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: rigors, coffee ground emesis major surgical or invasive procedure: none history of present illness: 88 yo m p/w rigors, coffee ground emesis being admitted to micu for management of urosepsis and ugib. . the patient was initially sent to hospital from rehab where he was being treated for cellulitis. at the osh he was reported to have a hct 31, leukocytosis, elevated cardiac enzymes and coffee ground emesis (30 cc, guaiac +). he remained hemodynamically stable, was given ceftraxone and 1l ns and sent to for further management. . in the ed, initial vitals: 99.0, 82, 182/59, 16, 100% on 4l. pt was initially hd stable, but ultimately became tachycardic to 110s, sbps down to 70s. wbc 20.7, hct 36 initially, then 28 (post ivf, 4l ns), plt 345. lactate was initially 1.5, but rose to 3.2. tpn 0.18, ck 2265, ck-mb 33. u/a with > 50 wbcs, many bacteria. blood and urine cxs sent. cxr: no infiltrate. ekg: nsr, no st changes/twi. cardiology called: no indication for emergent cardiac cath, but trend ces. gi called: possibly egd in am, npo o/n. pt given vanc x one gram, levofloxacin 750 mgx1, 3l ns. transferred to micu for further management. past medical history: rle cellulitis dementia htn pvd chronic ulcers gait disturbance social history: prior heavy smoker and heavy drinker per pt's report, wwii veteran family history: not obtained physical exam: temp 100.6 (rectal) bp 79/46 (54) pulse 95 resp 20 o2 sat 100% 4l nc gen - cachectic elderly male, alert, no acute distress, confused heent - perrl, extraocular motions intact, anicteric, mucous membranes dry neck - no jvd, no cervical lymphadenopathy chest - clear to auscultation anteriorly cv - normal s1/s2, rrr, no murmurs, rubs, or gallops abd - soft, nontender, nondistended, with normoactive bowel sounds back - sacral decub, no costovertebral angle tendernes extr - no clubbing, cyanosis, or edema. l aka. neuro - alert and oriented x to person, "hospital", birthday, but not year, poor recall, cranial nerves intact, moving all four extremities, sensation grossly intact skin - large ulcerated lesion over r knee, clean, dry; r ankle ulcer w/ surrounding erythema rectal: guaiac + in the ed pertinent results: 04:25pm blood wbc-20.7* rbc-4.07* hgb-12.2* hct-36.6* mcv-90 mch-30.1 mchc-33.5 rdw-14.8 plt ct-345 04:25pm blood neuts-91.8* lymphs-5.2* monos-2.9 eos-0 baso-0.1 04:25pm blood pt-10.9 ptt-29.4 inr(pt)-0.9 04:25pm blood glucose-126* urean-63* creat-1.4* na-138 k-4.7 cl-103 hco3-23 angap-17 04:25pm blood alt-23 ast-85* ck(cpk)-2265* alkphos-85 amylase-56 totbili-0.4 01:00am blood alt-18 ast-67* ld(ldh)-201 ck(cpk)-1883* alkphos-63 totbili-1.0 12:00pm blood ck(cpk)-2719* 05:42am blood ck(cpk)-1214* 04:25pm blood ck-mb-33* mb indx-1.5 04:25pm blood ctropnt-0.18* 01:00am blood ck-mb-35* mb indx-1.9 ctropnt-0.47* 12:00pm blood ck-mb-42* mb indx-1.5 ctropnt-0.37* 05:42am blood ck-mb-23* mb indx-1.9 ctropnt-0.30* 04:25pm blood albumin-3.4 calcium-9.3 phos-4.2 mg-2.8* 06:22pm blood type-art temp-38.2 rates-/24 po2-124* pco2-22* ph-7.41 caltco2-14* base xs--7 intubat-not intuba 04:41pm blood lactate-1.5 . cxr: no focal consolidation to suggest pneumonia. hyperinflation is suggestive of small vessel obstructive disease or copd. . ekg: nsr, na, ni, pacs/pvcs, no st changes, no twi, no q waves brief hospital course: a/p: 88 yo m with urosepsis and ugib, now s/p afib w/ rvr . # sepsis: resolving. potential sources include pseudomonas uti, given grossly positive u/a vs. le cellulitis. pt met sirs criteria: elevated wbc, borderline temp (max in ed 100.4), tachycardic in ed. went to icu on sepsis protocol, did not require pressors, though, as hypotension was fluid responsive. was on antibiotics for pseudomonas in urine and also vancomycin for cellulitis, however, family recognized that antibiotics for these infections were not likely to change his overall prognosis, so antibiotics were stopped after family meeting with palliative care team. . # afib w/ rvr: apparently a new diagnosis. now back in sinus rhythm after load with amio. likely lung dz vs the stress of infection. not anticoagulated because overall prognosis precludes benefit from anticoagulation and anticoagulation could cause catastrophic recurrence of recent gi bleeding. . # blood loss anemia of upper gi source: pt with evidence of ugib: coffee ground emesis by report and bloody lavage in ed. also had guaiac positive stool. no additional emesis. hct stable and no further overt bleeding, so gi consult recommended against egd because of his overall prognosis. protonix to prevent recurrence. . # nstemi: ddx includes acs vs. demand ischemia in setting of infection. doubt renal failure as contributor, given concommitantly elevated ck-mb/trop without significantly elevated cr. no known coronary dz, though at risk given pvd. ekg without changes concerning for ischemia. enzymes trended down. hold on heparin/plavix for now given gib. . # elevated transaminases on presentation: elevated ast in absence of elevation of other lfts. abd exam unremarkable. no etoh at rehab. ddx: cardiac source of enzyme leak vs. acute injury (? ischemia), though lfts drawn when pt was normotensive. . # pvd with cellulitis: patient is s/p l aka and r tma; now with non-healing rle ulcers/cellulitis. vasc surgery recommended r amputation, but patient and family declined surgery; additionally, antibiotics were not likely to change overall prognosis and would require restraining patient to secure iv access for administration, which the family felt was inhumane, and so changed to comfort care only. pain control with morphine prn for ulcers. . # htn: pt has been normotensive to hypotensive. . # dementia: ativan prn for agitation or anxiety. . # fen: heart-healthy, soft/dysphagia diet. . # communication: wife, . # dnr/dni: discussed at length in family meeting with palliative care before leaving icu, clarified comfort measures only with family on . . # dispo: to with hospice medications on admission: aricept 5 mg qhs plavix 75 mg daily lisinopril 20 mg daily mvi asa 81 mg daily vicodin prn pain discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 3. lorazepam 0.5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for agitation. 4. morphine 10 mg/5 ml solution sig: ml po q4h (every 4 hours) as needed for pain. discharge disposition: extended care facility: - discharge diagnosis: primary: blood loss anemia from upper gastrointestinal source secondary: non-st segment elevation myocardial infarction right lower extremity cellulitis dementia hypertension peripheral vascular disease with chronic ulcers gait disturbance discharge condition: fair discharge instructions: you were diagnosed with multiple problems including cellulitis, a small heart attack, and gastrointestinal bleeding. the goals of care as discussed with your family are to focus on keeping you comfortable. followup instructions: with dr . call for an appointment as needed. md procedure: venous catheterization, not elsewhere classified arterial catheterization diagnoses: subendocardial infarction, initial episode of care urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia unspecified septicemia atrial fibrillation sepsis other persistent mental disorders due to conditions classified elsewhere cellulitis and abscess of leg, except foot hemorrhage of gastrointestinal tract, unspecified hypovolemia atherosclerosis of native arteries of the extremities with ulceration ulcer of heel and midfoot pseudomonas infection in conditions classified elsewhere and of unspecified site above knee amputation status ulcer of ankle ulcer of calf 

Answer: The patient is high likely exposed to