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: patient recorded as having no known allergies to drugs attending: chief complaint: hematemesis major surgical or invasive procedure: egd history of present illness: 84m with lymphoma s/p chop 2weeks ago , dilated cmp, recenly d/ced from after been in the hospital ( and )for gi bleed.pt had an upper egd which showed multiple stomach ulcers and a large 3-4 cm cratered ulcer with a necrotic center with pulsating vessel(very suspicious for malignancy) .he underwent clipping of vessels and cautherization with epinephrine . biopsies are pending. pt's hc upon d/c was 36. pt presents to ed today after feeling nauseasous and states he had 40 cc of fresh bloody emesis. in ed was found to be tachycardic up to 90-100 , bp around 120/90. he didn't c/o dizzinesss or lightheadedness. an ng tube was placed : 400 cc of coffee grounds emesis mixed c fresh red blood whihc did not clear after 2 l ns. hct was 23. he was given 1 u prbc and 3 lt of ns in 5 hours. bp remained stable during his ed stay. at home, patient is functional in his adls, grocery shopping and driving on his own, and taking care of his wife with disease. patient is very noncompliant at home. past medical history: 1. lymphoma - biopsy showing b-cell non hodgkins lymphoma c difficult subclassification. originally felt to be a small lymphocytic lymphoma but new, more aggressive behavior is suggestive of nhl. tx c xrt -on chop-r- last chemo last friday 2. dilated cardiomyopathy, ef 20% 3. chronic afib, has refused coumadin in past for side effects 4. htn 5. migraines 6. arthritis 7. question osa 8. gi bleed - c hgb 7.7 nsaid/aspirin use, egd showing gastritis/ulcers in fundus. 9. hearing loss 10. arf from hydronephrosis due to lymphoma social history: no smoking, rare etoh, married, lives in , former prof. chemistry c hx exposure to organic compounds. lives at home with his wife who has disease. family history: mother c asthma, chf, daughter died in childhood neuroblastoma physical exam: tc 98.5 bp 118-129/75-91 hr 90-110 afib o2sat 99%ra. gen: nad, pale man heent: ncat, eomi. no cervical lad. no oral ulcers or exudates. cv: irregularly irregular. 2/6 sem. lungs: ctab. decreased bs at bases/ abd:+bs, soft, nt, nd. ext: wwp. no cce. neuro:cn ii-xii intact, strength 5/5 bilat pertinent results: 11:22pm ck(cpk)-41 11:22pm ck-mb-notdone ctropnt-0.37* 11:22pm hct-27.4* 04:18pm hct-29.2* 04:16pm potassium-3.8 04:16pm ck(cpk)-42 04:16pm ck-mb-notdone 04:16pm magnesium-1.7 11:02am glucose-119* urea n-44* creat-0.8 sodium-136 potassium-4.5 chloride-104 total co2-24 anion gap-13 11:02am alt(sgpt)-29 ast(sgot)-34 ld(ldh)-260* ck(cpk)-47 alk phos-78 amylase-31 tot bili-2.0* dir bili-0.5* indir bil-1.5 11:02am lipase-19 11:02am ck-mb-notdone ctropnt-0.29* 11:02am albumin-2.7* calcium-7.9* phosphate-2.9 magnesium-1.8 uric acid-3.1* 11:02am haptoglob-120 11:02am wbc-5.9 rbc-3.23* hgb-10.2* hct-27.8* mcv-86 mch-31.5 mchc-36.6* rdw-15.5 11:02am plt count-208 11:02am pt-13.2* ptt-31.8 inr(pt)-1.1 07:48am hgb-9.1* calchct-27 07:40am hct-26.7* 03:15am urea n-40* creat-0.9 sodium-133 potassium-4.7 chloride-101 total co2-24 anion gap-13 03:15am alt(sgpt)-35 ast(sgot)-43* ck(cpk)-37* alk phos-77 amylase-29 tot bili-0.5 03:15am ck-mb-notdone ctropnt-0.34* 03:15am albumin-2.6* calcium-7.7* magnesium-1.7 03:15am wbc-4.9# rbc-2.72*# hgb-8.4*# hct-23.7*# mcv-87 mch-30.9 mchc-35.5* rdw-15.5 03:15am neuts-90.2* lymphs-4.3* monos-5.0 eos-0.1 basos-0.5 03:15am pt-13.4* ptt-31.2 inr(pt)-1.2* 03:15am plt count-218 . labs: -at discharge: wbc rbc hgb hct mcv mch mchc rdw plt ct 06:25am 7.9 4.08* 12.5* 36.3* 89 30.6 34.4 16.0* 250 glucose urean creat na k cl hco3 angap 06:25am 156* 25* 1.0 132* 4.5 100 23 14 . egd: stomach: excavated lesions multiple ulcers were found in the antrum and stomach body and incisura. most of the ulcers were small and clean based.there was one large ulcer in the incisura, which was likely the source of bleeding and seen during the last endoscopy and had been previously injected and cauterized. on this occasion there was clot, most of which was washed off. two areas of clot remained. two clips were applied to larger of the two clots. 8 1 cc.epinephrine 1/ injections were applied to area surrounding remaining clots. duodenum: normal duodenum. . cxr: there is marked cardiomegaly, which is unchanged. there are bilateral pleural effusions, right greater than left. there are also opacities seen at the bases bilaterally, which may be secondary to underlying fluid or aspiration given the patient's clinical history. no overt pulmonary edema is identified. . ecg: atrial fibrillation with pvcs or aberrant ventricular conduction lvh with secondary repolarization abnormality extensive st-t changes are probably due to ventricular hypertrophy since previous tracing, no significant change . brief hospital course: the patient was admitted to the icu. #gib: most likely cause for gi bleeding is gastric lymphoma, considering the malignant aspect of the lesion on prior endoscopy and worsening ct scan of the abdomen showing worsening retroperitoneal masses. pt has not been taking nsaids and prednisone has been d/ced , making gastritis less likely this time. the patient underwent egd and clipped/injected again (). he was initially maintained on a ppi infusion, which was changed to protonix 40 dosing. carafate slurry was added. the patient was slowly advanced to clears. he received a total of 3 while in the icu and his hct stabilized. he remained hd stable while in the icu. a surgical evaluation confirmed that this patient is a poor surgical candidiate and that in the event of a re-bleed, angio would be the ideal modality for treatment. pt transferred to floor in stable condition. pt received a total of 3 uprbc during this admission and did not require further transfusions while on the floor. per pt's son, there was an initial request for a bx of gastric ulcers to determine whether they were malignant or not. multiple discussions were had with his oncologist, dr. , regarding further xrt. in setting of high risk procedure and pt's wishes to not continue with further xrt and invasive procedures or surgery, no further egd or gastric biopsies done. pt's hct remained stable, no further melana, started on clears, adat without problems. pt was discharge to home with services on ppi, carafate slurry. . #cardiac ischemia/nstemi: pt has ischemic cm c echo from last admission showing new areas of hypo and dyskinesis, showed global hypokinesis and a depressed ef from 40% to 30-35%, possibly from stunned myocardium. medical managaement was decided at that time. now c new elevated troponin t up to 0.41. last admission up to 1.4 held asa and bblock considering stomach ulcer and hemodynamic instability. his troponins peaked at .41 and trended down .31 prior to discharge. pt never c/o chest pain. he was restarted on his bb for htn without any problems. . #rhythm: pt in afib. coumadin contrandicated. he was restarted on his bblock. #pump: pt has chf. not a candidate at this point for ace, bblock or any chf medication d/2 hemodynamic instability. however, he was restarted on bb prior to discharge. . #renal insufficiency: pt has hx of rnal failure c creatinit up to 2.2 secondary to hydronephrosis d/2 retrop mass.his cr. remained stable throughout this admission. . #gastric lymphoma: the heme-onc team recommended no further treatment of the lymphoma at this time. there is an overall poor prognosis for this patient in terms of his malignancy. per pt, he did not want further xrt/surgery or invasive procedures for his lymphoma and for his gastric ulcers. . #. code: pt had initially been full code throughout his admission. however, per pt, son and family meeting with his oncologist dr. medical team and his pcp pt decided to be dnr/dni prior to discharge. pt understood fully and made the decision along with his son for this change in code status. . #. dispo: home with services. pt refused rehab and per son/family and case management arrangements were made for home w/services. medications on admission: 1. pantoprazole 40 mg tablet, delayed release 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. metoprolol tartrate 12.5 mg discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. toprol xl 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*60 tablet sustained release 24hr(s)* refills:*2* 4. toprol xl 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*60 tablet sustained release 24hr(s)* refills:*2* 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. sucralfate 100 mg/ml suspension sig: one (1) po four times a day. disp:*qs 1* refills:*2* 8. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: gastric ulcers nh lymphoma htn af discharge condition: stable discharge instructions: it is very important you take your protonix twice per day, every day. . please take all your medications as directed and keep your follow up apointments. . if you experience any chest pain, have more blood per rectum or black/bloody stool, feel week, lightheaded or dizzy, please call your physician and go to the emergency room. followup instructions: provider: , md phone: date/time: 2:30 provider: , . hematology/oncology-cc9 date/time: 2:30 . provider: , cardiology-private date/time: 11:30 procedure: endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia atrial fibrillation chronic kidney disease, unspecified other specified forms of chronic ischemic heart disease chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction personal history of noncompliance with medical treatment, presenting hazards to health hydronephrosis subendocardial infarction, subsequent episode of care other malignant lymphomas, lymph nodes of multiple sites 

Answer: The patient is high likely exposed to