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: no known allergies / adverse drug reactions attending: chief complaint: lightheadedness, anemia major surgical or invasive procedure: egd capsule endoscopy history of present illness: 39f w/schistosomiasis-induced hypertension and esophageal and gastric variceal bleeds, presents with symptomatic anemia. for the past 2 days she has noted dizziness, headache, fatigue, and dyspnea on exertion, and dark stools. she denies nausea, vomiting, hematemesis, abdominal pain, chest pain, diarrhea, and brbpr. she was last admitted in for variceal bleeding; egd localized to stomach fundus. her most recent egd in showed grade i varices in lower third of esophogus, and had 1 band placed. she tales propranolol and protonix. yesterday at her pcp's office she became tachycardic with slight exertion and exam was notable for conjunctival and palmar pallor. stool was found to be guiac positive, so she was sent to the ed. there were vs were t97 hr88 bp104/64 rr18 sat100%ra. labs showed hct 20.7 (last 39.4 in ), unremarkable lfts, inr 1.0, chem7 unremarkable (bun 15, cr 0.6, na 137). she was given ivfs, and started on a pantoprazole and octreotide ggt, and given 1gm ceftriaxone iv. gi saw her in the ed and recommended admission with plan for urgent egd to access for varices. she was sent to the icu where she was scoped and unremarkable for bleeding. she was given 2 units of prbcs and hct increased from 20 to 27. she was transfered to the medicine floor and is scheduled for capsule colonoscopy tomorrow am. on arrival to the floor, she is stable, friendly and chatting with staff. past medical history: 1. schistosomiasis-induced hypertension complicated by recurrent upper gi bleeds from esophageal varices. 2. anti-c and anti-s antibodies in blood 3. s/p splenectomy 4. s/p d&c social history: home: moved to us from 8 years ago, portugese speaking but conversational in english occupation: works as house cleaner tobacco: none etoh: denies drugs: denies family history: uncle who is s/p splenectomy for unclear reasons. physical exam: admission physical vitals: t: 98.2 104/71 67 18 100%ra general: alert, oriented, no acute distress, lying in bed, smiling and interactive heent: sclera anicteric, mucous membranes moist, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non tender, non-distended, normoactive bowel sounds, no rebound tenderness or guarding ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cn ii-xii grossly intact. motor grossly normal. skin: no rash, no palmar erythema or spider angiomata discharge physical vitals: t:98.3 100/56 85 18 99ra general: alert, oriented, no acute distress, lying in bed, smiling and interactive heent: sclera anicteric, mucous membranes moist, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non tender, non-distended, normoactive bowel sounds, no rebound tenderness or guarding ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cn ii-xii grossly intact. motor grossly normal. skin: no rash, no palmar erythema or spider angiomata pertinent results: admission labs 05:15pm blood wbc-7.3 rbc-2.16*# hgb-6.8*# hct-20.7*# mcv-96 mch-31.7 mchc-33.0 rdw-13.7 plt ct-178 05:15pm blood neuts-49.0* lymphs-43.6* monos-5.5 eos-1.1 baso-0.9 05:15pm blood pt-11.0 ptt-27.5 inr(pt)-1.0 05:15pm blood glucose-94 urean-15 creat-0.6 na-137 k-3.7 cl-106 hco3-24 angap-11 05:15pm blood alt-16 ast-23 alkphos-42 totbili-0.3 05:15pm blood albumin-3.9 iron-18* discharge labs 06:50am blood wbc-4.7 rbc-2.93* hgb-9.3* hct-27.7* mcv-95 mch-31.7 mchc-33.5 rdw-16.0* plt ct-224 06:50am blood glucose-101* urean-13 creat-0.7 na-141 k-4.1 cl-107 hco3-29 angap-9 06:50am blood calcium-8.2* phos-3.5 mg-2.2 endoscopy 1 cords of grade i varices were seen in the esophagus. the varix was not bleeding. ct (preliminary report) 1. no gastric or duodenal varices identified. 2. evaluation for esophageal varices is limited due to respiratory motion, though some are seen retrospectively on ct of . 3. unchanged hyperenhancing lesion in segment vii of the liver most likely representing an arterial- shunt or possibly fnh. 4. nonocclusive calcified main vein thrombus, unchanged from . 5. findings consistent with cirrhosis and hypertension. brief hospital course: 39-year-old female with a history of hypertension from schistosomiasis complicated by recurrent esophageal and gastric variceal bleeds who presents with symptomatic anemia, concerning for upper gastrointestinal bleeding who was originally in the icu for urgent egd upon which no source of bleeding was found and capsule endoscopy was performed who was stable at the time of discharge. # gi bleed: pt has a history of variceal bleeds and orignally on admission with her symptomatic anemia she was admitted to the icu and treated as a potential variceal bleed with protonix and octreotide drips. she underwent an urgent egd which only showed 1 cord of grade 1 varices with no stigmanta of recent bleeding. it was therefore felt that the source of her bleeding was more likely to be small intestine. she was stablized after 2u prbc transfussion and her hct bumped appropriately from 20-->27 and remained stable without any further episdoes of melena during the admission. she was also not tachycardic or orthostatic during the admission. she was monitored on the medical floor where she underwent a triphasic abdominal ct to look for duodenal varices which were not present on prelim report. she wasthen discharged home with follow-up with her hepatologist dr. and an appointment with for possible double balloon enteroscopy to find the source of the bleeding. - she was started on colace and iron supplementation and should continue ppi . she will get weekly blood draws and hct will be faxed to dr. weekly to monitor. - she will followup with dr. for possible double enteroscopy # schistosomiasis-induced hypertension: completed treatment for schistosomiasis in . liver biopsy did not suggest cirrhosis but did note bridging fibrosis. management of complications as above. medications on admission: 1. omeprazole 40 mg po bid 2. propranolol 20 mg po bid discharge medications: 1. outpatient lab work dx. anemia perform cbc weekly fax results to dr. at 2. docusate sodium 100 mg po bid constipation 3. ferrous sulfate 325 mg po daily 4. propranolol 20 mg po bid 5. omeprazole 40 mg po bid discharge disposition: home discharge diagnosis: anemia gi bleed of unknown source discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms , it was a pleasure taking care of you during your admission to the . you were admitted after having blood loss from bleeding in your gi tract that caused dizziness. you were given 2 units of blood and had imaging and endoscopy studies. we still don't know where exactly the bleeding is coming from. you are now safe to go home. - you will be following up with dr. , who will have the results of your capsule endoscopy. you have anemia - low levels of red blood cells - likely from the gi bleeding. for this, we put you on iron supplements and a stool softener. -you will need to get weekly blood draws -you will also need to follow-up with dr. to discuss a special procedure called a double balloon enteroscopy, which he will perform if the capsule endoscopy does not show a location of bleeding. your medication changes are detailed below: start iron supplements daily. start colace daily to prevent constipation; if you are having diarrhea, you do not need to take this medication. followup instructions: department: gastroenterology when: friday at 10:20 am with: , md building: lm bldg () campus: west best parking: garage department: endo suites when: tuesday at 10:00 am department: digestive disease center when: tuesday at 10:00 am with: , md building: building (/ complex) campus: east best parking: main garage department: when: monday at 1 pm with: post clinic with dr phone: building: sc clinical ctr campus: east best parking: garage this appointment is with a hospital-based doctor as part of your transition from the hospital back to your primary care provider. this visit, you will see your regular primary care doctor in follow up. department: gastroenterology when: friday at 10:20 am with: , md building: lm bldg () campus: west best parking: garage we are working on a follow up appointment in the liver center with dr. . you will be called at home with the appointment. if you have not heard or have questions, please call md procedure: other endoscopy of small intestine diagnoses: acute posthemorrhagic anemia portal hypertension personal history of other infectious and parasitic diseases hemorrhage of gastrointestinal tract, unspecified esophageal varices in diseases classified elsewhere, without mention of bleeding 

Answer: The patient is high likely exposed to