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: iodine / penicillins / morphine sulfate attending: chief complaint: transferred from rehabilitation facility for decreased hematocrit major surgical or invasive procedure: colonoscopy egd octreotide scan history of present illness: 77 yo f with h/o hypertension, tachy-brady syndrome s/p pacer, cad s/p nstemi in , s/p recent admission for cholecystitis s/p percutaneous biliary drain placement and recent dx of mesenteric mass (?carcinoid tumor) who presents from rehab with maroon stool. pt was admitted in with cholecystitis. she had a perc drain placed which ultimately fell out, and plan was to follow up with dr. for ccy. she was also recently diagnosed with mesenteric mass on ct, which was felt to possibly be carcinoid tumor. she was discharged to rehab on and on per nursing notes, she had a small amount of brbpr and hct drop to 22.7 (bl 33). she had a negative lavage in ed. she was hemodynamically stable, with sbp 100-110's, with maroon stool on ed rectal exam. a sublclavian line was placed for access and she was transfused 2 units of prbc. she complains of some abdominal pain, in ruq, rlq and epigastrium. she did not notice the color of her stools. she denies cp, sob, dysuria, diarrhea, history of gib, dizzyness. she does note doe, night sweats, fatigue, and zoster rash on buttocks. past medical history: past medical history; htn tachy-brady syndrome ' nstemi cad gerd ' shingles past surgical history: coronary catheterization ' pacemaker colectomy left lumpectomy umbilical hernia repair social history: married, came in from rehab after recetn admission, prior to that lived with husband, they were functional and still working for a used car facility, delivering cars, she quit smoking 40+ years ago, about 15 pack yr history, no alcohol use family history: father and mother both deceased from cad physical exam: 98.8, 134/61, 104, 20, 95%2l nc genl: pleasant female in nad heent: op dry, no lad, no elev jvp, eomi, perl cv: rrr no mrg lungs: ctab abd: soft, tender to palp in rlq, mild tenderness to palp in ruq and epigastrium, brown stool guaiac pos, no rebound, slight guarding ext: no edema, 2+ pedal pulses neuro: eomi, perl pertinent results: cardiology report ecg study date of 5:45:28 pm technically difficult study sinus tachycardia marked left axis deviation intraventricular conduction delay lateral st-t wave changes v2-3 r wave reversal since previous tracing, no significant change intervals axes rate pr qrs qt/qtc p qrs t 102 0 138 374/ chest x-ray : impression: no change in size and appearance of moderate left pleural effusion with adjacent atelectasis/consolidation and small right pleural effusion, given difference in techniques. operative note: carcinoid tumor of the small bowel and cholecystitis. procedure: laparotomy, lysis of adhesions, small bowel resection, cholecystectomy. octreotide scan : impression: 1. no abnormal focus of tracer uptake to indicate somatostatin receptor avid tumor. 2. markedly distended gallbladder with mild wall thickening. correlate clinically and with ultrasound if indicated. admission labs: 04:25pm blood wbc-14.6* rbc-2.47* hgb-7.8* hct-23.2* mcv-94 mch-31.7 mchc-33.7 rdw-15.1 plt ct-782* 04:25pm blood neuts-85.1* bands-0 lymphs-7.7* monos-5.5 eos-1.4 baso-0.1 04:25pm blood plt smr-very high plt ct-782* 07:32pm blood pt-14.6* ptt-28.5 inr(pt)-1.3* 04:25pm blood glucose-118* urean-24* creat-0.9 na-130* k-4.7 cl-95* hco3-26 angap-14 04:25pm blood alt-11 ast-19 alkphos-63 amylase-44 totbili-0.3 04:25pm blood lipase-23 04:25pm blood albumin-2.8* phos-3.2 mg-2.3 06:10pm blood lactate-2.3* discharge labs: 04:33am blood wbc-8.3# rbc-2.85* hgb-8.8* hct-26.5* mcv-93 mch-30.9 mchc-33.3 rdw-15.2 plt ct-287 04:33am blood plt ct-287 10:03am blood glucose-90 urean-13 creat-0.5 na-139 k-3.5 cl-105 hco3-25 angap-13 10:03am blood calcium-7.6* phos-2.7 mg-1.7 brief hospital course: 77 yo f with h/o htn, cad, recent hosp for cholecystitis s/p percutaneous drain that has since fallen out, mesenteric mass felt to be carcinoid who presents from rehab with brbpr/maroon stool. . #) gib: likley lower source given brbpr. she was transfused a total of 4u prbcs for a goal of >28 and her hct has since remained. she had no evidence of continued bleeding while in the . gi was consulted and upon preparation for egd/colonoscopy there was no evidence of bright blood/active bleed, rather just old blood. although poorly prepped, colonoscopy was normal and her egd showed atrophic gastritis in the antrum. h. pylori studies were sent and should be followed up as an outpatient. she will need a repeat colonoscopy in 6 months which can be set up by her pcp. she to have recurrent bleeding, small bowel follow through and capsule endoscopy would be the next steps per gi. . #) cholecystitis: she was continued on her course of levofloxacin/flagyl which she is to complete on . she had no abdominal pain during her stay. she should follow up with surgery upon discharge regarding cholecystectomy. . #) mesenteric mass: radiographically was c/w carcinoid. she has had some flushing that would be consistent with dx, but denies diarrhea. chromogranin a was found to be elevated while 5hiaa was normal. this will need further evaluation as well for octreotide scan. . #) cad: no signs of ischemia on ekg but paced rhythm. she was restarted on her home dose metoprolol. asa was held in the setting of her bleed. restarting this will need to be readdressed upon outpatient follow up given her known h/o of cad. her acei was held on admission in the setting of her gi bleed and was restarted as her blood pressure tolerated. . #) hypertension: antihypertensives were held originally in the setting of gib. metoprolol was added back for persistent tachycardia (h/o tachy-brady). acei and lasix can be added back as blood pressure and fluid status tolerates. on hd 6, she was transferred to the surgical service for planned surgical intervention of her known mesenteric mass; she was afebrile, hemodynamically stable with a hematocrit of 34, ambulating with a walker, tolerating ensure supplementation, and had moderate right upper quadrant pain controlled with vicodin. on hd 7 and 8, she underwent an octreotide scan, which demonstrated no abnormal focus of tracer uptake to indicate somatostatin receptor avid tumor. on hd 10 she underwent an exploratory laparotomy, lysis of adhesions, small bowel resection, and cholecystectomy; intra-operatively she was found to have large bulky disease, consistent with carcinoid with nodules which had a tremendous sclerotic reaction which basically enveloped substantial portions of the small intestine, she had no complications. post-operatively she was npo with intravenous hydration, morphine pca, nasogastric tube, foley catheter, and was continued on telemetry monitoring while receiving intravenous beta-blockade. on pod 4, she had +flatus and a bowel movement, her diet was advanced, her pain was well controlled with vicodin, her oral medications were resumed, she remained afebrile, and was voiding without difficulty. she had been followed by physical therapy during her hospitalization course with recommendations of transfer to a rehab facility for continued therapy. she was discharged on to life care center of the rehabilitation facility in good condition. she was to follow-up with dr. in weeks. medications on admission: ezetimibe 10 mg daily buspirone 15 mg po bid nortriptyline 75 mg hs alprazolam 1 mg tid pantoprazole 40 mg q24h metoprolol tartrate 50 mg po bid fexofenadine 60 mg aspirin 325 mg daily hydrocodone-acetaminophen 5-500 mg 1-2 tablets po q4-6h prn levofloxacin 250 mg po q24h last dose 1/13 metronidazole 500 mg po tid last dose pm . ipratropium inhalation q6h as needed for wheezing. albuterol inhalation q6h as needed for wheezing. docusate sodium 100 mg po bid lactulose 30 ml po daily lasix 20 mg po bid quinapril 10 mg daily zovirax apply to affected area discharge medications: 1. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 2. acyclovir 5 % ointment sig: one (1) appl topical 5x/d (5 times a day). 3. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 4. alprazolam 1 mg tablet sig: one (1) tablet po tid (3 times a day). 5. buspirone 15 mg tablet sig: one (1) tablet po bid (2 times a day). 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for fever or pain. 7. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day): hold for hr < 60 hold for sbp < 100. 8. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). 9. nortriptyline 25 mg capsule sig: three (3) capsule po daily (daily). 10. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 12. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed. 13. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day: while on lasix. 14. ezetimibe 10 mg tablet sig: one (1) tablet po once a day. 15. fexofenadine 60 mg tablet sig: one (1) tablet po twice a day. 16. aspirin 325 mg tablet sig: one (1) tablet po once a day. 17. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. discharge disposition: extended care facility: life care center of the - discharge diagnosis: lower gastrointestinal bleed cholecystitis carcinoid tumor of small bowel discharge condition: stable discharge instructions: notify md or return to the emergency department if you experience: *increased or persistent pain not relieved by pain medication *fever > 101.5 *nausea, vomiting, diarrhea, or abdominal distention *inability to pass gas, stool, or urine *if incision appears red or if there is drainage *bleeding from any part of the body *shortness of breath or chest pain *any other symptoms concerning to you you may shower and wash incision with soap and water, pat dry no swimming or tub baths for 2 weeks followup instructions: follow-up with dr. in weeks, call for an appointment procedure: other partial resection of small intestine cholecystectomy colonoscopy esophagogastroduodenoscopy [egd] with closed biopsy other lysis of peritoneal adhesions transfusion of packed cells diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux unspecified pleural effusion unspecified essential hypertension diaphragmatic hernia without mention of obstruction or gangrene calculus of gallbladder with other cholecystitis, without mention of obstruction peritoneal adhesions (postoperative) (postinfection) old myocardial infarction cardiac pacemaker in situ hemorrhage of gastrointestinal tract, unspecified raynaud's syndrome sclerosing mesenteritis other specified gastritis, without mention of hemorrhage neoplasm of uncertain behavior of stomach, intestines, and rectum herpes zoster without mention of complication 

Answer: The patient is high likely exposed to