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 cancer with pelvic mass. major surgical or invasive procedure: : direct laryngoscopy, gelfoam injection of right vocal cord and bilateral superior laryngeal nerve block. : flexible bronchoscopy with therapeutic aspiration. : exploratory laparotomy, pelvic washings, total abdominal hysterectomy, bilateral salpingo-oophorectomy. : egd, transthoracic esophagogastrectomy () with cervical anastomosis. total abdominal hysterectomy. history of present illness: mrs. is a 51-year-old female who was found to have an advanced stage t3, n1 esophageal cancer. the patient underwent adjuvant chemoradiation treatment with 5fu and cisplatin for her squamous cell cancer of the esophagus, and a repeat breast scan showed inadequate response to preoperative chemoradiation. the patient also had an impressive pelvic mass which was thought to be an uterine fibroid, and a combined approach for her hysterectomy and esophagectomy was scheduled for the patient who was recently seen by dr. and dr. from ob/gyn. past medical history: esophageal cancer with pelvic mass. pulmonary embolism right vocal cord paralysis and ineffective cough. right hydronephrosis s/p stent placement and removal social history: married, 2 daughters, lives in . works for book distributor. habits: rare etoh. smoked 1 ppd x 16 years, quit . family history: fh: aunt with "abdominal cancer". father died of mi age 50, and mother died of ms complications at age 51 physical exam: general: frail appearing feamle in nad. heent: voice quality is raspy, cough is weak d/t vocal cord paralysis which has now been medialized. neck incision healing well. chest: course breath sounds. weak cough. cor: rrr s1, s2 abd; abd incision healing. j-tube site w/ slight area of erythema around tube. extrem: no edema skin: stage 2 on coccyx neuro: weepy and emotionally fragile after prolonged hosp stay. pertinent results: chest two views clinical information: chest tube removal. findings: a left-sided chest tube has been removed. there is a tiny residual left apical pneumothorax. there is a patchy opacity in the lingula and a small residual left pleural effusion. there is a small left lower lobe consolidation. there is a small right pleural effusion with atelectasis at the right base. a right large bore catheter terminates in the superior vena cava. two access needles are present. there is a right middle lobe infiltrate, unchanged from prior study. heart is top normal in size. mediastinum is within normal limits. there is a faint right upper lobe infiltrate as well. none of these have changed since prior study. impression: 1. tiny residual left-sided pneumothorax status post chest tube removal. 2. multifocal patchy airspace opacities, unchanged since prior study. brief hospital course: pt was admitted and taken to the or for egd, esophagectomy, hysterectomy and liver nodule resection on . an epidural was placed at the time of surgery and bilteral chest tubes to suction and an anastomotic jp in the neck. pt remained intubated and was admitted to the sicu for ongoing management and ventilator support. pod#0 hct 23.6 w/ ebl in or 800cc- rec'd prbc. on peri-op levo and flagyl. pod#1 remained intubated w/ shallow rapid breathing, and low tv's. required aggressive pul tiolet. required volume resusitation for low bp and low u/o. hr remains 120's despite volume resusitation- started on lopressor. trophic tube feeds were initiated via j-tube. pod#2 extubated w/ weak cough, voice and tacypnea, w/ shallow rapid breathing. required aggressive pul tiolet. chest tubes to water seal. pod#3 remains tacypneic, tacycardic. on epidural but having breakthru pain. toradol added. remains on lopressor. desaturation to 80%. stat cxr w/ ptx w/ chest tubes on water seal. placed back to sxn w/ resolution of ptx. o2 sats remained low. cta done which revealed bilat pe. started on iv heparin. pod#4 bronch for pul tiolet- copious secretions in left lung. evaluated by ent-right vocal cord immobile; left cord function intact. chest tubes placed to water seal. pod#5 hct 24- rec'd prbc. right chest tube placed to water seal and then d/c'd w/ stable cxr pod#6 tube feeds increasing to goal. epidural d/c'd. pain controled w/ pca. left chest tube d/c'd.- cxr w/ large ptx- chest tube replaced and placed to sxn. swallow eval done w/ evidence of aspiration ? d/t cord immobility vs overall weakness. strict npo until video swallow can be done. pod#8 no evidence of bowel function. remains on iv heparin for pe. chest tube to water seal w/ stable cxr. ptt failing to be therapeutic on large amounts of iv heaprin. thought to have possible anti 3 deficiency- given ffp w/ approp increase in ptt and decrease in iv heparin requirement. pod#9 gu evaulated patient re; urethral stents which were placed for hydronephrosis during last admission. presently urien clean, no flank pain. per gu stents to removed as out pt. pt transferred to floor from icu. pod#10 tacycardia persists 150's- lopressor increased w/ improved hr. tf to goal. chest tube clamping trial. urine culture + for uti- levaquin/vanco started. pod#11 chest cxr w/o ptx- chest tube d/c'd. pod#12 chest tube d/c'd w/ stable cxr. pod#13 c/o abd pain, nausea, emesis. hypoactive bowel sounds. pt refusing laxatives and enemas. vanco d/c'd and remained on levaquin for uti. pod#14 kub -full of stool. tube feeds d/c'd. iv hydration. given goltely via j-tube and soap suds enemas w/ good results after 12 hrs. ent injected right vocal cord for medialization. heparin gtt held for procedure and for 24 hrs post procedure. notified by nursing of stage ii decub on buttocks. pod#15 pt recommended long term acute care rehab upon d/c. right urethral stent d/c'd by urology. pod#16 heparin gtt resumed w/ therapeutic ptt. pod17 evaulated by speech and swallow and passed for pureed diet w/ thin liquids and meds crushed. no evidence of aspiration. pod#18 heaprin gtt d/c'd. started on lovenox 50 and coumadin 3mg. medications on admission: hydromorphone, lorazepam, nystatin, zofran, protonix, compazine, docusate sodium, acetaminophen, senokot discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution : 5-10 mls po q6h (every 6 hours) as needed. 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q4h (every 4 hours) as needed. 3. lorazepam 2 mg/ml syringe : .5-1 mg injection q8h (every 8 hours) as needed for agitation. 4. bisacodyl 10 mg suppository : one (1) suppository rectal daily (daily) as needed. 5. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours). 6. acetylcysteine 20 % (200 mg/ml) solution : 3-5 mls miscellaneous q6h (every 6 hours). 7. magnesium hydroxide 400 mg/5 ml suspension : thirty (30) ml po bid (2 times a day). 8. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 9. ondansetron hcl (pf) 4 mg/2 ml solution : four (4) mgs injection q8h (every 8 hours) as needed. 10. port a cath heparin flush (10 units/ml) 5 ml iv prn line flush indwelling port (e.g. portacath), heparin dependent: flush with 10 ml normal saline followed by heparin as above daily and prn per lumen. heparin flush (100 units/ml) 5 ml iv prn de-accessing port indwelling port (e.g. portacath), heparin dependent: when de-accessing port, instill heparin as above per lumen. 11. docusate sodium 50 mg/5 ml liquid : ten (10) mls po tid (3 times a day). 12. port a cath sodium chloride 0.9% flush 10 ml iv prn line flush indwelling port (e.g. portacath), non-heparin dependent: flush with 10 ml normal saline daily, prn, and when de-accessing, per lumen. 13. metoprolol tartrate 50 mg tablet : one (1) tablet po tid (3 times a day). 14. levofloxacin in d5w 750 mg/150 ml piggyback : 750mg intravenous q24h (every 24 hours) for 6 days. 15. warfarin 3 mg tablet : three (3) tablet po once daily at 4 pm: monitor inr. 16. ascorbic acid 500 mg tablet : one (1) tablet po bid (2 times a day) for 14 days: via j-tube in elixir. 17. zinc sulfate 220 mg capsule : one (1) capsule po daily (daily) for 14 days: via j-tube elixir. 18. magnesium hydroxide 400 mg/5 ml suspension : thirty (30) ml po bid (2 times a day). 19. docusate sodium 50 mg/5 ml liquid : ten (10) mls po tid (3 times a day) as needed. 20. regular insulin per sliding scale 21. enoxaparin 60 mg/0.6 ml syringe : fifty (50) mg subcutaneous q12h (every 12 hours): stop when inr therapeutic. discharge disposition: extended care facility: discharge diagnosis: esophageal cancer with pelvic mass. pulmonary embolism right vocal cord paralysis and ineffective cough. right hydronephrosis s/p r & l stent placement and r removed , l to be removed next week or as outpatient discharge condition: deconditioned discharge instructions: call dr. office if experience: -fever > 101 or chills, increased cough, or chest pain -develop nausea, vomiting, difficulty swallowing, abdominal pain -incision develops drainaged, increased tenderness or redness -you may shower. no tub bathing or swimming for 6 weeks -head of the bed should be 30 degress at all times -humidified air -pureed foods and thin liquids by mouth followup instructions: provider: , md phone: date/time: 9:00 provider: , md phone: date/time: 11:00 on the clinical center, . report to the radiology department for a chest x-ray 45 minutes before your appointment. follow-up with dr. in clinic call for an appointment coumadin follow-up with pcp . . please call prior discharge from rehab for an appointment for their coumadin clinic. follow-up with dr. urology for left renal stent removal procedure: insertion of intercostal catheter for drainage other total gastrectomy enteral infusion of concentrated nutritional substances other bronchoscopy other bronchoscopy laryngoscopy and other tracheoscopy other cystoscopy other removal of both ovaries and tubes at same operative episode transfusion of packed cells transfusion of platelets removal of ureterostomy tube and ureteral catheter other destruction of lesion of liver injection of larynx other and unspecified total abdominal hysterectomy diagnoses: urinary tract infection, site not specified acute posthemorrhagic anemia iatrogenic pulmonary embolism and infarction pressure ulcer, buttock pressure ulcer, lower back hydronephrosis malignant neoplasm of other specified part of esophagus unilateral paralysis of vocal cords or larynx, partial pressure ulcer, stage ii leiomyoma of uterus, unspecified 

Answer: The patient is high likely exposed to