abd distended and c/o diffuse belly pain. kub - stool through out. clean out initiated. tube feeds held- placed on ivf. anterior chest tube and drain d/c'd. pod#13 bowel clean out aggressive but minimally successful. repaet kub now consistent w/ olgivies. gen consulted- rectal tube placed for decompression w/ good results of both air and stool. tube feeds resumed and ivf d/c'd. pod# 15 remaining tubes placed to pneumostat. transfused for ongoing post op anemia. rectal rube removed on pod# 16. pt discharged to rehab facility on pod#17 after chest tube were backed out 2cm and resutured. medications on admission: protonix, motrin, calcium discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 3. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) inhalation q6h (every 6 hours). 4. acetaminophen 650 mg suppository sig: one (1) suppository rectal q6h (every 6 hours). 5. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day): via j-tube. 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q12h (every 12 hours) as needed: via j-tube. 7. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day): continue until oral thrush resolved. spit - do not swallow. 8. senna 8.8 mg/5 ml syrup sig: five (5) ml po bid (2 times a day): via j-tube. 9. pantoprazole 40 mg recon soln sig: forty (40) mg intravenous q12h (every 12 hours). 10. vancomycin in dextrose 1 gram/200 ml piggyback sig: 1000 (1000) mg intravenous q 24h (every 24 hours) for 4 weeks. 11. fluconazole in saline(iso-osm) 200 mg/100 ml piggyback sig: two hundred (200) mg intravenous q24h (every 24 hours) for 4 weeks. 12. furosemide 10 mg/ml solution sig: twenty (20) mg injection (2 times a day). 13. piperacillin-tazobactam 2.25 gram recon soln sig: 2.5 gms intravenous q8h (every 8 hours) for 4 weeks. 14. regular insulin regular insulin per sliding scale 15. electrolyte electrolyte repletion prn. please check lytes weekly 16. lopressor 50 mg tablet sig: tablet po three times a day: via j-tube . discharge disposition: extended care facility: & rehab center - discharge diagnosis: esophageal perforation w/primary repair paraesophageal hernia, oa s/p r hip surgery discharge condition: deconditioned discharge instructions: call dr. office if you develop chest pain, shortness of breath, fever, chills, abd pain or any other symptoms that concern you. keep gastric tube to gravity and jejunal tube for feeds and meds. 2 left chest tubes to pneumostat- empty drainage daily and keep record of drainage. see attached info booklet. keep hob>30 degress strict npo followup instructions: you have a follow up appointment with dr. on at 10:30am on the building one in the chest disease center. please arrive 45 minutes prior to your appointment and report to the radiology for a chest xray.provider: , md phone: date/time: 10:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other enterostomy other endoscopy of small intestine enteral infusion of concentrated nutritional substances thoracentesis graft of muscle or fascia transfusion of packed cells other gastrostomy diagnostic ultrasound of other sites of thorax other repair of esophagus local excision of other lesion or tissue of stomach repair of diaphragmatic hernia with thoracic approach, not otherwise specified repair of diaphragmatic hernia with thoracic approach, not otherwise specified intraoperative manipulation of stomach diagnoses: anemia, unspecified unspecified pleural effusion other specified intestinal obstruction constipation, unspecified acute respiratory failure macular degeneration (senile), unspecified metabolic encephalopathy other specified disorders of stomach and duodenum hip joint replacement perforation of esophagus other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms diaphragmatic hernia with obstruction interstitial emphysema candidiasis of unspecified site 

Answer: The patient is high likely exposed to