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: patient is a 68-year-old female with severe coronary artery disease, status post cabg in and redo in , with angioplasty in with patent stents, svg to lad and patent lima to ramus, total occlusion of svg to rca. also, has history of anemia with negative colonoscopy and egd in the past. patient presented on to complaining of neck and jaw pain, not resolved with nitroglycerin. ekg showed intermittent av pacing, inferior st depressions. ck and troponin were negative. hematocrit was low at 21 percent. she was given 3 units of packed red blood cells. inr was found to be elevated at 5.9. she is taking coumadin for atrial fibrillation. she was given ffp, given nitroglycerin this morning with hypotension. she is now off nitroglycerin with elevated blood pressure. currently pain free. patient denies abdominal pain, did not notice change in her bowel movements but was found to be guaiac positive at the outside hospital. no nausea or vomiting. she had a recent catheterization in for unclear indication. she was started on plavix, and her coumadin dose was increased. physical examination: temperature 97.8 degrees, blood pressure 106/55, respirations 11, saturating at 100 percent on 2 liters. generally, patient is in no acute distress. heent: left pupil round and reactive to light. right pupil non reactive, status post surgery. mucous membranes moist. uvula midline. no jvp. pulmonary: bilateral basilar crackles. cardiovascular: irregularly irregular with midsystolic murmur radiating to the neck over the left upper sternal border. abdomen is soft, nontender, and nondistended. normoactive bowel sounds. extremities: no edema. pulses, 1 plus dorsalis pedis bilaterally. hospital course: gi bleed. patient presented to with hematocrit of 21 percent, inr of 5.9, and guaiac- positive stool. she was transfused 2 units of packed red cells, given vitamin k, and 3 units of ffp, started on pantoprazole. when she was transferred here, she had a gastric lavage, which was guaiac negative. her egd was negative except slight ng-tube trauma. she had a colonoscopy, which showed non-bleeding diverticula and grade 1 internal hemorrhoids. she was felt to likely have a small bowel avm with bleeding secondary to elevated inr. she will have an outpatient small bowel follow through or capsule endoscopy, and her coumadin was held until her small bowel follow through. substernal chest pain. patient was ruled out for myocardial infarction by enzymes. this was felt to be likely demand ischemia secondary to decreased hematocrit. her catheterization reports from were obtained, and she had a non-q-wave mi in on . catheterization showed essentially unchanged anatomy from prior catheterization at . she had an attempted rotablation of a proximal left circumflex lesion, which was heavily calcified and rotablation was unsuccessful, and she was sent home on antianginal therapy and optimal medical treatment. she was also noted to have a systolic murmur. echocardiogram showed 3 plus tr and ejection fraction of 35 to 40 percent. atrial fibrillation. she was on amiodarone 200 mg orally every day, which was discontinued on discharge. she was continued on digoxin, but her dose was changed from 0.25 mg every sunday and wednesday to 0.125 mg every other day. she is status post ddd pacemaker from mobitz type ii. diabetes mellitus. her metformin was held as an inpatient; she was continued on regular insulin sliding scale. hypertension. her antihypertensives including isordil, aldactone, and beta-blocker were initially held secondary to gi bleed. hypercholesterolemia. she was continued on atorvastatin. allergy. after being given ampicillin for gi prophylaxis with tr, she complained of itchiness of her arms. she was noted to have facial erythema and arm erythema. no tongue edema. she was given benadryl 25 mg intravenously x 1 with resolution of her symptoms. medical record was changed to add an allergy to ampicillin. discharge disposition: stable. discharge status: patient was discharged to home. patient is to follow up with dr. in 1 to 2 weeks. she is also to follow up to have a small bowel follow through set up by her primary care provider. the study is negative, she may restart coumadin per her pcp. is also to discuss possible cardioversion in the future if she is unable to be re-anticoagulated as an outpatient. discharge medications: 1. pantoprazole 40 mg orally every day. 2. glucophage xr 500 mg orally every day. 3. atorvastatin 80 mg orally every day. 4. digoxin 125 mcg orally every other day. 5. isosorbide dinitrate 30 mg orally thrice daily. 6. metoprolol 50 mg orally twice daily. 7. norvasc 5 mg orally every day. 8. plavix 75 mg orally every day. 9. sublingual nitroglycerin 0.3 mg orally as needed. 10. lisinopril 5 mg orally every day. 11. lasix 40 mg orally every day. , procedure: other endoscopy of small intestine colonoscopy transfusion of packed cells transfusion of other serum diagnoses: intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension iron deficiency anemia secondary to blood loss (chronic) atrial fibrillation aortocoronary bypass status long-term (current) use of anticoagulants angiodysplasia of intestine with hemorrhage 

Answer: The patient is high likely exposed to