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: coffee ground emesis major surgical or invasive procedure: endoscopy history of present illness: patient is a 61 year old female with history of bipolar disorder with psychotic features, hyperthyroidism and reccurent pneumonias who lives at mt. . she presented to the ed with nausea and hematoemesis. pateint reportedly has had three days of nausea. 1 day prior to admission she had 5 episodes of coffee ground emesis. no chest pain, shortness of breath, dyspnea. she has positive epigastric pain, dizziness and near syncope. in the ed she was found to be somulent, ng lavage produced coffee ground that cleared with 1 liter normal saline. she remained hemodynamically stable. head ct was negative for hemmorrhage. she was transferred to the micu and was monitored with serial hct. her psychiatric and pain medications were held because patient demonstrated change in mental status. patient's mental status cleared and she was restarted on her psychiatric meds given history of psychosis. in the micu her count was elevated so u/a and chest xray done to rule out infectious process. u/a was negative and chest xray showed no signs of pnuemonia. patient underwent egd which showed exudative material suggestive of severe esophagitis. the coating was sent for biopsy. patient had drop in hct while in micu so transfused 2 units of prbc, however felt that drop in hct may be secondary to slow nadir from initial gi bleed and dilutional effects. past medical history: bipolar diorder, depression, si, hyperthyroid, gerd, spinal stenosis with l3-5 laminectomies, hyperlipidemia, pneumonia, basal cell carcinoma, stress incontinence, endometrial polyps. social history: patient lives in mt she denies any tobacco use or etoh use family history: mother passed away of cancer (? tongue cancer) father passed away of "enlarged heart" brother who is healthy sister who passed away of cancer (?unknown) physical exam: vs: temp 98.7 p88 (82-110) bp 122/79 r 14 o2sat 94-97% ra gen: awake sitting up in chair, flat effect heent: pupils small 2mm-1mm equal b/l, anicteric sclera. mucous memebranes moist. orap=l pharynx clear chest: lungs cta b/l cardiac: distant heart sounds rrr no murmurs abd: obese, soft ntnd, guaiac negative per ed ext: no edema pertinent results: 09:39pm hgb-11.5* calchct-35 09:44pm d-dimer-579* 09:44pm pt-12.8 ptt-21.3* inr(pt)-1.0 09:44pm plt count-293 09:44pm neuts-87.9* lymphs-8.5* monos-3.4 eos-0.1 basos-0.1 09:44pm wbc-14.4*# rbc-3.62* hgb-10.5* hct-31.5* mcv-87 mch-29.1 mchc-33.5 rdw-14.5 09:44pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:44pm calcium-9.7 phosphate-2.2* magnesium-2.0 09:44pm ck-mb-notdone ctropnt-<0.01 09:44pm lipase-27 09:44pm alt(sgpt)-18 ast(sgot)-17 ck(cpk)-36 tot bili-0.3 09:44pm glucose-151* urea n-53* creat-0.9 sodium-143 potassium-4.5 chloride-105 total co2-25 anion gap-18 12:10am urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 12:10am urine gr hold-hold 12:10am urine uhold-hold 12:10am urine hours-random 12:10am urine hours-random 12:10am urine hours-random 12:40am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-5.0 leuk-neg 12:40am urine color-yellow appear-clear sp -1.015 02:20am plt count-268 02:20am neuts-83.5* lymphs-11.7* monos-4.5 eos-0.2 basos-0.1 02:20am wbc-13.8* rbc-3.14* hgb-9.4* hct-27.5* mcv-88 mch-30.0 mchc-34.2 rdw-14.5 04:40am pt-12.6 ptt-21.8* inr(pt)-1.0 04:40am plt count-267 04:40am wbc-11.8* rbc-3.15* hgb-9.1* hct-27.7* mcv-88 mch-29.0 mchc-33.1 rdw-14.7 04:40am t4-4.4* 04:40am tsh-2.5 04:40am albumin-3.3* calcium-8.7 phosphate-3.0 magnesium-2.1 04:40am glucose-106* urea n-41* creat-0.8 sodium-147* potassium-4.2 chloride-112* total co2-27 anion gap-12 05:09am type-art po2-69* pco2-41 ph-7.44 total co2-29 base xs-3 10:51am hct-26.7* 07:21pm hct-24.9* brief hospital course: ## upper gi bleed: patient got egd which showed no ulcer or active bleeding. however egd did show exudative material from ge junction suggestive of severe esophagitis. biopsy sent which showed acute ulceration. her h. pylori antigen came back negative. patient with no more episodes of ugib since admission. in the micu patient got 2 units of blood. her hct dropped to lowest of 25 and after transfusion trended upto 32. upon discharge her hct was stable at 30. she was started on aggresive protonix regimine 40mg twice a day. ## elevated wbc: most likely stress since patient had negative u/a, urine, and blood cultures. chest xray negative for pnuemonia. upon discharge patient patients wbc count returned to normal levels. ## change in ms- patient's mental status cleared while in micu. patient remained alert after concious sedation for egd. there is no evidence of infection or electrolyte abnormalities. change in mental status may have been due to over-medication. ## hyperthyroid hx: tsh within normal limits, no medications given. . ## depression - patient has history of psychotic features with her depression and si. meds initially held secondary to change in mental status but restarted in micu to prevent psychotic episode from occuring. continued patient on outpatient regimine of respiridone, effexor, and clozapine. ## chronic low back pain/spinal stenosis - ultram and klonopine intitially held since patient had altered mental status. her back pain was controlled with tylenol. once her mental status remained clear she was re-started on klonopine to avoid withdrawal effects and given ultram as needed. celebrex was discontinued due to patient's severe gastritis seen on endoscopy. medications on admission: clozaril 100 qam , 150 qpm, mvi, protonix, celebrex 200 , klonopin one , effexor 150 , risperidol one , colace 100 q8, ultram 50 q8, ativan one q8 prn, neurontin 200 qam. discharge medications: 1. multivitamin capsule sig: one (1) cap po daily (daily). 2. risperidone 1 mg tablet sig: one (1) tablet po bid (2 times a day). 3. venlafaxine hcl 75 mg tablet sig: two (2) tablet po bid (2 times a day). 4. pantoprazole sodium 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* 5. clozapine 100 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 6. clozapine 25 mg tablet sig: two (2) tablet po hs (at bedtime). 7. clozapine 100 mg tablet sig: one (1) tablet po at bedtime. 8. clonazepam 0.5 mg tablet sig: 0.5 tablet po bid (2 times a day). 9. tramadol hcl 50 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. 10. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. 11. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 13. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. discharge disposition: home discharge diagnosis: severe gastritis discharge condition: stable- patient with no more episodes of hematoemesis and hct remains stable. discharge instructions: please continue to take your medications as you were before hospitalization. you were found to have severe gastritis which is most likely cause of your gi bleeding. you should take protonix 40mg twice a day which will help with symptoms followup instructions: please make sure you follow up with your primary care docator, dr. () to go over final results of gastric biopsy and to review your recent hospitalization procedure: esophagogastroduodenoscopy [egd] with closed biopsy transfusion of packed cells diagnoses: acute posthemorrhagic anemia unspecified gastritis and gastroduodenitis, with hemorrhage other bipolar disorders other esophagitis other specified drug-induced mental disorders 

Answer: The patient is high likely exposed to