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: penicillins / augmentin attending: chief complaint: asiration pneumonia major surgical or invasive procedure: removal of esophageal stent attempted broncheal stent placement history of present illness: 47f with non-small cell lung cancer (nsclc) stage iiia s/p chemotherapy, xrt complicated by development of transesophageal fistula. patient is s/p esophageal stent and peg tube placement in 11/. patient had multiple admission for aspiration pneumonia with prior culture growing pseudomonas. patient was on a course of levofloxacin and flagyl. patient was admitted most recently to osh with increasing sob, fever during antibiotic course. cxr on admission showed bilateral pleural effusion and consolidation at right lung base. patient was started on broad spectrum antibiotics for presumed aspiration pneumonia then switch to ceftazidime and flagyl when sputum grew out pseudomonas resistant to levofloxacin. due to suspicion of stent leak causing pneumonia, a barium swallow was ordered. the swallow study showed tracheoesophageal fistula with leakage of barium into left bronchus. ct chest showed pericardial effusion, collapsed right lower lobe, consolidation right lower lobe, and bilateral pleural effusions. empyema was suspected and ir placed a pigtail and drained pleural fluid which was negative for organisms and malignant cells. pigtail was removed prior to transfer to . bronchoscopy was performed due to concern of reoccurance and found mass in bilateral main bronchus. after discussion with oncology and gastroenterology a bronchial stent placement was recommended to prevent further aspiration and patient was transferred to for placement of stent. past medical history: nsclc, s/p chemo, xrt, h/o tracheoesophageal fistula, h/o aspiration pneumonia, migraine, copd, s/p septoplasty for chronic sinusitis , sternal fx in childhood, s/p excision of left mandibular gland for recurrent sialodenitis , h/o heavy mentrual bleeding with iron deficiency anemia social history: ex-smoker, d/c'd on , 30pack year occupation: food industry married, lives with family no etoh: no exposure: asbestos family history: mother - breast cancer father - died from cardiac issues siblings - sister: hepatitis c physical exam: 97.2 108 104/69 17 100% nad, aox3 bronchi b/l rrr abd soft, nt/nd ext wnl pertinent results: 10:08pm blood wbc-11.8* rbc-3.39* hgb-8.7* hct-27.2* mcv-80* mch-25.5* mchc-31.8 rdw-18.2* plt ct-613* 10:08pm blood pt-16.1* ptt-29.1 inr(pt)-1.4* 10:08pm blood glucose-89 urean-5* creat-0.4 na-137 k-5.1 cl-99 hco3-30 angap-13 10:08pm blood calcium-9.6 phos-4.4 mg-2.0 04:24am blood wbc-20.6* rbc-2.99* hgb-7.6* hct-23.8* mcv-80* mch-25.4* mchc-31.9 rdw-17.8* plt ct-718* 04:24am blood glucose-127* urean-7 creat-0.4 na-135 k-4.6 cl-100 hco3-30 angap-10 04:24am blood calcium-9.3 phos-4.4 mg-1.9 04:45am blood type-art po2-149* pco2-48* ph-7.42 caltco2-32* base xs-6 12:13am blood type-art temp-37.0 rates-/20 peep-5 fio2-40 po2-94 pco2-49* ph-7.41 caltco2-32* base xs-4 intubat-intubated vent-spontaneou 04:45am blood lactate-0.8 04:45am blood freeca-1.21 brief hospital course: 47f lung ca c/b transesophageal s/p esophageal stent w/ persistent leak and aspiration pneumonia was admitted on . she was placed on antibiotics, made npo and taken to the or for rigid bronchoscopy was performe on and found complete destruction of bronchus intermedius. on patient was sent for egd to remove the esophageal stent. the esophageal stent was removed without complications. then an attempt was made to place a bronchial stent. the tracheoesophageal fistula was found to involve right main stem and bronchus intermedius and was deeemed unable to stent or repair. at that point the procedure was aborted and patient was sent to pacu. she was extubated successfully in pacu then sent to sicu for further recovery. family and patient was approached and told the prognosis of the patient's condition. after discussion with family and patient hospice care was decided patient was made dnr/dni. patient will be transferred to for further care. medications on admission: albuterol 2puff q2h, advair 250/50 1puff", flonase 1sp", zofran 4""prn, tylenol 650"", loratadine 10', amitriptyline 25", triamcinolone 0.1%"', sucralfate 1g""prn, fentanyl 25mcg q3d, motrin 600"""prn, nexium', oxycodone 500"" discharge medications: 1. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 2. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal (2 times a day). 3. loratadine 10 mg tablet sig: one (1) tablet po daily (). 4. amitriptyline 25 mg tablet sig: one (1) tablet po hs (at bedtime). 5. triamcinolone acetonide 0.1 % cream sig: one (1) appl topical tid (3 times a day). 6. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day) as needed for abdominal pain. 7. fentanyl 25 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 8. ibuprofen 100 mg/5 ml suspension sig: six hundred (600) mg po q6h (every 6 hours) as needed for pain. 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 10. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours). 11. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 12. morphine concentrate 5 mg/0.25 ml solution sig: 2.5-10 mg po q15mins as needed for pain. disp:*qsuff qsuff* refills:*0* 13. ativan 1 mg tablet sig: one (1) tablet po every four (4) hours as needed for agitation. disp:*20 tablet(s)* refills:*0* 14. home oxygen therapy titrate to o2sat > 90% discharge disposition: extended care discharge diagnosis: nsclc, s/p chemo, xrt, h/o tracheoesophageal fistula, h/o aspiration pneumonia, migraine, copd, s/p septoplasty for chronic sinusitis , sternal fx in childhood, s/p excision of left mandibular gland for recurrent sialodenitis , h/o heavy mentrual bleeding with iron deficiency anemia discharge condition: stable discharge instructions: call dr. office if experience: -fever> 101 or chills, increased cough, shortness of breath, sputum production, chest pain followup instructions: follow-up with dr. as directed md procedure: other endoscopy of small intestine fiber-optic bronchoscopy removal of intraluminal foreign body from esophagus without incision diagnoses: chronic airway obstruction, not elsewhere classified unspecified disease of pericardium pneumonia due to pseudomonas pneumonitis due to inhalation of food or vomitus malignant neoplasm of other parts of bronchus or lung gastrostomy status tracheoesophageal fistula polyp of vocal cord or larynx 

Answer: The patient is high likely exposed to