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: history of present illness: the patient is a 47-year-old male with a diagnosis laryngeal carcinoma, status post radiation therapy who presented with an epiglottis and swollen vocal cords. hospital course: because of concern about his airway as well as concern about potential aspiration, the patient underwent an awake tracheostomy performed on . please see operative note per dr. for details of this operation. the patient's postoperative course was relatively unremarkable. he initially had difficulty with relatively copious secretions, but the patient ultimately became comfortable with performing his tracheostomy care independent of any of the nursing staff. the patient was maintained on a combination of intravenous fluids and peripheral parenteral nutrition until a gastrojejunostomy tube was placed by the general surgery team on by dr. . please see the operative note for details of this gastrojejunostomy tube operation. following the surgery, the patient was given a 24-hour period without tube feeds. he was initially started on tube feeds at 10 cc per hour and slowly advanced up to his goal which was computed by the nutrition staff at 70 cc per hour. following his goal of 70 cc per hour, the patient was changed to bolus feeds. he received two cans of jevity plus three times per day and one can of jevity plus q.h.s. the patient's postoperative course was also complicated by a purulent drainage from his tracheostomy site. cultures were obtained from the site indicating beta streptococcus as well as staphylococcal species. the patient was subsequently placed on both ceftazidime and ciprofloxacin. ciprofloxacin was added due to the fact that gram stain indicated 4+ gram-negative rods, and there was a high clinical suspicion for potential pseudomonas infection. discharge disposition: the patient's infection improved markedly with treatment with these antibiotics. ultimately, he was discharged on . condition at discharge: condition on discharge was stable. discharge status: discharge status was to home with services for both respiratory care, as well as tube feeds, as well as dressing changes as needed. medications on discharge: (discharge medications included) 1. ciprofloxacin 500 mg per gastrojejunostomy tube q.d. (times seven days). 2. clindamycin 300 mg per gastrojejunostomy tube t.i.d. (times seven days). 3. colace elixir 100 mg per gastrojejunostomy tube b.i.d. 4. milk of magnesia 30 cc b.i.d. as needed. 5. fentanyl patch 25 mcg transdermally q.72h. 6. roxicet 5 cc to 10 cc q.4-6h. per gastrojejunostomy tube as needed (for breakthrough pain). discharge instructions/followup: followup was obtained for the patient with dr. the week after discharge. , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances other esophagoscopy enteral infusion of concentrated nutritional substances temporary tracheostomy closed [endoscopic] biopsy of larynx other gastrostomy diagnoses: unspecified protein-calorie malnutrition other emphysema infection of tracheostomy acute epiglottitis with obstruction malignant neoplasm of larynx, unspecified 

Answer: The patient is high likely exposed to