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 cancer/barrett's esophagus major surgical or invasive procedure: transhiatal esophagectomy with feeding jejunostomy. history of present illness: mrs. is a 72-year-old woman, with scleroderma and an immobile esophagus, who has been followed for barrett's changes in the distal esophagus. recently, she was noted to have high-grade dysplasia. she underwent an attempt at ablative therapy; however, this was unsuccessful with repeat biopsy continuing to show high-grade dysplasia. she was referred for transhiatal esophagectomy. past medical history: crest syndrome (gerd/barrett's esophagitis/raynauds/scleroderma) dilated esophageal stricture right rotator cuff repair left shoulder replacement hysterectomy social history: lives with spouse, retired. physical exam: general: 72 year-old thin well groomed female in no added distress heent: unremarkable resp: clear to auscultation bilaterally cardiac: regular rate & rhythm, normal s1, s2 no murmur/gallop or rub gi: bowel sounds present, abdomen soft, non-tender/non-distended extremities: warm, dry no edema neuro: awake, alert & oriented pertinent results: : ugi impression: 1. status post total esophagectomy. findings are concerning for fistula from the anastomosis to the trachea with barium noted in the left mainstem brochus. 2. small amount of laryngeal penetration was noted in the barium swallow study. no frank aspiration was identified. the barium in the left mainstem bronchus is thus unlikely due to aspiration. 3. partial small bowel obstruction with transition point in the proximal jejunum. brief hospital course: mrs. is a 73 year-old female with barrett's with dysplasia who was taken to the operating room on for a transhiatal esophagectomy, pyloroplasty and feeding jejunostomy. she was admitted to the surgical intensive care unit, intubated, sedated, jp in place and hemodynamically stable. during the night she was transfused with 2 units of packed red blood cells for a hct of 24 and post infusion hct 31. pain service was consulted and her pain was well controlled on an epidural and prn pain medication. on post-operative day 1 she was extubed and started on a beta-blocker for a brief episode of atrial fibrillation. on post-operative day 2 tube feeds were started via j-tube and advanced as tolerated. physical therapy was consulted and the patient continued to make steady progress. post-operative x-rays showed left lower lobe collapse; the patient remained stable on 3 l of oxygen by nasal canula, with frequent chest pt and incentive spirometry. on post-operative day 3, the patient was transferred to the floors; she also underwent ultrasound guided thoracentesis, with 700 cc of bloody fluid removed from the left pleural space.another thoracentesis was performed on on the right side, and 650 cc of serosanguineous fluid was removed. again, a left sided ultrasound guided thoracentesis weas performed on ; 550 cc of serosanguineous fluid was removed. on post-operative day 6, the patient developed some righ hand pain; plastic surgery (hand), and rheumatology were consulted who recommended adequate pain control for symptoms consistent with pseudogout. the patient also began having episodes of post-tussive emesis, so tube feeds were temporarily stopped, and a kub was ordered. on the following day, the patient developed atrial fibrillation with rapid ventricular response, and received mg, k, and an amiodarone drip was started; cardiology was consulted. on a follow up barium swallow on post-operative day 10, it appeared as though the patient had developed a tracheo-esophageal fistula. she was made npo, in preparation for the operating room, where the neck wound was explored and opened. it was determined intraoperatively that there was no anastamotic leak. frequent (3-4 times per day) dressing changes were performed with good result. on , the patient was taken for esophageal stenting with good result. medications on admission: lisinopril 2.5 mg once daily procardia 30 mg once daily nexium 40 mg once daily discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed. disp:*420 ml(s)* refills:*0* 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day: crush finely and mix in 30cc water and instill via j-tube . disp:*60 tablet(s)* refills:*2* 3. tube feed replete at 55 cc/hr continuous 4. lactulose 10 g/15 ml solution sig: thirty (30) mls po daily or 2x daily as needed for constipation: via feeding tube. disp:*600 ml* refills:*1* 5. colace 50 mg/5 ml liquid sig: ten (10) mls po three times a day as needed for constipation: via feeding tube. disp:*300 ml* refills:*1* discharge disposition: home with service facility: area vna discharge diagnosis: scleroderma, gerd, constipation, chronic abdominal pain (?bacterial overgrowth scleroderma), s/p back surgery '/', shoulder surgery '/', hysterectomy, c-section, s/p esophageal stricture that was dilated 25 years ago. ef 65% () esophageal dysplasia/barrett's esophagus , anastomotic leak, esophageal stent discharge condition: good-tube feed dependent discharge instructions: call dr. office () if you experience any of the following symptoms: * fever (>101 f) or chills * new and continuing nausea or vomiting * abdominal or chest pain * shortness of breath * redness or drainage, swelling, warmth, or pus production around wound site or any change in amount or character of drainage * any other concerns no driving while taking pain medications. narcotics can cause constipation. please take an over the counter stool softener such as colace or a gentle laxative such as milk of magnesia if you experience constipation. followup instructions: you have a follow up appointment with dr. () on at 4pm in the clinical center . please arrive 45 minutes prior to your appointment and report to radiology for a cxr. procedure: other enterostomy other endoscopy of small intestine other endoscopy of small intestine fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances thoracentesis thoracentesis thoracentesis other incision with drainage of skin and subcutaneous tissue arthrocentesis arthrocentesis total esophagectomy other pyloroplasty insertion of permanent tube into esophagus diagnoses: other iatrogenic hypotension other postoperative infection unspecified pleural effusion atrial fibrillation pulmonary collapse barrett's esophagus dyskinesia of esophagus systemic sclerosis 

Answer: The patient is high likely exposed to