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: history of present illness: mr. is a 58-year-old gentleman who is known to have a poorly differentiated follicular thyroid carcinoma with lymphovascular invasion, which was removed initially in . at that time, there was positive margins and skeletal/muscle invasion. he had a tracheostomy placed on for stridor and occlusion of his airway. he was treated by dr. with a total laryngectomy with resection. the plan was after healing to have radiation to the neck to try to prevent the spread of thyroid carcinoma. the patient came into the hospital and was taken to the operating room on , where he underwent a total laryngectomy with resection and stoma creation and ng tube placement. the patient tolerated the procedure well and was taken to the intensive care unit for initial recovery. he had two j-p drains in place, one on either side, and an ng tube in place. he was weaned quickly from ventilator support to just stoma collar humidified air support. his calciums were quite low initially and ionized calcium was below 1. endocrine became involved with his care and recommended medication for increasing his calcium. he remained on ancef and flagyl throughout his admission for pharyngeal flora. on postoperative day #2, tube feeds were started through his ng tube and were advanced slowly to goal, which is promit with fiber. once he was at goal, he was switched to bolus tube feeds and tpn four times a day. the patient's foley was removed. his calcium was continued to be checked and corrected up into the 7 range after he was started on the rocaltrol and calcium carbonate. on discharge, he drained less than 30 cc per 24 hours. each of the j-p was removed without any residual swelling. the patient was taught how to administer his tube feeds and medications and how to care for his stoma. he is to remain npo on tube feeds until he has followup. he was given a #8 laryngectomy tube to keep with him at all times in case of difficulty breathing. past medical history: only positive for the follicular thyroid carcinoma. past surgical history: only significant for his total thyroidectomy, parathyroidectomy in . in early , he had a tracheostomy. home medications: 1) alprazolam. 2) ambien. 3) calcitriol. 4) percocet. 5) levoxyl. allergies: no known drug allergies. physical examination: the patient is awake, alert and oriented times three, in no acute distress. his lungs are clear to auscultation bilaterally. his incision is healing well with staples with no erythema and very minimal swelling in the area. his oropharyngeal cavity is non-swollen and with no masses. his stoma site is clean with minimal swelling. the j-p drain exit sites are also clean and without erythema. laboratory results: as mentioned before, his calcium at discharge was around 7 and albumin was around 3.0. his calcium was higher than that and then near-normal range. operations: as above. complications: none. discharge medications: 1) calcitriol 25 mcg twice a day. 2) zantac elixir 150 mg two times a day. 3) lorazepam 0.5 to 1 mg q.6 hours as needed for anxiety. 4) roxicet elixir 5 - 10 ml q.4-6 hours p.r.n. pain. 5) docusate sodium 100 mg twice a day. 6) levoxyl 200 mcg once a day. 7) flagyl 500 mg three times a day. 8) keflex 500 mg four times a day. all of the medications are to be given via the ng tube for now, and the flagyl and keflex are to be continued until the patient sees dr. in the office. condition on discharge: stable. disposition: home with vna nursing services. dr. office will call for a followup appointment. the patient is to see dr. from ent in 10 to 14 days, and to call his office to set up that appointment. the patient is to remain strict npo until he sees dr. in the office. the vna nurses will work on stoma care and tube feedings for the patient. they will need to draw his blood for a calcium check in three to four days after discharge. the patient is to be sent home with a #8 laryngectomy tube to keep with him at all times. he is to go to his nearest emergency room if he has trouble breathing. , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances complete laryngectomy diagnoses: obesity, unspecified tracheostomy status secondary malignant neoplasm of other respiratory organs hypoparathyroidism personal history of malignant neoplasm of thyroid 

Answer: The patient is high likely exposed to