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: ace inhibitors attending: chief complaint: abdominal pain major surgical or invasive procedure: egd esophagogastroduodenoscopy, laparoscopic giant paraesophageal hernia repair and gastrostomy tube history of present illness: 83 yo who presented with atypical chest pain and backache,particularly when swallowing. admitted with a question of esophagealperforation. on endoscopy she had a partial tear just above the ge junction but more notably she had a nearly complete intrathoracic stomach with a giant paraesophageal hernia. we treated her conservatively for several days and a subsequent barium swallow revealed no evidence of leak. past medical history: copd htn hlp gerd pmr (steroids) social history: cigarettes: ex-smoker quit: 20 yrs ago etoh: yes drinks/day: lives: alone family history: non-contributory pertinent results: 05:31am blood wbc-7.8 rbc-2.91* hgb-8.4* hct-26.7* mcv-92 mch-28.9 mchc-31.5 rdw-13.3 plt ct-352 03:49am blood wbc-6.9 rbc-2.97* hgb-8.8* hct-26.7* mcv-90 mch-29.8 mchc-33.1 rdw-13.5 plt ct-317 04:51am blood wbc-9.7 rbc-3.09* hgb-9.4* hct-28.3* mcv-92 mch-30.2 mchc-33.0 rdw-13.1 plt ct-289 12:58pm blood glucose-132* urean-44* creat-1.0 na-140 k-3.7 cl-103 hco3-27 angap-14 02:14pm blood glucose-232* urean-36* creat-0.9 na-141 k-3.8 cl-103 hco3-29 angap-13 02:54pm blood glucose-125* urean-25* creat-0.8 na-143 k-4.4 cl-104 hco3-29 angap-14 08:42pm blood glucose-122* urean-33* creat-1.2* na-136 k-3.5 cl-103 hco3-26 angap-11 10:55pm blood glucose-150* urean-44* creat-1.4* na-133 k-3.2* cl-99 hco3-25 angap-12 05:15am blood alt-11 ast-16 alkphos-43 totbili-0.3 12:58pm blood calcium-9.4 phos-3.4 mg-1.9 04:30am blood calcium-7.7* phos-2.8 mg-1.8 05:15am blood caltibc-195* trf-150* 05:15am blood triglyc-221* hdl-47 chol/hd-3.1 ldlcalc-56 10:59am blood type-art po2-66* pco2-37 ph-7.46* caltco2-27 base xs-2 08:59am blood type-art po2-72* pco2-43 ph-7.47* caltco2-32* base xs-6 09:49pm blood po2-81* pco2-42 ph-7.43 caltco2-29 base xs-2 intubat-intubated vent-controlled 06:05am blood freeca-1.13 04:51am blood wbc-11.4*# rbc-2.95* hgb-8.9* hct-27.1* mcv-92 mch-30.1 mchc-32.7 rdw-13.8 plt ct-332 03:52am blood wbc-7.7 rbc-2.76* hgb-8.3* hct-25.7* mcv-93 mch-30.0 mchc-32.2 rdw-14.0 plt ct-297 04:51am blood wbc-7.1 rbc-3.24* hgb-9.4* hct-29.7* mcv-91 mch-29.0 mchc-31.7 rdw-14.2 plt ct-290 07:52am blood glucose-119* urean-30* creat-0.7 na-139 k-3.6 cl-113* hco3-17* angap-13 03:52am blood glucose-131* urean-25* creat-0.7 na-140 k-3.8 cl-107 hco3-25 angap-12 04:51am blood glucose-122* urean-24* creat-0.7 na-138 k-4.2 cl-104 hco3-28 angap-10 04:51am blood calcium-8.9 phos-3.5 mg-1.5* 04:18am blood wbc-7.1 rbc-3.01* hgb-9.0* hct-27.6* mcv-92 mch-30.0 mchc-32.8 rdw-14.5 plt ct-297 04:18am blood glucose-136* urean-22* creat-0.7 na-136 k-4.2 cl-103 hco3-26 angap-11 04:18am blood calcium-8.6 phos-3.8 mg-1.9 brief hospital course: 83 yof pt transferred from caritas where she was admitted on with an atypical chest pain and backache, particularly when swallowing. cxr showed large hiatal hernia. while waiting for ugi in the radiology dept she developed respiratory distress and was admitted to the icu rxed with nebs and iv hydrocortisone.later, she had a ct scan without contrast since her cr. was 2.1 which revealed r parenchymal infilterates and markedly distended esophagus. no free air was evident. gi was consulted for egd,as a safe measure pt was intubated pre egd. during intubation pt developed hypotension and st elevation and loss of p waves with junctional rhythm, which was very transient and troponins were 0.02, this was improved as soon as the pt was started on pressors/ neosnephrine. soon after, egd was done that showed a perforation just prox to ge junction , clipping attempted , failed to close the perforation. she was started on levaquin clinda and zosyn. pt was transferred to for evaluation and definitive management of esophageal perforation. egd performed on arrival to : at 30 cm we could see the ge junction. right there, there were several metallic clips which had been placed by the outside gastroenterologist presumably. at the site of these clips we could see perforation which measured approximately 1 cm across. this was oriented posteriorly in the esophagus. i went ahead and entered the stomach and noted that it was extremely tortuous consistent with the possible gastric volvulus suggested by the noncontrast ct scan. i was not able to traverse the entirety of the stomach down to the pylorus due to this tortuosity. there is no other site of bleeding or perforation in the stomach. we went back and visualized the replacement of the ng tube to make sure that it went back into the stomach. the perforation itself looked subacute but it was unclear exactly how old it was. patient was admitted to icu intubated and treated with antibiotics (vanco, cipro, flagyl, fluc). extubated tpn started for nutrition patient npo. cxr rll -? aspiration pneumonia. transfered to 9 with npo w/tpn/picc line and continued on antibiotics. on patient taken for surgery for: esophagogastroduodenoscopy, laparoscopic giant paraesophageal hernia repair and gastrostomy tube. patient did well transfered back to 9 continued on tpn and antibiotics advancing diet to full liquids. continued tpn adjusting as pos increased. daily calorie count and crush all meds. transfered to rehab with tpn-wean on full liquid diet only for deconditioning and tx. medications on admission: metoprolol 12.5 '' hctz 25 ' levalbuterol inh '''' lipitor 20 ' prednisone 10' bupropion 150' discharge medications: 1. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for sob. 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for sob. 3. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 5. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 6. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 7. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 9. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: five (5) ml po q4h (every 4 hours) as needed for pain. 10. pantoprazole 40 mg recon soln sig: one (1) recon soln intravenous q12h (every 12 hours). 11. heparin, porcine (pf) 10 unit/ml syringe sig: one (1) ml intravenous prn (as needed) as needed for line flush. 12. heparin, porcine (pf) 10 unit/ml syringe sig: one (1) ml intravenous prn (as needed) as needed for line flush. 13. methylprednisolone sodium succ 40 mg/ml recon soln sig: one (1) recon soln injection daily (daily). 14. insulin sliding scale achs insulin sc sliding scale ac and hs breakfast lunch dinner bedtime regular regular regular regular glucose insulin dose insulin dose insulin dose insulin dose 0-50 mg/dl 4 oz. juice 4 oz. juice 4 oz. juice 4 oz. juice 51-150 mg/dl 0 units 0 units 0 units 0 units 151-200 mg/dl 4 units 4 units 4 units 4 units 201-250 mg/dl 8 units 8 units 8 units 8 units 251-300 mg/dl 12 units 12 units 12 units 12 units 301-350 mg/dl 16 units 16 units 16 units 16 units 351-400 mg/dl 20 units 20 units 20 units 20 units discharge disposition: extended care facility: - discharge diagnosis: giant paraesophageal hernia discharge condition: good discharge instructions: please call dr. with any questins or concerns . call with fevers greater than 101.5 call with increased shortness of breath call with increased cough call with difficult swallowing,vomiting problems eating. followup instructions: you have a follow up appointment with dr. on at 10:30 am on the in the chest disease clinic. you need to report to x/ray (radiology) on the for your chest x/ray. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other endoscopy of small intestine other endoscopy of small intestine percutaneous [endoscopic] gastrostomy [peg] laparoscopic repair of diaphragmatic hernia, abdominal approach diagnoses: polymyalgia rheumatica urinary tract infection, site not specified unspecified essential hypertension chronic airway obstruction, not elsewhere classified accidental puncture or laceration during a procedure, not elsewhere classified diaphragmatic hernia without mention of obstruction or gangrene acute respiratory failure accidental cut, puncture, perforation or hemorrhage during other specified medical care other specified disorders of stomach and duodenum accidents occurring in residential institution disorder of bone and cartilage, unspecified perforation of esophagus streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group b 

Answer: The patient is high likely exposed to