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: mrs. is a 41 year-old female with past medical history significant for type i diabetes, end stage renal disease on hemodialysis, hypertension, hyperprolactinemia, history of a gi bleed who presents to the emergency department with shortness of breath, abdominal pain and nausea. the patient states that she has had epigastric pain for the past three or four days and that her mother had noted dark / bloody stools which subsequently lead her to bring her daughter to the emergency department. the patient states she has been taking two motrin a day for the past month for chronic leg pain. the patient has a history of upper gi bleed several years ago. she denies any hematemesis, vomiting. she states she has not eaten since the night before admission. in the emergency department the patient's blood pressure was 79/44. her o2 saturation was 100% on room air with a heart rate of 60%, access was obtained in view of a femoral triple lumen catheter. her blood pressure increased without bolus of fluid or transfusion. her blood pressure on arrival to the micu was 100/70 and g tube was placed. bright red blood was retained which did not clear after 750 cc of flushing with normal saline. the patient continued to remained hemodynamically stable. her laboratory values were significant for hypokalemia with peaked t waves seen on her ekg. the patient was given sliding scale insulin iv to enhance sodium bicarb along with 2 grams of calcium gluconate. the renal fellow on call was notified and emergent hemodialysis was arranged upon arriving in the medical icu. review of systems: negative for fevers or chills. she has decreased po intake lately secondary to nausea, pain. she does not complain of any shortness of breath or cough. she denies any chest pain. no history of syncope. the patient is completely anuric. she has a left lower extremity foot ulcer which has been improving over the past four weeks. past medical history: 1. type i diabetes since the age of 23 years old. she has had several episodes of dka. 2. end stage renal disease on hemodialysis tuesday, thursday and saturday secondary to diabetes. 3. diabetes. 4. hyperprolactinemia. 5. history of upper gi bleed 6. foot ulcer for which she has had for one month. allergies: azithromycin leads to gastric upset. medications at home: 1. lorazepam 2 milligrams po given at hemodialysis. 2. protonix 40 milligrams po q day. 3. nortriptyline 75 milligrams q hs. 4. metoprolol 50 milligrams po bid. 5. reglan 10 milligrams po q ac / q hs. 6. norvasc. 7. phoslo. 8. nephrocaps one po q day. 9. atlantis 10 units subcutaneous q hs. 10. humalog sliding scale. social history: she lives with her mother. she is a nonsmoker. she occasionally uses alcohol. she has vna for foot ulcer care. physical examination: temperature 95 f orally in the emergency department. heart rate 60. blood pressure 100/60. o2 saturation is 100% on two liters. general she appears slightly anxious female sitting upright. heent - pale conjunctivae. mucous membranes are moist. her lungs are clear to auscultation bilaterally. she had decreased breath sounds at the right base. she has no wheezing and no crackles heard on auscultation. her heart was regular rate and rhythm with an s3 heard. there are no murmurs appreciated. abdomen has decreased bowel sounds, soft and nontender on examination. rectal - there is evidence of gross hematochezia. extremities were slightly cool. she has a left lower extremity plantar ulcer 1 cm in diameter with hepatorrheic edges without warmth or erythema. pulses were not palpable. neurologically she was alert and oriented times three. there is no facial droop. her tongue was midline. she was moving all four extremities. laboratory data: white count 9.2, hematocrit 24.7, platelet count 320,000. sodium 134, potassium 7.4, chloride 96, bicarb 21, bun 149, creatinine 7, glucose 312. anion gap 13, inr 1.5, ptt 28.2, pt 14.5. ck 44, troponin less than 0.3. ekg revealed that she was in sinus rhythm with beats of 64 beats per minute. she had left axis deviation with evidence of left ventricular hypertrophy. she had poor r wave progression, precordium with peaked t waves. she had qrs interval of 144 compared with 88 from previous ekg. she had t wave depressions on lateral leads. she had an hg done in which revealed a mild reversal of septal defect. hospital course: 1. upper gastrointestinal bleed - the patient was started on iv proton inhibitor and transfused a total of 40 units of packed red blood cells during this admission. an egd was performed which revealed blood in the entire stomach. there was erythema and congestion in the pre-pyloric region compatible with gastritis. her egd was otherwise normal to the third part of the duodenum. the cause of her gi bleed was thought to be end stage induced gastritis. her hematocrit remained stable throughout the rest of her hospital course. she was discharged on proton pump inhibitor to be dosed twice a day and to follow up with her gastroenterologist, dr. . 2. diabetes - the patient was started on an insulin drip for mild dka after hospital day three her anion gap had closed and the patient was started on her outpatient dose of lantus with fair control of her blood sugars. 3. renal failure - the patient had emergency hemodialysis for hyperkalemia with ekg changes which subsequently resolved after one course of hemodialysis. during this admission the patient continued to have multiple courses of hemodialysis every other day which she tolerated well. the patient was given vancomycin at dialysis for a question of sbp given return of .................... fluid from a new peritoneal dialysis catheter placed two weeks ago. her peritoneal fluid was sampled on the day prior to discharge which fit criteria for sbp. her abdominal exam was nontender throughout her hospital stay. she will resume the use of her peritoneal dialysis catheter in the near future as dictated by her nephrologist. during this admission her phoslo does was increased from two tablets with meals to four tablets with meals due to persistent hyperphosphatemia. she was discharged from the hospital to continue her usual regimen of hemodialysis three times a week. 4. cardiovascular - during this admission the patient's troponin levels were found to be elevated with no ck leak. despite these findings and significant anemia, the patient remained chest pain free throughout her hospital course. given her known history of mild reversible septal defect on a recent persantine mibi the patient should be evaluated for a cardiac catheterization in the near future. her troponin leak is most likely from a combination of anemia and ..................... she was not started on aspirin secondary to her ansaid induced gi bleed and was continued on her beta-blocker and on an ace inhibitor. she was set to follow up with dr. of the cardiology division for evaluation of a possible cardiac catheterization. 5. dizziness - the patient developed persistent dizziness two days prior to being discharged. after being restarted on florinef her symptoms of dizziness resolved completely. discharge condition: stable. discharge status: discharged to home. discharge medications: 1. florinef 0.2 milligrams po q day. 2. lantus 10 units subcutaneous q hs. 3. neurontin 100 milligrams po tid. 4. phoslo four caps po with meals. 5. nephrocaps one po q day. 6. nortriptyline 75 milligrams po q hs. 7. protonix 40 milligrams po bid. 8. lopressor 50 milligrams po bid. 9. ativan 1 to 2 milligrams po q six to eight hours prn anxiety. 10. lisinopril 10 milligrams po q day. discharge instructions: return to the emergency department if you develop chest pain, shortness of breath, or persistent dark or bloody stools. follow up with your pcp, . of within one week to review the results of this admission. please follow up with gastroenterologist, dr. on at 10:40 a.m. follow up with dr. on at 3 p.m. at for further cardiac work up. discharge diagnosis: 1. ansaid induced gastritis. 2. positive cardiac pharmacologic stress test. 3. end stage renal disease on hemodialysis. 4. type i diabetes. 5. hypertension. 6. hyperprolactinemia. 7. left lower extremity foot ulcer. , m.d. dictated by: medquist36 d: 20:44 t: 09:47 job#: procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine hemodialysis insertion of other (naso-)gastric tube diagnoses: hyperpotassemia subendocardial infarction, initial episode of care ulcer of other part of foot chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled background diabetic retinopathy diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled salicylates causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to