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: history of present illness: the patient is a 55-year-old male with past medical history of schizoaffective disorder, long-standing alcohol abuse and hypertension admitted on with dizziness, fatigue and 2 episodes of coffee- ground emesis with a question of a syncopal episode. the patient's last drink was on (he had a few glasses of wine). the patient was taken by daughter to the . blood pressure was 94/55 with heart rate 103. ng lavage with coffee grounds not clearing with 1 liter. the patient also had guaiac-positive brown stool on exam. the patient was admitted to the micu. in the micu, patient was given bolus of octreotide and started octreotide drip for worry of variceal bleed. egd later that day on , revealed a normal esophagus, gastritis and a 1.2-mm ulcer with visible vessel suggesting recent bleed in the stomach that was cauterized. there was also patchy erythema and friability of the mucosa in the proximal duodenum with nonbleeding erosions. hematocrit since the egd was 32.7 but after aggressive iv resuscitation. currently, patient is without complaints. he denies dizziness or lightheadedness, nausea, vomiting, abdominal pain. no bowel movements since admission; no chest pain, no shortness of breath, no fevers or chills, no tremors. past medical history: schizoaffective disorder. hypertension. bright red blood per rectum (occurred 5-6 years ago with previous sigmoidoscopy with hemorrhoids). syphilis (treated). alcohol abuse since age 8. diabetes diagnosed . dementia, likely alcohol related. pancreatitis. periodic homelessness. thrombocytopenia. status post removal of submandibular cyst. denies history of withdrawal or dt's. medications prior to admission: 1. metformin 850 mg p.o. q.d. 2. aspirin 81 mg p.o. q.d. 3. atenolol 25 mg p.o. q.d. 4. fluoxetine 60 mg p.o. q.d. 5. multivitamin. 6. risperidone 2 mg p.o. q.d. medications on transfer: 1. protonix 40 mg iv b.i.d. 2. fluoxetine 60 mg p.o. q.d. 3. risperidone 2 mg p.o. q.h.s. 4. thiamine 100 mg p.o. q.d. 5. multivitamin 1 tablet p.o. q.d. 6. folic acid 1 mg p.o. q.d. 7. colace 100 mg p.o. b.i.d. 8. senna 1 tablet p.o. b.i.d. p.r.n. 9. sliding scale insulin. 10. ativan 0.5-2 mg iv q.4h. p.r.n. ciwa scale. allergies: penicillin with questionable rash. family history: father with diabetes. mother with diabetes (deceased). social history: positive etoh use since age 8. the patient goes through phases of dependence followed by non-use. currently drinks 1 quart of wine every other day. illicit drugs, used many in the past but no current iv drug abuse and no previous iv drug abuse. tobacco, half a pack per day for the last 40 years. lives in a group home in for people with mental illness and also has periodic homelessness. daughter is jates, number . physical examination: temperature 98.9 degrees, blood pressure 140/70, pulse 93, respirations 18, saturating 96 percent on room air. in general, patient is alert and oriented times 3 sitting comfortably in no apparent distress. heent: pupils equal round and reactive to light. sclerae anicteric. oropharynx clear with moist mucous membranes. neck: supple, nontender, no jvd. pulmonary: clear to auscultation bilaterally. cardiovascular: regular rate and rhythm with no murmurs, rubs or gallops. abdomen: soft, nontender, nondistended with normoactive bowel sounds. positive liver edge palpable. extremities: no edema, no calf tenderness, plus 2 dp pulses present bilaterally. neuro: cranial nerves ii-xii intact. normal finger-to-nose. gait not assessed. no tremor. no asterixis. laboratory data on admission: white blood cell count 7.4, hematocrit 32.7 with baseline 41-43, platelets 137, inr 1.1. chem-7 was unremarkable. urine tox screen on admission: etoh level 161. egd: results in the hpi. ekg on admission: normal sinus rhythm at 91 beats per minute with normal axes, question of right atrial abnormality, and no st changes. liver ultrasound: normal portal flow, normal echotexture of liver, and positive cholelithiasis. assessment: a 55-year-old male with 47-year history of alcohol abuse, diabetes, hypertension, schizoaffective disorder admitted for an upper gastrointestinal bleed status post esophagogastroduodenoscopy showing ulcer with visible vessel in the stomach, cauterized, now transferred to the floor for further monitoring and management. hospital course: upper gi bleed: the patient had a gastric ulcer on egd, which was cauterized and was transferred to the floor appearing clinically and hemodynamically stable. hematocrit remained stable at around 32-35 with no signs or symptoms of active bleeding. the patient was tolerating a soft diet. he was continued on a ppi 2 b.i.d. at the time of this dictation, serum h. pylori antibody was still pending. the patient has a followup repeat egd already scheduled as an outpatient in approximately 8 weeks, per the gi fellow . alcohol addiction: the patient was evaluated by social work/addiction consult. the situation was quite difficult since the patient had already completed a forceful 30-day inpatient rehab at (section 35), which was ordered by patient's pcp or psychiatrist and then patient relapsed 1 day later after discharge from the rehab facility. the patient has no active psyche or detox issues at this time and had required no ativan per the ciwa scale for the last several days of admission, with no signs of withdrawal. he did not qualify, therefore, for inpatient detox or a dual diagnosis. attempts were made by patient's pcp, . , for transfer to since patient would likely relapse if returned to group home. the patient was given outpatient referrals by the primary team as well as the addiction consult. however, since a bed was not available at the facility, and the patient was getting frustrated with being hospitalized, as well as the fact that there was no further reason to keep the patient in the hospital since he was not actively gi bleeding, and was not requiring any further detox treatment, the decision was made to discharge the patient to his group home fenwood inn at the , with the agreement that he would attend aa meetings twice a day and would try his best to do that in the time being before he could transfer to an rehab facility when a bed became available. this decision was made in conjunction with patient's pcp, primary medicine team, the addiction consult worker , as well as the health center, as well as patient's outpatient psychiatrist. the patient was also continued on multivitamin, thiamine and folate. diabetes: the patient had stable blood sugars in the low 100s while in-house. he was continued on regular insulin sliding scale and was discharged on metformin 500 mg p.o. q.d., which was what he was on as an outpatient. psychiatry: the patient was continued on his outpatient fluoxetine and risperidone. fluids, electrolytes and nutrition: the patient was tolerating a soft diet and his chem-7 remained in normal limits. prophylaxis: the patient was continued on thiamine, folate and multivitamin, bowel regimen and protonix. code: full. disposition: as mentioned above, disposition was difficult considering that patient would likely relapse upon discharge from the hospital if not appropriately monitored. so patient was told to refrain from using alcohol and to attend 2 aa meetings per day. he would be discharged back to his group home on the condition that when the first available bed at the fenwood inn/ was available, he would likely be able to receive further help regarding his alcohol use. discharge diagnoses: 1. upper gastrointestinal bleed. 2. diabetes mellitus. 3. alcohol abuse. 4. hypertension. discharge condition: stable. discharge status: to group home. discharge medications: 1. fluoxetine 60 mg p.o. q.d. 2. risperidone 2 mg p.o. q.h.s. 3. thiamine 100 mg p.o. q.d. 4. multivitamin 1 tablet p.o. q.d. 5. folic acid 1 mg p.o. q.d. 6. colace 100 mg p.o. b.i.d. 7. protonix 40 mg p.o. b.i.d. 8. metformin 850 mg p.o. q.d. followup plans: 1. the patient should return to the fenwood inn/ the day after discharge to receive further followup and help regarding his alcohol use. other numbers were provided to the patient for help including the mental health center, number or the substance abuse referral hotline 1. 2. the patient should follow up with gi on at 10:00 a.m. with dr. . , dictated by: medquist36 d: 19:05:13 t: 03:44:06 job#: procedure: endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction duodenitis, without mention of hemorrhage other and unspecified alcohol dependence, unspecified unspecified gastritis and gastroduodenitis, without mention of hemorrhage helicobacter pylori [h. pylori] schizoaffective disorder, unspecified 

Answer: The patient is high likely exposed to