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: history of present illness: the patient is an 84-year-old female with no significant past medical history who presents with one-day history of generalized weakness prior to admission. on the day of admission patient experienced an approximate two-minute episode of syncope without head injury or trauma. it was a witnessed episode; however, the witness was not available for interview. she was brought to the emergency room where her blood pressure there was 108/62 with a heart rate of 102. her fingerstick at that time was 263. the patient also described having some chest pain radiating to the back. chest x-ray was done which did not show a widened mediastinum, and an ekg was performed which showed a left bundle branch block with some st changes in the lateral precordial leads. patient was given one sublingual nitroglycerin for the chest pain, and it was also noted that she had had some blood around her lips and was guaiac positive. an nasogastric lavage was performed which demonstrated gross blood which cleared after approximately 200 cc of normal saline lavage. during this time her blood pressure decreased to 67/48 and dopamine was started transiently, and a right internal jugular cordis was placed, and she began receiving two units of packed red cells and four liters of normal saline. hematocrit in the emergency department was noted to be 18.8. patient denies any systemic symptoms such as fever, chills, nausea, vomiting, diarrhea, shortness of breath. she denies hematochezia. she denies any symptoms suggestive of coagulopathy. past medical history: 1. right knee surgery. 2. she did have colonoscopy in which demonstrated a 6 mm pedunculated polyp which was removed. allergies: she has no known drug allergies. medications: she does report taking nonsteroidal anti-inflammatory drugs for many years for musculoskeletal complaints. social history: she lives with her daughter and was working as a waitress approximately 40 hours a week. she has approximately two to three drinks a day. no tobacco history. family history: family history is positive for breast cancer, colon cancer, diabetes, and coronary artery disease in her brother. physical examination: vitals on admission: she is afebrile. she has a blood pressure after fluid resuscitation of 128/71, pulse of 101, respiratory rate of 20, she was satting 100% on two liters nasal cannula. heent: mucous membranes are moist. oropharynx is clear. extraocular movements are full. pupils are equal, round, reactive. she has pale conjunctivae. she is noted to have some dried blood around her lips. neck: no jugular venous distention; supple without lymphadenopathy. cardiac exam: she is sinus tach with a ii/vi systolic murmur at the left lower sternal border. abdomen is soft, nontender; no masses. her extremities reveal no edema; cool. neurological exam is nonfocal. laboratory data on admission: she had a white count of 10.6, hematocrit of 18.8, platelets of 232. chem-7: sodium of 141, potassium of 4.1, chloride of 108, bicarbonate of 25, bun of 52, creatinine of 0.7, and glucose of 119. calcium, magnesium and phosphorous of 8.9, 1.9, and 3.6. ekg showed sinus rhythm at 90 with a left bundle branch block with some ekg changes consistent with ischemia in the lateral precordial leads; however, it is difficult to interpret in the setting of a left bundle. the left bundle was reported to be old from outside reports. chest x-ray showed a non-widened mediastinum. hospital course by issue: 1. upper gastrointestinal bleed: the patient was transfused with a total of 12 units of packed red blood cells during the course of her hospital stay. she was evaluated by the gi service which performed endoscopy times two. first endoscopy revealed an ulcer along the lesser curvature of the stomach with a visible vessel. this was clipped times two and epinephrine was injected around the sites. the patient continued to bleed after this first intervention and required a second endoscopy, at which time no further banding was performed. however, electric cautery was used to achieve hemostasis. she also received epinephrine injections at that time. the patient was also started on proton pump inhibitor for her upper gi bleed, and throughout the course of her hospital stay her hematocrit remained stable after this second intervention by endoscopy with a stable hematocrit in the low 30s. she should be scheduled for an egd in six months to reevaluate this ulcer. it is believed that the etiology of this ulcer is her heavy nsaid use and also alcohol use. she was also found to be positive for h. pylori, and she began therapy with pantoprazole, clarithromycin, and amoxicillin for which she will complete a 14-day course. 2. her next issue is a pneumonia: the patient was intubated for airway protection prior to her second endoscopy. she tolerated extubation. however, chest x-ray revealed left lower lobe infiltrate. patient was initially started on zosyn and vancomycin for presumed ventilator-associated pneumonia. sputum cultures demonstrated streptococcus pneumoniae and a gram negative rod which was not speciated. the vancomycin was discontinued, and her zosyn was discontinued in the setting of her starting amoxicillin and clarithromycin for h. pylori. she will complete a 14-day course of these antibiotics for h. pylori, which will sufficiently cover for her pneumonia. after a 14-day course of these antibiotics, ms. will have received a total of 21 days of antibiotic coverage. 3. acute myocardial infarction: the patient did rule in by enzymes. she did have some ekg changes suggestive of ischemia; however, it is difficult to interpret in the setting of a left bundle branch block. the patient was started on a beta blocker. however, aspirin was held due to her upper gi bleed. it is believed that the acute myocardial infarction is secondary to demand ischemia in the setting of large blood loss and reflux tachycardia. the patient should be started on low-dose ace inhibitors as her pressure can tolerate and should be followed up by cardiology to evaluate the acute mi now that her upper gi bleed has been stabilized. 4. thrombocytopenia: the patient did have platelets in the low 100s; however, this is in the setting of multiple rounds of transfusions of red cells. it is believed that the thrombocytopenia is dilutional in the setting of repeated blood transfusions. once the blood transfusions stopped her platelets bumped appropriately to the mid 200s. 5. urinary tract infection: patient did have pansensitive e. coli grown out in her urine. she received a full five-day course of antibiotics, three days of zosyn, and two days of ceftriaxone for this infection. 6. mental status changes: the last two days of her intensive care unit stay patient did have some decreased mental status. it was believed this was secondary to benzodiazepines that were given to the patient. once these were discontinued, her mental status returned appropriately. this discharge summary will be completed on discharge. further information, such as condition on discharge, discharge status, discharge diagnosis, and discharge medications, and follow-up plans, will be provided by the discharging intern. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine other endoscopy of small intestine other endoscopy of small intestine endoscopic control of gastric or duodenal bleeding endoscopic control of gastric or duodenal bleeding endoscopic control of gastric or duodenal bleeding diagnoses: thrombocytopenia, unspecified subendocardial infarction, initial episode of care mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified acute posthemorrhagic anemia chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction pneumococcal pneumonia [streptococcus pneumoniae pneumonia] diseases of tricuspid valve 

Answer: The patient is high likely exposed to