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: melena major surgical or invasive procedure: upper endoscopy x 2 history of present illness: mr. is a 33 year old male without any significant past medical history who was in his usual state of health until the day prior to admission. he reports that he awoke around 1 am, at which time he had a loose, black bowel movement. shortly thereafter, he felt nauseus and began to vomit bright red blood with clots. he felt slightly lightheaded and drove himself to the emergency room. he denies any associated abdominal pain at the time or in the weeks prior to hematamsis/melena - just occ vague ache associated with hunger that was slightly stronger than previously. of note, patient had been taking 2 full strength aspirin every 4-6 hours for relief of discomfort from a cold sore that began over two weeks ago, and had taken this dosing for about 10 days. he last took aspirin about 10 days ago. in the emergency room, his presenting vital signs were temperature 97.0, heart rate 77, blood pressure 144/86, respiratory rate of 17, and 100% on room air. as laboratories were being drawn, the patient became acutely diaphoretic and his heart rate went down to the 40's. his blood pressure dipped to a systolic of 90. two 18 gage peripheral iv's were placed, and a ng tube was placed, at which time the patient vomitted bright red blood. ng lavage was completed with bright red blood and clots that did not clear. rectal exam was notable for melena in the vault. he was given a bolus of protonix 80 mg and then continued on a protonix drip. he was type and crossed for 4 units of packed red blood cells. upon arrival to the icu, he received 4 units prbc's, fluids and iv protonix infusion. egd performed by gi: diffuse friability, erythema and congestion of the mucosa were noted in the whole stomach. a single ulcer was found in the stomach body with evidence of a visible vessel. epinephrine 1/ injections and cauterizations were applied for hemostasis with success. a second endoscopy was performed the next day which revealed sucessful hemostasis. the patient had no further melena or hematemasis. he currently reports feeling well. past medical history: 1)hyperlipidemia 2)status post tonsillectomy social history: patient works in the bio-technology field. he has a supportive husband who is at the bedside. he does not smoke or use ilicit drugs. he drinks a alcoholic drinks a few nights a week, sometimes more on a weekend while out with friends. enjoys gardening. family history: non-contributory. physical exam: vs 96.9 120/65 71 20 99% ra general: pleasant male, in nad, resting comfortably in bed. heent: nc/at. mmm, clear oropharynx, no scleral icterus. perrl neck: supple cardiac: regular rate & rhythm, no rubs or gallops, possible soft systolic murmur, although not heard consistently lungs: ctab no w/r/r abdomen: soft, nt, nd, +bs extr: warm, well perfused, capillary refill wnl neuro: a&ox3, cn's sym and intact. speech fluent and coherent skin: no lesions or rashes pertinent results: 08:15am blood wbc-5.4 rbc-4.50* hgb-14.0 hct-38.3* mcv-85 mch-31.1 mchc-36.6* rdw-12.3 plt ct-225 12:10am blood wbc-10.1 rbc-3.20*# hgb-10.6*# hct-27.7* mcv-87 mch-33.2* mchc-38.3* rdw-12.3 plt ct-205 07:00am blood hct-33.2* 08:15am blood pt-12.7 ptt-22.5 inr(pt)-1.1 08:15am blood glucose-116* urean-28* creat-0.8 na-140 k-3.9 cl-107 hco3-24 angap-13 08:15am blood alt-13 ast-15 alkphos-52 totbili-0.4 08:15am blood albumin-4.3 calcium-9.0 phos-3.8 mg-1.9 relevant imaging: 1)cxray (): ng tube is in the first portion of the duodenum. cardiomediastinal contours are normal. the lungs are clear. there is no pleural effusion. 2)egd: : mixture of red and clotted blood was seen in the stomach. extensive washout was performed to obtain better visualization. residual clot remained, but we were able to see the majority of the gastric mucosa by repositioning patient. diffuse friability, erythema and congestion of the mucosa were noted in the whole stomach. excavated lesions a single ulcer was found in the stomach body with evidence of a visible vessel. : gastritis in the entire stomach. non-bleeding gastric ulcer s/p cautery from previous egd. brief hospital course: mr. is a 33 year old male without past medical history who presents with hematemesis and melena in setting of significant aspirin use 10 days ago. 1)upper gi bleed: patient presented with melena and ng lavage in the ed was positive. likely in the setting of aspirin use. hct on admission was 38.3 but dropped to 27.7. he received a total of 4 units prbcs. he was initially transferred to the micu for closer monitoring. an iv ppi was started at this time. gi was consulted and the patient underwent an upper endoscopy which revealed gastritis with a single bleeding ulcer, which was cauterized. he was rescoped the next day which showed no further bleeding. h. pylori serologies were sent and returned positive. he was started on prevpak. iv ppi was transitioned to po and his diet was advanced. hct at time of discharge was approximately ~33. he is scheduled in clinic for follow-up in 3 weeks with dr. . 2)positive blood cultures: blood culture bottles positive for gpc's in clusters. thought to be a contaminant but he was started on vancomycin which was stopped the next day. he has no murmurs on exam and no other focal findings. repeat blood cultures were obtained prior to discharge. patient is scheduled for follow-up in at the end of this week. in addition, he will be contact day after discharge to inform him of his results. medications on admission: aspirin 650mg po q4-6 hours for 10 days, last taken about 1-1.5 weeks ago acyclovir (only recently for cold sore) discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 2. prevpak please use as directed for 14 day course. dispense 1 pack, no refills. discharge disposition: home discharge diagnosis: primary: upper gi bleed h. pylori infection discharge condition: stable discharge instructions: 1) you were admitted because you were found to have an upper gastrointestinal bleed likely due to aspirin use. you had an upper endoscopy which showed a single bleeding ulcer within your stomach. the bleeding was stopped via cauterization and on repeat endoscopy the following day, there was no evidence of additional bleeding. due to the fact that you've had a gi bleed, you are to avoid using aspirin or nsaids (ibuprofen, naproxen). 2) you were also diagnosed with h. pylori, which is an infection of the lining of your stomach. for this infection, you were started on two antibiotics, amoxicillin and clarithromycin along with an anti-acid medication. 3) as part of your laboratory evaluation, blood cultures were obtained. you were found to have bacteria in one of the blood cultures. we believe that this may be a contaminant. as a precaution, an additional set of blood cultures were obtained immediately prior to discharge. however, you should call your primary care physician's office tomorrow () for the results of the first set of blood cultures. you will need to follow-up the results of the most recent set of blood cultures at your follow-up appointment with your primary care physician on thursday, 10/09/. 4) you were started on several new medications during your hospital course. you were started on pantoprazole which you should continue taking until you are seen in follow-up by your gastroenterologist. you were also started on two antibiotics for your h. pylori infection, which you will continue taking for 14 days. please take all other medications as listed below. 5)please attend all appointments as listed below. 6) if you have shortness of breath, difficulty breathing, chest pain, fevers, chills, or any other concerning symptoms, please seek immediate medical attention. followup instructions: 1) you will need to follow-up the results of the 1st set of blood cultures by calling your primary care physician's office tomorrow (). 2) you have a follow-up appointment with your primary care physician on thursday, at 2:20 pm. 3) you have a follow- up appointment with your gastroenterologist, dr. , on at 2:00 pm. provider: , md phone: date/time: 2:00 md procedure: other endoscopy of small intestine endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: other and unspecified hyperlipidemia other specified cardiac dysrhythmias hypotension, unspecified chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction generalized hyperhidrosis unspecified gastritis and gastroduodenitis, without mention of hemorrhage helicobacter pylori [h. pylori] salicylates causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to