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: compazine / morphine attending: chief complaint: abdominal pain, vomiting blood major surgical or invasive procedure: esophagogastroduodenoscopy history of present illness: history of present illness: 35 y/o m with hx idiopathic pancreatitis and prior - tear, who came to ed this morning for two days of epigastric pain radiating to his back and intermittent vomiting since late thursday night. he vomited throughout the day yesterday, and then noticed small amounts of bright red blood in his emesis last night. he has chronically loose stools and takes pancreatic enzymes daily. his abdominal pain feels similar to his typical pancreatitis symptoms. denies fevers, chills, exotic foods, sick contacts, urinary symptoms, lightheadedness, dizziness, dyspnea or chest pain. he does not drink any etoh. he does not take any nsaids, per prior doctor's recommendations. he is visiting the area from new jersey, for his uncle's funeral. in the ed inital vitals were, 98.3 122 106/69 16 100%. exam notable for soft abdomen with ttp over epigastric area, no rebound tenderness or guarding. labs revealed leukocytosis to 12k with mild left shift, hct 337, inr 1.0. lipase was 69 and alt/ast 62/47. cxr showed no thoracic process or subdiaphragmatic free air. ecg showed sinus tachycardia. he was given ondansetron 4 mg iv and hydromorphone 1 mg iv, as well as 2-3 liters ivf. gi was consulted and did not recommend immediate intervention. iv access was difficult to obtain, though ed team able to place right 18g ej. pt was typed/crossed 2 units rbcs. at 0630 he vomited ~200 cc of gastric contents mixed with blood, without further bleeding. gi was notified via page, but did not offer further recommendations prior to transfer to icu. vs prior to transfer: 98.1, 122 (sinus), 142/70, 16, 100% on ra. on arrival to the icu, the pt reports his pain is improved and he is not currently nauseous. he says he has been to ed last year (around ) for similar complaints, as well as several visits when he was younger; although he has no prior records in omr. he has had thorough workups of his pancreatitis in ny and nj, including upper and lower endoscopies, endoscopic ultrasound, and ercp. he believes he has a pseudocyst; he has had upper gi biopsies, but does not know of any findings other than gastritis. his amylase and lipase levels are rarely increased when he has symptoms attributable to pancreatitis. review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain, headache, sinus tenderness, rhinorrhea, cough, palpitations, weakness, constipation, dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: - chronic pancreatitis with multiple flares - multiple endoscopic procedures at in and hospital in nj - gastritis - hx - tear - past episodes of symptomatic hypoglycemia - hx sinus surgeries as teenager for sinusitis; no residual problems - episode of bacteremia several years ago at osh, s/p normal tee social history: originally from area but went to school in and now lives by himself in nj. visiting this weekend for uncle's funeral. works as director of operations at finance corporation in ny. denies any past or current etoh. former cigarette smoker, ~ pack-years, quit 5 yrs ago. denies illicits. family history: strong family history of type 2 dm: both parents, all four grandparents and one brother. physical exam: on admission: vitals: t:98.1 bp:131/83 p:97 r:17 o2:99% ra general: alert, oriented, appears tired but in nad heent: sclera anicteric, mm dry, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: rrr, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, +ttp over epigastrium and luq. non-distended, +bs throughout, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ dp/pt/radial pulses bilaterally, no clubbing, cyanosis or edema skin: erythematous patches and papules over left upper back and left upper extremity on discharge: exam notable for all vital signs being stable and patient being afebrile (though tmax of 101.3 on night prior to discharge). induration and warmth over left dorsum of hand. abdomen less tender than previously in epigastrum. pertinent results: admission labs: 05:45am blood wbc-12.1* rbc-4.20* hgb-12.2* hct-37.1* mcv-88 mch-29.0 mchc-32.8 rdw-14.4 plt ct-248 05:45am blood neuts-81.2* lymphs-15.5* monos-2.4 eos-0.4 baso-0.6 05:45am blood glucose-80 urean-18 creat-1.1 na-140 k-4.0 cl-101 hco3-25 angap-18 05:45am blood alt-62* ast-47* alkphos-80 totbili-0.6 05:45am blood lipase-69* 05:45am blood albumin-4.5 calcium-9.9 phos-3.1 mg-1.7 discharge labs: 07:00pm blood wbc-9.5 rbc-4.19* hgb-12.5* hct-36.7* mcv-88 mch-29.8 mchc-34.1 rdw-14.1 plt ct-156 imaging: cxr findings: the lungs are clear with no evidence of a consolidation, effusions, or pneumothorax. cardiomediastinal silhouette is normal. no free air is noted underneath the hemidiaphragms. no acute fractures are identified. impression: no acute cardiopulmonary process. abdominal u/s findings: the liver is normal in echotexture without focal lesion, intra- or extra-hepatic biliary ductal dilatation. the common bile duct is not dilated measuring 3 mm. the gallbladder is distended but without stones, sludge, mural thickening or pericholecystic fluid to suggest acute cholecystitis. son sign was negative. sub-3-mm polyp is seen. the pancreatic distal body and tail is not well seen due to overlying bowel gas; however, the portion of the head and proximal body that is seen is slightly echogenic but otherwise unremarkable. the kidneys are normal bilaterally without hydronephrosis, stone, or mass. the right kidney measures 11.1 cm. the left kidney measures 10.4 cm. the spleen is normal measuring 11.3 cm. the imaged ivc is unremarkable. the imaged aorta is normal in caliber; however, the distal portions are not well seen due to overlying bowel gas. no free intra-abdominal fluid is seen. the main portal vein is patent with hepatopetal flow. impression: 1. gallbladder distention without evidence of cholecystitis or cholelithiasis. this is likely because the patient has not eaten since 2. sub-3-mm gallbladder wall polyp is likely of little clinical significance. ekg : 0330: sinus tachycardia @ 110 bpm. na. qtc 453 ms. ' morphology v1-v2; qrs 118 ms. ischemic changes. 0656: st @ 100 bpm. ' resolved. qtc 414 ms. chest radiograph : findings: as compared to the previous radiograph, there is no relevant change. normal appearance of the lung parenchyma, no evidence of pneumonia. normal size of the cardiac silhouette. no pleural effusions, no pulmonary edema. egd : impression: gastric ectopic mucosa (inlet patch) friability and erythema in the antrum compatible with gastritis (biopsy) normal mucosa in the duodenum otherwise normal egd to third part of the duodenum brief hospital course: 35 y/o m with hx chronic pancreatitis, admitted to icu for hematemesis in setting of possible pancreatitis. 1) hematemesis, likely due to tear: patient presented with hematemesis and reporting fresh blood in emesis though this was never witnessed in the hospital and in fact he only was noted to have small amounts of clotted blood. given history of tear and hemodynamic and overall stability most likely etiology was felt to be recurrent tear due to vomiting in context of possible exacerbation of pancreatitis. thus endoscopy was not immediately pursued and serial hematocrits were followed with patient on ppi. his hematocrit was stable and no further significant upper or lower bleeding was noted. eventually, he did have egd for persistent abdominal pain, which showed only gastritis. he was discharged on omeprazole for treatment of gastritis. h pylori serologies are pending and he will be contact if these are positive. 2) nausea/vomiting/likely acute on chronic pancreatitis: the patient presented with hematemesis in the context of vomiting and epigastric pain consistent with flare of pancreatitis. lipase was minimally elevated but this would be unsurprising in context of chronic pnacreatitis. he was initially kept npo, hydrated, and given iv hydromorphone and pain improved. leukocytosis at presentation improved with this supportive therapy. his pain steadily improved though did not fully resolve (as he has chronic abdominal pain). he was switched to his home dose of po hydromorphone and tolerated a regular, low fat diet without increased pain at eating. he will follow up with his regular providers regarding further management of pancreatitis. he was continued on pancreatic enzymes. 3) fever: pt had ultrasound of abdomen and two chest radiographs without signs of infection and he had no localizing signs of infection except for possible infiltration of left dorsal hand iv. he received no antibiotic therapy and had defervesced by time of discharge. extremely low suspicion of acute bacterial infection. transitional issues -less than 3-mm gallbladder wall polyp was noted on abdominal ultrasound. this should be reassessed on repeat u/s in months. -gi biopsies including sampling for h pylori are pending at time of discharge. gi team will follow these and contact the patient with results. medications on admission: - creon daily - hydromorphone 4 mg 1-2x/day discharge medications: 1. lipase-protease-amylase 12,000-38,000 -60,000 unit capsule, delayed release(e.c.) sig: one (1) cap po tid w/meals (3 times a day with meals). 2. hydromorphone 2 mg tablet sig: two (2) tablet po every four (4) hours as needed for pain: do not drive or operate heavy machinery while using this medication as it can make you sleepy. disp:*16 tablet(s)* refills:*0* 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*1* discharge disposition: home discharge diagnosis: primary diagnoses: hematemesis due to tear gastritis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with abdominal pain and bleeding with vomiting. this bleeding is felt likely due to what is called a - tear, which is a small rip in your esophagus due to vomiting. this will heal on its own. we did do an upper endoscopy to rule out more concerning causes of abdominal pain and bleeding, and this did not show any ulcer or concerning findings. you do have mild gastrititis (inflammation of the stomach) which will be treated with an acid blocking medicine (omeprazole). your medications have been changed. you were started on omeprazole (prilosec) 20 mg twice a day to help heal the inflammation in your stomach. you have been given a very small supply of additional hydromorphone (dilaudid) as your pain fades back to your baseline level. followup instructions: you should contact your primary care doctor a follow up in approximately 1-2 weeks to monitor you and confirm you are improving. procedure: esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: acute posthemorrhagic anemia personal history of tobacco use alkalosis other vascular complications of medical care, not elsewhere classified chronic pancreatitis gastroesophageal laceration-hemorrhage syndrome tachycardia, unspecified phlebitis and thrombophlebitis of upper extremities, unspecified unspecified gastritis and gastroduodenitis, without mention of hemorrhage acute pancreatitis family history of other blood disorders personal history of allergy to other specified medicinal agents personal history of allergy to narcotic agent 

Answer: The patient is high likely exposed to