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: biaxin / statins-hmg-coa reductase inhibitors / heparin agents attending: chief complaint: esophageal cancer, hemoptysis major surgical or invasive procedure: minimally invasive esophagogastrectomy and laparoscopic feeding jejunostomy. laparotomy and reopening of cervical incision with resection of gastric conduit, esophagostomy, resiting of jejunostomy, change of dialysis catheter and temporary abdominal closure abdominal closure left chest tube insertion, chest ultrasound examination tracheostomy and placement of implanted dialysis catheter flexible bronchoscopy through the tracheostomy tube with repositioning of the tracheostomy tube history of present illness: 59m with a recent episode of melena in -- subsequent workup with upper and lower endoscopy revealed a mass at the ge junction. he had previoulsy been on coumadin for atrial fibrillation -- but was subsequently cardioverted and has stopped anticoagulation. he reports feeling well, with no complaints of dysphagia, cough, or recurrent gi bleeding. he reports that he has seen his pcp, oncologist, and his nephrologist, in anticipation for an operation. past medical history: -aflutter s/p cardioversion -ugib -htn -gout -cri (2.5) social history: social history: cigarettes: never ex-smoker current pack-yrs:_20_ quit: __20 yrs ago____ etoh: not currently yes drinks/day: __1-2/d__ drugs: exposure: no yes radiation asbestos: involved in containment, but not removal occupation: high school math teacher marital status: married single lives: alone w/ family other: other pertinent social history: , ma travel history: physical exam: temp: 97.4 hr: 64 bp: 139/61 rr: 20 o2 sat: 96ra rrr cta b abdomen benign at presentation, by notes in omr pertinent results: 11:37pm type- ph-7.21* 11:37pm freeca-1.06* 11:23pm glucose-145* urea n-70* creat-3.1* sodium-142 potassium-5.7* chloride-110* total co2-21* anion gap-17 11:23pm ld(ldh)-452* 11:23pm calcium-7.8* phosphate-5.2* magnesium-2.1 11:23pm wbc-17.2* rbc-3.11* hgb-9.5* hct-29.2* mcv-94 mch-30.5 mchc-32.4 rdw-17.0* 11:23pm plt count-189 09:54pm type-art po2-89 pco2-46* ph-7.21* total co2-19* base xs--9 09:54pm lactate-1.3 k+-6.2* 07:17pm type-art po2-75* pco2-49* ph-7.24* total co2-22 base xs--6 07:17pm lactate-1.4 07:17pm freeca-1.13 07:17pm lactate-1.4 07:17pm freeca-1.13 06:05pm glucose-139* urea n-67* creat-2.9* sodium-142 potassium-5.8* chloride-113* total co2-20* anion gap-15 06:05pm ck(cpk)-598* 06:05pm ck-mb-7 ctropnt-<0.01 06:05pm albumin-3.6 calcium-8.1* phosphate-4.4 magnesium-1.9 06:05pm wbc-17.8*# rbc-3.05* hgb-9.4* hct-28.5* mcv-94 mch-30.7 mchc-32.8 rdw-17.2* 06:05pm plt count-186 01:18pm type-art po2-238* pco2-43 ph-7.30* total co2-22 base xs--4 intubated-intubated 01:18pm glucose-135* lactate-2.1* na+-142 k+-5.4* cl--112 01:18pm hgb-9.5* calchct-29 o2 sat-99 01:18pm freeca-1.14 09:38am type-art temp-37 rates-19/ tidal vol-355 o2-100 po2-137* pco2-47* ph-7.28* total co2-23 base xs--4 aado2-529 req o2-88 intubated-intubated vent-controlled comments-one lung 09:38am glucose-140* lactate-0.9 na+-141 k+-4.9 cl--113* 09:38am hgb-9.5* calchct-29 09:38am freeca-1.12 07:10am glucose-116* urea n-66* creat-2.1* sodium-143 potassium-4.4 chloride-112* total co2-21* anion gap-14 07:10am glucose-116* urea n-66* creat-2.1* sodium-143 potassium-4.4 chloride-112* total co2-21* anion gap-14 brief hospital course: patient went to the operating room and underwent a min. invasive esophagectomy on . he tolerated this well initially without complication and was transferred to the sicu in stable condition. . in the first few days after the or he experienced worsening renal failure which required placement of an hd line and starting cvvhd. on pod 3 his jtube feeds were started, on pod 5 his barium swallow was performed which demonstrated no leak so his ngt was removed. over the next few days he had difficulty with rapid afib, requiring aggressive medical mgt with amiodarone, diltiazem, and lopressor. he had hypotension associated with this, also respiratory distress requiring reintubation. . on pod 10 he underwent egd because he was becoming clinically much more ill and a ct of his chest demonstrated pericardial and pleural effusion. egd demonstrated a frankly necrotic gastric conduit. he was emergently taken back to the or on for takedown of his conduit, washout, and esophagostomy. his abdomen remained open at this time as well. . he was maintained on a heparin gtt for his afib and his propensity to clot off the cvvhd lines. howeever, his plts dropped and a hit panel came back positive, so he was changed to argatroban and all his lines were changed out. he continued to have multiple episodes of rapid afib with hd instability and required multiple cardioversions over the following days. he was on broad spectrum antibiotics, and tpn was initiated. his bag was tightened over the next few days and he was eventually taken back to the or on for definitive abdominal closure. . post-op he continued to display septic physiology requiring pressors. he also had his left pleural effusion and pericardial effusions drained. he was taken back to the or for tracheostomy on . . over the next week or so he was more stable. he was weaning from the vent and tolerating cpap trials. his argatroban was transitioned to coumadin. his pain meds were weaned as well as methadone. his hemodynamics improved, but he still required intermittent low doses of pressors at times. he was transitioned back to hd once his bp was tolerating it. he remained on cvvh, and his respiratory cultures grew klebsiella for which he was treated with multiple antibiotics. his coumadin was restarted on , and he was ultimately transitioned to hd from cvvh on . on , the patient's mental status globally declined, and abg demonstrated a respiratory acidosis. his ventilatory mode was adjusted, and sputum cultures were sent. he underwent a head ct scan on to evaluate his mental status which was negative for acute intra-cranial process. on , ct scan of his torso demonstrated a tracheal perforation at the level of the et tube balloon and a loculated r hydropneumothorax. his tracheostomy was replaced by thoracic surgery. he remained on antibiotics at this time (vancomycin/meropenem/fluconazole/flagyl). on , he was transitioned back to cvvh, on which he remained until when he was transitioned back to hd. overall, he steadily improved therafter. his mental status improved slowly with time. his pulmonary status continued to improve, and he remained stable on pressure support ventilation with minimal assistance, and he was tolerating trach collar trials. he was tolerating tube feeds via his jeunostomy tube. he was helped out of bed by excellent nursing care. he was screened for rehab, and was stable at the time of discharge. by system on : neuro: alert, oriented, moving all extremities; dilaudid prn pain cv: history of a-flutter, s/p cardioversion, now in sinus rhythm; receiving coumadin %mg per night, last inr 2.1 on ) given hitt and aflutter, with inr goal 2-2.5 pulm: tolerating trach collar, r chest tube in place with heimlich valve and will be backed out further by thoracic surgery at follow-up appointment (not to be adjusted at rehab) gi: has esophageal spit fistula, abdomen closed, receiving tube feeds via j-tube (novasource renal full strength 45cc/hr at goal) renal: on hd, last heme: hitt type 2, now on coumadin endo: on insulin sliding scale, fs glucose appropriate id: all antibiotics weaned off by the time of discharge medications on admission: allopurinol - (prescribed by other provider) - 100 mg tablet - 2 tablet(s) by mouth once a day digoxin - (prescribed by other provider) - 125 mcg tablet - 1 tablet(s) by mouth once a day furosemide - (prescribed by other provider) - 40 mg tablet - 1 tablet(s) by mouth once a day hydralazine - (prescribed by other provider) - 50 mg tablet - 1 tablet(s) by mouth three times a day irbesartan - (prescribed by other provider) - 300 mg tablet - 1 tablet(s) by mouth once a day leg cream - (prescribed by other provider) - dosage uncertain sotalol - (prescribed by other provider) - 80 mg tablet - tablet(s) by mouth twice a day discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 6-10 puffs inhalation q4h (every 4 hours) as needed for hyperkalemia, wheeze. 2. acetaminophen 325 mg/10.15 ml solution sig: po q6h (every 6 hours) as needed for pain, fever. 3. ipratropium bromide 17 mcg/actuation hfa aerosol inhaler sig: six (6) puff inhalation q6h (every 6 hours). 4. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for eye care. 5. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 6. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po q8h (every 8 hours) as needed for hypertension/tachycardia. 9. warfarin 5 mg tablet sig: one (1) tablet po once a day: monitor inr, target 2-2.5. 10. pantoprazole 40 mg iv q24h 11. hydromorphone (dilaudid) 0.25-0.5 mg iv q3h:prn pain 12. sodium citrate 4 % (3 ml) syringe sig: one (1) ml miscellaneous asdir (as directed) as needed for catheter not in use. 13. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). discharge disposition: extended care facility: - discharge diagnosis: esophageal cancer, s/p esophagectomy with conduit necrosis requiring re-exploration and takedown with spit fistula, tracheal perforation acute on chronic renal failure, requiring dialysis. tracheal perforation. sepsis atrial fibrillation heparin allergy pericardial effusion discharge condition: stable, out of bed with assistance, tolerating tube feeds, tolerating trach collar trials although vent-dependent discharge instructions: discharge to ventilator rehab facility he may have trach collar wwith cuff up. start passamuer valve in one week. return to the ed or call dr. office with fevers, chills, change in ventilatory status, increasing quantity of drainage or change in nature of drainage, chest tube problems followup instructions: follow-up with dr. and dr. on a thursday, when rehab progressed.; please call to schedule an appointment procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other enterostomy insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis other electric countershock of heart venous catheterization for renal dialysis venous catheterization for renal dialysis venous catheterization for renal dialysis pericardiocentesis temporary tracheostomy closed [endoscopic] biopsy of bronchus bronchoscopy through artificial stoma delayed closure of granulating abdominal wound replacement of tracheostomy tube partial esophagectomy partial gastrectomy with anastomosis to esophagus revision of gastric anastomosis esophagostomy, not otherwise specified diagnoses: acidosis hyperpotassemia obstructive sleep apnea (adult)(pediatric) acute kidney failure with lesion of tubular necrosis other postoperative infection unspecified pleural effusion acute posthemorrhagic anemia unspecified septicemia severe sepsis cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of tobacco use atrial flutter accidental puncture or laceration during a procedure, not elsewhere classified chronic kidney disease, stage iii (moderate) unspecified disease of pericardium pressure ulcer, lower back chronic glomerulonephritis with unspecified pathological lesion in kidney malignant neoplasm of cardia heparin-induced thrombocytopenia (hit) pressure ulcer, stage iii 

Answer: The patient is high likely exposed to