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: no known allergies / adverse drug reactions attending: chief complaint: gastric outlet obstruction. major surgical or invasive procedure: 1. esophagogastroduodenoscopy and injection of pylorus with 200 units of botox. 2. bronchoscopy and bronchoalveolar lavage. history of present illness: this is a 53 year old lady well know to the thoracic surgery service. she underwent a minimally invasive esophagectomy on . her hospital course was complicated by enterobacter aspiration pneumonia for which she required intubation. she was discharged home on in good condition on po augmentin (now day ). yesterday the patient noticed that the j-tube was clogged and this morning went to the ed where they were not able to unclog it. the patient also felt progressively short of breath and she initially attributed it to anxiety. she reports cough productive of clear sputum and pleuritic chest pain upon coughing and reports a fever earlier at home. her sob failed to improve during the course of the morning and mrs herself contact dr. who then advised her to come to the ed for further evaluation and treatment. physical exam: vs: t: 98.0 hr:: 92 sr bp: 134/78 sats: 94% ra general: 53 year-old female who appears well heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr resp: clear breath sounds gi: bowel sounds positive, abdomen soft, j-tube site clean extr: warm no edema neuro: awake, alert oriented pertinent results: 09:00am blood wbc-8.3 rbc-2.95* hgb-9.3* hct-28.3* mcv-96 mch-31.5 mchc-32.8 rdw-16.2* plt ct-865* 06:10am blood wbc-16.6* rbc-2.86* hgb-9.2* hct-27.6* mcv-96 mch-31.9 mchc-33.2 rdw-16.3* plt ct-888* 01:15pm blood wbc-15.9* rbc-3.27* hgb-10.4* hct-30.9* mcv-94 mch-31.9 mchc-33.7 rdw-16.4* plt ct-969* 01:15pm blood glucose-108* urean-13 creat-0.6 na-133 k-6.3* cl-93* hco3-28 angap-18 bronchoalveolar lavage right lobe bal. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. respiratory culture (final ): commensal respiratory flora absent. enterobacter aerogenes. 10,000-100,000 organisms/ml.. gram negative rod #2. ~1000/ml. acid fast smear (final ): no acid fast bacilli seen on concentrated smear. acid fast culture (preliminary): fungal culture (preliminary): yeast. :sputm mucous plug endotracheal. gram stain (final ): <10 pmns and <10 epithelial cells/100x field. no microorganisms seen. respiratory culture (preliminary): commensal respiratory flora absent. enterobacter aerogenes. sparse growth. gram negative rod #2. rare growth. enterobacter aerogenes | cefepime-------------- <=1 s ceftazidime----------- 16 i ceftriaxone----------- 16 i ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s brief hospital course: mrs was transferred to ed from on for gastric outlet obstruction and respiratory distress requiring non-rebreathe and febrile to 101. she was transferred to the tsicu. aggressive pulmonary toilet, nebs, iv antibiotics vanco and zosyn were started. an ngt was placed. she improved and was transfer to the floor on with an ngt, j-tubes. events: she was taken to the operating for esophagogastroduodenoscopy and injection of pylorus with 200 units of botox. bronchoscopy and bronchoalveolar lavage with large amount of secretions removed. she was monitored in the pacu and transfer to the floor in stable condition. pulmonary: left thoracentesis for 800 ml by interventional pulmonology. with aggressive pulmonary toilet, nebs, incentive spirometer her oxygenation improved to with saturations of 94% ra. gi: ppi & bowel regime. the ngt was clamped following pylorus botox injection for 24 hrs, she remained asymptomatic, cxr no esophageal dilatation seen therefore was removed. nutrition: seen by nutrition. tube-feeds were continued jevity full strength 90 ml x 18 hrs. sips were started then advanced to clears on . chest-films: followed by serial films for esophageal dilation id: vano and zosyn were continued. once bal cultures grew enterobacter and sensitive to cipro she was converted to a 10 day course. renal: normal renal function. endocrine: insulin sliding scale to maintain bs < 150. disposition: continued to tolerate a clear liquid diet. ambulated in the halls independently. she was discharged to home with vna on medications on admission: 1. oxycodone 5 mg/5 ml solution sig: teaspons po q8h as needed for pain. 2. amoxicillin-pot clavulanate 400-57 mg/5 ml suspension for reconstitution sig: two (2) teaspoons po twice a day for 7 days. 3. lorazepam 0.5 mg tablet sig: one (1) tablet po every twelve (12) hours as needed for anxiety. 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 6. home oxygen 2-3 liters via nasal cannula, continuous discharge disposition: home with service facility: vna discharge diagnosis: gastric outlet obstruction discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. office if you experience: -fevers > 101 or chills -difficult or painful swallowing. -chest or back discomfort. -early fullness feeling feeding tube: -flush with warm water before, after and mid-day to prevent clogging -keep head of the bed elevated at all times activity -shower daily -walk frequently followup instructions: provider: , md phone: date/time: 10:00 on the clinical center, chest x-ray radiology 30 mintues before your appointment procedure: enteral infusion of concentrated nutritional substances thoracentesis injection or infusion of other therapeutic or prophylactic substance closed [endoscopic] biopsy of bronchus endoscopic excision or destruction of lesion or tissue of stomach diagnoses: unspecified pleural effusion pneumonitis due to inhalation of food or vomitus attention to gastrostomy personal history of malignant neoplasm of esophagus acquired hypertrophic pyloric stenosis attention to other artificial opening of digestive tract 

Answer: The patient is high likely exposed to