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: none history of present illness: mr. is an 81 yo russian speaking male with dementia, h/o cva previously on coumadin, left sided weakness, dysphyagia s/p gtube, htn, hyperlipidemia transferred from rehab with coffee ground emesis. reportedly has had several days of diarrhea and abdominal distention and then developed acute vomiting of coffee ground emesis on the day of admission. he also has history of constipation with recent reports of hypoactive bowel sounds and abdominal distention. . in the ed t95.3 bp 130/80 hr 90 97% 2l ra. during ems transport he was noted to have large amount of coffee ground emesis. on arrival in the ed he was given 3l ns, 16 gauge piv placed and he was given protonix 40mg iv and a protonix gtt was started. ng lavage of g tube reportedly with coffee grounds with streaks of red blood. gi fellow was notified and tentative plan for scope in the morning unless concern for acute bleeding. past medical history: h/o cva with left hemiparesis - previously on coumadin however d/c'd due to falls dysphagia s/p g tube vascular dementia parkinson's disease type 2 diabetes coronary artery disease stage iii chronic kidney disease left ankle decubitus ulcer hypertension hyperlipidemia gerd bph essential tremor herpes zoster constipation right lung calcified granuloma restless leg syndrome pruritis social history: lives at rehab facility family history: n/c physical exam: on admission: vs:bp 133/48 hr 77 rr 20 93% on 3l nc gen: sleeping quietly, awakens to voice, answers yes to russian interpreter on the phone but no other verbal communication, appears frightened heent: nc at cv: regualr rate and rhythm, 2/6 systolic murmur lungs: bibasilar crackles, right > left otherwise ctab no wheezing abd: distended, firm to palpation, gtube in place with coffee ground emesis on suction, hypoactive bowel sounds rectal: guaiac positive in ed ext: warm, no pedal edema, dp's palpable bilaterally neur: contracted, lying on right side, only verbalizes yes with the russian interpreter . on discharge: t99.1 hr65 - 92 bp109/46 - 182/107 rr 20 spo2: 97% gen: sleeping quietly, awakens to voice, heent: nc at cv: regualr rate and rhythm, 2/6 systolic murmur lungs: bibasilar crackles, right > left otherwise ctab no wheezing abd: abd; soft, nt/nd, g-tube in place, no coffee grounds in or around g-tube, nabs ext: warm, no pedal edema, dp's palpable bilaterally neur: contracted, lying on right side, only verbalizes yes with the russian interpreter pertinent results: ekg: nsr at 85 bpm, normal axis, rbbb, st segment depressions in v2-v6 compared with prior from . 02:10am blood wbc-9.3 rbc-3.84* hgb-12.0* hct-36.3* mcv-94 mch-31.3 mchc-33.2 rdw-13.8 plt ct-357 06:39am blood wbc-6.3 rbc-3.40* hgb-10.8* hct-32.4* mcv-95 mch-31.6 mchc-33.3 rdw-13.9 plt ct-299 12:28pm blood hct-31.0* 06:08pm blood hct-32.3* 12:56am blood hct-30.8* 03:45am blood wbc-5.6 rbc-3.22* hgb-10.5* hct-30.7* mcv-96 mch-32.5* mchc-34.1 rdw-14.2 plt ct-296 02:10am blood glucose-144* urean-47* creat-1.3* na-142 k-4.5 cl-103 hco3-26 angap-18 06:39am blood glucose-114* urean-46* creat-1.1 na-141 k-4.5 cl-109* hco3-26 angap-11 03:45am blood glucose-101 urean-29* creat-1.2 na-147* k-4.0 cl-114* hco3-24 angap-13 02:10am blood alt-6 ast-14 ck(cpk)-39 alkphos-45 totbili-0.4 06:39am blood ck(cpk)-34* 06:08pm blood ck(cpk)-32* 02:10am blood ck-mb-notdone ctropnt-0.01 06:39am blood ck-mb-notdone ctropnt-0.02* 06:08pm blood ck-mb-notdone ctropnt-0.03* 03:45am blood calcium-9.0 phos-2.5* mg-2.2 brief hospital course: pt was admitted with concern for gib given coffee ground material from g-tube. the patient was admitted to the icu for monitoring, but remained hemodynamically stable throught his hospital stay. initially, metoprolol, lisinopril and isosorbide were held, but metoprolol and lisinopril were restarted once the patient became slightly hypertensive. isosorbide should be restarted in days if his bp remains stable. his aspirin was also held and should be held for 7-10 days and can then be restarted on a baby aspirin (rather than 325mg). the patient was also placed on a pantoprozole drip and will need to be on the drip for 72 hrs, until the morning of per gasteroenterology consult. he can then be transitioned to a high dose ppi for a month. the patient did not receive an egd as it was determined that the patient would require intubation and as he is dnr/dni. the decision not to perform egd was discussed with the patient's niece. on admission, the patient's hct did come down from 36->32 with fluids, but then remained stable at 30-32. medications on admission: glargine 18 units qhs simvastatin 20mg qhs acetaminophen 975mg tid citalopram 40mg daily famotidine 20mg qpm hydrocortisone cream gabapentin 200mg zinc oxide topical metoprolol 25mg terazosin 4mg qhs lisinopril 2.5mg daily aspirin 325mg daily bisacodyl suppository prn cetirizine 5mg daily isosorbide dinitrate 10mg tid lactulose 15 ml tid discharge medications: 1. insulin glargine 100 unit/ml solution sig: eighteen (18) units subcutaneous at bedtime. 2. simvastatin 20 mg tablet sig: one (1) tablet po at bedtime. 3. acetaminophen 325 mg tablet sig: three (3) tablet po three times a day. 4. citalopram 40 mg tablet sig: one (1) tablet po once a day. 5. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 6. hydrocortisone 1 % cream sig: as directed topical as needed. 7. gabapentin 100 mg tablet sig: two (2) tablet po twice a day. 8. zinc oxide lotion sig: as directed topical as needed. 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. 10. terazosin 2 mg capsule sig: two (2) capsule po at bedtime. 11. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. 12. bisacodyl 5 mg tablet sig: one (1) tablet po once a day as needed for constipation. 13. cetirizine 5 mg tablet sig: one (1) tablet po once a day. 14. lactulose 10 gram/15 ml solution sig: fifteen (15) ml po three times a day. 15. aspirin 325 mg tablet sig: one (1) tablet po once a day. 16. isosorbide mononitrate 10 mg tablet sig: one (1) tablet po three times a day. 17. pantoprazole 8 mg/hr iv infusion until discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary diagnosis: 1. coffee-ground emesis discharge condition: afebrile, vital signs stable, hematocrit stable. discharge instructions: you were admitted to for bleeding in your g-tube, likely from your stomach. you were treated with iv medications, and your hematocrit dropped to the low 30s but remained stable. you did not require any blood transfusions. the gi specialists were consulted, who recommended medical management given the stable blood count. your medications and tube-feeds are being restarted now. the following changes are being made to your medications: . 1. change famotidine to omeprazole 40mg . 1. hold aspirin for 1 week before restarting. 2. hold isosorbide mononitrate for 1-2 days before restarting, as tolerated by blood pressure. . you should follow-up with your primary care physician. there is further bleeding, you should call your doctor. you should also call your doctor or return to the emergency room for: * fevers, chills * chest pain, shortness of breath * abdominal pain, bloody stools or black tarry stools followup instructions: primary care physician: , . provider: , : date/time: 11:20 procedure: enteral infusion of concentrated nutritional substances injection or infusion of other therapeutic or prophylactic substance gastric lavage diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) long-term (current) use of insulin right bundle branch block late effects of cerebrovascular disease, hemiplegia affecting unspecified side diarrhea nonspecific abnormal findings in stool contents hematemesis dementia in conditions classified elsewhere without behavioral disturbance surgical or other procedure not carried out because of contraindication flatulence, eructation, and gas pain diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled gastrostomy status vascular dementia, uncomplicated cerebral atherosclerosis dementia with lewy bodies restless legs syndrome (rls) hypothermia other late effects of cerebrovascular disease, dysphagia essential and other specified forms of tremor 

Answer: The patient is high likely exposed to