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: no allergies psh- s/p right cataract surgery ? date meds: albuterol, atorvastatin, fluticasone-salmeterol, lactulose, lansoprazole, levothyroxine, montelukast, nifedipine, nystatin, senna, propoxyphene n-acetaminophen, & lidocaine-diphenhyd--mag- mouthwash, social: emigrated from ~ 12 years ago; separated from wife; has 4 children (none locally); lives alone; is unemployed. he is spanish speaking only and is unable to read. prior binge drinker but none recently; quit smoking 15-20 years ago; no recreational drug use. has friend named who reportedly assists in caring for him. prior information obtained from discharge summary of and pre-op assessment form. or course: some labile hemodynamics: patient received fluid support- see careview i&o. no vasoactive agents required for hemodynamic support. anesthesia reports patient received vecuronium but had no twitches and was not reversed. patient slow to self reverse due to chronic renal insufficiency. patient left intubated. post-op plan is to recover patient in icu with wean and extubation as tolerated once awake. icu course: intubated, sedated on propofol infusion with no or minimal gag, cough, withdrawal to painful stimulation, no overbreathing ventilator rate. no waking to voice or turning activity. propofol wean started. temp 97.3 orally. vitals within acceptable range: see careview. urine output adequate; ivf at maintenance rate of 100cc/hour. post-op lab data within acceptable range; magnesium to be repleted. vented on cmv 50% with saturations @ 100%. adequate gas exchange per abg. skin intact, cool and dry with multiple incision sites on right posterior thorax, upper left sternum, lower left sternum, and mid abdomin; all are dry and intact. jp drain site at upper left sternum with moderate seroaanginous drainage. chest tube- right pleura to 10cm wall suction with moderate amount serosanginous drainage; no fluctuation or air leak noted. abdominal gastric tube noted & clamped. ngt to lcs with blody drainage in small amounts. soft abdomin; no bowel sounds. pepcid therapy. peripheral pulses palpable. compression boots in use. sc heparin therapy to start. piv x2, patent & in use. right chest catheter- not accessed at this time. right radial arterial line- site wnl. procedure: other total gastrectomy other enterostomy enteral infusion of concentrated nutritional substances laparoscopy diagnoses: esophageal reflux unspecified pleural effusion diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation asthma, unspecified type, unspecified atrial flutter chronic kidney disease, unspecified other and unspecified hyperlipidemia mononeuritis of unspecified site malignant neoplasm of cardia dyskinesia of esophagus background retinopathy, unspecified 

Answer: The patient is high likely exposed to