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: penicillins / tetracyclines / succinylcholine / clozaril / calcium channel blocking agents-benzothiazepines / beta-adrenergic blocking agents attending: chief complaint: hematemesis major surgical or invasive procedure: none history of present illness: this is a 37 year old female with schizoaffective d/o, depression, seizure d/o, esrd from iga nephropathy, very poor access with transhepatic hd catheter on coumadin admitted for ugib. patient was recently discharged on for ugib. patient required 15u prbcs during that admission. gi performed endoscopy which showed severe esophagitis with friability and contact bleeding. there was also a visible vessel in esophagus which was treated with epinephrine injection and 2 clips. patient was discharged and now returns with coffee ground emesis x 2 days. patient reports n/v yesterday x 2 and more this morning which prompted her to return to the ed. she denies any hematemesis, melena, hematochezia, fevers, chills, dizziness or lightheadedness. patient does report some epigastric/periumbilical pain with her vomiting, she denies any current abd pain. in the ed: temp 98.5, hr 99, bp 113/65, rr 20, 99% on trach mask. patient seen by gi in the ed who recommended ir treatment for her gi bleed. patient given protonix 40mg iv x 1. of note, patient has hd catheter going to her hepatic vein which is her only access placed . she requires coumadin for patency. the hd catheter has been exchanged several times previously for clot and sepsis. has required ir guided placement of central lines as well, difficult peripheral access. . past medical history: esrd iga nephropathy, schizoaffective disorder, depression, chronic anemia, gerd, h/o cardiomyopathy: echo ef >65%, hyperdynamic, lvh, no valvular disease hypothyroidism, h/o gi bleed, rle dvt, seizure disorder, h/o tracheal stenosis s/p trach, on tm at 7l/min at rehab h/o malignant hypothermia past surgical history: s/p l upper and lower extremity av fistulae(failed), s/p r upper extremity av fistula (basilic vein transposition(failed), s/p r forearm av graft (failed), s/p attempted insertion of a peritoneal dialysis catheter (failed), central venous stenosis, innominate venous stenosis, s/p r brachioarterial->axillary av graft, nonfunctional, status post multiple thrombectomies and angioplasties, s/p tracheostomy, s/p thrombectomy of av graft x5, s/p transhepatic hd catheter placement all: penicillins, tetracyclines, succinylcholine, clozaril (oral) (clozapine), calcium channel blocking agents-benzothiazepines, beta-adrenergic blocking agents social history: currently living at rehab. no tobacco, etoh, illicit drug use. family history: non-contributory physical exam: vitals: temp 99.2, hr 79, bp 111/53, rr 17, 100% 12ltrach mask general: nad, lying comfortably in bed heent: nc/at, perrla, eomi, mmm neck: trach, no lad lungs: ctab, no wheezes, crackles or ronchi cvs: +s1/s2, no m/r/g, rrr abd: soft, nt/nd. + transhepatic hd line on right abdomen. extrem: warm, no peripheral edema neuro: aaox3, cn ii-xii grossly intact, moves all extremities on command pertinent results: 05:52pm blood wbc-3.3* rbc-3.33* hgb-10.1* hct-32.1* mcv-96 mch-30.4 mchc-31.6 rdw-15.1 plt ct-187 05:35am blood wbc-3.8* rbc-3.22* hgb-10.1* hct-30.9* mcv-96 mch-31.3 mchc-32.6 rdw-16.0* plt ct-229 06:15am blood wbc-3.9* rbc-3.23* hgb-9.6* hct-30.6* mcv-95 mch-29.9 mchc-31.5 rdw-15.6* plt ct-221 05:35pm blood neuts-81.2* lymphs-10.3* monos-5.1 eos-3.0 baso-0.4 05:35am blood plt ct-229 06:15am blood pt-15.2* ptt-20.6* inr(pt)-1.3* 05:35am blood glucose-65* urean-48* creat-6.5*# na-139 k-5.7* cl-103 hco3-25 angap-17 06:15am blood glucose-74 urean-51* creat-7.3* na-133 k-5.5* cl-99 hco3-24 angap-16 12:19am blood calcium-9.3 phos-2.1* mg-1.9 06:15am blood calcium-9.9 phos-3.8 mg-2.1 12:19am blood tsh-6.5* brief hospital course: this is a 37 year old female with schizoaffective d/o, depression, seizure d/o, esrd from iga nephropathy, very poor access with transhepatic hd catheter on coumadin admitted with coffee ground emesis. # ugib: patient with recent hx of ugib, found to have esophagitis and visible vessel in esophagus which was clipped at that time. now presenting with coffee ground emesis. gi saw her in the ed and recommended continued monitoring and consideration of ir embolization if bleeding continued. she had one episode of emesis with ? coffee grounds shortly following admission but other than this, had no signs of bleeding. her hematocrit remained stable above 30 (which was above her baseline. she remained hemodynamically stable throughout her course. iv ppi was given with transition to po. sucralfate also continued, note she should not be on this medication for very prolonged courses given aluminum content (though small) in esrd patient. diet advanced. she is on low dose prophylactic coumadin for catheter patency, and this was restarted without incident. # esrd. pt with esrd on hd via transhepatic catheter. she received hd on friday and monday during her stay. coumadin 1 mg given for transhepatic line patency (1 mg daily only, should not follow inr). patient followed by renal during this admission. recent line infection, but per old notes she has completed treatment (vancomycin not continued) (completed 6 weeks of therapy on ). will have have id followup as outpatient. should receive epo with hd. phos binders continued. # hypothyroidism. tsh noted to be elevated to 6.5, repeat 4.9, with normal free t4. follow-up in the out-patient setting. during gib she was given iv replacement and then transitioned back to po. # schizoaffective disorder/depression. continued fluphenazine without incident. # respiratory failure/s/p trach. most recently with trach due to upper airway inflammation during extubation attempt (about one month ago). suggest continued weaning with decreasing trach size and eventual decannulation while at . she continued comfortably on trach mask at 35-40%. # full code. medications on admission: albuterol mdi 2 puffs qid calcium acetate 667 mg tid with meals cinacalcet 90 mg daily fluphenazine 2.5 mg , and 10 mg hs levothyroxine 100 mcg daily midodrine 5 mg tid for sbp <90 pantoprazole 40 warfarin 1 mg daily alteplase prn to hd cath discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours) as needed. 2. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). 3. cinacalcet 30 mg tablet sig: three (3) tablet po daily (daily). 4. fluphenazine hcl 2.5 mg tablet sig: one (1) tablet po bid (2 times a day). 5. fluphenazine hcl 10 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 6. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 8. warfarin 1 mg tablet sig: one (1) tablet po daily (daily). 9. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). discharge disposition: extended care facility: & rehab center - discharge diagnosis: upper gastrointestinal bleeding secondary to severe esophagitis end-stage renal disease secondary to iga nephropathy on hemodialysis schizoaffective disorder tracheomalacia status post tracheostomy in discharge condition: stable discharge instructions: you were treated at for an upper gi bleed in conjunction with nausea and vomiting. during your admission, there were no signs of further bleeding and the nausea/vomiting ceased. your hematocrit was found to be consistent with the values which are normal for you. you did not require any transfusions on this admission. please follow up with your infectious disease doctor as noted below. followup instructions: please followup with your doctors upon your return. we have rescheduled your appointment with infectious disease clinic for at 10:30 am. we also feel that you are approaching the time to have your tracheostomy decannulated. please talk to your doctors about this. md procedure: hemodialysis diagnoses: other primary cardiomyopathies end stage renal disease anemia, unspecified esophageal reflux unspecified acquired hypothyroidism depressive disorder, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure compression of vein long-term (current) use of anticoagulants epilepsy, unspecified, without mention of intractable epilepsy personal history of venous thrombosis and embolism mechanical complication of other vascular device, implant, and graft esophageal hemorrhage tracheostomy status other esophagitis other diseases of trachea and bronchus schizoaffective disorder, unspecified nephritis and nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney 

Answer: The patient is high likely exposed to