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: mr. is a 54-year-old gentleman with biopsy-proven locally advanced t3n1m1a carcinoma of the mid esophagus. he continues to have intense pain with increased pet activity at the superior and inferior aspect of the stent. major surgical or invasive procedure: thoraco-abdominal esophagectomy, esophagogastroduodenoscopy, j-tube revision port-o-cath removal egd w/ pylorus dilitation history of present illness: 54 yr old man cervical esophageal cancer requiring mr. is a 54-year-old gentleman with biopsy-proven locally advanced t3n1m1a carcinoma of the mid esophagus. he has recently completed chemoradiotherapy on an induction protocol. he has had a remarkable reduction in his documented nodal disease as well as in the t stage. he continues to have intense pain with increased pet activity at the superior and inferior aspect of the stent. past medical history: hepatitis c virus hypertension prostate cancer s/p brachytherapy. poorly differentiated squamous esophageal ca (stage iii) -dx'ed on multiple biopsies with egd -pet found supraclavicular nodes that appeared positive. -s/p esophageal stent -planned for surgery in 6 weeks gastric esophogeal reflux disease social history: previously worked at digital and polaroid. lives with his daughter. ?girlfriend. used to smoke, quit after cancer diagnosis. no etoh currently, never heavy drinker. no ivdu. family history: both brothers have prostate cancer, one passed away 2 month ago from this physical exam: general: cachetic appearing african american male w/ c/o epigastric pain on -chronic sq dilaudid pta chest: lungs cta bilat. poc cor: rrr s1, s2 abd: flat, soft, nt, j-tube in place. extrem: no le edema. neuro: a+ox3 w/no focal neuro deficits pertinent results: 05:57pm glucose-147* urea n-17 creat-0.7 sodium-134 potassium-5.0 chloride-100 total co2-22 anion gap-17 05:57pm wbc-17.2*# rbc-3.98* hgb-12.0* hct-34.1* mcv-86 mch-30.1 mchc-35.2* rdw-14.4 hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 06:25am 6.5 2.91* 8.2* 25.6* 88 28.2 32.2 14.5 391 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 06:25am 391 chemistry renal & glucose glucose urean creat na k cl hco3 angap 11:00am 144* 11 0.6 139 3.9 104 261 13 1 note updated reference range as of enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 03:09am 742* 160* 190 108 0.9 source: line-arterial other enzymes & bilirubins lipase 03:33am 8 chemistry totprot albumin globuln calcium phos mg uricacd iron cholest 11:00am 8.3* 4.0 1.5* hematologic caltibc ferritn trf 06:10am 160* 859* 123* lipid/cholesterol cholest triglyc 06:10am 109 851 1 ldl(calc) invalid if trig>400 or non-fasting sample antibiotics vanco 06:25am 14.4* lab use only greenhd edta ho chest (pa & lat) 10:23 am medical condition: 54 year old man with esoph ca now s/p thoraco-abd esophagectomy. reason for this examination: ?interval change two view chest x-ray : comparison: deceember 11, . indication: status post esophagectomy. impression: stable postoperative appearance of mediastinum. improving multifocal pulmonary opacities. bas/ugi air/sbft reason: please evaluate follow-through of barium from oral-pharynx t comparison: upper gi study of . limited single contrast upper gi study: contrast passes freely down the remaining esophagus and gastric pull-up. trace aspiration was noted. adjacent to the site of the drain, there is appears to be a focal area of contrast extravasation. there is delayed and slow emptying of contrast from the stomach. barium was administered through the j- tube which demonstrated filling of the jejunal loops. the patient vomited approximately 150 cc of barium and the study was terminated due to patient intolerance. impression: 1. mild aspiration. 2. focal contrast extravasation at the site of the leftsided drain. the study and the report were reviewed by the staff radiologist. radiology final report chest (portable ap) 2:47 pm reason: please obtain upright cxr to assess for pneumothorax medical condition: 54 year old man with esoph ca now s/p thoraco-abd esophagectomy now s/p egd w/ balloon dilation of stricture reason for this examination: please obtain upright cxr to assess for pneumothorax portable chest, comparison: . indication: status post egd procedure. evaluate for pneumothorax. there is no evidence of pneumothorax or pneumomediastinum. postoperative changes are noted in the mediastinum following esophagectomy and pull-up procedure. there remains asymmetrical perihilar haziness on the right as well as a moderate-sized right pleural effusion. minor atelectatic changes are seen within the left lung base, also without interval change. impression: no evidence of pneumothorax or pneumomediastinum. cxry - protable s/p picc line placement placement of picc line tip in distal svc. confirmed by visualization of film by np and ivrn. microbiology data sputum gram stain-final; respiratory culture-preliminary {staph aureus coag +} inpatient urine urine culture-final inpatient blood culture aerobic bottle-pending; anaerobic bottle-pending inpatient blood culture aerobic bottle-pending; anaerobic bottle-pending inpatient catheter tip-iv wound culture-final {staphylococcus, coagulase negative, staphylococcus, coagulase negative} inpatient blood culture aerobic bottle-final {staphylococcus, coagulase negative}; anaerobic bottle-final {staphylococcus, coagulase negative} inpatient blood culture aerobic bottle-final {staphylococcus, coagulase negative}; anaerobic bottle-final {staphylococcus, coagulase negative} inpatient blood culture aerobic bottle-final {staphylococcus, coagulase negative}; anaerobic bottle-final {staphylococcus, coagulase negative} inpatient sputum gram stain-final; respiratory culture-final inpatient limited single contrast upper gi study: contrast passes freely down the remaining esophagus and gastric pull-up. trace aspiration was noted. adjacent to the site of the drain, there is appears to be a focal area of contrast extravasation. there is delayed and slow emptying of contrast from the stomach. barium was administered through the j- tube which demonstrated filling of the jejunal loops. the patient vomited approximately 150 cc of barium and the study was terminated due to patient intolerance. impression: 1. mild aspiration. 2. focal contrast extravasation at the site of the leftsided drain. the study and the report were reviewed by the staff radiologist. weight 51.5kg brief hospital course: 54-year-old gentleman with biopsy-proven locally advanced t3n1m1a carcinoma of the mid-esophagus esophagoscopy,bronchoscopy, transthoracic near total esophagectomy with rightthoracotomy, laparotomy and left cervicotomy, left cervical esophagogastrostomy and left tube thoracostomy. patient tolerated procedure well. transferred to icu for observation, intubated, sedated, neo gtt, ivf, npo, ct to sx- no leak,. pain control w/ fentanyl gtt iv due to non-effective epidural. icu course significant for: pod#2 pt was extubated and new epidural placed, w/ dilaudid pca,+ bs, + flatus; ivf, npo.abd jp drains intact and draining. inc- c/d/i. pod#3- tube feedings started- probalance at 10/hr. o2 wean trial - 90% on 4lnc. pod#5-tube feedings held for residual >200cc overnight, ivf. ct to waterseal; ambulation- physical therapy, lytes repleated. patient transferred out of icu to floor. pain control w/ pca, epidural d/c. on floor: resp- pod#6 o2 sat 94% on ra, improving to 98-99% ra pod#33 at time of discharge. ct d/c pod#7 w/o complication. periodic cxry-wnl, w/ some atelectasis improving over hospital course. gi- pod#6-+ flatus, + bm; j-tube accidently d/c'd and replaced w/o complication. tube feeding resumed @30-40cc/hr w/ c/o nausea, therefore held. patient developed prolonged ileus (bloating, nausea, distention) w/ multiple unsuccessful tube feeding restarts until -(pod#24). j-tube placed to gravity during this time. tpn started as below. tube feedings tolerated w/ slow advancement to max rate of 50/hr w/ goal as stated. patient has persistant c/o nausea and therefore - egd w/ pyloric dilitation. pylorus patent on visualization, dilitation done to affirm continued patency. diet advanced to clear, then full liquids post-op, then to mechanical soft . see below and page 1 for specific tube feeding/nutrition instructions. nutrition/ electrolytes-ivf w/ electrolyte replacement until tpn started pod#21- and cont until when tube feedings at 2/3 goal rate on pod#25(). lytes routinely monitored and repleated. diet advanced to clear, then full liquids post-op, then to mechanical soft . see below and page 1 for specific tube feeding/nutrition instructions. weight 51.5kg rad- ugi- sbft pod#8- + ileus. incisions and drains- chest tube d/c pod# 7; jp drain d/c pod#8; incisions - thorocotomy, abdominal and cervical all healed, staples removed, steri-strips off. port-o-cath removal site- left upper chest- c/d/i, change dsd qd. sutures remain, to be assessed and removed at follow-up appointment . infectious disease- course of zosyn(prophylaxis) and fluconazole (?esophogeal candidiasis). pod#27() patient developed fever to 102, elevated wbc- cx results- + bc, staph- mrsa, vancomycin started and cont per therapeutic levels for 14 day course, levofloxacin- 10 day course. source- infected port site- removed in or . peripheral line placed. picc line placed , confirmed placement in distal svc by cxray . pain control- transitioned to percocet elixer and mso4iv prn pod#6. slowly weaned to off over next 3-4 weeks.pain med restarted post-op for port removal. at discharge pt receiving minimal pain med on prn basis. activity-physical therapy, ambulation with encouragement. pt gradually independent w/ ambulation with encouragement. consistant encouragement w/ activity necessary. medications on admission: ms contin, roxanol, magic mouthwash discharge medications: 1. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. 2. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 3. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 4. fentanyl 25 mcg/hr patch 72hr sig: one (1) patch 72hr transdermal q72h (every 72 hours). 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily): give via j-tube. 6. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) gm intravenous q 12h (every 12 hours) for 11 days. 7. prochlorperazine edisylate 5 mg/ml solution sig: one (1) injection q6h (every 6 hours) as needed for nausea. 8. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed. 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day: give via j-tube. 10. hydromorphone 2 mg/ml syringe sig: 0.5 mg injection q6h (every 6 hours) as needed for breakthrough pain. 11. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 4 days. 12. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. discharge disposition: extended care facility: rehabilitation & nursing center - discharge diagnosis: esophageal ca prolonged post op ileus poc bacteremia resulting in removal discharge condition: stable discharge instructions: please call dr. office at ( if you have fever, nausea/vomiting, inability to take in your feeds, or dizziness/weakness, aor any other post surgical issues. followup instructions: follow up appointment with dr. in thoracic surgery clinic at 3pm. , clinical center, . please call for any questions. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other enterostomy other esophagoscopy fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances incision with removal of foreign body or device from skin and subcutaneous tissue insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt total esophagectomy intrathoracic esophagogastrostomy simple excision of other lymphatic structure endoscopic dilation of pylorus diagnoses: other iatrogenic hypotension unspecified essential hypertension unspecified viral hepatitis c without hepatic coma atrial fibrillation personal history of malignant neoplasm of prostate infection with microorganisms resistant to penicillins bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site paralytic ileus infection and inflammatory reaction due to other vascular device, implant, and graft personal history of irradiation, presenting hazards to health secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes infection and inflammatory reaction due to other internal prosthetic device, implant, and graft candidal esophagitis malignant neoplasm of middle third of esophagus 

Answer: The patient is high likely exposed to