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: levofloxacin / codeine attending: chief complaint: hematemesis major surgical or invasive procedure: upper endoscopy history of present illness: the patient is a 84 yo f w/ h/o gerd, afib, cad, copd, htn, tia, pvd, w/j tube recently admitted () with j-tube dysfunction. the patient was admitted because she awoke and vomited bright red blood two times (each approxmiately 1 cup). in the ed, the patient was afebrile and normotensive. she was found to be in afib with rates to the 120s. a ng lavage showed 150cc coffee grounds, and the patient had melena from below. pt. not clearing completely after 500 cc ns and was transfused 1 unit. the patients hct was 28 from a baseline of approximately 30. gi was called and wanted to admit to icu for egd. also, troponin elevated to 0.06. per cardiology likely demand ischemia and recommeneded transfusing prbc. . the patient was in the icu and her brief hospital course is listed below. her egd showed friable esophag. mucosa and . for her drop in hct from 28.4-27.7, she was given 2 units of prbc and responded appropriately (hct 35.8). she was maintained on a ppi, carafate, and her asa was held per gi consult. for her uti, she was started on bactrim, and had no issues. for her afib, her digoxin and metoprolol were held, in the setting of the gib. in addition to the above issues, she was found to have a troponin leak, but this was attributed to demand ischemia, and no intervention was required. the patient's rheumatoid medications were held during her course as well. finally, per imaging her g tube was found to be displaced and surgery will be notified. . on the floor, the patient denied increased sob, cp, dizziness, increased weakness, back pain, suprapubic tenderness. unchanged dysuria. past medical history: 1) paraesophogeal hernia 2) gerd 3) cad/mi/cabg 4) a-fib 5) copd 6) htn 7) h/ tear w/ dilatation 8) tias 9) dmii 10) dyslipidemia 11) ra 12) pvd 13) ?hepatitis c 14) chf w/ preserved ef 50-55%. mod-severe mr/tr social history: lives alone and has help from granddaughter, home health aid and a homemaker. quit tobacco 1 year ago (40 pack years). occasional alcohol use. no recreational drugs. from nh - family lives nearby. family history: famhx: brother died of heart attack, and pt. thinks mother had heart disease. physical exam: on floor: t: 98.3, bp 128/78, p 117, rr 24, 97% ra gen: cachectic female, in bed, nad heent: mmm, oropharynx clear, no sclerae icterus neck: no , no jvd cv: irregular, tachycardic, murmur noted lungs: crackles at base abd: s/nd/+bs. tenderness to palp at gj site(luq), some erythema (unsure if this is baseline as just replaced). neuro: aaox3, cn intact, strength 5/5, sensation intact ext: no c/c/e and no calf tenderness. pertinent results: cxr : impression: 1. no evidence of free intraperitoneal air. 2. improvement of the congestive heart failure and left lower lobe atelectasis . egd: grade 4 esophagitis in the ge junction and distal lower third of esophagus. patchy erythema in the stomach body. g tube in place with distal end near cardia. . echo (most recent): 1.the left atrium is markedly dilated. the left atrium is elongated. the right atrium is markedly dilated. 2.there is mild global left ventricular hypokinesis. overall left ventricular systolic function is low normal (lvef 50-55%). though the views are limited, it appears that there might be a small area of distal septal hypokinesis. 3.the ascending aorta is mildly dilated. 4.the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. mild to moderate (+) aortic regurgitation is seen. 5. the mitral valve leaflets are mildly thickened. moderate to severe (3+) mitral regurgitation is seen. 6.moderate to severe tricuspid regurgitation is seen. 7.there is moderate pulmonary artery systolic hypertension. 8.there is a small pericardial effusion. no tamponade is present. 9. there is a large pleural effusion present. . micro: ua: moderate leuk esterase, > 50 wbc and bacteria. culture negative . labs on admission: 10:00am wbc-9.7 rbc-3.16* hgb-9.6* hct-28.4* mcv-90 mch-30.3 mchc-33.8 rdw-17.2* 10:00am calcium-9.3 phosphate-2.8 magnesium-2.0 10:00am ck-mb-4 ctropnt-0.06* 10:00am glucose-138* urea n-41* creat-0.8 sodium-138 potassium-4.6 chloride-97 total co2-34* anion gap-12 02:10pm urine blood-sm nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-mod 02:10pm urine rbc-0-2 wbc->50 bacteria-many yeast-none epi-0 . labs on discharge: 05:30am blood wbc-6.1 rbc-3.64* hgb-11.3* hct-33.2* mcv-91 mch-31.0 mchc-34.0 rdw-17.0* plt ct-179 05:30am blood glucose-105 urean-13 creat-0.6 na-141 k-3.8 cl-109* hco3-26 angap-10 04:51am blood ck-mb-4 ctropnt-0.04* brief hospital course: the patient is an 84 year old female with history of reflux, atrial fibrillation, coronary artery disease (cad), copd, hypertension, tia, pvd, who presents with upper gi bleed due to esophagitis, and urinary tract infection. . 1) upper gi bleed - the source of the patient's gi bleed was likely from her friable esophageal mucosa, we continued to monitor her hematocrit, until it was stable. once she was stable, we restarted her home medications through her gj tube. we continued her on a proton pump inhibitor , carafate and held her asa. after being in the icu, she did not require any further transfusion. we stopped her ivf, once she was stable and she did well with her diet being advanced as tolerated. . 2) atrial fibrillation - the patient was having afib with rate up to 150's in ed, and up to 120's in icu. once on the floor, she was not actively bleeding so we restarted her home medications of digoxin and metoprolol, and maintained her on telemetry. she remained stable on these medications, and her tachycardia improved. . 3) troponin leak - this was likely demand ischemia, in the setting of a gi bleed, so we continued to check her hematocrit to keep her stable. she did well and her tropinins improved. she would likely benefit from seeing her outpatient cardiologist once she is out of rehab. . 4) urinary tract infection - her ua was positive, so we sent urine cultures. she was started on bactrim, but when her urine culture was negative we stopped her antibiotic. she remained afebrile, and did not have signs of symptoms of infection. . 5) coronary artery disease - the patient was stable, and as above her troponins improved. per the gi service, we restarted her metoprolol and lipitor through her gj tube. we held her ace and lasix, to avoid hypotension and the patient did well. her aspirin was held due to her bleed and this as well as her ace and lasix should likely be restarted by her primary care physician. . 6) diabetes - we held her home medications of metformin and glipizide. she was given sliding scale insulin and had one episode of hypoglycemia which responded well to half an amp of dextrose. she did well once we halved her dose of sliding scale insulin. . 7) rheumatoid arthritis - in the icu, her hydroxychloroquine, prednisone and sulfasalazine, were held initially. she was stable on the floor, so we restarted these medications through her gj tube and she had no problems. . 8) luq tenderness (at gj site) - the patient had just had her gj readjusted, so this was likely normal. she remained afebrile and her pain improved, but we notified dr. the physician who placed the tube) about this and the suboptimal placement of the tube. no intervention was necessary and the patient's pain improved. dr. said her tenderness is normal, and both tubes are able to be used. her g tube is the foley and the j tube is the pigtail. . 9) nutrition - patient is tolerating oral diet. she should continue this with shake supplements at meals. if she has problems, she can be fed through her tube and this could be addressed with her outpatient. medications on admission: 1. digoxin 125 mcg qd 2. metoprolol tartrate 100 mg tid 3. prednisone 10 mg qd 4. lansoprazole 30 mg qd 5. metformin 500 mg (when tf's on) 6. ferrous sulfate 300 mg/5 ml liquid 5ml qd 7. aspirin 81 mg qd 8. tylenol 325 mg prn 9. lasix 40 mg qhs 10. lasix 20 mg qam 11. glipizide 2.5 mg sr 12. trandolapril 2 mg qd 13. hydroxychloroquine 200 mg 14. atorvastatin 10 mg qd 15. sulfasalazine 500 mg 16. albuterol 90 mcg/actuation aerosol 1-2 puffs q6h prn 17. ipratropium bromide 17 mcg/actuation aerosol 2 puffs qid 18. iss discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. 2. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 3. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 4. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day) for 14 days. 5. digoxin 125 mcg tablet sig: one (1) tablet po once a day: through j tube please (lower red port). 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day): through j tube (red port). 7. prednisone 5 mg tablet sig: two (2) tablet po daily (daily): through j tube red port. 8. ferrous sulfate 300 mg/5 ml liquid sig: one (1) po daily (daily). 9. hydroxychloroquine 200 mg tablet sig: one (1) tablet po bid (2 times a day): through j tube please. 10. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily): through j tube please. 11. sulfasalazine 500 mg tablet sig: one (1) tablet po bid (2 times a day): through j tube please. 12. glipizide 2.5 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po twice a day. 13. metformin 500 mg tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: meadowbrook - discharge diagnosis: primary 1. upper gi bleed due to grade 4 esophagitis . secondary 1. atrial fibrillation 2. diabetes discharge condition: stable, tolerating po, afebrile discharge instructions: 1. please take all your medications as prescribed. 2. please return if you develop fevers, vomiting, uncontrolled pain and inability to take medications. 3. do not take aspirin till your doctor restarts it. followup instructions: 1) please follow-up with dr. () at 8:20 am. he should readress if you need to restart tube feeds and restart your lasix and trandopril which were held. 2) please follow-up with gi (dr. friday for 10:00 am ( hospital building medicine specialty phone # ). 3) please attend your endoscopy appointment for monday 8:30 am (# hospital bldg ). do not eat or drink from midnight on (nothing in stomach before procedure, can call # above for more details) md procedure: other endoscopy of small intestine transfusion of packed cells diagnoses: esophageal reflux urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status peripheral vascular disease, unspecified diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled rheumatoid arthritis ulcer of esophagus without bleeding other esophagitis 

Answer: The patient is high likely exposed to