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: sulfa (sulfonamides) attending: chief complaint: respiratory failure status post trach with tracheoesophageal fistula major surgical or invasive procedure: flexible and rigid bronchoscopies tracheal y-tube stent placement esophagogastroduodenoscopy history of present illness: 84f s/p partial thyroidectomy & rtx for thyroid carcinoma in , chronic respiratory failure with h/o traumatic intubations (, following aspir'n). has been treated with cefepime and levofloxacin for pna in past. admitted on for bronchoscopy and further evaluation of 2 te fistulas and tracheomalacia @ . past medical history: pmh: chronic respiratory failure s/p trach/peg in after hospitalization for pneumonia - on home ventilator - trach c/b 2 known te fistulas - last paroxysmal a-fib cva with l sided weakness ', anemia, hypercholesterolemia, recurrent l pleural effusion s/p unsuccessful vats/talc pleurodesis recurrent r pleural effusions s/p bedside bleomycin pleurodesis orthostatic hypotension social history: never smoked, previous social drinker, no drugs. widowed. lives with daughter. brief hospital course: mrs. was admitted to dr. service at on for evaluation of a known tracheoesophageal (te) fistula first diagnosed at . two days later, she underwent flexible and rigid bronchoscopic evaluation which elucidated a 3cm defect in the posterior membranous wall located 3cm above the carina most likely compatible with a tracheoesophageal fistula, and diffuse moderate tracheal bronchomalacia. the patient tolerated the procedure well and was brought back to the sicu following the procedure. for more details of the procedure, see operative dictation. mrs. remained on ventilatory support and was doing well. an endocrinology consult was obtained after an elevated tsh was found in the setting of hypothyroidism s/p partial thyroidectomy and radiation for thyroid carcinoma in . endocrinology felt that the fluctuating tsh was likely due to absorption of her levothyroxine concomitant with her tube feeding schedule. the team recommended continuing her regular levothyroxine dosage through her j-tube and holding her tube feeds 1 hour before and after administering her levothyroxine, witholding other medication administration at the same time as the levothyroxine is dosed and to recheck a tsh and free t4 in 4 weeks. no follow-up with endocrinology is necessary. on , the patient was taken to the or for flexible bronchoscopy, fiberoptic intubation, tracheal y-stent placement and tracheostomy tube change for management of her te fistula. the stent was successfully placed over the fistula and the patient tolerated this procedure well and was taken back to the sicu following the procedure. for details of the procedure, see operative dictation. an esophageal stent was attempted by gi, but due to her esophageal edema, the procedure was aborted. she is to follow-up with gi in weeks for another attempt. mrs. was doing well and on , she was deemed stable enough to return home in the care of her daughter, an physician. is to take a 10 day course of linezolid for mrsa in her sputum () and vre+ surveillance swab. she is to follow-up with dr. in weeks and gi at the same time. medications on admission: synthroid 200 mcg daily, digoxin 0.125 daily, sotalol 20mg q12 hr prn af >100 or svt, florinef 0.2 daily, wellbutrin 75 , reglan 5 /5 prn, asa 81 daily, lipitor 10 daily, ambien 5 or 10 qhs, centrum daily, guaifenesin 15cc , scopolamine q72h, albuterol neb , tobramycin neb , albuterol ih prn, chlorhexidine mouth wash, heparin sc 5000 bid, famotidine 10 daily at night, zofran 2 prn discharge medications: 1. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. bupropion 75 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 4. levothyroxine 100 mcg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. disp:*qs 1* refills:*2* 7. albuterol 90 mcg/actuation aerosol sig: 2-4 puffs inhalation q4-6h (every 4 to 6 hours) as needed. disp:*qs 1* refills:*2* 8. chlorhexidine gluconate 0.12 % mouthwash sig: one (1) ml mucous membrane (2 times a day). disp:*60 ml(s)* refills:*2* 9. lorazepam 0.5 mg tablet sig: 1-2 tablets po q8h (every 8 hours) as needed. disp:*30 tablet(s)* refills:*2* 10. famotidine 20 mg tablet sig: two (2) tablet po daily (daily) as needed for pud prophylaxis. disp:*30 tablet(s)* refills:*2* 11. metoclopramide 5 mg/5 ml solution sig: one (1) po tid (3 times a day). disp:*qs 1* refills:*2* 12. zolpidem 5 mg tablet sig: 1-2 tablets po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 13. epoetin alfa 10,000 unit/ml solution sig: one (1) injection qmowefr (monday -wednesday-friday). disp:*qs 1* refills:*2* 14. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 15. tobramycin 300 mg/5 ml solution for nebulization sig: one (1) ml inhalation (2 times a day). disp:*60 ml(s)* refills:*2* 16. guaifenesin 100 mg/5 ml syrup sig: fifteen (15) ml po tid (3 times a day) as needed for stent maintenance. disp:*1 ml(s)* refills:*2* 17. sotalol 80 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 18. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) intravenous q48h (every 48 hours). disp:*qs 1* refills:*2* 19. piperacillin-tazobactam 2.25 g recon soln sig: one (1) recon soln intravenous q6h (every 6 hours). disp:*120 recon soln(s)* refills:*2* discharge disposition: home discharge diagnosis: tracheoesophageal fistula discharge condition: stable discharge instructions: go to an emergency room if you experience new and continuing nausea, vomiting, fevers (>101.5 f), chills, or shortness of breath. also go to the er if your wound becomes red, swollen, warm, or produces pus. be sure to take your complete course of antibiotics. you may resume all of your previously prescribed medications. you may take showers. followup instructions: please follow-up with dr. in weeks. call for an appointment. please follow-up with dr. in weeks. call for an appointment. md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine enteral infusion of concentrated nutritional substances other bronchoscopy other bronchoscopy other intubation of respiratory tract replacement of tracheostomy tube diagnoses: anemia, unspecified pure hypercholesterolemia congestive heart failure, unspecified unspecified acquired hypothyroidism atrial fibrillation other chronic pulmonary heart diseases diastolic heart failure, unspecified gastrostomy status chronic respiratory failure other diseases of trachea and bronchus dependence on respirator, status personal history of malignant neoplasm of thyroid other tracheostomy complications 

Answer: The patient is high likely exposed to