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: dilaudid attending: chief complaint: hematemesis major surgical or invasive procedure: egd history of present illness: 62m s/p recent minimally invasive esophagectomy on , presents with 3 episodes of hematemesis. the patient describes occasional nausea, sensation of "something stuck" in his esophagus over the past few weeks, with occasional regurgitation of small amounts of mucus-like contents, containing no blood, food, or bile, approximately 2-5 times/week. this morning, he reports feeling similarly nauseous, and after consuming a waffle for breakfast, vomiting approximately "enough to cover of the water surface in the toilet bowl". the contents were clear mucus with intermixed bright red blood. he was light-headed at the time, but denies syncope/dizziness/chest pain/shortness of breath/abdominal pain. he was advised to visit the emergency department. en route to the hospital, he experienced another bout of bright red emesis, measuring approximately 100 cc. in the ed, he experienced yet one more episode of 150 cc of bright red emesis with visible clots, intermixed with clear-colored mucus. in the ed, he reports no lightheadedness, no dizziness, no chest pain, no shortness of breath, no diaphoresis. he does acknowledge feeling palpitations, and a continued sensation of nausea/dysphagia. he denies any recent melena or brbpr. he has had normal intake of food recently, as well as his regular intake of 4 cans of tube feeds (replete) daily. of note, he reports holding his aspirin, plasugrel, and htn medications this morning. past medical history: pmh: ge junction adenocarcinoma, htn, mi () s/p drug-eluting stent placement in lad, gerd, ibs, j tube site infection psh: j tube insertion (), minimally invasive esophagectomy () social history: -tobacco history: cigars per day -etoh: previous heavy drinker, cut down significantly 10 yrs ago -illicit drugs: never -lives with wife -works as trucker . family history: parents were healthy into old age. is unaware of any hx of cad or scd. . physical exam: vitals: 98.2 102 118/82 18 100%ra gen: a&o, in no apparent distress heent: no scleral icterus, mucus membranes moist cv: tachycardic, regular rate, no murmurs/rubs/gallops pulm: clear to auscultation bilaterally, no wheezes/rhonchi/crackles abd: soft, nondistended, nontender, no rebound or guarding, normoactive bowel sounds, no palpable masses, well healed laparoscopic incisions, j-tube in place with clean/dry/intact insertion site with no surrounding erythema/induration/drainage. ext: no le edema, le warm and well perfused pertinent results: egd findings: esophagus: excavated lesions two ulcers linear ulcers just below the esophageal gastric ulcers were seen ranging in size from 11 mm to 10 mm that started at 26 cm from the incisors were found in the upper third of the esophagus. clips from the surgery were seen near these ulcers. at the time of the procedure there was no active bleeding. stomach: normal stomach. duodenum: normal duodenum. 12:10pm wbc-10.0 rbc-3.29* hgb-10.3* hct-30.8* mcv-94 mch-31.2 mchc-33.3 rdw-14.0 05:18pm hct-27.7* 12:10pm pt-11.4 ptt-28.9 inr(pt)-1.1 brief hospital course: mr. was admitted for hematemsis. his vital signs on admission were stable. he underwent an egd that showed actively bleeding ulcers and a tear near the anastamosis likely secondary to retching. he was then intubated and repeat egd showed no active bleeding. he was left intubated to prevent further bleeding from retching. he was maintained on propofol and required phenylephrine. he was also started on a ppi drip. his hct was monitored q6 hours. his hct slowly dropped over the day on but was above the transfusion threshold. on he was extubated and pressors were stopped. he was also transfused 1u prbc for a hct of 24.7. he had a possible transfusion reaction, was febrile to 102, which came down with tylenol. no evidence of hemolysis was found. his hematocrit has remained stable at 25-26. he was also orthostatic pm, with hr 130s and bp 80s systolic. he denied chest pain, but the monitor showed some st changes, and an ecg and troponins were obtained. ecg did not show st elevations different from baseline. troponins were negative. he denied chest pain/sob. he continued to be maintained on ppi gtt and was started on sucralfate. his tube feeds were cycled at night. on , he was feeling well and without nausea. he did endorse some mild midepigastric pain with coughing. we started him on some albuterol nebs, which he says has improved his cough. he was started on a clear liquid diet, which he tolerated well. he was transitioned to a regular soft mechanical diet in the pm, which he tolerated well. on , he continued to tolerate a regular soft diet, had no nausea/vomiting, and was discharged home in good condition. his prasugrel and aspirin were held throughout his hospital course due to his acute gi bleed. his last dose was on friday . we contact his cardiologist dr. re: the need for further anti-platelet therapy. she advised discontinuing the prasugrel indefinitely, as it has been over a year since his stent was placed, but recommended resuming his aspirin as soon as possible from a bleeding standpoint. we have advised the patient to resume his aspirin on wednesday . medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. ondansetron 4 mg po q8h:prn nausea 2. lorazepam 0.5 mg po q6h:prn anxiety/nausea 3. atenolol 25 mg po daily 4. prasugrel 10 mg po daily 5. lansoprazole oral disintegrating tab 30 mg po daily 6. nitroglycerin sl 0.4 mg sl prn chest pain 7. aspirin 81 mg po daily 8. fluoxetine 10 mg po daily discharge medications: 1. sucralfate 1 gm po qid rx *sucralfate 1 gram/10 ml 10 suspension(s) by mouth four times a day disp #*600 milliliter refills:*1 2. ondansetron 4 mg po q8h rx *ondansetron hcl 4 mg 1 tablet(s) by mouth every eight (8) hours disp #*20 tablet refills:*2 3. prochlorperazine 10 mg po q6h:prn nausea rx *prochlorperazine maleate 10 mg 1 tablet(s) by mouth every six (6) hours disp #*30 tablet refills:*1 4. albuterol inhaler puff ih q4h:prn cough 5. lorazepam 0.5 mg po q8h:prn nausea 6. aspirin 81 mg po daily restart wednesday 7. fluoxetine 10 mg po daily 8. nitroglycerin sl 0.4 mg sl prn chest pain 9. atenolol 12.5 mg po daily rx *atenolol 25 mg 0.5 (one half) tablet(s) by mouth once a day disp #*60 tablet refills:*2 10. lansoprazole oral disintegrating tab 30 mg po bid rx *lansoprazole 15 mg 2 tablet(s) by mouth twice a day disp #*100 tablet refills:*4 discharge disposition: home discharge diagnosis: gastric ulcer, tear at anastomosis acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted for an upper gi bleed and bloody vomiting and nausea. your vomiting has stopped and your blood count is stable. please continue your pantoprazole for gastric ulcer treatment and zofran for nausea treatment. we have been holding you prasugrel and aspirin since saturday. you can stop taking the prasugrel indefinitely. please resume your aspirin on wednesday . please keep your appointment with your cardiologist friday to discuss these recent changes. call dr office if you experience: -fevers greater than 101 or chills -increased shortness of breath, cough or chest pain -nausea, vomiting (take anti-nausea medication) -increased abdominal pain -incision develops drainage -recurrence of bloody vomiting activity -shower daily. wash incision with mild soap & water, rinse, pat dry -no tub bathing, swimming or hot tub until incision healed -no driving while taking narcotics -no lifting greater than 10 pounds until seen -walk 4-5 times a day for 10-15 minutes increase to a goal of 30 minutes daily diet: tube feeds: replete full strength 90 x 10 hrs flush j-tube with water every 8 hours with 10 cc's of water, before and after starting tube feeds and giving medications through tube you may resume your regular diet as tolerated. eat small frequent meals. sit up in chair for all meals and remain sitting for 30-45 minutes after meals daily weights: keep a log bring with you to your appointment no carbonated drinks call if j-tube falls out (save the tube and bring with you to the hospital to be re-placed) or suture breaks followup instructions: department: cardiac services when: friday at 2:00 pm with: , md building: campus: east best parking: garage department: hematology/oncology when: thursday at 9:30 am with: , md building: sc clinical ctr campus: east best parking: garage department: hematology/oncology when: thursday at 9:30 am with: , md building: sc clinical ctr campus: east best parking: garage department: hematology/oncology when: thursday at 10:30 am with: , md building: sc clinical ctr campus: east best parking: garage please report 30 minutes prior to your appointments on to the radiology department on the of the dahpiro clinical center for a chest xray. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other endoscopy of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension acute posthemorrhagic anemia personal history of tobacco use percutaneous transluminal coronary angioplasty status other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure old myocardial infarction chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction gastroesophageal laceration-hemorrhage syndrome secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes malignant neoplasm of cardia other transfusion reaction 

Answer: The patient is high likely exposed to