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: sulfa (sulfonamides) attending: chief complaint: dysphagia major surgical or invasive procedure: esophageal stent placement history of present illness: hpi: 84 yo f w/ chronic trach/vent admitted for esophageal stent under general anesthesia for te fistula today. admitted for vent management post-op. trach was placed 2 years ago after repeated intubations for aspiration pneumonia and subsequent vocal cord incompetence. developed te fistula x 2. last repair was in . underwent repair in upper 1/3rd of esophagus today and stent was placed. she is ventilator dependent for the majority of the day, but does spend 2-6 hours during the day on a trach mask. the patient expressed that she has some mild discomfort on admission to the icu, but otherwise had no complaints. . ros: feeling well prior to surgery, has been more somnolent in the last couple of days past medical history: pmh: chronic respiratory failure s/p trach/peg in after hospitalization for pneumonia - on home ventilator - trach c/b 2 known te fistulas - last paroxysmal a-fib cva with l sided weakness ', anemia, hypercholesterolemia, recurrent l pleural effusion s/p unsuccessful vats/talc pleurodesis recurrent r pleural effusions s/p bedside bleomycin pleurodesis orthostatic hypotension social history: never smoked, previous social drinker, no drugs. widowed. lives with daughter. physical exam: vs: 99.8 70 137/86 23 100% on vent vent: ps 8/5 heent: perrl, small purulent drainage from l eye, l mandibular erythema and swelling/induration, non-fluctuant neck: trach in place w/ some serosanguinous d/c cor: pmi non-displaced, rrr, nl s1/s2, no m/r/g lungs: cta b/l, no w/r/r abd: hypoactive bs, s/nt/nd neuro: somnolent, but responds to verbal stimuli and basic commands, eomi, mafe, 4/5 strength rue, 5/5 strength lue, toes equivocal ext: wwp, 2+ peripheral pulses skin: multiple hyperpigmented macules on ue/le b/l; several hyperkeratotic papules over le b/l pertinent results: 05:04pm pt-11.4 ptt-25.6 inr(pt)-1.0 05:04pm plt count-361 05:04pm wbc-12.6* rbc-2.99* hgb-9.1* hct-27.2* mcv-91 mch-30.6 mchc-33.6 rdw-16.8* 05:04pm estgfr-using this 05:04pm glucose-123* urea n-45* creat-1.3* sodium-136 potassium-5.7* chloride-100 total co2-28 anion gap-14 07:24pm phosphate-5.2* magnesium-2.6 07:24pm potassium-4.8 08:30am blood wbc-16.2* rbc-2.85* hgb-8.8* hct-25.8* mcv-91 mch-30.9 mchc-34.2 rdw-16.8* plt ct-330 08:30am blood glucose-110* urean-41* creat-1.4* na-137 k-4.9 cl-101 hco3-25 angap-16 08:30am blood calcium-8.7 phos-5.1* mg-2.4 . gj tube: impression: successful placement of 5 french orogastric tube. final tip position is in the gastric lumen. . cxr: impression: placement of the esophagus prosthesis ? clinical correlation recommended. no evidence of new pneumonic infiltrates in comparison with previous study of . . ct - read pending at time of d/c summary. final report will be given to patient. patient also provided with ct of film brief hospital course: a/p: 84 yo f chronically ventilated via trach admitted for ventilator management after placed under general anesthesia for te fistula repair. . patient admitted after the placement of an esophageal stent. she was brought to the unit for post-procedure monitring as she is chronically vented. she did well overnight, and a post-procedure ct scan was performed. the ct scan was provided to the family as well as a cd copy of it. . she was afebrile with stable vital signs. she was discharged in the care of her daughter. medications on admission: 1. digoxin 125 mcg qd 2. bupropion 75 mg (qam and q4pm) 3. aspirin 81 mg qd 4. levothyroxine 200 mcg q8am 5. atorvastatin 10 mg q 8pm 6. albuterol sulfate 0.083 % solution q8am and q8pm 7. albuterol 90 mcg 2-4 puffs q4-6h prn 8. chlorhexidine gluconate 9. lorazepam 0.5-1 mg q8h prn anxiety 10. famotidine 10mg q8pm 11. metoclopramide 5 mg/5 ml solution qam and q4pm and prn nausea 12. zolpidem 5 mg q8pm, mr1 after 11pm 13. aranesp 100mcg sq qfriday 14. acetamenophen tbl q6h prn discomfort 15. tobramycin neb qo month 16. guaifenesin 100 mg/5 ml syrup q8am, 4pm, 2am 17. sotalol 40 mg q12h prn a-fib w/ hr > 100 or svt 18. florinef 0.2mg q8am 19. centrum liquid 15cc q8am 20. heparin 5000u sq discharge medications: 1. acetaminophen 160 mg/5 ml solution sig: po q4-6h (every 4 to 6 hours) as needed for pain. 2. digoxin 125 mcg tablet sig: one (1) tablet po qam (once a day (in the morning)) as needed for a-fib. 3. bupropion 75 mg tablet sig: one (1) tablet po bid (2 times a day). 4. metoclopramide 5 mg/5 ml solution sig: one (1) po bid (2 times a day). 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po qam (once a day (in the morning)). 6. fludrocortisone 0.1 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). 7. levothyroxine 100 mcg tablet sig: two (2) tablet po qam (once a day (in the morning)). 8. atorvastatin 10 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 9. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 10. chlorhexidine gluconate 0.12 % mouthwash sig: one (1) ml mucous membrane (2 times a day). 11. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection twice a day. 12. famotidine 20 mg tablet sig: 0.5 tablet po qpm (once a day (in the evening)). 13. darbepoetin alfa-albumin 60 mcg/0.3 ml syringe sig: one hundred (100) mcg injection qfriday (). disp:*1 month* refills:*0* 14. guaifenesin 100 mg/5 ml syrup sig: thirty (30) ml po qid (4 times a day) for 4 days. 15. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours). discharge disposition: home with service facility: northshore prn discharge diagnosis: tracheo-esophageal fistula s/p esophageal stent placement discharge condition: good discharge instructions: return to ed or call your doctor if you experience any of the following symptoms: fever > 101.4, intractable nausea/vomiting, severe pain in your throat, uncontrolled bleeding, or dark black stools. . please take all medications as prescribed. . please follow-up with all appointments as scheduled. followup instructions: as directed by your gasteroenterologist and pulmonary doctor procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other intubation of respiratory tract bronchoscopy through artificial stoma insertion of permanent tube into esophagus diagnoses: pure hypercholesterolemia atrial fibrillation chronic respiratory failure other tracheostomy complications status of other artificial opening of gastrointestinal tract 

Answer: The patient is high likely exposed to