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: high grade dysplasia of the esophagus seen on biopsy in , . major surgical or invasive procedure: transhiatal esophagectomy feeding jejunostomy pyloroplasy history of present illness: mr. is a 60-year-old diabetic with a 6 year history of reflux and biopsy-proven esophagus with high-grade dysplasia and intramucosal cancer (seen on pathology postoperatively) without evidence of remote metastatic disease. past medical history: gerd, hypertension, and orally controlled diabetes social history: he works as an electrician and has a remote 20-pack-year smoking history. he quit drinking one year ago, but drank a 6-pack of beer per week prior to that. family history: noncontributory brief hospital course: mr. was admitted on the day of surgery and underwent uncomplicated transhiatal esophagectomy, pyloroplasty and j-tube placement. please refer to the operative note of for further intraoperative details. an epidural catheter was placed for pain control. he was left intubated and admitted to the csru for post-operative management. on pod#1, he was extubated. on pod#2, he was transferred to the floor and was able to get out of bed to a chair. on pod#3, his thoracostomy tube was placed to water seal, and he was administered tube feeds advancing slowly to a rate of 30ml/hr. later in the evening, he became acutely dyspneic, and his breath sounds were coarse. a chest x-ray confirmed fluid overload. he was given furosemide with good effect. evaluation for acute cardiac event was negative. on pod#4, his thoracostomy tube was removed. on pod#5, his abdomen was distended and his tube feeds were intermittantly held. on pod#6, he complained of dysuria. a urinalysis was positive, and he was given a course of ciprofloxacin for uti. on pod#7, he was given grape juice to drink, and this did not extravasate into the neck drain that was left in place at the time of the operation. a swallow study of the esophagus was normal, showing no contrast extravasation. the neck drain was then removed. his epidural catheter was removed also. he was given clear liquids to drink, however, his abdomen became distended and these were held. later in the evening, he was again given clear liquids and tolerated these much better. on pod#8, he was advanced to full liquids. on pod#9, he was discharged home. at the time of discharge, he was tolerating a full liquid diet, ambulating on his own and was able to care for himself. he was competent to take care of his jejunostomy tube and to give himself insulin shots. he is to follow up in clinic with dr. within 1-2 weeks. discharge medications: 1. replete/fiber liquid sig: eight (8) cans po once a day: 75 cc/hour continuous. disp:*240 cans* refills:*2* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. disp:*400 ml(s)* refills:*0* 4. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 5. regular insulin one vial with two refills 6. insulin syringes 100 unit/ml syringes 1 box with 2 refills 7. phenazopyridine 100 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for dysuria for 3 days. disp:*3 tablet(s)* refills:*0* 8. cipro 500 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 9. tube feeding replete with fiber 75cc/hr continuous 10. tube feeding pump tube feeding pump and supplies 11. 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* discharge disposition: home with service facility: discharge diagnosis: htn, orthopnea, hiatal hernia, s/p r inguinal hernia repair, heartburn, esophageal ca (barrett's), diabetic, high-grade esophageal dysplasia/adenocarcinoma of the esophagus discharge condition: good discharge instructions: call dr. office if you experience chest pain, shortness of breath, fever, chills, nausea, vomiting, diarrhea, or abd pain. if your feeding tube sutures become loose or break, please tape tube securly and call the office . if your feeding tube falls out, save the tube, call the office immediately . the tube needs to be replaced in a timely manner because the tract will close within a few hours. do not put any medication down the tube unless they are in liquid form. flush your feeding tube with 50cc every 8 hours if not in use and before and after every feeding. followup instructions: do not eat or drink and stop your tube feeding after midnight in into . you have an appointment for a barium swallow on the of the clinical center at 10:30 then proceed to your appointment with dr. . you have an appointment with dr. on thursday at 3pm in the clinical center . procedure: other enterostomy enteral infusion of concentrated nutritional substances partial esophagectomy other pyloroplasty diagnoses: anemia, unspecified urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypoxemia barrett's esophagus malignant neoplasm of cardia 

Answer: The patient is high likely exposed to