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: patient recorded as having no known allergies to drugs attending: chief complaint: epistaxis major surgical or invasive procedure: none history of present illness: 64m with hx htn, easy bleeding, on coumadin for hx of dvt, non-compliant patient with severe epistaxis since 2am on the morning prior to admission. he awoke from sleep with blood on his face and presented to where the bleeding stopped spontaneously but then restarted at home. he presented to ed for further care. he denies any anticedent trauma, cocaine use. . in ed, vitals were 97.8 85 161/116 16 96. epistaxis was unresponsive to direct pressure, but responded to nasal balloon. he was swallowing significant blood and had some emesis. 2 balloons were placed into the left nostril and filled with 10cc ns. no further bleeding was apparent but he continued to cough up clots intermittently. patient received zofran 2mg iv, morphine 4mg iv, cefazolin 1gm iv, lidocaine jelly for the balloon placement. sbps of 170s persisted after bleeding resolved and he received metoprolol 5mg iv x1. ent was made aware to see in am. . on arrival to , patient was comfortable with trace bright red blood draining from right nostril. he denied further post-nasal drip, sob, cough, hemoptysis, chest pain, nausea, or vomiting. . past medical history: epistaxis h/o dvt on coumadin poorly controlled htn h/o alcohol abuse b/l dupuytrens contracture social history: married with 3 children, lives with wife. followed intermittently by dr. . history of signficant alcohol use, currently drinking 5 drinks/day. remote tobacco 30 years ago, no illicits. family history: noncontributory physical exam: general - obese male in nad, comfortable, appropriate heent - nc/at, perrla, eomi, sclerae anicteric, mmm, intranasal balloon in left nostril with large blood clot at nare, trace amount of bright red blood draining from right nostril neck - supple, no thyromegaly, no jvd lungs - decreased bs bilat, no r/rh/wh, fair air movement, resp unlabored, no accessory muscle use heart - pmi non-displaced, rrr, no mrg, nl s1-s2 abdomen - obese, nabs, soft/nt/nd, no masses or hsm, no rebound/guarding, + caput medusa extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps), b/l hand dupuytren's contractures skin - ruddy skin coloring, few talengectasias, few scattered pustules lymph - no cervical lad neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout, sensation grossly intact throughout, gait deferred, no asterixis brief hospital course: ap: 64 yo m with h/o dvt on warfarin(inr 1.5 ) poorly controlled htn p/w epistaxis #. epistaxis: pt had 2 balloons placed in left nostril and packing placed in right nostril by ent. episodes of bleeding were treating with genorous doses of afrin to the right nostril. vit k was given. the patient is on coumadin as an outpatient but inr was subtherapeutic on admission. his hct slowly trended down from 40 to 35, but did not require transfusion. his nasal packing has been removed and he was observed x 24 hrs with no signs of rebleeding. ent recommends holding on anticoagulation for at least 1-2 weeks. pt is to see his pcp next week to discuss plan for long-term anticoagulation given hx of recurrent dvts but ?possible hx of medication noncompliance. #. htn. he was noted to be hypertensive in icu and this was thought unlikely represent etoh withdrawl as it is longstanding. had some drop in his bp on am after receiving 2 bp meds (labetalol & hydralazine). he was on hydralazine, lisinopeil, and labetolol in the unit. hydralazine was discontinued on . lisnopril was discontinued on . he was normotensive on the floor - recommend f/u with pcp to evaluate whether he needs antihypertensives long-gterm #. h/o dvt - last documented in with plan for warfarin therapy. patient appears non-compliant with inr checks. inr was subtherapeutic on admission. - pcp also concerned about compliance. pt supposedly was taking coumadin but had not had inr checked since . for now, will keep him off coumadin and have him fu w pcp 1-2weeks to discuss longterm plans. pt and wife/daughter informed of the plan to see pcp weeks # ectopy - noted in icu to have several very brief moments svt, unable to capture. on the floor his 12 lead ekg showed several premature atrial beats, occasional pvc. he was asymptomatic from this. #. h/o eoth abuse ?????? per icu: the patient had tachycardia earlier in hospitalization that had not responded to valium. the patient is not agitated so there is decreased concern that this represents withdrawal. has been 0 on ciwa scale for 4 days now, will dc ciwa full code medications on admission: coumadin 6mg every other day discharge medications: 1. oxymetazoline 0.05 % aerosol, spray sig: one (1) spray nasal once prn () for 3 days: if you develop nosebleed, spray copious amount of this spray (afrin) into each nasal side and seek medical attention. 2. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) for 5 days: both nasal sides. 3. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical (2 times a day) for 7 days: apply to inner nasal nares for 7 days. disp:*qs 1* refills:*0* discharge disposition: home discharge diagnosis: epistaxis hx dvt hypertension, benign discharge condition: stable discharge instructions: you were admitted to the hospital with nose bleed. you were kept in icu initially and then transferred to the floor. your blood count dropped but not enough to require transfusion. ent packed your nose and removed the packing after 5 days. you have history of blood clot in the leg for which you have been taking coumadin (warfarin). due to your nosebleed, this medication has been held. please do not take it when you go home; you should discuss with your pcp when it is safe to resume. the ent physicians here recommended at least one week off the coumadin. please seek medical attention for recurrent nose bleed, chest pain, shortness of breath, palpitations followup instructions: ear/nose/throat in : (route 9) dr. on wed ; arrive at 12:45 pm for a 1:15 pm appointment if your insurance requires referrals for specialist care, you will need to call your pcp office in advance to arrange for a referral to be faxed over. to change this appointment time: follow-up with pcp . at 2:30 pm. call to change this appointment time md procedure: control of epistaxis by anterior nasal packing control of epistaxis by posterior (and anterior) packing diagnoses: other specified cardiac dysrhythmias long-term (current) use of anticoagulants personal history of venous thrombosis and embolism alcohol abuse, continuous other pulmonary embolism and infarction epistaxis venous (peripheral) insufficiency, unspecified benign essential hypertension supraventricular premature beats 

Answer: The patient is high likely exposed to