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: upper gi bleed major surgical or invasive procedure: intubation endoscopy history of present illness: patient is 31yom with no significant transferred from hospital with ugib. . patient presented to ed with hematemesis and coffee ground emesis after two episodes of vomiting. he was drinking five beers, and had pizza as well as cocaine that night. he does say that he had severe heart burn a few days prior. he denies prior vomiting. . in osh, hr 108bpm, bp 118/63, hct 36. egd at osh revealed mass at ge junction and was concerning for arterial bleed. he was intubated for airway protection. sedation with propofol was not adequate, and patient was biting at et tube, requiring attempted paralysis. there was then question of seizure activity. his tox screen at the osh was positive for cocaine and benzodiazepines. surgery was consulted and tube and left femoral cordis were placed prior to transfer to . he received two units prbc and two units ffp at osh. he was started on nitroprusside for hypertension, but has remained otherwise hemodynamically stable. patient had been using naproxen 500 x 1 week for back pain. . in micu, patient had an egd which revealed a non bleeding tear w/ adherent clot at gej. the area was injected w epi. he was extubated with good sats. past medical history: back pain ? substance abuse social history: works as carpet-layer. married with young son. + etoh: six pack of beer three times a week. tox screen pos for cocaine. no tobacco. family history: non-contributory physical exam: pertinent results: 09:19pm urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-pos amphetmn-neg mthdone-neg 08:59pm type-art temp-36.7 po2-196* pco2-43 ph-7.37 total co2-26 base xs-0 intubated-intubated 08:59pm lactate-0.7 08:50pm glucose-87 urea n-23* creat-0.8 sodium-145 potassium-3.7 chloride-114* total co2-24 anion gap-11 08:50pm alt(sgpt)-23 ast(sgot)-23 ld(ldh)-195 ck(cpk)-176* alk phos-48 amylase-10 tot bili-0.8 08:50pm ck-mb-4 ctropnt-<0.01 08:50pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-pos barbitrt-neg tricyclic-neg 08:50pm wbc-8.1 rbc-4.30* hgb-13.3* hct-36.8* mcv-86 mch-31.0 mchc-36.3* rdw-12.9 08:50pm pt-13.0 ptt-28.5 inr(pt)-1.1 egd findings: -esophagus: --mucosa: erythema and linear erosions of the mucosa were noted in the lower third of the esophagus and gastroesophageal junction. these findings are compatible with esophagitis. --excavated lesions: a single linear ulcer with adherent clot was found in the gastroesophageal junction. the ulcer most likely represents tear. 3 2 cc.epinephrine 1/ injections were applied for hemostasis with success. -stomach: not examined. -duodenum: not examined. impression: the gastric balloon was deflated with removal of 200cc of ns and tube was removed. -ulcer in the gastroesophageal junction (injection) -erythema in the lower third of the esophagus and gastroesophageal junction compatible with esophagitis -otherwise normal egd to gastro-esophageal junction brief hospital course: a/p: 31yom with toxicology screen positive for cocaine transferred from hospital with ugib secondary to - tear. . # gib: transferred from after intubation and receiving 2u prbc and 2u ffp. egd on admission showed - tear as above, s/p epinephrine. pt started on protonix 40 mg iv bid on admission. hct stable throughout admission to ; 40.2 on discharge. pt advanced from clear liquids to regular diet the day of discharge. pt given prescription for prilosec 40 mg qd on discharge as his insurance did not cover protonix. pt also given carafate slurry for pharyngeal discomfort after removal of et tube. pt will follow-up with clinic at and per their recommendations will need repeat egd in two months. . # skin rash. a cellulitis with multiple pinpoint pustules developed on the pt's forehead in location of mask used while tube was in place. concern for infection given appearance. pt prescribed seven-day course of keflex and bacitracin prior to discharge. nasal swab for mrsa will require follow-up. . # htn urgency: patient transferred from osh on nitroprusside gtt. hypertensive urgency likely in the setting of cocaine use; alcohol withdrawal less likely, with pain/anxiety also possible. pt was written for ativan 1mg q2h for ciwa>10 but did not require any treatment. pt was normotensive without any medication for 48 hours prior to discharge. . # substance abuse: pt denied addiction to alcohol, cocaine, or other substances, stating use was recreational. denied further services per social work. pt counselled regarding substance use in light of recent hospitalization. medications on admission: naproxen discharge medications: 1. carafate 100 mg/ml suspension sig: ten (10) ml po four times a day for 7 days: swish and spit or swish and swallow four times daily as needed. disp:*qs for 7 days qs for 7 days* refills:*0* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 3. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours). disp:*30 capsule(s)* refills:*0* 4. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical qid (4 times a day). disp:*qs for 7 days qs for 7 days* refills:*0* discharge disposition: home discharge diagnosis: upper gi bleed discharge condition: afebrile, vital signs stable, hematocrit on discharge 40.2 discharge instructions: please contact a physician if you experience vomitting that is bloody or black. . please contact a physician if you have stools that are bloody or black and tarry. . please take protonix 40mg twice a day for two weeks and then once a day for the rest of your life. . please take keflex 500mg every six hours for 7 days. . please use bacitracin cream to the affected areas of face every six hours for 7 days. . please take carafate suspension as needed for pain with swallowing. . please take tylenol for pain instead of other medications that are irritating to the stomach lining. followup instructions: please follow-up with your pcp . within two weeks. please follow-up with gi - provider: , md date/time: 9:30. call to change the appointment. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: cocaine abuse, unspecified alcohol abuse, continuous gastroesophageal laceration-hemorrhage syndrome elevated blood pressure reading without diagnosis of hypertension reflux esophagitis 

Answer: The patient is high likely exposed to