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 food impaction and esophageal perforation. major surgical or invasive procedure: rigid and flexible esophagoscopy and retrieval of esophageal foreign body, right thoracotomy and repair of distal esophageal perforation, intercostal muscle pedicle flap. history of present illness: 88 y f h/o dementia and af who presents upon transfer from with a esophageal food impaction. she presents today with a copied chart but no formal discharge summary. history is as best obtained with these sources and the help of her son. pt originally presented with a chocking episode and hypoxia. family noticed some worsening shortness of breath on the day the patient had a episode of choking on her meal. during this episode she appeared to choke, then coughed up some food and developed some respiratory distress. in the ed, she was found to be hypoxic with sat 75%. pt was w/o symptomatic complaint at that time. pt admitted to icu with diagnosis of aspiration pnuemonitis and possible chf. treated with abx(levofloxacin/clinda) and diuresis. diuresis complicated by episodes of hypotension. afib management unclear. underwent 2 subsequent egds both of which unsuccessful in clearing a large food bolus impacted in her esophagus. pt transferred to for further management. upon arrival, pt confused and tachycardic, hemodynamically stable. pt unable to give history and denies any symptomatic complaints. past medical history: osteoporosis afib dementia social history: pt lives alone. no alcohol or tobacco use. family history: non-contributory. physical exam: t 98.4 p 121 bp 131/78 r 28 sao2 95% fm gen- agitated, tachypneic but comfortable appearing heent- perrl, op wnl, mmm neck- supple, jvp not visible at 45 deg cvs- tachycardic and , no murmurs obvious pulm- decreased bs right base with bibasilar rales abd- soft, nd, no apparent tenderness, +bs ext- wwp, no edema neuro- alert and oriented times self, moving all extremities, no obvious motor deficit, answers questions but not appropriately, not following commands pertinent results: 10:12pm blood wbc-10.6 rbc-3.65* hgb-11.3* hct-33.8* mcv-92 mch-30.8 mchc-33.4 rdw-12.9 plt ct-170 10:12pm blood pt-16.1* ptt-34.1 inr(pt)-1.5* 10:12pm blood glucose-105 urean-31* creat-1.0 na-144 k-3.2* cl-106 hco3-29 angap-12 8:31 am sputum **final report ** gram stain (final ): <10 pmns and <10 epithelial cells/100x field. no microorganisms seen. quality of specimen cannot be assessed. respiratory culture (final ): oropharyngeal flora absent. klebsiella pneumoniae. sparse growth. trimethoprim/sulfa sensitivity testing available on request. sensitivities: mic expressed in mcg/ml _________________________________________________________ klebsiella pneumoniae | ampicillin/sulbactam-- 4 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ 4 s ciprofloxacin--------- =>4 r gentamicin------------ <=1 s imipenem-------------- <=1 s levofloxacin---------- =>8 r meropenem-------------<=0.25 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s brief hospital course: patient was admitted to the icu and was intubated for her respiratory distress which was thought to be due to either aspiration pneumonia or pneumonitis. the patient's dnr/dni status was reversed. she had an egd on the evening of admission and found to have broccoli impaction. large amounts of food was able to be extracted. an attempt was made to wean the sedation and extubate the patient the following day. as the propofol sedation was weaned off, the patient became increasingly agitated and self extubated herself. she had an adequate oxygen saturation on 100% face tent and did not require intubation. the patient was made strict npo and the plan was to have a second egd to reassess for retained food. on , the patient had another egd which demonstrated food in the middle and lower third of the esophagus. the scope was able to be passed through the site of retained food to the stomach with moderate difficulty. an attempt was made to push the retained food particles into the stomach, however this was done without success. the following day, the decision was made to electively intubate the patient and re-attempt egd to try to remove the food particles with an overtube. however, this attempt was again unsuccessful and the procedure was aborted. thoracic surgery was consulted and the patient went to the or on for a rigid and flexible esophagoscopy in an attempt to clear the food. during the rigid esophagoscopy, a full thickness tear was noted in the esophagus at approximatedly 30cm from the incisors. informed consent was obtained from the patient's son for an open repair of her esophageal perforation which the patient tolerated well and was transferred to the icu in stable condition. post-operatively, the patient was placed on broad spectrum empiric antibiotics. she was started on tpn for nutrition. the patient was able to be extubated on post-op day 1. however, she required reintubation for repiratory decompensation and hypotension on post-op day 2. the patient received frequent bronchoscopies to suction her copious airway secretions and was started on stress dose steroids for her hypotension. to evaluate for possible pulmonary embolism, the patient had a ct scan which showed a 8 x 12 mm thrombus in the left atrial appendage. the patient was started on a heparin drip for this. on , the patient was taken to the or for a tracheostomy and g tube and j tube placement which she tolerated well. the g tube was left to gravity and tube feeds via the j tube were slowly advanced to goal and the tpn was discontinued. the patient was able to be weaned off the vent and was able to tolerating breathing via trach collar. frequent suctionings of the patient's tracheostomy were done to clear her airway secretions. the patient finished a 2 week course of ceftriaxone for klebsiella that grew from her sputum. the patient also developed a mrsa pneumonia and was started on vancomycin for this. from a neurologic standpoint, the patient continued to have delirium throughout her hospital course, being unresponsive to commands and minimally active. neurology was consulted to provide recommendations. eeg showed encephalopathy and mri/mra of the head was essentially normal with no infarctions shown. if there is improvement in the patient's decreased mental status, progression would likely be very slow and the hope is having the patient placed in a rehab facility would help with her mental status. the patient's chronic atrial fibrillation was managed with beta blockers and anticoagulation. she was transitioned to coumadin from her heparin drip and her inr was monitored closely. from a fluid/electrolyte standpoint, the patient was diuresed aggressively for fluid overload and she developed hyponatremia. her tube feeds were switched to full strength and her sodium trended up into the normal range. the patient was discharged on in stable condition. this d/c summary was completed by dr. and signed by np medications on admission: 1. risperidal 0.25 2. cardia 120 3. benadryl qhs discharge medications: 1. vancomycin in dextrose 1 g/200 ml piggyback : one (1) gram intravenous q 12h (every 12 hours) for 3 weeks. 2. metoprolol tartrate 25 mg tablet : 0.5 tablet po bid (2 times a day). 3. albuterol sulfate 0.083 % solution : one (1) nebule inhalation q6h (every 6 hours) as needed. 4. warfarin 2 mg tablet : one (1) tablet po at bedtime. 5. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 6. acetaminophen 160 mg/5 ml solution : six y (650) mg po q4-6h (every 4 to 6 hours) as needed. 7. haloperidol lactate 5 mg/ml solution : 0.5 mg injection (2 times a day) as needed. 8. insulin per sliding scale discharge disposition: extended care facility: northeast- discharge diagnosis: esophageal food impaction esophageal perforation atrial fibrillation atrial thrombus pneumonia delirium discharge condition: stable discharge instructions: call your doctor or seek immediate medical attention if you experience fever, chills, lightheadedness, dizziness, cough productive of increased amount of sputum, chest pain, shortness of breath, palpitations, severe abdominal pain, nausea/vomiting, or increased drainage, redness, or bleeding from surgical wound. let the steri-strips fall off on their own. you may pat the wound dry and cover with dry dressing. activity as tolerated. nothing by mouth. followup instructions: please follow up with dr. after you leave your rehab facility. please call for appointment. procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other enterostomy other endoscopy of small intestine other endoscopy of small intestine other endoscopy of small intestine insertion of endotracheal tube insertion of endotracheal tube fiber-optic bronchoscopy fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances temporary tracheostomy bronchoscopy through artificial stoma other gastrostomy transfusion of other serum other repair of esophagus removal of intraluminal foreign body from esophagus without incision removal of intraluminal foreign body from esophagus without incision diagnoses: congestive heart failure, unspecified toxic encephalopathy atrial fibrillation other persistent mental disorders due to conditions classified elsewhere accidental puncture or laceration during a procedure, not elsewhere classified acute respiratory failure osteoporosis, unspecified methicillin susceptible pneumonia due to staphylococcus aureus hyperosmolality and/or hypernatremia pneumonia due to klebsiella pneumoniae perforation of esophagus foreign body in esophagus inhalation and ingestion of food causing obstruction of respiratory tract or suffocation other ill-defined heart diseases 

Answer: The patient is high likely exposed to