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: esophageal cancer, tracheoesophageal fistula major surgical or invasive procedure: rouex-n-y gastrojejunostomy, esophageal conduit, jejunostomy, small bowel resection, thoraco-abdominal incision with anastomosis picc line svc filter intubation arterial line right ij venous catheter left subclavian venous catheter history of present illness: dr. is a 61-year-old m, now 12 years after trimodality therapy for esophageal cancer. he was recently diagnosed with a fistula from the carina of the trachea to the gastric conduit, presumably based on the foreign body of the lesser curvature staple line eroding into the airway. biopsies of both the bronchial and gastric side of this had not shown any malignancy, nor was there any mass lesion visible by ct scan. his y-stent is effectively controlling and preventing ongoing biliary soilage of the lower lobe at this time. he remains nutritionally behind, and given the irradiated field, a feeding jejunostomy was placed on for his nutritional gains and to divert the pancreatic and biliary drainage, which tends to reflux into the gastric conduit, to allow unrestricted healing of this site. patient returns on this admission for further surgical repair of his tracheoesophageal fistula repair. past medical history: past medical history: esophageal cancer, bowel obstruction, tef, left vocal cord paralysis, depression s/p ect (following surgery), anxiety . past surgical history: esophagectomy at in complicated by stricture and tracheal esophageal fistula s/p dilation x2 and y-stent for the tef on , exploratory laparotomy/loa/biliary diversion with g and j tube placement , repair of te fistula w/intercostal flap , roux-n-y gastrojejunostomy (esophageal conduit) with intra-thoracic anastomosis, small bowel resection, j-tube on social history: general surgeon, lives w/ wife and 2 small children ages 5 and 7. non-smoker family history: non-contributory physical exam: admission physical exam vitals: 96.7 77 126/74 16 97% rm air gen: no acute distress cardio: rrr, no rmg pulm: cta, lower bs to right bases abd: soft, nt/nd, active bs, j-tube in place (tf at goal) ext: no c,c,e pertinent results: 11:04pm blood wbc-8.6 rbc-3.36* hgb-9.9* hct-28.3* mcv-84 mch-29.5 mchc-35.0# rdw-16.3* plt ct-242# 04:36am blood wbc-11.5* rbc-3.52* hgb-9.9* hct-30.4* mcv-87 mch-28.1 mchc-32.5 rdw-15.6* plt ct-248 07:35am blood wbc-8.5 rbc-2.29* hgb-6.6* hct-20.1* mcv-88 mch-28.7 mchc-32.8 rdw-16.1* plt ct-249 07:00am blood wbc-10.1 rbc -3.12* hgb-9.3* hct-27.6* mcv-88 mch-29.7 mchc-33.6 rdw-15.4 plt ct-317 05:26am blood wbc-11.1* rbc-3.29* hgb-9.8* hct-29.8* mcv-91 mch-29.7 mchc-32.8 rdw-15.4 plt ct-440 05:31am blood wbc-12.2* rbc-3.04* hgb-8.9* hct-27.2* mcv-90 mch-29.4 mchc-32.8 rdw-15.3 plt ct-568* 05:58am blood wbc-12.2* rbc-3.12* hgb-8.8* hct-27.9* mcv-89 mch-28.4 mchc-31.7 rdw-15.0 plt ct-815* 05:25am blood wbc-12.3* rbc-3.00* hgb-8.8* hct-26.4* mcv-88 mch-29.4 mchc-33.4 rdw-15.8* plt ct-885* 11:53am blood wbc-13.3* rbc-2.94* hgb-8.4* hct-25.9* mcv-88 mch-28.8 mchc-32.6 rdw-15.0 plt ct-923* 04:01am blood wbc-10.4 rbc-3.26* hgb-9.6* hct-28.0* mcv-86 mch-29.5 mchc-34.4 rdw-15.3 plt ct-629* 01:27am blood wbc-11.3* rbc-3.36* hgb-10.0* hct-28.8* mcv-86 mch-29.9 mchc-34.8 rdw-15.4 plt ct-554* 04:58am blood wbc-7.6 rbc-3.70* hgb-10.6* hct-31.9* mcv-86 mch-28.7 mchc-33.3 rdw-14.2 plt ct-568* 04:41pm blood pt-15.8* ptt-26.9 inr(pt)-1.4* 10:51pm blood pt-15.2* ptt-31.4 inr(pt)-1.3* 05:58am blood pt-15.0* ptt-33.2 inr(pt)-1.3* 11:53am blood pt-16.5* ptt-59.1* inr(pt)-1.5* 04:01am blood pt-15.0* ptt-29.7 inr(pt)-1.3* 03:31am blood pt-14.3* ptt-28.6 inr(pt)-1.2* 11:04pm blood glucose-128* urean-19 creat-0.8 na-138 k-4.7 cl-107 hco3-24 angap-12 06:27pm blood glucose-173* urean-11 creat-0.8 na-136 k-4.2 cl-104 hco3-26 angap-10 04:58am blood glucose-115* urean-11 creat-0.9 na-138 k-4.0 cl-104 hco3-27 angap-11 05:02am blood caltibc-243* ferritn-211 trf-187* 05:02am blood triglyc-139 upper gi sbft : status post esophagectomy, with roux-en-y gastrojejunostomy anastomosis. no evidence of leak or obstruction at the gj anastomosis, although contrast is slow flowing through the anastomosis, consistent with postoperative edema. although incompletely assessed, contrast has likely traversed through the jj anastomosis. cta 1. interval development of bilateral segmental and subsegmental pulmonary emboli. 2. decreasing size of posterior mediastinal collection in comparison to prior study. 3. persistent bilateral pleural effusions. continued airspace disease at right lung base. development of ground-glass attenuation in bilateral lung fields, which can be consistent with worsening infection or infarcts. le us no evidence of acute dvt involving the right or left lower extremities. up us partially occlusive thrombus of the right axillary vein. these findings were discussed in person with the medical resident caring for the patient. cxr large round opacity in left lower lung, in part due to loculated intrafissural fluid, but also raising the possibility for either a rounded pneumonia or evolving lung abscess brief hospital course: patient was taken to the or by dr. for roux-n-y gastrojejunostomy (esophageal conduit) with intra-thoracic anastamosis, small bowel resection, and j-tube for repair of his tracheoesophageal fistula on . epidural placed and split with pca to provide additional pain control. he was transferred to the thoracic surgical floors for further postoperative recovery. : patient followed a normal postoperative course. he ambulated without any difficulty with assistance. he was kept npo with tube feeds at goal via j-tube. patient transfused 2 units prbc for hct of 20. post-transufion hct showed adequate response with hct of 31. the plan was for upper gi study one week after his surgery to assess anastomosis before starting his diet. : patient was febrile to 101.9. vancomycin and zosyn started for empiric coverage. patient also developed atrial fibrillation with hr > 170's. he was not able to convert with lopressor and became hypotensive despite multiple fluid boluses. cardiac enzyme panel were negative. electrolytes checked and were repleted. transferred to the intensive care unit for symptomatic atrial fibrillation. amiodarone started and he converted to sinus that evening. his epidural was removed by aps for possible bacteremia. he kept on pca for pain control. : patient with tachypnea secondary to his abdominal distention. oxygen saturations were > 93% and blood gases showed normal gas exchange. pulmonary toilet with nebulizer to help with his respiratory status. patient complained of a "reflux" that is not gerd-like but exacerbated when he lays flat. with his constipation and ileus, full bowel regimen with laxatives started. golytely started at 40ml/hr via his j-tube to encourage bowel movements. patient remained nsr. -: right picc line provided for additional venous access while patient remained on amiodarone drip. piv removed for phlebilits most likely amiodarone drug reaction. he remained nsr. golytely continued to be fed via j-tube. patient able to pass flatus and stool. he was kept on antibiotics for a incisional wound cellulitus that was indurated, tender and erythematous. : patient with improving dyspnea. regular bm. subjectively feels improved overall. barium swallow showed no leak and tube feeds (replete with fiber) was restarted. his chest tube was also removed. patient started on sips and advanced to clears for comfort. tube feeds advanced to goal. began diuresis which slightly improved his dyspnea. he remained at 4l oxygen via nc, rr at 32. serial cxr continued to show bibasilar atelectasis. : with continued and worsening dyspnea, ct scan of chest showed bilateral pulmonary embolism. heparin drip started, ptt goal of 60-80. no heparin bolus was given and ptt checked every 6 hrs to adjust heparin drip. : patient transferred to icu for ~ 500ml of bloody emesis. heparin drip stopped. he remained hemodynamically stable. hct at 26. ngt was placed for decompression. planned for elective intubation, egd and bronchoscopy. egd showing clots at esophageal conduit. bronchoscopy showed mild blood in lll bronchus. no areas of active bleeding found. protonix also started. patient transfused 2u prbc. with pulmonary emboli and upper gi bleed, vascular surgery consulted to place ivc filter. leni were negative for any dvt. : svc filter placed by vascular surgery without complications.please see dictated note for more detail. patient remained intubated and taken back to icu after surgery. rij wire removed (proximity to svc filter) and left subclavian central venous line placed. patient was weaned from ventilator for extubation. us of upper extremity showed partially occlusive thrombus of the right axillary vein. additional unit of blood given to keep hct > 30. : patient extubated and returned to general surgical floor. ng removed and tube feeds restarted with goal of 90ml/hr. his diet advaced to clears and fulls. continued to have bowel movements. patient weaned from oxygen use and with normal oxygenations even with ambulation. less abdominal distention as he tolerated diet without nausea or vomiting. he is being discharged home with tubefeeds on . medications on admission: ativan 0.25-0.5mg po prn, roxicet prn at meal discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed. disp:*500 ml(s)* refills:*0* 2. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 6 days: take from date of discharge until . disp:*22 tablet(s)* refills:*0* 3. amiodarone 200 mg tablet sig: two (2) tablet po once a day for 2 weeks: take from until . disp:*14 tablet(s)* refills:*0* 4. ativan 1 mg tablet sig: one (1) tablet po every 4-6 hours as needed for anxiety/insomnia. disp:*30 tablet(s)* refills:*1* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home discharge diagnosis: esophageal cancer tracheoesophageal fistula left vocal cord paralysis depression anxiety disorder pulmonary embolism upper gi bleed respiratory failure requiring intubation atrial fibrillation discharge condition: stable on tube feeds and tolerating regular diet meeting discharge criteria discharge instructions: general: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . incision care: -your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: please follow up with dr. in 1 week follow up with pcp weeks procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified other intrathoracic esophagoenterostomy other enterostomy other partial resection of small intestine other endoscopy of small intestine insertion of endotracheal tube interruption of the vena cava fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt insertion of (naso-)intestinal tube diagnoses: cellulitis and abscess of trunk atrial fibrillation constipation, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation iatrogenic pulmonary embolism and infarction paralytic ileus hematemesis other vascular complications of medical care, not elsewhere classified phlebitis and thrombophlebitis of superficial veins of upper extremities tracheoesophageal fistula other diseases of trachea and bronchus persistent postoperative fistula personal history of malignant neoplasm of esophagus edema of male genital organs unilateral paralysis of vocal cords or larynx, complete 

Answer: The patient is high likely exposed to