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: advil / hayfever attending: chief complaint: achalasia major surgical or invasive procedure: myotomy history of present illness: achalasia for many years with dilated esophagus past medical history: pmh: autoimmune hepatitis, osa, dm, gerd, obesity, chiari malformation psh: appy, r knee, r rotyator cuff family history: mother age died with alzheimer's. father was aged 69 and died of multiple medical problems. brief hospital course: mr. was admitted following myotomy for achalasia. he tolerated the procedure well. on pod 0 he was extubated, however required reintubation for stridor and respiratory distress. on pod 1 he was reextubated and again was reintubated for stridor and transferred to sicu. on pod 2 he was again extubated, bedside scope by ent revealed paralysis of left vocal cord, paradoxical motion of right vocal cord when pt agitated. patient had no repeat respiratory distress. on jp amylase was elevated suggesting a leak and on a gastografin study demonstrated a small leak with contrast seen int he jp drain. on tpn was started that same day the patient complained of continuing bilateral leg pain. as a result bilateral lower extremity dopplers were performed, showing a deep venous thrombus in the gastrocnemius vein. as a result, at the recommendation of vascular surgery lovenox was started, with a planned 6 week course transitioning to coumadin when possible. on clear liquids were started but were discontinued after fluids were noted to be accumulating in the jp drain. on repeat gastrografin showed continued leak. tpn was continued. on , the jp drain was withdrawn two centimeters, and on he continued to have unchanged jp drain output. the drain was withdrawn further under fluoroscopy. he was discharged with home tpn and lovenox on . medications on admission: albuterol, imuran 150', lasix 20', lisiopril 10', insulin, qvar, oxbutynin 5', roprinerole 1'', flomax 0.4' discharge medications: 1. tpn volume 2100 ml/day; aa 120 g/day; branched chain aa 0 g/day; dextrose 270 g/day; fat 60 g/day; nacl 140; naac 0; napo4 0; kcl 0; kac 0; kpo4 40; mgso4 12; cagluc 9. please also add famotidine 40 mg to tpn. cycle over 12 hours. most recent labs: gluc 81, bun 20, cr 0.9 na 141, k 4.3, cl 109, bicarb 24 ca 9.1 mg 2 phos 3.2 2. saline flush 0.9 % syringe sig: ten (10) ml injection before and after tpn infusion. disp:*600 ml* refills:*2* 3. heparin lock flush 10 unit/ml syringe sig: five (5) ml intravenous after tpn infusion and qpm. disp:*300 ml* refills:*2* 4. picc line care dressing changes weekly and prn. 5. outpatient lab work chem 10 weekly. covering physician: . 6. enoxaparin 120 mg/0.8 ml syringe sig: 0.8 ml subcutaneous q12h (every 12 hours). disp:*48 ml* refills:*2* 7. ivf 1 bag d10 @ kvo prn low blood sugar disp: 2 bags refills: 1 8. fentanyl 50 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours) as needed for pain. disp:*15 patch 72 hr(s)* refills:*0* discharge disposition: home with service facility: critical care systems discharge diagnosis: achalasia s/p myotomy respiratory failure esophageal perforation diabetes mellitus sleep apnea discharge condition: stable. discharge instructions: call your doctor or return to the er for any of the following *chest pain *shortness of breath *increased pain *nausea or vomiting *fever or chills *any other concerning symptoms your iv nutrition has been setup through an infusion care service who will manage this. please check your blood sugars as directed by the home care nurses. followup instructions: please call dr. @ to schedule an appointment for follow up in weeks. please follow up with your doctor your imuran once you are restarted on a diet. provider: , md phone: date/time: 1:30 provider: , md phone: date/time: 10:00 provider: , dpm phone: date/time: 1:10 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube suture of laceration of esophagus laparoscopic procedures for creation of esophagogastric sphincteric competence transabdominal gastroscopy esophagomyotomy diagnoses: accidental puncture or laceration during a procedure, not elsewhere classified acute respiratory failure obesity, unspecified accidents occurring in residential institution stridor unilateral paralysis of vocal cords or larynx, partial achalasia and cardiospasm accidental cut, puncture, perforation or hemorrhage during surgical operation benign essential hypertension autoimmune hepatitis 

Answer: The patient is high likely exposed to