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: amoxicillin / aspirin / clindamycin / erythromycin base / bactrim attending: chief complaint: confusion major surgical or invasive procedure: egd brief hospital course: respiratory failure: the patient was intubated and maintained on pressure support ventilation from the time of admission due to respiratory failure with blood gas consistent with hypoxia. respiratory failure in this patient was presumably due to impending hemodynamic collapse. there was no clear evidence of pneumonia or other primary pulmonary process on chest x-ray or on examination. the patient had small right pleural effusion on admission and developed left pleural effusion during her hospital stay, but these effusions were small and unlikely to contribute to respiratory distress. the patient was maintained on pressure support ventilation during her admission and oxygenation was maintained with acceptable parameters. hypotension: the patient was hypotensive on admission with blood pressure as low as 60 over palpation in the emergency department. this was most likely secondary to gi bleed; although, the patient's elevated white count on admission and continuous hemodynamic instability during her hospital stay despite stable hematocrit indicated that there were likely other contributing factors. the patient was initially suspected of having sepsis, and was begun on empiric therapy with levofloxacin and flagyl. in addition, cosyntropin stimulation test was performed to evaluate for adrenal insufficiency. this test was normal indicating that hypoadrenalism was likely not contributing to her hypotension. the patient was treated with levofloxacin and flagyl during her entire hospital admission as empiric therapy for possible sepsis. she displayed labile blood pressure during her entire admission and required occasional fluid boluses to maintain her mean arterial pressure greater than 60. she required intermittent use of pressure medications during her admission with dopamine being the principle . upper gi bleed: the patient was admitted with hematocrit of 22 and signs of gi bleed including bright red blood per rectum. egd on demonstrated a bleeding mass in the stomach suspicious for malignancy of the linitis plastica type. biopsies were taken and showed adenocarcinoma of the stomach and also diffuse gastritis. this gastritis was likely the cause of the patient's gi bleed. on admission, the patient was transfused with 2 units of packed red blood cells raising her hematocrit to 27. hematocrit was monitored closely during her hospital stay and the patient was transfused an additional time to raise her hematocrit to greater than 30. her hematocrit remained stable at 30 during the majority of her hospitalization, indicating that gi bleed had stabilized after her admission. the patient was also treated with protonix iv b.i.d., sucralfate 1 gram by ng tube q.i.d., and fluid resuscitation. no treatment was available for her diffuse gastric carcinoma and gastritis other than the above mentioned medications. thrombocytopenia: the patient was admitted with normal platelet count, and platelets decreased suddenly to 87,000 early in her hospital admission. given the stability of her white blood cell count and hematocrit, it was unlikely that this was a dilutional phenomenon. the possibility of consumptive coagulopathy was most concerning in this patient with gastric carcinoma. fibrinogen and fdp were checked to evaluate for dic, and were found to be within normal limits. platelets were followed and were observed to raise to normal levels. the patient demonstrated no sequelae of thrombocytopenia during her admission. pain: the patient was treated with fentanyl drip in order to provide adequate analgesia. she was observed to be comfortable initially on fentanyl drip with no signs of pain. there was no hypertension, tachycardia, or physical sign of pain. eventually, the patient demonstrated physical signs of discomfort, and required fentanyl boluses in addition to her fentanyl drip. fentanyl boluses were administered as required to maintain strong level of analgesia in the patient. communication: the intensive care unit team was in frequent communication with the patient's family, especially the patient's daughter who was her healthcare proxy. the patient's family initially was hopeful of achieving cure in this patient, such that the patient would be able to convalesce at home and to recover among her family. however, during the hospital course, it became apparent to the intensive care unit team and to the family that the patient's disease was not amenable to cure, and that the patient would likely die of her disease during this admission. the family asked appropriate questions about end of life issues and end of life care and the family meeting was held to discuss the patient's code status and goal of care. on , the family embraced comfort care as a goal of treatment. they directed that the intensive care unit team should withhold laboratory tests and medications except for medications that would maintain the patient's comfort. the patient was treated with fentanyl drip and fentanyl boluses to maintain analgesia and was observed to be comfortable during her hospital stay. after this decision was made, the patient's blood pressure was observed to trend down slowly and the patient's respiratory status was maintained with ventilation. on , the patient died of cardiovascular collapse, secondary to her diffuse hemorrhagic gastric carcinoma. discharge disposition: expired discharge diagnosis: deceased discharge condition: deceased md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances esophagogastroduodenoscopy [egd] with closed biopsy transfusion of packed cells diagnoses: thrombocytopenia, unspecified unspecified pleural effusion acute posthemorrhagic anemia acute kidney failure, unspecified acute respiratory failure hyperosmolality and/or hypernatremia acute gastritis, with hemorrhage malignant neoplasm of body of stomach 

Answer: The patient is high likely exposed to