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: brbpr major surgical or invasive procedure: enteroscopy colonoscopy capsule endoscopy history of present illness: 44 yo m with pmh cad s/p des to lad x 2 in , recent gib who presents with brbpr. . at 3pm on patient reports development of acute onset brbpr x 1 episodes with one minute of dizziness, lightheaded, diaphoresis. stool was loose without any brown, only red blood. he had a prodrome of epigastric pain which resolved after about an hour. due to recent bleed patient presented immediately to the ed. initial vital signs were: 98.2 103 93/44 16 100% ra. hct 32. in the ed he had another 2 bms with brbpr in smaller volume than first episode. cta was done which did not show any active extravasation. repeat hct dropped to 28. he was started on transfusion of 2 units prbcs (just started 1st on transfer). vital signs on tranfer were: 98.0 112/54 98 20 100%ra. . of note patient had recent admission in early for melena and epigastric pain. during that hospitalization he was transfused 2 units prbcs for hct 25 (down from baseline 42). ensocopy showed antral erosions seen but no ulcerations, clots, or active bleeding, biopsies were taken of stomach and duodenum. colonoscopy showed a polyp, which was resected and sent for pathology. he underwent capsule ensocopy on which showed capsule with a signle angioectasia int he third part of the duodenum. he underwent single baloon enterosocopy with argon cautery to one in the distal duodenum. . on arrival to the micu, patient denies any recent bleeding, denies any complaint. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies vomiting, diarrhea. dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: 1. cad: des to mid lad, poba to jailed diagonal, restent of lad 2. hypertension 3. hyperlipidemia 4. gib in secondary to angioectasia in 3rd part of duodenum social history: patient works in a bank doing financial work. lives with his wife and 3 young children (ages 13, 10, and 7). has a 10 pyh but quit 6 years ago. tries to walk for exercise, but often doesn't get the time. drinks about 7-9 beers on friday and saturday nights. denies any other drug use. family history: grandfather died of mi at age 57. mother and uncles with multiple cardiac stents. physical exam: admission exam: general: alert, oriented, no acute distress heent: sclera anicteric, mm dry, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred pertinent results: admission labs: 06:30pm blood wbc-12.6* rbc-3.65* hgb-10.5* hct-32.7* mcv-90 mch-28.7 mchc-32.0 rdw-14.8 plt ct-336 06:30pm blood neuts-77.8* lymphs-16.3* monos-4.4 eos-1.0 baso-0.4 06:30pm blood pt-11.9 ptt-26.3 inr(pt)-1.1 06:30pm blood glucose-124* urean-23* creat-0.8 na-140 k-4.0 cl-106 hco3-23 angap-15 . discharge labs: 06:55am blood wbc-7.1 rbc-3.14* hgb-8.9* hct-27.5* mcv-87 mch-28.3 mchc-32.4 rdw-14.4 plt ct-244 06:55am blood glucose-83 urean-8 creat-0.8 na-142 k-3.4 cl-107 hco3-24 angap-14 . micro: mrsa screen : negative . cta abdomen/pelvis : no acute abdominal or pelvic process identified. there is no evidence of active arterial extravasation to suggest arterial bleeding within the bowel. . gi biopsy : pending . small bowel enteroscopy : normal small bowel enteroscopy to mid jejunum. . colonoscopy : in the terminal ileum there were lymphoid follicles with some overlying petechiae. biopsies of this area was obtained. the remainnder of the distal ileum appeared normal. 30cm into the ileum was investigated. ink was used to the most proximal area evaluated. (biopsy, injection) internal hemorrhoids normal colonoscopy to cecum and 30cm into the ileum brief hospital course: 44yo man with cad s/p des in and history of in-stent rethrombosis, recent gib from angioectasia of the duodenum who presented with new brbpr. # brbpr: the patient received 1 unit of prbc in the er and remained hemodynamically stable throughout his hospital course. the patient was seen by gi in consultation, who performed small bowel enteroscopy and colonoscopy without identifying a source of bleeding. he was discharged with a capsule endoscopy with plans to follow-up in clinic. at the time of discharge, the patient had a stable hematocrit and no evidence of further bleeding. in fact, he had no episodes of brbpr during his brief admission. he was prescribed omeprazole to take twice daily. . # cad: continued aspirin 81 mg daily. the patient's outpatient cardiologist was contact and agreed with aspirin 81 mg daily. metoprolol was initially held and then restarted. lisinopril was stopped due to low blood pressure. the patient will follow up with his primary care doctor and cardiologist to consider restarting lisinopril if bp becomes uncontrolled. . # etoh use: patient reports binge drinking behavior. this medical effects of this were discussed and binge drinking was discouraged. sw was not consulted. medications on admission: 1. 40 mg daily 2. ezetimibe 10 mg daily 3. lisinopril 10 mg daily 4. -3 fatty acids daily 5. aspirin 81mg daily 6. 40 mg 7. metoprolol succinate 25mg daily discharge medications: 1. 40 mg tablet sig: one (1) tablet po once a day. 2. ezetimibe 10 mg tablet sig: one (1) tablet po once a day. 3. 3 350-400 mg capsule sig: one (1) capsule po twice a day. 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 6. 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:*0* discharge disposition: home discharge diagnosis: primary: 1. gi bleeding . secondary: 1. coronary artery disease discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you came to the hospital with bleeding from you gi track. you had an enteroscopy and upper endoscopy, which did not identify the cause of the bleeding. you were set up with a capsule endoscopy and will follow up in the gastroenterology clinic. . please continue to take omeprazole (prilosec) 20 mg twice daily. . there is one change to your medications: stop lisinopril for now. your primary care doctor and cardiology can add this back in the future as tolerated by your blood pressure. followup instructions: name: , /cardiology address: ,ste 7c, , phone: when: , :15 am . name: , j. location: medical group address: , , , phone: appt: at 11am . you will be contact by the gastroenterology clinic with a follow-up appointment. please call the gastroenterology clinic at ( if you do not hear about an appointment by . md procedure: other endoscopy of small intestine closed [endoscopic] biopsy of large intestine diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia iron deficiency anemia secondary to blood loss (chronic) personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia blood in stool 

Answer: The patient is high likely exposed to