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: gi bleeding major surgical or invasive procedure: interventional radiology guided embolization tee arthrocentesis history of present illness: the patient is a 61 year-old with a history of diet controlled dm and gout who was recently started on asa/plavix after cardiac cath with pci/des to om2 and lad lesions. he developed painless brbpr and ?melena on with active gi bleeding in the region of the ascending colon on a tagged rbc scan. he subsequently underwent angiography with embolization of a distal branch of the right colic artery. he was transfused a total of 6 units prbcs on . he went back to the icu with recurrent rectal bleeding on the evening of (reportedly red blood with a question of melena).the initial plan was to prep him for colonoscopy but this was deferred because he was hemodynamically stable and required further work-up for a possible proximal right common femoral dvt. his hct did drift back down in the setting of this re bleeding and he was transfused another 2 units prbcs. a thrombus was not confirmed on subsequent ct pelvis, and he was transferred back to the medical floor yesterday. today he had a single dark maroon/black bowel movement. in general, he reports feeling very well. he denies cp, sob, abdominal pain, n/v, dysphagia, odynophagia, diarrhea, constipation, fevers, chills or sweats. past medical history: new diagnosis of 2v cad as noted above diet controlled dm gout history of esophageal stricture s/p dilation few yrs ago bilateral knee arthroscopy right knee surgery hemorrhoid surgery social history: remote smoking history. no alcohol or drug use. family history: non-contributory physical exam: vs: 140-160/70-80 hr 70s sr lungs: cta heart: rrr -mrg abd: nt + bs pv: 2+ fems b/l no bruits. bps 2+ b/l no edema neuro: a+o x3. nonfocal exam pertinent results: 08:35pm glucose-151* urea n-42* creat-1.8* sodium-139 potassium-4.8 chloride-102 total co2-23 anion gap-19 08:35pm wbc-11.8* rbc-4.49* hgb-12.8* hct-38.3* mcv-85 mch-28.4 mchc-33.3 rdw-13.6 08:35pm neuts-74.4* lymphs-18.3 monos-4.3 eos-2.4 basos-0.6 08:35pm plt count-278 08:35pm pt-12.0 ptt-29.7 inr(pt)-1.0 06:35am urea n-21* creat-1.2 potassium-4.6 06:35am estgfr-using this 06:35am ck(cpk)-87 06:35am ck-mb-notdone 06:35am hct-39.1* 06:35am plt count-224 brief hospital course: the patient is a 61 year-old m who was recently started on asa/plavix after cardiac cath with pci/des to om2 and lad lesions who presented with a gi bleed. 1. brbpr: painless brbpr and ?melena on . active gi bleeding in the region of the ascending colon on a tagged rbc scan. angiography with embolization of a distal branch of the right colic artery performed. required a total of 6 units prbcs on . on the evening of had repeat red blood with a question of melena. colonoscopy and upper endoscopy did not reveal a probable source for this bleed, and it may have been old blood that had not yet passed. he remained without further evidence of active bleeding on discharge with non-bloody bowel movements. 2. concern for hematoma/dvt: on a right groin mass was noted, status mesenteric anteriogram with r groin access now with r concerning for hematoma. imaging showed normal right common artery and vein without evidence of aneurysm or hematoma. however, note was made that the waveform in the right common femoral vein had a very flat characteristic, which was thought to be indicative of a proximal dvt in possibly the internal or common iliac veins. while there was no deep vein thrombosis in the right leg, absent variability in the venous waveform of the right common femoral vein was concerning for a more proximal thrombus. on ct, however, there was no ct evidence for venous thrombosis or fluid collection as clinically questioned. 3. pulmonary nodule: incidental finding of 5-mm left lower lobe pulmonary nodule was found on ct. as no comparison studies are available to assess stability, month followup ct examination was recommended. 4. s/p cardiac cath with pci/des to om2 and lad lesions: patient bled in the context of s/p mi on blood-thinners. echo on this admission showed: the left atrium is elongated. there is mild symmetric left ventricular hypertrophy with normal cavity size. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the aortic arch is mildly dilated. the aortic valve leaflets (3) are mildly thickened. there is no valvular aortic stenosis. the increased transaortic velocity is likely related to high cardiac output. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there are multiple small linear, echogenic, mobile elements on the left ventricular side of the mitral valve which may be redundant or torn chordal structures, although a small vegetation cannot be excluded with certainty (clips 61,63, 64). moderate (2+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. . impression: linear echogenic hypermobile elements in the left ventricular cavity below the mitral valve which may represent torn or redundant chordal structures vs. small vegetation. moderate mitral regurgitation. mild symmetric lvh with normal cavity size and global biventricular systolic function. aortic sclerosis without stenosis. mild aortic dilation. . subsequent tee ruled-out the question of vegetation on the heart. . ecg showed: normal sinus rhythm. left axis deviation. left anterior fascicular block. no diagnostic interval change. . the patient was discharged on the following cardiac regimen: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 5: code: the patient remained full code during this hospitalization. medications on admission: on transfer: aspirin 81 mg atorvastatin 40 mg plavix 75 mg meds @ home ibuprofen 800mg x1 daily discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 5. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day). disp:*40 tablet(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. colchicine 0.6 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 8. oxycodone 5 mg tablet sig: one (1) tablet po twice a day as needed for pain for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: gastrointestinal bleeding diabtetes mellitus - diet controlled gout discharge condition: good discharge instructions: you were admitted to the hospital with gastrointestinal bleeding. you underwent a procedure in interventional radiology that identified a bleeding vessel that was embolized. you did, however, devlop further bleeding. you underwent a colonoscopy and upper endoscopy which did not reveal a probable source for this bleed, and it may have been old blood that had not yet passed. an ulcer was discovered and a biopsy was taken. a cardiac echo suggeted that there may be vegetations on your heart, but the more accurate tee exam then showed that there are no vegetations. . your blood counts remained stable and you were continued on your medications for your heart attack last week. . please follow up with your care providors as below. please take all medications as prescribed - it will be very important to take a stool softner daily to help prevent straining and future bleeding events. it is also important that you remain on your plavix unless directed otherwise by a cardiologist. . please return to the er for chest pain, shortness of breath, bleeding in stool, dizziness, or any other concerning symptom. followup instructions: please set-up an appointment with your primary care doctor for this week to review your hospitalization and medication plan. . provider: , md phone: date/time: 9:30 procedure: other endoscopy of small intestine arteriography of other intra-abdominal arteries arthrocentesis closed [endoscopic] biopsy of large intestine other endovascular procedures on other vessels transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified gout, unspecified percutaneous transluminal coronary angioplasty status hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure duodenitis, without mention of hemorrhage subendocardial infarction, subsequent episode of care unspecified gastritis and gastroduodenitis, without mention of hemorrhage diverticulosis of colon (without mention of hemorrhage) personal history of colonic polyps ulceration of intestine 

Answer: The patient is high likely exposed to