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: incarcerated giant paraesophageal hernia. major surgical or invasive procedure: procedure performed: 1. laparoscopic reduction of giant paraesophageal hernia. 2. gastroplasty. 3. toupet fundoplication. 4. flexible esophagoscopy. history of present illness: the patient is an 83-year-old gentleman who was evaluated in the emergency room for hemotemesis. a ct scan disclosed a large giant paraesophageal hernia. given the concern of gastric ischemia, he was brought to the operating room urgently for reduction of this hernia. past medical history: dm, diabetic neuropathy, htn, gerd, colon cancer family history: non-contricutory physical exam: general: well appearing man in nad heent: unremarkable chest: cta. vats port and chest tube sites healing well. cor: rrr s1, s2 abd: soft, round, nt, nd, +bs extrem: no c/c/e neuro: intact pertinent results: cta impression: 1. no pulmonary embolism. 2. moderate bilateral pleural effusions with significant bibasilar atelectasis. 3. incompletely visualized hypoattenuation of the left hepatic lobe, which may relate to retractor injury. there is a replaced left hepatic artery, which does opacify, however the artery cannot be completely evaluated. if this would change clinical management, a cta of the liver is recommended. 4. gastric wall edema, likely related to the patient's recent reduction of a gastric volvulus, with no free air or leak identified. barium swallow patient swallowed barium without difficulty, with barium passing freely through the esophagus into the stomach. there is no evidence of obstruction or leak, particularly at the level of the distal esophagus. brief hospital course: pt was admitted and taken to the or for: 1. laparoscopic reduction of giant paraesophageal hernia. 2. gastroplasty. 3. toupet fundoplication. 4. flexible esophagoscopy. or course uneventful. ngt placed intraop and maintained to sxn w/minimal output.remained intubated and admitted to the icu for ongoing hemodyanic monitoring and ventilatory support. pt was weaned and extubated on pod#1and ngt d/c'd. treated with broad spectrum ivab- kefzol, clinda, levaquin. was transferred from the icu later on pod#1. pod#2 diet was advanced to clears then fulls and well. seen by pt and rehab was recommended. d/c'd to rehab facility on pod#3. will remain on full liquid diet x one week until seen in follow up with dr. . med will be crushed or in liquid form. medications on admission: metformin 500', lipitor 10', atenolol 25, protonix 40', allopurinol 100' . discharge medications: 1. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 2. allopurinol 100 mg tablet sig: two (2) tablet po daily (daily). 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. metformin 500 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 7. regular insulin per sliding scale based on finger stick. 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. discharge disposition: extended care facility: - discharge diagnosis: hiatal hernia hypertension diabetic neuropathy gerd colon cancer discharge condition: deconditioned discharge instructions: call dr. office if experience: -fever > 101 or chills -increased cough or shortness of breath -increased or painful swallowing, nausea, vomiting, diarrhea stay on a full liquid diet until you are seen in clinic w/ dr. . take all you meds crushed in apple sauce or in liquid form. followup instructions: follow-up with dr. in clinical center on /at 9:30am. please arrive at 9am and report to the radiology for a chest xray. procedure: other esophagoscopy other repair of stomach laparoscopic procedures for creation of esophagogastric sphincteric competence diagnoses: esophageal reflux unspecified essential hypertension diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes personal history of malignant neoplasm of large intestine diaphragmatic hernia with obstruction 

Answer: The patient is high likely exposed to