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: altered mental status major surgical or invasive procedure: none history of present illness: 71 year-old m with esophageal ca s/p recent lap esophagectomy who presents with altered ms, intubated in ed for mri to r/o spinal cord process. history is obtained per chart, as patient's wife is not reachable by telephone. she had reported mental status changes and confusion starting yesterday. he also had worsened abdominal pain. she denied any fever, chills, diarrhea, or vomiting. . of note, he had his j-tube changed in dr. office 2 weeks prior due to obstruction. . in the ed surgery was consulted to rule out surgical issues. a foley was placed with 1 l of urine, with good relief of abdominal pain. he received morphine 2mg iv x 2 and ativan 2 mg iv. he also received levoflox 500 mg and flagyl 500 mg for concern for gi pathology. out of concern for spinal abscess or cord compression, he underwent intubation with propofol and fentanyl. post-intubation he became bradycardic to 24 but spontaneously resolved before atropine could be given. he also vomited peri-intubation. he received 5l ns in total in the ed. .. on exam he denies abdominal or back pain. past medical history: past medical history: esophageal ca gerd/ barrett's esophagus asthma left knee arthritis past surgical history: tonsillectomy submandibular gland excision social history: married, works as a dentist; seven drinks per week, non-smoker family history: father and 2 half sisters with cad physical exam: vitals: t: 99.0 bp: 118/62 p: 79 rr: 14 sao2: 99% on ac: 500/12/0.60/5 general: opens eyes to voice, intubated, bites at ett. heent: nc/at, perrl, eomi, sclera anicteric. neck: supple, no jvd, no cervical or supraclavicular lad. pulm: decr breath sounds to left base, otherwise clear anteriorly. cardiac: rrr, nl s1/s2, no m/r/g appreciated abdomen: soft, nt/nd, faint bs, no masses or hepatomegaly noted. j-tube site erythematous, but without frank discharge, fluctuance. well-healed laparoscopy scars. rectal: deferred ext: no edema b/t, 2+ dp pulses b/l. skin: xerosis, j-tube site as above. neurologic: -mental status: intubated and sedated, but opens eyes to voice and follows simple commands. in soft restraints -cranial nerves: ii-x grossly intact -dtrs: babinskis bilaterally. pertinent results: 06:52pm ck(cpk)-100 06:52pm ck-mb-notdone ctropnt-<0.01 06:52pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 01:00pm urine hours-random 01:00pm urine hours-random 01:00pm urine uhold-hold 01:00pm urine gr hold-hold 01:00pm urine color-straw appear-clear sp -1.027 01:00pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-8.0 leuk-neg 09:54am glucose-100 lactate-1.8 na+-128* k+-3.9 cl--94* tco2-25 09:54am hgb-13.5* calchct-41 09:40am glucose-108* urea n-14 creat-0.6 sodium-128* potassium-4.4 chloride-91* total co2-29 anion gap-12 09:40am estgfr-using this 09:40am alt(sgpt)-20 ast(sgot)-22 ck(cpk)-90 alk phos-148* amylase-46 tot bili-0.5 09:40am lipase-69* 09:40am ck-mb-notdone ctropnt-<0.01 09:40am tot prot-6.7 calcium-9.4 phosphate-3.3 magnesium-2.1 09:40am wbc-7.5 rbc-4.24* hgb-12.6* hct-36.7* mcv-87 mch-29.7 mchc-34.2 rdw-13.8 09:40am neuts-75.9* lymphs-12.7* monos-6.8 eos-4.5* basos-0.2 09:40am plt count-469* 09:40am pt-12.1 ptt-38.0* inr(pt)-1.0 brief hospital course: assessment and plan: 71 year-old m s/p recent lap esophagectomy who presents with altered ms, intubated in ed for mri to r/o spinal cord process. . * altered ms: in the emergency room, a foley catheter was placed upon arrival which found 1000cc urine. due to urinary retention and the patient's delirium and inability to follow commands, there was concern for cauda equina vs. epidural abscess/mass. the patient was intubated in the ed and transferred for an emergent lumbar and sacral mri. there were no abnormalities found. the patient was transferred to the icu intubated for further management. a head ct and ua were normal. mild hyponatremia was noted. a serum tox screen was negative. the patient was afebrile with nl white count. ambien and celexa were held. a surgery consult was obtained which determined that the patient's jtube site was not infected. the patient was extubated and transferred to the medicine service on hospital day 2. he was alert and oriented x 2, however he was noted to have slow verbal response times but was overall alert and able to carry on shortened conversation. . upon transfer to the floor, the patient was noted to be delirious. he was speaking spanish and no longer speaking english (english is primary language and has never spoken spanish before according to his wife). a psychiatry and neurology consult was obtained to which both thought that the etiology of this language shift was likely acute delirium. the patient had a 1:1 sitter. blood cultures from admission returned negative. a head mri was obtained which was negative for masses or acute event. . the patient's delirium improved over time. neurology felt that there was no acute neurological issue that could cause this language shift. psychiatry believed that this language shift was likely due to resolving delirium on top of longer-standing depression and a new conversion disorder. remeron was started. . psychiatry continued to follow the patient closely; he improved spontaneously and with the addition of remeron. the patient was discharged to home with an outpatient partial psych hospitalization program set up. . * hyponatremia: the patient was rehydrated in the ed with 5l ns and the na did not improve. tsh, cortisol were normal. serum osms were noted to be low indicating that there was excessive adh secretion. fluid restriction to 1500cc per day corrected the patient's hyponatremia. a nutrition consult was obtained and the patient's tube feeds were changed to nutren 2.0 for a more concentrated formula with no free water. he was discharged on this nutren 2.0 formula. his sodium remained normal x 3 days at the end of his hospitalization. . * esophageal ca s/p esophagectomy the patient was continued on his jtube feeds as above and his outpatient regimen of isoprostol and carafate and prevacid and lansoprazole. the patient tolerated small amounts of regular food. . * urinary retention: the patient failed two voiding trials; his flomax was increased to 0.8 and on the third voiding trial, he was able to void spontaneously with this new increase in medication. the patient did not receive any narcotics or any anti-cholinergics. . *prophylaxis: ppi, sc heparin, bowel regimen medications on admission: misoprostol 100 mcg 4 x daily flomax 0.4 mg daily carafate 1 gram 4 x daily zantac syrup 150 mg prevacid 30 mg senna colace flovent 110 mcg 2 puffs albuterol p.r.n. celexa 40 mg daily ambien cr 6.25 mg qhs discharge medications: 1. acetaminophen 325 mg tablet : 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 2. albuterol 90 mcg/actuation aerosol : 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*1 inhaler* refills:*0* 3. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). disp:*30 * refills:*2* 4. fluticasone 110 mcg/actuation aerosol : two (2) puff inhalation (2 times a day). disp:*1 inhaler* refills:*2* 5. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). disp:*60 tablet,rapid dissolve, dr(s)* refills:*2* 6. mirtazapine 7.5 mg tablet : one (1) tablet po daily at evening. disp:*30 tablet(s)* refills:*1* 7. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed. disp:*30 tablet(s)* refills:*0* 8. sucralfate 1 g tablet : one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 9. tamsulosin 0.4 mg capsule, sust. release 24 hr : two (2) capsule, sust. release 24 hr po hs (at bedtime). disp:*60 capsule, sust. release 24 hr(s)* refills:*2* 10. zolpidem 5 mg tablet : one (1) tablet po hs (at bedtime) as needed. disp:*40 tablet(s)* refills:*0* 11. misoprostol 100 mcg tablet : one (1) tablet po qidpchs (4 times a day (after meals and at bedtime)). disp:*40 tablet(s)* refills:*2* 12. nutren 2.0 liquid : 4.5 cans po once a day: as prescribed. nutren 2.0 or caloric equivalent in j tube. disp:*qs cans* refills:*3* discharge disposition: home discharge diagnosis: primary: delirium urinary retention possible conversion disorder / psychogenic amnesia . secondary diagnoses: t2n0 esophageal cancer; no evidence of metastasis on head mri asthma benign prostatic hyperplasia depression discharge condition: stable; delirium resolved. afebrile. discharge instructions: you presented to the hospital because of confusion. you were found to have a low sodium level. your sodium level was corrected with a new tube feeding formula. you had images of your brain which did not find anything concerning. you had some urinary retention which resolved. . 2pm tomorrow : , floor 6 , licensed social worker . continue with the current tube feedings (will be delivered tomorrow by ). -2.0 calorie formula 4.5 cans per day. 45cc/hour for 24 hours/day 60cc/hour for 18 hours/day 90cc/hour for 12 hours/day do not increase beyond 90cc/hour on your pump. if you feel distention, diarrhea, abdominal pain, decrease the infusion rate on your pump. you may continue to eat your regular diet as tolerated. . please call your doctor if: confusion, delirium, fever, chest pain, shortness of breath, urinary retention or other worrisome signs. . please keep jtube site covered with gauze. you may change the gauze every 2 days. please apply bacitricin ointment with the dressing changes. call physician if increased redness or pus seen at jtube site. . please continue your medications as prescribed. please continue remeron at 7.5 mg every night. your flomax dose has increased to 0.8 mg. we have discontinued your celexa. medications: 1. lansoprazole oral disintegrating tab 30 mg by mouth twice a day 3. acetaminophen 325-650 mg up to 4g daily 13. misoprostol 100 mcg by mouth with meals 4. albuterol puff every 6 hours as needed mirtazapine 7.5 mg every night 5. bacitracin ointment 1 application with dressing changes senna 1 tab by mouth twice a day if needed for bowels docusate sodium 100 mg twice daily please administer by jtube fluticasone propionate 110mcg 2 puff inhaler twice a day sucralfate 1 gm po qid flomax: tamsulosin hcl 0.8 mg po hs ambien: zolpidem tartrate 5 mg by mouth every night followup instructions: -please keep your appointment as described above with with mr. . -please call dr. for follow-up appointment. . call dr. office on thursday: to discuss j-tube removal. will have to maintain weight for period of time without jtube feedings for 1 week-10 days. . provider: injections phone: date/time: 8:55 provider: , md phone: date/time: 9:00 provider: , md phone: date/time: 7:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances insertion of indwelling urinary catheter diagnoses: anemia, unspecified unspecified pleural effusion hyposmolality and/or hyponatremia asthma, unspecified type, unspecified depressive disorder, not elsewhere classified hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) retention of urine, unspecified antidepressants causing adverse effects in therapeutic use delirium due to conditions classified elsewhere osteoarthrosis, unspecified whether generalized or localized, lower leg conversion disorder personal history of malignant neoplasm of esophagus status of other artificial opening of gastrointestinal tract dissociative amnesia 

Answer: The patient is high likely exposed to