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: the patient is a 64-year-old male with a past medical history of coronary artery disease, status post renal transplant and recurrent upper gastrointestinal bleed who presents with further gastrointestinal bleed and anemia. the patient had a complicated course following his coronary artery bypass graft in including multiple deep venous thromboses requiring anticoagulation and an upper gastrointestinal bleed from a duodenal ulcer while on anticoagulation. on , the patient had one episode of vomiting with ? coffee grounds and on the morning of admission, he began to have further hematemesis, as well as melanotic stool. he went to an outside hospital where his systolic blood pressure was found to be in the 60s to 70s. his hematocrit was reportedly 10. he received three units of packed red blood cells with increase in his blood pressure to the 80s to 90s and increase in his hematocrit to 19. his ptt and inr were reportedly within normal limits at the outside hospital. the patient underwent esophagogastroduodenoscopy and an initially nonbleeding ulcer began bleeding after injection. the ulcer was then clipped times two. the patient had a systolic blood pressure in the 120s post procedure and was transferred to the for further management. on arrival, the patient was without any complaints of nausea, vomiting, chest pain, shortness of breath or lightheadedness. past medical history: 1. coronary artery disease status post coronary artery bypass graft in complicated by hemothorax. 2. status post cadaveric renal transplant in . it is felt that his graft is failing. 3. hypertension. 4. upper gastrointestinal bleed secondary to current duodenal ulcer that has been refractory to treatment. 5. diabetes mellitus. 6. subclavian deep venous thrombosis in 02/. 7. lower extremity deep venous thrombosis in 03/. 8. depression. 9. gout. 10. status post appendectomy. allergies: no known drug allergies. medications on admission: 1. allopurinol 100 mg q day. 2. bactrim q monday, wednesday and friday double strength 3. ativan, one t.i.d. 4. prednisone 5 mg q day. 5. lasix 40 mg q day. 6. norvasc 10 mg q day. 7. hydrochlorothiazide 25 mg q day. 8. rosiglitazone 4 mg q day. 9. hydralazine 75 mg q.i.d. 10. protonix 40 mg b.i.d. 11. wellbutrin-sr 150 mg h.s. 12. hectorol 2.5 mg q day. 13. p.r.n. 14. cyclosporin 100 mg q a.m., 75 mg q p.m. 15. lopressor 125 mg t.i.d. social history: the patient is married and lives with his wife at home. family history: noncontributory. physical examination: vital signs: on admission, temperature 97.3, blood pressure 150-160/50-60, pulse 62, respiratory rate 18 with o2 saturation of 100 percent on two liters. general: the patient is awake, alert and oriented, pleasant in no acute distress. heent: sclera anicteric, conjunctiva uninjected, pupils equal, round and reactive to light, extraocular movements intact, mucous membranes are moist. neck: no jugular venous distension. lungs: clear to auscultation bilaterally. heart: regular rate and rhythm, normal s1 and s2. abdomen: soft, nontender, nondistended. there is a palpable graft. extremities: lower extremities are not edematous and there is no calf tenderness. laboratory data: on admission, sodium 141, potassium 4.2, chloride 118, bicarbonate 15, bun 130, creatinine 4.0, glucose 135, white blood cell count 10, hematocrit 19.5, platelets 175, ptt 37.4, inr 1.2. arterial blood gas reveals a ph of 7.36, co2 of 28.7 and a po2 of 355. electrocardiogram shows normal sinus rhythm with a rate of 65 and lad, no st or t-segment changes. hospital course: 1. gastrointestinal bleed: the patient's hematocrit was followed closely. he had no further episodes of gastrointestinal bleed during this hospitalization. the patient received three units of packed red blood cells and his hematocrit increased from a level of 19 on admission to a level of 27.4 on discharge. the patient was maintained on protonix intravenously 40 mg b.i.d. a transplant surgery consult was obtained for consideration of possible angiographic procedure/gelfoam versus other surgical intervention to prevent further repeat bleeding. in addition, a gastric level was sent off and came back elevated at 403. given the multiple large bleeds over the past several months, the surgical consult recommended proceeding with surgery. the possibilities included antrectomy, vagotomy versus embolization as mentioned above. this was discussed at length with mr. who understood the risks and benefits of the procedure and preferred not to proceed with it at this time. 1. allograft nephropathy/chronic renal insufficiency: the patient was followed throughout the hospitalization course by the renal team. the patient has a chronically elevated creatinine for the past several months prior to this admission and is known to have allograft nephropathy. the patient was continued on prednisone, ciclosporin and ciclosporin levels were followed. a renal ultrasound was obtained which demonstrated interval enlargement of the renal transplant with the upper pole caliectasis. there was continued blunted arterial upstrokes. however, the patient did have a urinary tract infection at the time of this study and the findings could represent infection versus interstitial rejection versus a combination of both. the patient was noted to have metabolic acidosis and was increased to 30 cc p.o. of bicitra b.i.d. from q day. 1. benign prostatic hypertrophy: the patient's tamsulosin dose was increased from 0.4 mg to 0.8 mg. the patient tolerated this increase well. 1. diabetes mellitus: the patient was continued on a regular insulin sliding scale, as well as on a diabetic diet. 1. history of deep venous thrombosis: given the patient's recent bleed, as well as prior complications on anticoagulation, the patient was maintained on pneumatic compression boots. 1. gout: the patient was restarted on allopurinol at a dose of 100 mg p.o. q day. 1. coronary artery disease: the patient was restarted on his beta blocker regimen of metoprolol 25 mg b.i.d. his aspirin was held during this hospitalization given his recent bleed. 1. depression: the patient was felt to have significant clinical depression. he was maintained on his outpatient dosage of wellbutrin. the patient declined a consultation by psychiatry while in the hospital though denied any active suicidal or homicidal ideation. 1. urinary tract infection: the patient was found to have a pansensitive enterococcus on urine culture on . he was continued on his regular dose ten day course of ampicillin. on the evening of , the patient made the decision to leave the hospital against medical advice. the patient had lengthy discussions earlier in the day with several of the consult teams including the renal team, as well as with the medical team and the medical attending. nonetheless, the patient acknowledged the risks of leaving and signed out of the hospital against medical advice. he was given a prescription of ampicillin to complete his ten day course for his urinary tract infection. the patient will follow-up with his primary care physician and with his nephrologist and his hematologist, as well as with his outpatient psychologist. the patient will also follow-up with his gastroenterologist in regard to his current gastrointestinal bleeds. discharge diagnoses: 1. acute upper gastrointestinal bleed. 2. right upper extremity and right lower extremity deep venous thrombosis, status post inferior vena cava filter. 3. status post renal transplant. 4. urinary tract infection. 5. diabetes mellitus. 6. major depression. 7. gout. 8. benign prostatic hypertrophy. discharge medications: 1. ampicillin 500 mg b.i.d. to complete his course. 2. bactrim double strength, three extra a week. 3. prednisone 5 mg q day. 4. insulin regular as directed. 5. ciclosporin 50 mg q p.m. and 75 mg q a.m. 6. pantoprazole 40 mg q day. 7. hydralazine 25 mg q.i.d. 8. amlodipine 5 mg q day. 9. metoprolol tartrate 25 mg t.i.d. 10. wellbutrin 150 mg extended release h.s. 11. colace. 12. sodium citrate/citric acid 334-500, 60 cc per day. 13. tamsulosin 0.4 mg b.i.d. 14. allopurinol 100 mg q day. 15. bumetanide 1 mg q day. 16. lorazepam 1 mg t.i.d. p.r.n. anxiety. , procedure: transfusion of packed cells diagnoses: acidosis urinary tract infection, site not specified acute kidney failure, unspecified aortocoronary bypass status major depressive affective disorder, single episode, unspecified chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted kidney 

Answer: The patient is high likely exposed to