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: cipro attending: chief complaint: hematemesis major surgical or invasive procedure: exploratory laparotomy, lysis of adhesions, total gastrectomy, roux-en-y anastomosis, gastrostomy tube placement history of present illness: 84-year-old male in the emergency department with upper gi bleed small bowel obstruction transferred from outside hospital. patient has had 3 days of vomiting and decreased p.o. intake. also complained of constipation although passing flatus. patient was seen at outside hospital he was diagnosed with a kub. while in the emergency department the patient vomited blood. an ng tube was placed. patient had approximately 900 cc of blood produced. a ct of his abdomen was performed which showed air in the portal veins and also a air in the fundus of the stomach intramural from tear. the patient was started on protonix and transferred here for further care. past medical history: pmh: asthma, prostate ca s/p xrt, diverticulitis, copd, ? cri, colon cancer. psh: colectomy (possible left), vhr social history: lives with wife, functional at baseline. family history: non-contributory. physical exam: upon presentation to : t 98.3 p 90 bp 116/68 rr 16 o2sat 95% 2l mildly confused ngt with grossly blood ngt output rrr ctab soft, upper abdominal tenderness, worse at luq, no lower quadrant tenderness, no diffuse guarding on rebound no edema, extrem warm pertinent results: 11:20pm wbc-26.1* rbc-3.85* hgb-12.1* hct-35.1* mcv-91 mch-31.4 mchc-34.4 rdw-20.3* 11:20pm plt count-281 11:20pm pt-14.5* ptt-25.6 inr(pt)-1.3* 11:20pm calcium-8.5 phosphate-3.6 magnesium-1.9 11:20pm alt(sgpt)-10 ast(sgot)-31 alk phos-71 tot bili-0.7 11:20pm lipase-16 11:20pm glucose-151* urea n-45* creat-1.8* sodium-140 potassium-4.3 chloride-103 total co2-24 anion gap-17 ct abdomen/pelvis from osh: high grade sbo, very large amount of portal venous air, ?free air in luq. postop esophageal study: impression: 1. moderately dilated esophagus with narrowing of esophagojejual anastomosis, likely due to postoperative edema. 2. no evidence of leak or obstruction echocardiography report indication: atrial fibrillation with rvr.evaluate for fluid overload. frequent desaturations. postoperative assessment due to respiratory issues. icd-9 codes: 427.31, 424.0, 424.2 test information date/time: at 09:17 interpret md: , md test type: portable tte (complete) son: doppler: full doppler and color doppler test location: west inpatient floor contrast: none tech quality: suboptimal tape #: 2011w000-0:00 machine: vivid q-1 echocardiographic measurements results measurements normal range left atrium - four chamber length: *5.8 cm <= 5.2 cm right atrium - four chamber length: *5.7 cm <= 5.0 cm left ventricle - septal wall thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 3.8 cm <= 5.6 cm left ventricle - systolic dimension: 2.1 cm left ventricle - fractional shortening: 0.45 >= 0.29 left ventricle - ejection fraction: 55% to 60% >= 55% aorta - ascending: *3.6 cm <= 3.4 cm aortic valve - peak velocity: 1.4 m/sec <= 2.0 m/sec mitral valve - peak velocity: 0.8 m/sec mitral valve - e wave deceleration time: *264 ms 140-250 ms tr gradient (+ ra = pasp): <= 25 mm hg <= 25 mm hg findings left atrium: elongated la. right atrium/interatrial septum: mildly dilated ra. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thickness, cavity size, and global systolic function (lvef>55%). suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. no resting lvot gradient. no vsd. right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated ascending aorta. aortic valve: no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no ms. trivial mr. tricuspid valve: mildly thickened tricuspid valve leaflets. no ts. physiologic tr. normal pa systolic pressure. pericardium: no pericardial effusion. general comments: suboptimal image quality - poor echo windows. conclusions the left atrium is elongated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. brief hospital course: on he was taken urgently to the operating room due to gastric necrosis where he underwent total gastrectomy, roux en y reconstruction, enterolysis and placement of tube jejunostomy for feeding. he was taken to the icu postoperatively where he remained for some time. because of his copd history there were issues with oxygenation; he was extubated during the evening of . he was treated with nebulizers, steroids and intermittent iv lasix. he was weaned off pressors and started on diltiazem for atrial fibrillation. tube feeds were started through the j-tube but held when he developed abdominal distention. he eventually was stabilized for transfer out of the icu. on , he was transferred to the floor; on the following morning after transfer he was noted with a trigger event for rapid atrial fibrillation and tachypnea. he was given iv lopressor and transferred back to the icu where he remained for another several days. during his re-admission to the icu he was placed back on diltiazem drip. during this time his ng was removed and he underwent a esophageal study which showed moderately dilated esophagus with narrowing of esophagojejunal anastomosis, likely due to postoperative edema but no evidence of leak or obstruction. once transferred back to the floor he continued to progress; his rate was controlled on oral diltiazem and his oxygenation requirements had improved so that he requires 2-3 liters with saturations in mid 90's range. he was seen by pulmonology during his icu stay who felt that his early hypoxemia was likely a result of a combination of post-op atelectasis, aspiration, volume overload (15l for los), and copd though unclear to what extent his underlying lung disease may be playing a role as we do not know his baseline. a swallow evaluation was ordered but deferred given the results of the esophagus study. currently he is allowed to have sips with his oral meds with his entire nutrition being provided via enteral feedings. he was evaluated by physical and occupational therapy and is being recommended for rehab after his acute hospital stay. medications on admission: , , cardizem, rhinocort, spiriva, viagra, ativan discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 2. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 3. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 4. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 5. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml's po bid (2 times a day). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). 9. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 10. levalbuterol hcl 0.63 mg/3 ml solution for nebulization sig: one (1) ml inhalation q3hr () as needed for wheezing. 11. acetaminophen 650 mg suppository sig: one (1) suppository rectal q6h (every 6 hours) as needed for pain, fever. 12. diltiazem hcl 60 mg tablet sig: one (1) tablet po every six (6) hours. 13. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po qhs (once a day (at bedtime)). 14. insulin regular human 100 unit/ml solution sig: one (1) dose injection four times a day as needed for per sliding scale: see attached scale. discharge disposition: extended care facility: hospital for continuing medical care - ( center) discharge diagnosis: gastric necrosis and perforation due to phlegmonous gastritis atrial fibrillation copd 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: you were admitted to the hospital with an acute condition in your bowel which required an operation for repair. because of your other medical conditions you required a intensive care stay for managing these issues. you have a tube in your stomach for which you are receiving feddings thorugh so that you have adequate nutrition. you are allowed to only have sips of water with your pills otherwise no eating by mouth until you are fully healed from your recent surgery. followup instructions: follow up in weeks in clinic, call for an appointment. follow up with your primary care physician and pulmonologist after discharge from rehab. procedure: other total gastrectomy other enterostomy enteral infusion of concentrated nutritional substances other lysis of peritoneal adhesions diagnoses: acidosis acute kidney failure, unspecified atrial fibrillation personal history of malignant neoplasm of prostate chronic kidney disease, unspecified pulmonary collapse pneumonitis due to inhalation of food or vomitus peritoneal adhesions (postoperative) (postinfection) other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus personal history of malignant neoplasm of large intestine other and unspecified special symptoms or syndromes, not elsewhere classified chronic obstructive asthma, unspecified other specified disorders of stomach and duodenum bronchiectasis without acute exacerbation volume depletion, unspecified other fluid overload acute gastric ulcer with perforation, without mention of obstruction 

Answer: The patient is high likely exposed to