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: whey attending: chief complaint: barretts esophagus with high grade dysplasia at ge junction major surgical or invasive procedure: transhiatal esophagectomy with j-tube placement. history of present illness: 46m with 20yr hx of gerd. endoscopy performed on revealed barrett's esophagitis with high grade dysplasia at the ge junction. past medical history: gerd asthma c6-c7 herniated disc childhood umbilical hernia repair tosilectomy r pect tendon repair ' l pect tendon repair ' r rotator cuff repair social history: -negative tobacco -rare etoh -negative illicit drug use. married with 3 children. engineering tech. physical exam: -nad, aaox3 -perrla, eomi, anicteric, negative cervical, supraclavicular, or axiilary lyphadenopathy. -reg, carotids without bruits -cta b/l -s/nt/nd +bs -neg c/c/e pertinent results: chest (portable ap) 3:57 pm compared with the preop study at 9:05 a.m. earlier today, lung volumes are decreased with crowding of lung markings. mediastinal findings consistent with recent esophagectomy and gastric pullthrough appear unremarkable. the ngt is passing below the lower edge of the image in the upper abdomen. no overt chf or pneumothorax. brief hospital course: pt taken to or on for transhiatal esophagectomy with left cervical esophagogastrostomy and feeding jejunostomy. 3600cc ivf/350cc ebl. esophagus sent to pathology. pt extubated in or. pt admitted to crsu after procedure. pain control via epidural. pod1 overnight. increased epidural dose and started toradol overnight. post op cxr stable. no other issues overnight and stable. pod2 . pt reports good pain control. no respiratory issues. pt denies n/v. pt started on trophic tube feed. pt remains stable and no other issues. pod3 . no flatus, pt oob ambulating. pt remains stable. ng tube with scant drainage, so discontinued. tube feed rate increased from 20cc/hr to 30cc/hr. minimal bowel sounds and remains npo. epidural site c/d/i. pod4 . no complaints or issues overnight. no flatus, denies n/v. ambulating well. tf continued at 30cc/hr. pod5 . no flatus, denies n/v. pain well tolerated. tf at 30cc/hr. acute pain service removed pt's epidural. pt started on pca. no other issues and pt remains stable. pod6 overnight. no flatus. pt's tube feed on temporary hold overnight as pt's j-tube was clogged. pain well tolerated on pca and roxicet via j-tube. no respiratory issues and pt denies n/v. pt stable. pod7 . pt complained of some back pain which has been a chronic problem for him. no flatus. pt still on tube feed at 30cc/hr and diet advanced to clears after swallow study. pt had a bowel movement overnight. pod8 still no flatus even though pt had a bowel movement overnight. pt without n/v. pca discontinued overnight. clears advanced to full liquids. tube feed remains at 30cc/hr. no issues and pt remains stable. pod9 pt feels much better after flatus and multiple bowel movements during the day. tube feed increased to 60cc/hr and pt tolerating without n/v. drain from chest backed out. pt saturating to >92% on room air while ambulating. pod10 pt with low grade temp of 100.4 vital signs stable. pt able to tolerate pills by mouth and full liquid diet. drain site c/d/i (s/p removed), no crepitus and no respiratory issues overnight. pt discharged on this day and due to follow up with dr. medications on admission: advair 250/50", nasacort 2puffs', protonix 40", zantac 300hs, alavert prn discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 2. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. disp:*300 ml(s)* refills:*0* 3. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 5. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 6. nasacort 55 mcg/actuation aerosol sig: one (1) nasal daily (). 7. cephalexin 250 mg/5 ml suspension for reconstitution sig: five hundred (500) mg po q6h (every 6 hours) for 3 days. disp:*120 ml* refills:*0* discharge disposition: home with service facility: discharge diagnosis: high grade esophageal dysplasia s/p esophagectomy with j-tube placement discharge condition: good discharge instructions: call dr. office if you experience fever, chills, nausea, diarrhea, inability to tube feeds, difficulty swallowing, or redness or drainage from your incision sites. if your feeding tube falls out, call the office immediately or report directly to the emergency room to have it replaced. do not delay, in seeking attention if the tube falls out as the track closes quickly. followup instructions: you have a follow up with dr. on thursday at 11:30am in the clinical center . prior to your appointment, please report to the clinical center radiology for a barium swallow 8:30am. stop your tubefeedings at bedtime the night before and have nothing to eat or drink the morning of the 20th. procedure: other enterostomy enteral infusion of concentrated nutritional substances partial esophagectomy diagnoses: esophageal reflux asthma, unspecified type, unspecified barrett's esophagus malignant neoplasm of lower third of esophagus 

Answer: The patient is high likely exposed to