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: bacteremia major surgical or invasive procedure: right brachial picc line 36 cm brachial vein tip in svc mid-line placement and removed left thoracentesis flexible bronchoscopy with bronchoalveolar lavage and egd. ultrasound guided cholecstostomy tube placement j-tube exchange to 12 french history of present illness: mr is a pt well known to the thoracic surgery service, he is a 66 year-old male previously followed by dr. at the 14 years ago. he has a history of esophageal carcinoma status-post radiation with 3-hole esohagectomy in at . he was recently hospitalized at for pna and found to have stricture near the cricopharyngeus, with evidence of tracheoesophageal fistulation. an egd showed no cancer recurrence however. a j-tube was placed in , but since that time has had issues with dehydration and instances of clogged j-tube, thus he has been on supplemental tpn. most recently he was hospitalized on and underwent repair of tracheoesophageal fistula; tracheal resection and reconstruction; flexible bronchoscopy with bronchoalveolar lavage and esophagogastroduodenoscopy with central compartment neck dissection, left hemithyroidectomy and left recurrent nerve sacrifice; with repair of tracheoesophageal fistula with interposition flap and pectoralis major myofascial flap on the right side, with a split-thickness skin graft 1 inch x 10 cm to right neck. that hospital course was complicateds by hypercarbic respiratory failure, reintubation, and placement of a trach. he was dischrged to a rehab where he was doing well until recently. two days ago the nursing staff at the rehab noticed marked azothemia and sent off a blood culture. the blood culture came back positive for g-r's. also sent off were a urine cx, which came back as negative, and a cxr, which showed stable chronic infiltrates. today the staff noticed some leaking from his j-tube and concurrent hypotension to 80-90's/50-60's and started vanc and zosyn iv, had his picc line d/c'ed, and then was transfered him by ambulance to for further work up. throughout this the patient has only complained of mild abdominal discomfort near his j-tube site and denies any fever, chills, cough, wheezing, sob, dysuria, hematuria. past medical history: -hypertension -hypothyroidism -prostate cancer s/p xrt -h/o esophageal ca s/p xrt with 3-hole esohagectomy in at . recently hospitalized at for pna and found to have stricture near cricopharyngeus, with evidence of tef. egd showed no cancer recurrence. j-tube placed -small bowel obstruction -cognitive deficit nos vs limited safety awareness -orthostatic hypotension - hospitalization after fall -dvt of the l subclavian and l axillary vein -r hip fracture s/p orif by dr. @ -rll pna , treated with levofloxacin -multiple stab wounds to the abdomen in the -right sided ptx after bronchoscopy s/p ct placement -tonsillectomy and adenoidectomy -r wrist and hand surgery social history: originally from . he has three daughters. one daughter lives in , another is in , who is very involved. reports he recently stopped smoking. although he has a history of binge drinking, he reports he hasn't drank since of . retired construction worker and plumber. family history: mother died of a blood clot. doesn't know what his father died of. sister died of obesity and "fat around her heart" physical exam: vs: t 96.6 hr: 72 sr bp: 100/64 sats: 98% tm general: 66 y.o. male sitting in chair no apparent distress heent: mucus membranes moist neck; trach in place card: rrr, no murmur/gallop or rub resp: scattered rhonchi gi: benign, j-tube in place extre: warm no edema neuro: aa& answers question appropiately pertinent results: wbc-6.2 rbc-3.75* hgb-9.8* hct-31.3 plt ct-420 wbc-8.8# rbc-3.59* hgb-10.0* hct-31.2 plt ct-315# wbc-10.3 rbc-3.30* hgb-9.1* hct-28.3 plt ct-180# neuts-82.7* lymphs-13.2* monos-2.7 eos-1.4 baso-0.1 glucose-110* urean-10 creat-0.6 na-127* k-4.6 cl-93* hco3-3 glucose-95 urean-11 creat-0.7 na-129* k-4.6 cl-94* hco3-31 glucose-95 urean-14 creat-0.7 na-128* k-4.7 cl-96 hco3-28 glucose-119* urean-8 creat-0.6 na-129* k-4.4 cl-98 hco3-29 glucose-113* urean-50* creat-1.4* na-154* k-3.7 cl-116* hco3-32 glucose-129* urean-26* creat-1.0 na-141 k-3.5 cl-109* hco3-24 alt-9 ast-16 alkphos-142* amylase-92 totbili-0.2 mg-1.7 calcium-7.8* phos-2.2* mg-1.8 : cxr moderate pneumothorax on the left has decreased without a significant residual. please note there is a skin fold with effect projecting over the left peripheral lung. there is a pigtail catheter in situ in the left basilar pleural space. the tracheostomy tube is in standard location, terminating 3.9 cm above the carina. there is a right picc terminating in the mid svc, unchanged. there are bibasilar consolidations, right great than left, with a moderate-sized right pleural effusion. there is no pulmonary edema. cardiomediastinal silhouette is largely obscured by the bibasilar opacities. impression: 1. interval reduction in the previously moderate-to-large left pneumothorax without significant residual. 2. bibasilar consolidations and moderate-sized right pleural effusions are unchanged. abdominal ct : 1. no evidence of small-bowel obstruction. 2. jejunostomy and cholecystostomy tubes in place. small subcapsular hematoma related to the cholecystostomy tube. 3. large left and small right pleural effusions with significant bilateral atelectasis. 4. moderate-to-large pericardial effusion which has increased in size since the prior exam. brief hospital course: mr. was transferred from rehab hospital for bacteremia. upon arrival the ed a chest ct was done which showed a marked distended gallbladder. a follow-up gallbladder scan on showed non-visualization of the gallbladder consistent with cystic duct obstruction. he than underwent percutaneous cholecystostomy tube 100 cc of bile drained, placed to a drainage bag and removed on . he also had j-tube percutaneous j-tube exchange to a 12 french. respiratory: tracheostomy tube patient self-removed requiring replacement. continual suction for copious thick secretions. left pleural effusion drained for 900 ml of serous fluid by interventional pulmonology on . on he developed acute respiratory distress and was found to have a recurrent left transudative effusion, for which a pigtail was placed and drained 770/625 then taper off to 170 over 24 hrs. the pigtail was accidentally pulled out by patient . he was followed by serial chest films which showed small left pleural effusion which was stable over several days. left pneumothorax stable. cardiac: sinus rhythm, hemodynamically stable gi: the patient had nausea and vomiting, which was investigated with kub on but no obstruction was seen. tube feedings were held and changed to half strength and uptitrated to goal as the patient became hyponatremic we changed the tube feedings to full strength which the patient tolerated without problems. nutrition: seen by nutrition. tube feeds isosource 1.5 goal 50 ml/hr. renal: bun, cre, and hypernatremia on admission. normalized with free water. good urine output with hydration. he then developed hyponatremia with na level of 127. he was changed to normal saline flushes and monitored closely id: infectious disease was consulted for his multi drug resistant klebsiella and proteus bacteremia and likely pneumonia vs tracheal colonization as well as gallbladder wall thickening. the antibiotics were changed to meropenum. urine culture vre which he was started on linezolid. on a bc grew coag negative staph sensitivities pending. loose stools c. diff sent x 3 iv access: a power picc line was placed right brachial 36 cm tip in svc for hydration, and blood draws. skin: stage iii pressure ulcer coccyx with meplix dressing disposition: he was followed by physical therapy and was discharged to hospital in on . medications on admission: acetylcysteine 20% 3-5 ml neb q8h:prn albuterol inhaler 1 puff ih albuterol inhaler 1 puff ih famotidine 20 mg iv q12h ipratropium bromide mdi 2 puff ih qid levothyroxine sodium 75 mcg po/ng daily metoprolol tartrate 12.5 mg po/ng qid oxycodone-acetaminophen tab po/ng q4h:prn piperacillin-tazobactam 2.25 g iv q6h prochlorperazine 10 mg po q8h:prn vancomycin 500 mg iv q 12h discharge medications: 1. heparin (porcine) 5,000 unit/ml solution : one (1) sq injection tid (3 times a day). 2. nystatin 100,000 unit/ml suspension : five (5) ml po qid (4 times a day). 3. acetylcysteine 20 % (200 mg/ml) solution : three (3) ml miscellaneous q8h (every 8 hours) as needed for secretions. 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : three (3) ml inhalation q6h (every 6 hours) as needed for wheeze: mix with mucomyst to prevent bronchospasm. 5. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler : one (1) puff inhalation (2 times a day). 6. ipratropium bromide 17 mcg/actuation hfa aerosol inhaler : two (2) puff inhalation qid (4 times a day). 7. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily): disolve and give via j-tube. 8. metoprolol tartrate 25 mg tablet : one (1) tablet po tid (3 times a day): crush very fine give via j-tube in warm water. 9. heparin, porcine (pf) 10 unit/ml syringe : two (2) ml intravenous prn (as needed) as needed for line flush. 10. levothyroxine 75 mcg tablet : one (1) tablet po once a day: crush give via j-tube in warm water. hold tf for 1 hr after. 11. meropenem 500 mg recon soln : five hundred (500) recon soln intravenous q6h (every 6 hours): through . 12. linezolid 600 mg/300 ml parenteral solution : one (1) bag intravenous q12h (every 12 hours): through . 13. metoclopramide 5 mg/ml solution : five (5) ml injection q6h (every 6 hours) as needed for prn nausea/vomiting. 14. oxycodone-acetaminophen 5-325 mg/5 ml solution : five (5) ml po every 4-6 hours as needed for pain: give via j-tube. discharge disposition: extended care facility: hospital - discharge diagnosis: -status post tracheoesophageal fistula repair -tracheostomy tube -h/o esophageal ca s/p xrt with 3-hole esohagectomy in at . recently hospitalized at for pna and found to have stricture near cricopharyngeus, with evidence of tef. egd showed no cancer recurrence. j-tube placed 3/. -hypertension -hypothyroidism -prostate cancer s/p xrt -esophageal cancer s/p xrt & esophagectomy, complicated by hypothyroidism -small bowel obstruction -cognitive deficit nos vs limited safety awareness -orthostatic hypotension - hospitalization after fall -dvt of the l subclavian and l axillary vein -r hip fracture s/p orif by dr. @ -rll pna , treated with levofloxacin -multiple stab wounds to the abdomen in the - right sided ptx after bronchoscopy s/p ct placement discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: call dr. office with questions or concerns -remove left chest tube dressing on saturday. cover site with a bandaid until healed followup instructions: follow-up with dr. in 4 weeks after discharge from rehab please call with an appointment procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other endoscopy of small intestine enteral infusion of concentrated nutritional substances thoracentesis closed [endoscopic] biopsy of bronchus trocar cholecystostomy replacement of tube or enterostomy device of small intestine diagnoses: unspecified pleural effusion urinary tract infection, site not specified unspecified essential hypertension friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site unspecified acquired hypothyroidism personal history of malignant neoplasm of prostate pulmonary collapse iatrogenic pneumothorax bacteremia pressure ulcer, lower back acute cholecystitis mechanical complication of colostomy and enterostomy proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site chronic respiratory failure tracheostomy status personal history of malignant neoplasm of esophagus other severe protein-calorie malnutrition pressure ulcer, stage iii methicillin resistant pneumonia due to staphylococcus aureus attention to other artificial opening of digestive tract body mass index less than 19, adult 

Answer: The patient is high likely exposed to