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: patient recorded as having no known allergies to drugs attending: chief complaint: fall major surgical or invasive procedure: : stereotactic 3rd ventriculostomy : suboccipital craniotomy for mass resection history of present illness: 68m with known posterior fossa mass was admitted s/p fall with an increased of cerebellar density on ct. pt denied any loc, headache, visual changes, new difficulties with speech or any other motor or sensory loss. pt did report a gradual increas in difficulty walking forcing him to use a cane to walk. pt reports falling 2x. pt has a laceration on the bridge of his nose. past medical history: stage iii esophageal cancer r eye prosthesis htn doe bph chronic foley diabetes h/o trach/peg in h/o anemia in s/p cholecystectomy cognitive impairment s/p mvc social history: pt lives alone. pt denies alcohol use. pt has 80 pack-year smoking history, quit 9-10 years ago. family history: remarkable for mother with diabetes and a brother with diabetes and prostate cancer. physical exam: on admission: o: t: 97.6 bp: 137/68 hr: 66 r 16 o2sats 100%ra gen: wd/wn, comfortable, nad. heent: nasal bridge laceration pupils: 3mm r, 2.5 mm l, ->2 mm eoms neck: c-collar lungs: cta bilaterally. cardiac: rrr. s1/s2. extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. mild confusion. orientation: oriented to person, place, and date. language: dysarthria. answers inappropriate. speech garbled at times. cranial nerves: i: not tested ii: left pupils equally round and reactive to light, to mm, left visual fields are full to confrontation. r eye loss of vision, no accomodation iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice, not finger rub ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift. spastic, unable to relax lower extremities for exam. sensation: intact to light touch, temperature, and pinprick bilaterally. unable to relax le for appropriate proprioception exam reflexes: b t br pa ac right 2+ 2+ 2+ hypreflexive, triple flexes to babinski exam left 2+ 2+ 2+ hypreflexive, triple flexes to babinski exam toes downgoing bilaterally coordination: normal on finger-nose-finger right, abnormal finger-to-nose on left, normal rapid alternating movements and heel to shin. on discharge: xxxxxxxxxxxxxxx pertinent results: labs on admission: 07:50am blood wbc-4.8 rbc-4.37* hgb-13.5* hct-39.8* mcv-91 mch-30.8 mchc-33.8 rdw-14.8 plt ct-159 07:50am blood neuts-81.8* lymphs-12.1* monos-4.5 eos-1.2 baso-0.4 07:50am blood pt-13.5* ptt-27.5 inr(pt)-1.2* 07:50am blood glucose-105 urean-23* creat-0.9 na-143 k-4.2 cl-103 hco3-33* angap-11 07:50am blood alt-32 ast-18 ld(ldh)-160 alkphos-70 amylase-21 totbili-0.6 07:50am blood albumin-4.0 calcium-9.4 phos-3.1 mg-1.8 iron-61 07:50am blood caltibc-270 ferritn-117 trf-208 05:59am blood %hba1c-6.3* misc. significant lab studies: 03:08am blood wbc-12.5* rbc-3.48* hgb-11.2* hct-31.8* mcv-92 mch-32.1* mchc-35.1* rdw-15.2 plt ct-168 12:29am blood wbc-20.2*# rbc-3.88* hgb-12.9* hct-35.4* mcv-92 mch-33.2* mchc-36.3* rdw-14.9 plt ct-188 05:14am blood wbc-43.6*# rbc-4.79 hgb-15.4 hct-44.7# mcv-93 mch-32.1* mchc-34.4 rdw-14.9 plt ct-252 11:30am blood wbc-32.4* rbc-4.61 hgb-14.7 hct-42.3 mcv-92 mch-31.9 mchc-34.9 rdw-15.1 plt ct-262 07:50am blood neuts-81.8* lymphs-12.1* monos-4.5 eos-1.2 baso-0.4 11:30am blood neuts-93.9* lymphs-3.0* monos-2.9 eos-0 baso-0.1 12:29am blood pt-17.6* ptt-36.7* inr(pt)-1.6* 12:29am blood plt ct-188 03:20pm blood pt-15.6* ptt-29.2 inr(pt)-1.4* 09:44am blood pt-27.2* ptt-44.2* inr(pt)-2.7* 09:44am blood glucose-75 urean-71* creat-2.2*# na-146* k-5.7* cl-112* hco3-13* angap-27* 05:14am blood glucose-96 urean-45* creat-1.0 na-136 k-5.1 cl-108 hco3-16* angap-17 07:50am blood alt-32 ast-18 ld(ldh)-160 alkphos-70 amylase-21 totbili-0.6 05:14am blood alt-144* ast-171* ld(ldh)-536* alkphos-94 amylase-43 totbili-0.9 01:20am blood ck(cpk)-559* 09:44am blood alt-183* ast-203* alkphos-160* totbili-1.2 09:44am blood albumin-2.7* calcium-8.0* phos-5.9*# mg-2.2 05:14am blood albumin-3.0* calcium-8.5 phos-3.8 mg-1.9 07:50am blood caltibc-270 ferritn-117 trf-208 labs on discharge: xxxxxxxxxxxxxxxxxxxxx ekg : sinus rhythm. probable old septal myocardial infarction. low qrs limb lead voltage. otherwies, normal tracing. compared to the previous tracing of no significant change. intervals axes rate pr qrs qt/qtc p qrs t 77 152 86 imaging: head ct : impression: interval increase in size of patient's known left cerebellar hemorrhagic mass with surrounding vasogenic edema. mass effect and partial effacement of the fourth ventricle and left posterior aspect of the perimesencephalic cistern with no evidence of hydrocephalus. an mri is recommended for further evaluation. bilateral nasal ala and nasal septum fractures with adjacent soft tissue edema. ct c-spine : impression: 1. multilevel degenerative disc disease with no evidence of acute fracture. 2. soft tissue density adherent to the right tracheal wall which may represent mucus versus polyp. further imaging on a non-emergent basis may be obtained as deemed clinically necessary. mri head : impression: 1. left cerebellar mass with hemorrhagic foci and surrounding edema causing effacement of the fourth ventricle and quadrigeminal cistern. differential diagnosis includes lymphoma and metastatic disease. 2. chronic right frontal lobe changes consistent with prior history of trauma and contusion. cta head : impression: 1. status post gastric pull-through for esophageal carcinoma, with no definite metastatic disease. 3. stable 15-mm right hepatic lesion with suggestion of peripheral enhancement, and which may represent a hemangioma. this lesion is stable from . 3. new rib fractures involving the left sixth and right tensor ribs, without definite underlying lytic lesion or associated soft tissue mass. correlation should be made to the patient's trauma history. if there is no history of trauma, bone scan may be beneficial to exclude osseous metastases. 4. t10 compression fracture, of indeterminate age but new since . 5. sclerosis and cystic changes in the bilateral femoral heads, which can be seen with avascular necrosis, particularly in patients on steroid therapy. 6. prostatic enlargement. mri head (post-op): impression: status post left occipital craniotomy. resection of the previously demonstrated infiltrative mass lesion on the left cerebellar hemisphere. residual pattern of enhancement in the surgical bed with a nodular area of enhancement as described above, measuring approximately 19 x 9 mm in size possibly related with volume averaging, persistent edema in the posterior fossa involving the left cerebellar hemisphere. unchanged microvascular ischemic disease in the periventricular white matter. small amount of intraventricular hemorrhage. blood products identified in the surgical bed. followup mri is recommended to demonstrate any further change or stability in the pattern of enhancement in the surgical area. head ct : impression: 1. status post occipital craniotomy with surgical changes in the craniotomy bed and edema in the left cerebellar hemisphere, similar in extent to mr done on . similar degree of mass effect on the fourth ventricle. 2. trace intraventricular hemorrhage layering in the posterior horns of the lateral ventricles. no new intracranial hemorrhage. 3. slightly increased size of the lateral ventricles. bilateral knee images : impression: no acute fracture detected on either side. stable medial tibial plateau fracture on left, with marked medial compartment narrowing on the left. ruq ultrasound : impression: limited study but with normal portal and hepatic veins. status post cholecystectomy. no evidence of biliary dilatation. brief hospital course: pt was admitted on s/p fall. he underwent mri which revealed progression of the previously seen lesion. as pt was unable to urinate in the ed s/p mannitol, the urology was for foley placement. on , pt underwent a third ventriculostomy without complications. staging for esophageal carcinoma was performed. no sites of metastasis were identified. on , the pt was transferred to the stepdown unit. on , was for increased blood glucose. cta/v of the head was performed which demonstrated no evidence of venous sinus thrombosis. on , he went to the or for suboccipital craniotomy for mass resection. post operatively he was transferred to the icu for continued monitoring. on , post-operative mri was performed and he was subsequently extubated. mri revealed a gross total resection of the lesion. he was moving all extremities purposefully, spontaneous eye opening, with some bouts of agitation. on , his coagulation studies were found to be slightly elevated. hematology was , and this was thought to be due to vitamin k deficiency, and he subsequently received 10mg of vitamin k. on , he was transferred to the neurosurgery floor. repeat speach and swallow study was perfomed, but due to agitation, and complaince, they were not able to complete their examination. on , he was much more awake, and following simple commands consistently. however routine cbc evaluation revealed a white blood count of 40, which had doubled in 24hrs. this was repeated to ensure no error, and the repeat revelaed a wbc of 34. he was also found to have transamintis. medicine and the id services were to help determine the causation of the elevated wbc and transaminitis. they recommended, multiple laboratory studies, and ultrasound of the right upper quadrent to evaluate hepatic blood flow. all work up were negative including a stool specimen for c. diff. on the evening of and into the early morning of , mr. became much more tachycardic(ekg showing sinus tach), and had low blood pressures(sbp 80-90). his peripheral iv infiltrated and he had no access. the iv team tried repeatedly to place a new line but were unsuccessful. finally, his port-a-cath was accessed and he was able to receive fluids through that line. his heart rate temporarily decreased from 140 to 120s but that only lasted a short time. medicine team was again called, and it was collaboratively decided that his present condition would be best monitored and treated further in the icu. at approximately 6am on the patient was transferred to the sicu. the patient became progressively lethargic required intubation. he subsequently suffered multi-organ failure including hepatic failure, renal failure, and profound coaguloathy. he remained hypotensive requiring aggressive fluid resuscitation. while his blood pressure had subsequently stabilized, he subsequently suffered ards with progressive worsening of his ventilation status. because of volume overload, he was started on cvvh for arf. given the progressive worsening of the patient's status despite aggressive measures and the poor prognosis associated with esophageal metastasis, the family decided to make the patient cmo. the patient expired shortly thereafter. medications on admission: amantidine citalopram 10 mg finasteride 5 mg lactulose 30 ml prn lansoprazole 30 mg q day metformin 500 mg metoprolol xl 25 mg flomax 0.4 mg trazadone 50 mg qhs:prn colace 100 mg mvi b12 discharge medications: patient expired discharge disposition: expired discharge diagnosis: patient expired discharge condition: patient expired discharge instructions: patient expired followup instructions: patient expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain insertion of endotracheal tube intravascular imaging of intrathoracic vessels arterial catheterization peritoneal dialysis other repair of cerebral meninges other immobilization, pressure, and attention to wound diagnoses: acidosis obstructive hydrocephalus other postoperative infection unspecified essential hypertension acute and subacute necrosis of liver acute kidney failure, unspecified unspecified septicemia severe sepsis personal history of tobacco use hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) defibrination syndrome secondary malignant neoplasm of brain and spinal cord intestinal infection due to clostridium difficile other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation encounter for palliative care diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled delirium due to conditions classified elsewhere personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health gastrostomy status oliguria and anuria nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] personal history of malignant neoplasm of esophagus late effects of motor vehicle accident history of fall unspecified persistent mental disorders due to conditions classified elsewhere profound impairment, one eye, impairment level not further specified late effect of intracranial injury without mention of skull fracture urinary obstruction, not elsewhere classified eye globe replaced by other means 

Answer: The patient is high likely exposed to