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: past medical history: 1. coronary artery disease with ejection fraction of 40% seen on echocardiogram in . she also had mild-to-moderate mitral regurgitation. she has had no recent angina. 2. dementia, mixed multi-infarct dementia and alzheimer's disease slowly progressive. 3. gastroesophageal reflux disease on prilosec. 4. achalasia, status post esophageal dilatation with botox injections to her ge junction by dr. six months ago. 5. osteoporosis on calcium and miacalcin. 6. degenerative joint disease. 7. history of a gi bleed secondary to nsaid use in requiring a transfusion of eight units of packed red blood cells. 8. status post cholecystectomy. 9. status post appendectomy. 10. history of basal-cell carcinoma of the nose. medications on admission: 1. prilosec 20 mg q.d. 2. miacalcin 1 spray q.d. alternating naris. 3. reglan 5 mg b.i.d. 4. risperdal 0.25 mg q.h.s. 5. calcium 500 mg t.i.d. 6. albuterol nebulizer q.4h.p.r.n. 7. tylenol 650 mg p.o.q.4h. to 6h.p.r.n. 8. multivitamin one q.d. 9. dulcolax 10 mg p.o./ p.r.q.d.p.r.n. social history: the patient lives at . her healthcare proxy is her son. she is dnr, but not dni. there is no tobacco or drug use. she has used alcohol in the past, none now. physical examination: this is an elderly, frail, thin woman in no acute distress who is breathing comfortably with a temperature of 98.1, blood pressure 100/60, pulse 79, respiratory rate 18 and oxygen saturation 97% on three liters. heent: examination was unremarkable. lungs: lungs were clear except for dullness at the left base. heart: heart is slightly tachycardiac with a holosystolic murmur at the apex. abdomen: benign. extremities: without edema and warm with 2+ dorsalis pedis pulses bilaterally. neurological: examination revealed the patient to be alert, interactive, and moving all four extremities spontaneously. laboratory data: labs revealed the white count of 15.6, hematocrit 41.5, platelet count 483,000, inr of 1.0, potassium of 2.9, bun and creatinine of 16 and .6 and a glucose of 192. the abg showed 7.59, pco2 33, and po2 of 85. the urinalysis has many bacteria, 6 to 10 white cells, 3 to 5 epithelial cells. she ruled out for a mi with negative cks and troponins. she had a calcium of 10 and magnesium of 1.9. she had negative blood cultures times two and the urine culture was contaminated with feces. the ekg showed a wandering pacemaker versus atrial fibrillation with a left anterior descending artery and left anterior fascicular block. she had no acute s-t or t-wave changes and no significant change from her baseline ekg from . chest x-ray showed a right lower lobe infiltrate with a right pleural effusion consistent with right lower lobe pneumonia. hospital course: the patient was admitted to the floor and started on ceftriaxone and flagyl for a presumed aspiration pneumonia secondary to recurrence of her esophageal achalasia. white count returned to with antibiotic therapy. she required frequent suctioning. on hospital day #3, she had acute respiratory distress with an oxygen saturation to 72%. she was intubated and sent to the micu, where she was suctioned copious amounts of sputum. the cause of her hypoxic respiratory failure was through to be secondary to mucous plugging. she was easily extubated the following day. after extubation, she had a brief episode of hypoxia, lasting seconds to minutes, again that improved after suctioning. the next day, she underwent egd, which showed esophagus with severe dilation of the middle third and lower third. she had relative narrowing at the ge junction. the stomach had erythema and erosion in the antrum compatible with gastritis. 1 cc injections of botox were applied to her ge junction with successful sphincter relaxation. she was then transferred to the medical floor. she continued to do well with excellent oxygen saturations on room air. she was afebrile. she required less frequent suctioning. a speech and swallow evaluation was done, which showed no signs of aspiration. she was started on solid foods. she frequently refused to eat throughout her hospital stay, perhaps, because of confusion and being in unfamiliar settings and slightly frightened. her son came to visit and he was able to coax her to eat a canister and one half of yogurt, which she did without signs of aspiration, which she tolerated well. she did note that she was hungry. discussion was had with her son, who is her proxy who stated that peg tube would not be something that she would have wanted. she completed a course of ceftriaxone and flagyl for an aspiration pneumonia with improvement in her chest x-ray and clinical status. she was discharged home to on a mechanical-soft diet to followup with her primary care physician, . and with gastroenterology, namely, dr. . condition on discharge: improved. discharge status: the patient is discharged to . discharge diagnosis: 1. dementia. 2. achalasia. 3. aspiration pneumonia. 4. coronary artery disease. 5. gastroesophageal reflux disease. 6. osteoporosis. 7. status post botox injections to the ge junction with improvement in her achalasia. discharge medications: 1. prilosec 20 mg q.d. 2. miacalcin 1 spray q.d. alternating naris. 3. reglan 5 mg b.i.d. 4. risperdal 0.25 mg q.h.s. 5. calcium 500 mg t.i.d. 6. albuterol nebulizer q.4h.p.r.n. 7. tylenol 650 mg p.o.q.4h. to 6h.p.r.n. 8. multivitamin one q.d. 9. dulcolax 10 mg p.o./p.r.q.d.p.r.n. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other endoscopy of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances injection or infusion of other therapeutic or prophylactic substance diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified other persistent mental disorders due to conditions classified elsewhere acute respiratory failure pneumonitis due to inhalation of food or vomitus hyperosmolality and/or hypernatremia other specified disorders of esophagus achalasia and cardiospasm 

Answer: The patient is high likely exposed to