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: dyspnea, cough, wound dehiscence major surgical or invasive procedure: esophagoscopy history of present illness: 60yo m s/p transhiatal esophagectomy, j-tube placement, w/ pyloroplasty on p/w dyspnea, cough and wound dehiscence on . symptoms of dyspnea began in am and lasted ~20min each episode. he also has the top portion of l neck incision open with pain around the site with yellowish-green discharge. he denied any fever/chills/n/v, has been passing flatus and normal bms. past medical history: gerd, hypertension, and orally controlled diabetes social history: he works as an electrician and has a remote 20-pack-year smoking history. he quit drinking one year ago, but drank a 6-pack of beer per week prior to that. family history: noncontributory physical exam: t: 98.8/98.8 hr: 90 bp: 154/92 rr: 20 o2: 99%ra gen: nad neck: l neck incision open, clean, with persistent but markedly decreased discharge, no erythema, no fluctuance, no edema, no crepitus heart: rrr lungs: ctab abd: j-tube intact, soft, nt extr: no peripheral edema, nt pertinent results: wbc-13.9* rbc-3.69* hgb-11.0* hct-32.3* plt ct-638*# wbc-9.1 rbc-3.25* hgb-9.4* hct-28.9* plt ct-586* wbc-7.2 rbc-3.61* hgb-10.4* hct-31.4* plt ct-532* neuts-92.3* bands-0 lymphs-5.2* monos-1.6* eos-0.6 baso-0.3 plt smr-high plt ct-638*# plt ct-532* glucose-203* urean-18 creat-0.8 na-135 k-5.1 cl-100 hco3-26 glucose-162* urean-14 creat-0.8 na-136 k-4.3 cl-104 hco3-26 calcium-8.8 phos-3.1 mg-2.4 lactate-2.4* urine color-amber appear-clear sp -1.018 urine blood-neg nitrite-pos protein-tr glucose-neg ketone-neg bilirub-sm urobiln-1 ph-7.0 leuks-neg urine rbc-0-2 wbc- bacteri-few yeast-none epi-0 . 5:01 pm urine site: clean catch **final report ** urine culture (final ): <10,000 organisms/ml. 4:55 pm blood culture #2. **final report ** aerobic bottle (final ): no growth. anaerobic bottle (final ): no growth. . radiology final report 10:27 pm chest (portable ap) reason: r/o ptx medical condition: 60 year old man s/p s/p esophagectomy, . leak, s/p bedside debridement. reason for this examination: r/o ptx reason for exam: rule out pneumothorax, patient post esophagectomy, anastomosis leak s/p bedside debridement. comparison is made with prior study performed 5 hours before. cardiomediastinal contour is unchanged with mild possibility mediastinal widening. there is a small lower lobe atelectasis. small bilateral pleural effusion have increased in the left side, given horizontal straight contour in the left cp angle, this is suggestive of a small air fluid level consistent with small pneumothorax. there has been interval decrease in subcutaneous emphysema in the left side of the neck. the study and the report were reviewed by the staff radiologist. dr. dr. approved: mon 10:32 am . ct pelvis w/contrast 6:08 pm ct chest w/contrast; ct abdomen w/contrast reason: please eval. from mandibular angle down. eval. esophageal an contrast: optiray medical condition: 60 year old man with esophageal ca s/p transhiatal esophagectomy, now with wound dehiscence reason for this examination: please eval. from mandibular angle down. eval. esophageal anastomosis. contraindications for iv contrast: none. indication: 60-year-old man with esophageal carcinoma status post transhiatal esophagectomy with gastroesophageal anastomosis. presenting with wound dehiscence. comparison: preoperative ct torso of . technique: mdct axial images of the chest, abdomen, and pelvis were obtained following administration of 130 cc of optiray intravenously. coronal and sagittal reformatted images were obtained. ct chest with intravenous contrast: there is extensive air and soft tissue stranding within the soft tissues of the neck. at the area of anastomosis, at the level of t1-2 there is a fluid collection with gas bubbles, consistent with anastomotic leak. there is a simple fluid collection at the level of hiatus, without enhancing wall, measuring approximately 5 x 4.8 x 3.7 cm. this could represent a postoperative fluid collection or sequelae of perforation tracking down the mediastinum. there are trace bilateral pleural effusions, right greater than left, with adjacent compressive atelectasis bilateral, lungs are otherwise clear. there are coronary artery calcifications. there are multiple small subcentimeter lymphatic nodes noted in the mediastinum. ct abdomen with intravenous contrast: the liver, gallbladder, adrenal glands, pancreas are unremarkable. gallbladder is without stones. there is no intra- or extra-hepatic biliary ductal dilatation. there is an extensive stranding and marked edema of omentum and transverse mesocolon, that could still be consistent with postoperative state. the j-tube is in place. there are aortic vascular calcifications. kidneys enhance equally and excrete contrast normally. there is no pathologically enlarged retroperitoneal or mesenteric lymphatic nodes. ct pelvis with contrast: the urinary bladder, distal ureters, seminal vesicles, prostate, rectum are unremarkable. there is extensive diverticulosis of the sigmoid colon, without evidence of acute diverticulitis. bone windows: demonstrate no lytic or sclerotic lesions. impression: 1. upper mediastinal air and fluid collection, consistent with anastomotic leak at the level of the esophagogastric anastomosis at the level of t1-t2. 2. larger fluid collection with thin wall at the level of the hiatus along the posterior gastric wall. no definite signs that this is infected though infection cannot be excluded. 3. extensive subcutaneous emphysema and soft tissue fat stranding, consistent with wound dehiscence. 4. interval development of bilateral small pleural effusions, right greater than left. 5. extensive atherosclerosis of the abdominal aorta, extending into the iliac arteries bilaterally. 6. diverticulosis without evidence of acute diverticulitis. findings were discussed with dr. at 7:00 p.m. on , . the study and the report were reviewed by the staff radiologist. dr. dr. approved: mon 10:15 pm . brief hospital course: mr. who was s/p transhiatal esophagectomy pod#12 was re-admitted to the thoracic surgery service on with dyspnea, cough and dehiscence of esophagogastric anastomosis seen on ct scan. he was admitted to the csru and was febrile to 102.9f and was started on vancomycin, cipro, flagyl and fluconazole. he was strictly npo and a foley catheter was placed for close monitoring of renal function. his neck wound was debrided at bedside using sterile scissors and forceps, yielding moderate amount of yellow fluid along w/ serosanguinous discharge and was then packed with sterile kerlix. his temperature curve began to decline and he was transferred to the floor in stable condition on . frequent dressing changes (~every 2-3 hours) with sterile packing the neck wound were performed (initially w/ sterile gauze and then w/ iodoform gauze as wound size decreased). with the nutrition service following, his tube feeds were started on w/ replete w/ fiber and was advanced slowly to a goal of 75cc/hr via j-tube. a picc line was placed on by ir for continued antiobiotic administration. his wbc continued to trend down and was within normal limits after and he remained afebrile throughout the remainder of his hospital stay. given these data, along with negative blood and urine cultures, his antibiotics were discontinued on . his picc line was eventually removed prior to discharge. an egd was performed on (pod#21), which demonstrated a 15-20% circumferential dehiscence/leak at esophagogastric anastamosis at 22cm. it was decided that no stent would be placed at this time. throughout the hospital course, he was ambulatory and in no distress. he and his wife were taught how to perform the dressing/packing changes and was eventually discharged home on pod#24 with continued tube feeds, npo w/ medications via j-tube and w/ vna services. medications on admission: 1. replete/fiber liquid sig: eight (8) cans po once a day: 75 cc/hour continuous. 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. 4. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 5. regular insulin 6. phenazopyridine 100 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for dysuria for 3 days. 7. cipro 500 mg tablet sig: one (1) tablet po twice a day for 7 days. discharge medications: 1. lopressor 50 mg tablet sig: one (1) tablet po twice a day: crush very finely and dissolve in 50cc of warm water then instill via feeding tube then flush with 50cc of water. disp:*60 tablet(s)* refills:*2* 2. ibuprofen 100 mg/5 ml suspension sig: four hundred (400) mg po q6h (every 6 hours) as needed for pain. 3. lansoprazole 30 mg susp,delayed release for recon sig: one (1) po once a day: give via feeding tube. disp:*30 doses* refills:*2* 4. regular insulin check your finger stick every 6 hours and dose yuor insulin per the sliding scale provided. discharge disposition: home with service facility: discharge diagnosis: esophageal anastomotic leak after esophagectomy discharge condition: good discharge instructions: call dr. office if you have increased or foul smellling drainage from your neck incision, fever, chills, chest pain, shortness of breath. do eat anything by mouth crush your lopressor(metorolol) very finely and dissolve completely in warm water then administer via feeding tube. flush with 50cc of water immediately after instilling any medication. if your feeding tube sutures become loose, call the office . if your feeding tube falls out, save the tube, call the office immediately and we will direct you to your nearest emergency room or come to the office and have the tube replaced. please change your neck dressing every 4-6 hours with the iodoform packing and sterile gauze. followup instructions: please call dr. office at for for a follow up appointment. procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine enteral infusion of concentrated nutritional substances excisional debridement of wound, infection, or burn diagnoses: esophageal reflux other postoperative infection unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation emphysema (subcutaneous) (surgical) resulting from procedure personal history of malignant neoplasm of esophagus 

Answer: The patient is high likely exposed to