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: penicillins attending: chief complaint: esophageal cancer major surgical or invasive procedure: distal esophagectomy with esophagojejunostomy history of present illness: the 63-year-old woman with a history of barrett's esophagus and dysplasia and now intramucosal carcinoma. this has been followed for several years. more recently, she has been seen here and has had biopsies which show this. she has had several trials with ablative therapy. endomucosal resection was done, which showed positive margins. she in the past has been very resistant to having any surgical treatment, but at the present time, is now looking for other options. past medical history: pmh: obestity, dm, seasonal allergies psh: gastric bypass in?, shoulder sx 07, ccy ' social history: no smoking or etoh use. family history: non-contributory physical exam: on discharge: avss gen: nad cv: rrr, no m/g/r lungs: ctab abd: soft, nt/nd. wound cdi. ext: warm, well perfused. pertinent results: 05:56pm blood wbc-18.8*# rbc-4.60 hgb-13.3 hct-39.5 mcv-86 mch-28.9 mchc-33.6 rdw-13.9 plt ct-271 06:50am blood wbc-10.1 rbc-4.05* hgb-11.4* hct-34.3* mcv-85 mch-28.0 mchc-33.1 rdw-13.7 plt ct-230 06:50am blood glucose-202* urean-8 creat-0.5 na-141 k-4.1 cl-105 hco3-27 angap-13 ugi : impression: free passage of contrast material from the esophagus into the jejunum without evidence of stenosis or extraluminal leak. brief hospital course: the patient was admitted to the general surgical service for evaluation and treatment. on the patient underwent distal esophagectomy with esophagojejunostomy. (please see the operative note for details). the patient was transferred to the unit post-operatively in stable condition. she was npo, on iv fluids with a foley catheter, epidural for pain. the patient was transferred to the floor on pod2 after an uneventful stay in the unit. neuro: the patient received epidural initially, which was split with a morphine pca. this provided the patient with good pain relief. on pod4, the epidural was pulled and the patient was switched to roxicet via her j-tube with good pain control. cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. a bas was performed on that showed no obstruction or leak. ngt was then pulled and patient was started on sips. diet was advanced to soft solids, which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. patient's foley was dc'd after the epidural came out, and she voided without problem. tube feeds were continued throughout the hospital stay. the jp drain was pulled on . id: the patient's white blood count and fever curves were closely watched for signs of infection. the patient's wound remained clean dry and intact. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: omeprazole 40', glyburide 2.5am and 5pm, metformin 850', lorazepam 1 qhs, zyrtec, singulair 10', sertraline 50' discharge disposition: home with service facility: home solutions discharge diagnosis: esophageal cancer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call your doctor or nurse practitioner if you experience the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down 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. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain is not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. . general discharge instructions: please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: , md phone: date/time: 2:45 procedure: other intrathoracic esophagoenterostomy other enterostomy enteral infusion of concentrated nutritional substances other lysis of peritoneal adhesions insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt suture of laceration of small intestine, except duodenum diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled accidental puncture or laceration during a procedure, not elsewhere classified peritoneal adhesions (postoperative) (postinfection) long-term (current) use of insulin obesity, unspecified barrett's esophagus malignant neoplasm of cardia bariatric surgery status accidental cut, puncture, perforation or hemorrhage during surgical operation 

Answer: The patient is high likely exposed to