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 / fosamax / lipitor / calcium carbonate / doxycycline attending: chief complaint: food impaction major surgical or invasive procedure: endoscopy history of present illness: 86f with h/o dm2, esophageal strictures/diverticuli admitted initially to micu with food stuck in throat and inability to swallow secretions, now called out to floor. patient ate peas and carrots at 8pm on and felt food was stuck. could not swallow secretions and had pain in throat. had a similar episode in . presented to ed morning of . gi was consulted in ed and she was admitted to the micu for urgent egd. egd was performed with finding of impacted lima bean in lower esophagus. tolerated procedure well. midaz and fent during procedure. was a little groggy but doing well and able to swallow afterwards. currently reports having no troubles swallowing, but does note sensation of something irritating throat still, though improved from before. . review of systems: (+) per hpi . also with intermittent diarrhea/constipation. (-) denies fever, recent weight loss or gain, headache, cough, shortness of breath. denied chest pain or tightness, palpitations. denied nausea, vomiting, abdominal pain, back pain. no dysuria. denied arthralgias or myalgias. past medical history: - diabetes type ii - esophageal stricture, diverticuli, and rings c/w feline esophagus - hypertension - osteoporosis with compression fracture and resultant kyphosis (unable to take fosamax) - glaucoma s/p tah for fibroids s/p cholecystectomy social history: husband is in a nursing home (has dementia), has had vna in past but reports none right now. no smoking or alcohol family history: father died of ?esophageal/mouth ca. daughter has type ii dm. no other fh of cad, stroke, type ii dm. physical exam: vitals: t97, 155/72, p61, r18, 100% ra general: nad, pleasant female, some word finding difficulties. heent: sclera anicteric, mmm, op clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, few r basilar crackles that clear with cough. cv: regular rate and rhythm, normal s1, s2, sm best at lusb abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 05:00pm blood wbc-5.4 rbc-4.08* hgb-11.7* hct-35.2* mcv-86 mch-28.6 mchc-33.2 rdw-13.5 plt ct-245 05:00pm blood neuts-67.6 lymphs-29.0 monos-2.4 eos-0.6 baso-0.3 05:00pm blood glucose-80 urean-11 creat-0.7 na-143 k-3.7 cl-106 hco3-29 angap-12 10:30am blood calcium-8.7 phos-2.8 mg-1.7 . cxr - impression: no acute cardiopulmonary abnormality. no radioopaque foreign bodies identified. . egd report - impression: food in the esophagus (foreign body removal) the distal esophagus appeared somewhat narrowed; however, the scope easily passed through this area without any resistance. erythema in the lower third of the esophagus again mutiple non-obstructing rings were seen throughout the esophagus compatible with feline esophagus. multiple small diverticulae were again seen. otherwise normal egd to second part of the duodenum recommendations: continue high dose ppi for at least 4 weeks. can then taper to once daily protonix. follow up with dr. in clinic in 4 weeks. brief hospital course: 86yo f with h/o esophageal diverticula and strictures admitted with food impaction. . # food impaction: patient has history of dysphagia and impaction with multiple structural esophageal abnormalities (rings, strictures, diverticuli) in the past. patient describes symptoms more consistent with upper esophageal (neck area), though only lower esophageal findings on egd. patient was transferred from the ed to the icu so that she could undergo egd overnight by gi. please see egd report for details. patient is now s/p egd with lima bean removed. she was started on high dose ppi x 4 weeks, with the plan to decrease to once daily in one month. patient was put on soft solid solid diet and speech and swallow evaluation was performed. they reccomended soft solid food with pill crushing in puree. medications were all checked for ability to crush and they are fine except for pantoprazole which was subsequently changed to lansoprazole. plan to re-scope in 1 month for possible dilation of lower esophageal stricture ( patient already with appointment set up) . # dm2. - iss for now; hold glyburide as decreased po intake stricture. . # hypertension - patient was continued on outpatient lisinopril. . # fen: replete electrolytes prn, soft solid, diabetic diet # prophylaxis: subcutaneous heparin, ppi # access: peripherals # code: full # communication: patient medications on admission: glyburide - 2.5 mg tablet - 2 tablet(s) by mouth twice a day latanoprost - 0.005 % drops - 1 gtt in each eye hs lisinopril 5 mg once a day simvastatin 40 mg tablet at bedtime baby aspirin 81 mgs every day protonix 40 mg daily only when needed for heartburn. reports one other eye drop for which she cannot remember the name discharge medications: 1. latanoprost 0.005 % drops : one (1) drop ophthalmic hs (at bedtime). 2. lisinopril 5 mg tablet : one (1) tablet po daily (daily). 3. simvastatin 40 mg tablet : one (1) tablet po daily (daily). 4. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 5. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). disp:*60 tablet,rapid dissolve, dr(s)* refills:*2* 6. glyburide 5 mg tablet : one (1) tablet po twice a day. discharge disposition: home with service facility: vna discharge diagnosis: primary: food impaction . secondary: - diabetes type ii - esophageal stricture, diverticuli, and rings c/w feline esophagus - hypertension - osteoporosis discharge condition: afebrile, vital signs stable discharge instructions: you were admitted to the hospital after after food impacted in your esophagus. you were noted to have a lima bean in your distal esophagus and also some esophagitis. you were also evaluated by speech and swallow as well as physical therapy and occupational therapy during your stay here. speech and swallow reccomended a po diet of thin liquids and soft consistency solids as well as pills crushed with puree. they also reccomended that you could advance to regular solids if no stricture is found on repeat egd. . you were started on high dose proton pump inhibitor for your esophagitis. you should continue to take it at this dose until directed by dr. (gastroenterology). in addition, we were in contact with your primary care doctor that you needed to follow up with her regularly. you need to have an injection for your osteoporosis. once you go to your appointment with dr. she will be able to help you get set up with a case manager as an outpatient who can help you schedule transportation to your appointment and make sure that you have the proper follow-up that you need. . you should return to the ed if you experience any shortness of breath, chest pain, abdominal pain, high fever or chills. it has been a pleasure taking care of you at . followup instructions: you need to follow up with gastroenterology with dr. on discharge. he has made you an appointment with him already listed below. in addition, we have made you the follow up appointment listed below with your primary care physician. . md: dr specialty: primary care date and time: at 11:30am location: , south phone number: special instructions if applicable: community resourse specialist, will contact you regarding transportation. please call abouve number if you do no hear from her. . provider: , md phone: date/time: 1:30 provider: , dpm phone: date/time: 1:00 md procedure: other endoscopy of small intestine removal of intraluminal foreign body from esophagus without incision diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled osteoporosis, unspecified diverticulosis of colon (without mention of hemorrhage) stricture and stenosis of esophagus foreign body accidentally entering other orifice other esophagitis foreign body in esophagus benign essential hypertension diverticulum of esophagus, acquired 

Answer: The patient is high likely exposed to