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: addendum: patient was about to be discharged when he developed tachynpnea and needed to be put back on assist control ventilation. this was thought to be tiring out while on tracheostomy mask. once on ac, he was put back on sedation and tolerated well. during this length of stay, he was noted to have bilious secretion that was heme positive. he also has similar secretions leaking around the j tube despite the ir procedure to tighten the insertion site. he also had not been moving his bowels. bronchoscopy was done to reevaluate the anatomy. ent was also consulted for laryngoscopy. both bronchoscopy and laryngoscopy revealed that there is no tracheoesophageal fistula and that there is esophageal stricture. ir was consulted for possible insertion of g tube wuth suction for possible obstruction. aggressive bowel regimen was started and he finally moved his bowels. the bilious secretion from the tracheostomy and j tube site stopped after that and the ir procedure was not needed. he completed 7 days course of ceftazidime and vancomycin for pnemounia and continued on nebulizers for copd. his sputum on grew klebsiella and given his initial respratory decompensation, imipenem was started and he will complete a 14d course of imipenem. his stress dose steroid is on taper. he continues to have guiac positive stool. he was not scoped by gi as he was hemodynamically stable. he is likely to keep oozing intermittently. he should be kept on ppi and transfusion with goal hematocrit of 24. the initial atn seen on admission had been resolving and creatinine trended down. all medication has been renally dosed based on creatinine clearance. discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. chlorhexidine gluconate 0.12 % liquid sig: 1-2 mls mucous membrane tid (3 times a day) as needed. 3. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 4. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 5. methylphenidate hcl 5 mg tablet sig: one (1) tablet po bid (2 times a day). 6. lorazepam 0.5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 7. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 9. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 10. ipratropium bromide 18 mcg/actuation aerosol sig: eight (8) puff inhalation q4h (every 4 hours). 11. albuterol 90 mcg/actuation aerosol sig: eight (8) puff inhalation q4h (every 4 hours). 12. amlodipine besylate 5 mg tablet sig: 1.5 tablets po daily (daily). 13. metoprolol tartrate 50 mg tablet sig: 2.5 tablets po tid (3 times a day). 14. lidocaine hcl 2 % solution sig: twenty (20) ml mucous membrane tid (3 times a day) as needed. 15. artificial saliva 0.15-0.15 % solution sig: 1-2 mls mucous membrane q1-2h () as needed for dry mouth. 16. lactulose 10 g/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 17. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 18. clarithromycin 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 weeks. 19. prednisone 5 mg tablet sig: three (3) tablet po daily (daily) for 3 days: from -. 20. prednisone 10 mg tablet sig: one (1) tablet po daily (daily) for 3 days: . 21. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 22. amoxicillin 500 mg capsule sig: one (1) capsule po q8h (every 8 hours) for 1 weeks. 23. prednisone 5 mg tablet sig: one (1) tablet po daily (daily) for 2 days: . 24. morphine sulfate 10 mg/ml syringe sig: 0.1-1 ml injection q4h (every 4 hours) as needed. 25. imipenem-cilastatin 500 mg recon soln sig: one (1) recon soln intravenous q8h (every 8 hours) for 13 days. 26. metronidazole 500 mg tablet sig: one (1) tablet po three times a day for 1 weeks. discharge disposition: extended care facility: & rehab center - discharge diagnosis: 1. sepsis 2. pneumonia secondary: 1. squamous cell cancer of head and neck 2. copd 3. hypertension discharge condition: stable discharge instructions: you will be transferred to . please let your doctor know if you have shortness of breath, fever or if there are any concerns at all. please take all your prescribed medication. steroid for copd should be tapered over one week course followup instructions: you will be transferred to . your follow up will be dictated by the physician taking over your care at that hospital md procedure: enteral infusion of concentrated nutritional substances arterial catheterization bronchoscopy through artificial stoma bronchoscopy through artificial stoma transfusion of packed cells replacement of tracheostomy tube replacement of tube or enterostomy device of small intestine diagnoses: acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia hyposmolality and/or hyponatremia severe sepsis obstructive chronic bronchitis with (acute) exacerbation acute and chronic respiratory failure personal history of other malignant neoplasm of skin intestinal infection due to clostridium difficile mechanical complication of colostomy and enterostomy personal history of irradiation, presenting hazards to health pneumonia due to klebsiella pneumoniae attention to tracheostomy acquired hypertrophic pyloric stenosis 

Answer: The patient is high likely exposed to