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: laboratory data: laboratory studies on admission revealed white count 11.1, hematocrit 16.6, platelets 220, inr 1.4, sodium 134, potassium 4.4, chloride 95, bicarbonate 29, bun 112, creatinine 1.9, up from her baseline creatinine of 1.3. glucose 153, digoxin 1.9. electrocardiogram showed sinus rhythm of 96, normal axis, internal q in 2, 3 and f, t wave flattened in 1, l and v4 to v6. chest x-ray showed opacity in a left lower lobe which could be pneumonia or atelectasis. hospital course: the patient was admitted to the medical intensive care unit for blood transfusion and for observation. she received a total of 6 units of packed red blood cells at to keep her hematocrit above 30. her hematocrit remained stable. she underwent endoscopy by the gastroenterology consult team who saw on endoscopy granularity and erythema in the stomach and body compatible with gastritis. there is also an ulcer in the posterior bulb, otherwise normal esophagogastroduodenoscopy to the second part of the duodenum. the enlarged duodenal ulcer seen in the duodenum is likely the source of the patient's bleeding given lack of a visible vessel or stigmata of the patient's bleeding. it was thought that there was low risk of rebleeding from the lesion and no intervention was done. helicobacter pylori antibody was sent off which came back negative. the patient was advised to avoid non-steroidal anti-inflammatory drugs. the patient upon admission had been started on protonix 40 mg p.o. b.i.d., gastroenterology recommended continuing the protonix 40 mg b.i.d. for eight weeks and then switching to q.d. after that. cardiovascularly the patient's cardiac medications were held on admission due to her borderline hypotension. her medications were restarted as the patient remained stable and her medication doses were titrated up as tolerated by her blood pressure. her acute renal improved with blood transfusion and intravenous fluids and holding of lasix. it was thought that it was likely prerenal azotemia secondary to hypovolemia. her creatinine decreased to 1.4 by . the patient finished her course of ceftriaxone while at . she remained afebrile with no signs or symptoms of infection. the patient was kept initially npo and started to tolerated clears and a regular diet by the end of her hospital stay. she was placed on pneuma boot for a prophylaxis of deep venous thrombosis. the patient was discharged in stable condition back to with the diagnosis of upper gastrointestinal bleed, duodenal ulcer, diabetes mellitus, hypertension, congestive heart failure, hypercholesterolemia, coronary artery disease, depression and gout. discharge medications: 1. lipitor 80 mg p.o. q.h.s. 2. reglan 10 mg p.o. b.i.d. 3. isordil 80 mg p.o. t.i.d. 4. hydralazine 50 mg p.o. q. 6 hours 5. digoxin 0.125 mg p.o. q. monday, wednesday and friday 6. coreg 3.125 mg p.o. b.i.d. 7. zaroxolyn 5 mg p.o. q.d. 8. celexa 20 mg p.o. q.d. 9. remeron 15 mg p.o. q.h.s. 10. niferex 150 mg p.o. q.d. 11. nph 28 units q. am, plus 10 units q. pm with regular insulin sliding scale 12. folate 1 mg p.o. q.d. 13. 40 mg subcutaneous q. thursday 14. protonix 40 mg p.o. b.i.d. for eight weeks and then change to q.d. dosing 15. heparin 5000 units subcutaneous b.i.d. 16. lasix 120 mg p.o. b.i.d. the colace, pericolace, bicitra, and phoslo are to be restarted as per her primary care physician. lasix are to be titrated up as needed. the patient is to have her hematocrit cancelled at rehabilitation. she is to follow up with her primary care doctor, dr. at outpatient. dr., 12-207 dictated by: medquist36 procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine diagnoses: pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to