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: cipro / nitrofurantoin / acyclovir / bactrim attending: chief complaint: weakness major surgical or invasive procedure: egd colonoscopy capsule endoscopy history of present illness: 84 yo female with pmhx dm2, htn, hyperlipidemia, s/p r cva who presents with weakness and fatigue for the past several days. she usually walks with a walker but has been so weak over the past week that she is using her scooter and dropping objects. her daughter noted that today her pallor had changed to pale yellow. initial hematocrit found to be 14.5 with inr of 7. denies hematochezia and usually has dark stools chronic iron therapy. denies epigastric pain/burning or any other abdominal pain. no episodes of cp, but 3 days ago had episode of nausea and diaphoresis without vomiting or sob. reports an episode of epistaxis 2 weeks ago but denies all other bleeding. patient is anticoagulated for dvt in left superficial femoral vein () diagnosed after fem- bypass surgery. no recent medication changes. initial vs in ed were: t 99.2 p 74 bp 121/50 r 16 o2 sat 100% ra. patient had guaic positive dark stool. cordis was placed. pt was given 10 u subq vitamin k, 2 u ffp and one unit of prbc in the ed. gi was consulted in ed and recommended iv ppi, npo, ng lavage when inr < 2, scope once stable in the unit. on presentation to the icu, patient's vs were: t 96.2 bp 119/53 p 81 r 16 o2 sat 100% on 2l nc. she reported feeling much better after blood in the ed. no dizziness, cp, sob, abd pain, n/v, stool today. past medical history: dm x 20 + years, on oral hypoglycemics htn s/p b/l hip replacement with chronic hip pain constipation chronic uti's on prophylactic keflex hypercholesterolemia s/p cva- (right-sided) osteoporosis lumbo-sacral arthritis disc disease with spinal stenosis at l3-4 level djd b/l hips social history: lives alone but has pca and home care with her most of the time. no history of smoking, no alcohol, no drug use. iadls-cooking. needs help with bathing, toilet, laundry. daughter lives nearby. family history: nc physical exam: physical exam upon micu admission: vs: temp: 99.2 bp: 119/53 hr: 81 rr: 16 o2sat 100% on 2 l nc gen: pleasant, comfortable, nad, pale heent: ncat,perrl, eomi, anicteric, sclera are pale, mm dry, op without lesions neck: no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules resp: cta b/l with good air movement throughout cv: rr, 2/6 sem at lusb, hsm at apex, s1 and s2 wnl abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly ext: no c/c/e, warm, pulses dopplerable b/l skin: no rashes/no jaundice neuro: aaox3. cn ii-xii intact. 5/5 strength throughout. no sensory deficits to light touch appreciated. rectal: dark guaic positive stool pertinent results: ekg: rate 74, rhythm sinus, axos normal, no lvh or bbb, twi i, avl, v4-v6. likely demand ischemia in setting of anemia. . imaging: . echo: : ef > 75%, nl lv diastolic fxn, +1 ar, 2+ mr . egd: medium hiatal hernia (biopsy) schatzki's ring patchy erythema and petechial erythema in the whole stomach compatible with hemorrhagic gastritis (biopsy) ulcer in the antrum (biopsy) erythema in the duodenal bulb compatible with duodenitis ulcer in the duodenal bulb (biopsy) otherwise normal egd to second part of the duodenum . cscope: 1 internal hemorrhoids dark pigmentation in the whole colon compatible with melanosis coli from laxative use polyp in the cecum (polypectomy) polyp in the cecum (biopsy) otherwise normal colonoscopy to cecum cxr:new right ij cv line distal tip projects at the expected location of the proximal svc. there is a kink in the cv line adjacent to the transverse process of the right c6-c7. brief hospital course: 84f h/o htn, hyperlipidemia, dm2, dvt s/p fem- bypass on warfarin with supratherapeutic inr and lgib, hematocrit 14.5. . # presumed gi bleed: patient presented to the emergency room with hct to 14, ? of melana, but she takes iron pills at home. inr 7.4. she was transfered to the icu where she remained hemodynamically stable. she recieved total of 4units prbcs. she also recieved 2 units ffp and vit k 10 mg sq. endoscopy and colonoscopy performed without any clear source of bleed. she was called out to the floor where she remained stable and her hct remained stable. capsule endoscopy was done and the results were pending at the time of discharge. all of her anticoagulation and antiplatelet medications were stopped. she will follow up with her pcp and establish time course to restart her meds. hct will be checked 2 days after discharge and again at her follow up pcp . . # dvt: lenis redone in house, dvt still present on left. her inr was corrected and coumadin was held. coumadin was not restarted at the time of discharge. she will need to follow closely with her pcp to decide if and when coumadin should be restarted in the future. . #pvd - the patient's asa and plavix were held while in house because of her bleeding. her surgeon was contact in regards to her antiplatelet agents. her pcp will decide along with her surgeon the timing of restarting these agents. . # htn: lisinopril dose was increased and home dose of metoprolol was decreased. . # dm: continued glipizide. cont neurontin for neuropathy. . # osteoporosis- pcp should restart fosamax as outpatient . # oa- continue fentanyl patch per home regimen medications on admission: asa 81 mg qd plavix 75 mg qd fentanyl 50 mcg q72 hours iron sulfate 325 mg tid fosamax 70 mg qwk lasix 40 mg qd neuronitn 300 mg glipizide 2.5 mg qd lipitor 40 mg qd metoprolol 25 mg lisinopril 20 mg qd . allergies: ciprofloxacin, nitrofurantion, acyclovir, bactrim discharge medications: 1. fentanyl 50 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 2. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po three times a day. 3. fosamax 70 mg tablet sig: one (1) tablet po once a week. 4. gabapentin 300 mg tablet sig: one (1) capsule po twice a day. 5. glipizide 2.5 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po daily (daily). 6. atorvastatin 20 mg tablet sig: two (2) tablet po daily (daily). 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 8. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 10. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic (2 times a day). discharge disposition: home with service facility: care tenders discharge diagnosis: anemia of unclear etiology diabetes hypertension dvt peripheral vascular disease discharge condition: hct stable discharge instructions: you were seen in the hospital for low blood counts. a colonoscopy and endoscopy were performed that did not show a source of bleeding. a capsule study was done and at the time of discharge the results are still pending. you blood levels have been stable while in the hospital after receiving the blood tranfusions. . we stopped all of your blood thinners because of the bleed. we also stopped your lasix. we increased the dose of your lisinopril to 40mg daily and decreased your dose of metoprolol to 12.5mg daily. we also started a medication for your stomach. please discuss all of your medications with dr. . . please keep all of your appointments listed below. . either return to the emergency room or call your primary care physician if you have any chest pain, shortness of breath, bleeding, pain in the legs, or other symptoms of concern to you. followup instructions: please call dr. and make a follow up appointment in weeks. . provider: , m.d. date/time: 10:30 provider: , dpm phone: date/time: 1:40 procedure: other endoscopy of small intestine closed [endoscopic] biopsy of large intestine other diagnostic procedures on small intestine diagnoses: anemia, unspecified unspecified essential hypertension acute kidney failure, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes peripheral vascular disease, unspecified other and unspecified hyperlipidemia long-term (current) use of anticoagulants acute venous embolism and thrombosis of deep vessels of proximal lower extremity hemorrhage of gastrointestinal tract, unspecified unspecified gastritis and gastroduodenitis, without mention of hemorrhage diverticulosis of colon (without mention of hemorrhage) spinal stenosis, lumbar region, without neurogenic claudication other specified disorders of intestine 

Answer: The patient is high likely exposed to