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: morphine attending: chief complaint: dyspnea major surgical or invasive procedure: redo right thoracotomy, removal of portion of posterior splinting mesh and tracheoplasty with mesh, flexible bronchoscopy with bronchoalveolar lavage history of present illness: ms is a 60f with tbm. she is s/p tracheobronchoplasty but had recurrence of sx. a tracheal stent was placed with noted improvement in dyspnea and cough. it was removed and pt has now returned to her baseline easy doe, cough but denies fever, sweats, chest pain or other related sx. she saw dr for a cardiac pre op eval, had a f/u bronch and is now planning on moving forward with redo tracheobronchoplasty. past medical history: pmh: fibromyalgia, hepatitis c, rul bronchiectasis, chronic bronchitis, hx of chemical pneumonitis . psh: s/p tracheoplasty, s/p bronchiectasis surgery, csxn x2, s/p breast augmentation (implants), s/p tonsils and adenoids, "eye operation as child". social history: quit smoking >20 yrs ago, smoked <1 ppd for about 10 years, denies etoh, no illicit drugs. family history: non-contributory physical exam: bp: 148/93. heart rate: 98. weight: 152. bmi: 29.7. temperature: 98.5. o2 saturation%: 98. gen:nad neck:no chest: clear ausc cor:rrr no murmur abd:deferred extrem: no cce pertinent results: 09:38am hgb-11.5* calchct-35 09:38am glucose-95 lactate-1.2 na+-138 k+-3.5 cl--106 02:28pm glucose-117* urea n-13 creat-0.6 sodium-141 potassium-3.9 chloride-108 total co2-27 anion gap-10 cxr : in comparison with the study of , the right ij catheter has been removed. no change in the appearance of the heart and lungs. elevation of the right hemidiaphragm anteriorly is again seen. large hiatal hernia is present. ba swallow :preliminary report dysphagia 1. large hiatal hernia. small caliber of the stomach passing through the preliminary reportdiaphragmatic hiatus delays passage of a 13 mm barium tablet. 2. no direct correlation of the above findings with the patient's symptoms of preliminary reportdysphagia bedside swallow : based on results of pt's recent barium swallow with impaired esophageal motility and hiatal hernia impacting speed of passage of po and pt's correlated symptom of sensation that food will not go down is likely globus sensation from her esophageal deficits. pt was educated on strategies such as keeping foods moist, alternating bites and sips, eating slowly and smaller meals in attempt to alleviate discomfort. brief hospital course: ms. was admitted to the hospital and taken to the operating room where she underwent a redo right thoracotomy, removal of portion of posterior splinting mesh and tracheoplasty with mesh and flexible bronchoscopy with bronchoalveolar lavage. she tolerated the procedure well and was extubated in the or. she returned to the sicu in stable condition with an epidural catheter for pain control. the pain service followed her closely and made adjustments in her epidural infusion to improve her pain control so as to make pulmonary toilet more effective. she maintained stable hemodynamics but did have a hematocrit drop from 33 intraop to 25 early post op. serial hematocrits were followed along with chest xrays and there was no evidence of active bleeding. following removal of her chest tube, her epidural catheter was also removed and she had adequate pain relief with oxycodone, tylenol, ibuprofen and tramadol. she was able to use her incentive spirometer effectively and cough and deep breath comfortably. she used a cpap mask at night and had ra saturations of 95% during the day. she was tolerating a regular diet in moderation but her liquid intake was poor which ultimately reflected in a creatinine bump from 0.6 to 1.2 within 24 hours. she was then rehydrated with 2 liters of fluid and her creatinine decreased to 0.9 but her hematocrit was also 22.8. she remained hemodynamically stable with a blood pressure of 110/70 . she complained of dysphagia to soft foods and some liquids and subsequently underwent a barium swallow which showed a large hiatal hernia but no other pathology. the speech and swallow therapist evaluated her at the bedside and found no mechanical problem or evidence of aspiration. she was given some hints on how to keep food moist to allow for easier passage. her pain medication was adjusted as she had inadequate pain control with oxycodone 5 mg q 4 hours along with tramadol, ibuprofen and tylenol. she was better controlled with 10 mg every 4 hours although not pain free. she did have a large ecchymotic area around her chest tube site which extended to the right hip and upper thigh but the areas were soft. her ibuprofen was reduced to 400 mg tid and she may ultimately stop it. she will use local heat or cool packs for comfort. her hematocrit remained stable at 25. she was discharged to home on and will follow up in the thoracic clinic in 2 weeks. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. amphetamine salt combo *nf* (amphetamine-dextroamphetamine) 40 mg oral daily 2. losartan potassium 25 mg po daily 3. benzonatate 200 mg po tid 4. hydroxyzine 50 mg po hs 5. guaifenesin *nf* 1,200 mg oral 6. acetylcysteine 20% *nf* 5 mls other tid use 30 minutes after albuteral 7. tramadol (ultram) 50 mg po q4h:prn pain 8. omeprazole 20 mg po daily 9. sodium chloride 3% inhalation soln 1 neb neb tid:prn sob, cough supplied by respiratory 10. albuterol sulfate *nf* 90 mcg/actuation inhalation q 6 hrs sob 11. escitalopram oxalate 20 mg po daily discharge medications: 1. escitalopram oxalate 20 mg po daily 2. tramadol (ultram) 50 mg po q6h:prn pain rx *tramadol 50 mg 1 tablet(s) by mouth every four (4) hours disp #*80 tablet refills:*1 3. acetaminophen 650 mg po q6h pain 4. adderall xr *nf* (amphetamine-dextroamphetamine) 40 mg oral daily reason for ordering: wish to maintain preadmission medication while hospitalized, as there is no acceptable substitute drug product available on formulary. 5. docusate sodium 100 mg po bid 6. oxycodone (immediate release) 5-10 mg po q4h:prn pain rx *oxycodone 5 mg tablet(s) by mouth every four (4) hours disp #*100 tablet refills:*0 7. albuterol sulfate *nf* 90 mcg/actuation inhalation q 6 hrs sob 8. amphetamine salt combo *nf* (amphetamine-dextroamphetamine) 40 mg oral daily 9. sodium chloride 3% inhalation soln 1 neb neb tid:prn sob, cough supplied by respiratory 10. ferrous sulfate 325 mg po daily 11. guaifenesin *nf* 1,200 mg oral 12. omeprazole 20 mg po daily 13. senna 1 tab po bid:prn constipation 14. losartan potassium 25 mg po daily 15. ibuprofen 400 mg po q8h rx *ibuprofen 400 mg 1 tablet(s) by mouth every eight (8) hours disp #*100 tablet refills:*1 discharge disposition: home discharge diagnosis: recurrent tracheomalacia. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: * you were admitted to the hospital for surgery to correct your tracheomalacia and you've recovered well. you are now ready for discharge. * continue to use your incentive spirometer 10 times an hour while awake. you should also use your cpap mask at night. * check your incisions daily and report any increased redness or drainage. cover the area with a gauze pad if it is draining. * if your chest tube site starts to drain, cover it with a clean dry dressing and change it as needed to keep site clean and dry. * you will continue to need pain medication once you are home but you can wean it over a few weeks as the discomfort resolves. make sure that you have regular bowel movements while on narcotic pain medications as they are constipating which can cause more problems. use a stool softener or gentle laxative to stay regular. * no driving while taking narcotic pain medication. * take tylenol 650 mg every 6 hours in between your narcotic. * continue to stay well hydrated and eat well to heal your incisions * shower daily. wash incision with mild soap & water, rinse, pat dry * no tub bathing, swimming or hot tubs until incision healed * no lotions or creams to incision site * walk 4-5 times a day and gradually increase your activity as you can tolerate. call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath, chest pain or any other symptoms that concern you. followup instructions: department: west clinic when: tuesday at 9:00 am with: , md building: de building ( complex) campus: west best parking: garage please report 30 minutes prior to your appointment to the radiology departmment on the of the for a chest xray. procedure: closed [endoscopic] biopsy of bronchus other repair and plastic operations on trachea other incision of larynx or trachea diagnoses: other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) anemia, unspecified esophageal reflux unspecified viral hepatitis c without hepatic coma diaphragmatic hernia without mention of obstruction or gangrene other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure myalgia and myositis, unspecified other diseases of trachea and bronchus disruption of wound, unspecified 

Answer: The patient is high likely exposed to