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: lisinopril / atenolol / provera / inderal la / latex / norvasc / levaquin / diovan / ambrisentan attending: chief complaint: gi bleed, decompensated pulmonary hypertension major surgical or invasive procedure: intubation history of present illness: 72 yo f with idiopathic pulmonary hypertenstion (pa pressured 90-100) on 5l o2 nc, remodulin pump and sildenafil, h/o pe in on coumadin. she presented to yesterday with nausea and hematemesis. she had hct drop from baseline of 45--->29. she developed hypoxia to 74% in the setting of hematemesis and was intubated. her inr was reversed. she received a total of 5u rbc. she underwent endoscopy in the icu at osh that showed a large gastric ulcer that was not actively bleeding. she was placed on a ppi ggt. she was transferred to as she receives her out patient care here and the osh did not know how to administer remodulin. past medical history: - pulmonary embolism in , on anticoagulation - severe pulmonary hypertension, o2 dependent - copd - supraventricular tachycardia - hypertension - s/p right leg vein stripping - arthritis social history: patient is widowed and lives alone. she has three sons. she has a 50 pack year history and quit less than 1 year ago. family history: father had a stroke in his 80??????s. sister had a stroke in her mid 40??????s. physical exam: 98 79 115/54 sedated, nad heent: perrl, eomi, right ij trauma line, +jvd lungs cta bil cv: irreg irreg abd: soft hypoactive bs, nt ext: 2+ dp pulses, no peripheral edema, +boots pertinent results: 02:42am wbc-11.1*# rbc-3.64* hgb-11.1*# hct-33.0*# mcv-91 mch-30.4 mchc-33.6 rdw-16.0* 02:42am plt count-196 02:42am pt-16.2* ptt-24.2 inr(pt)-1.4* 02:42am glucose-112* urea n-41* creat-1.0 sodium-150* potassium-3.5 chloride-115* total co2-26 anion gap-13 02:42am alt(sgpt)-11 ast(sgot)-12 ld(ldh)-184 ck(cpk)-48 alk phos-44 tot bili-0.7 02:42am albumin-3.3* calcium-8.2* phosphate-3.1 magnesium-1.9 02:42am ctropnt-less than 03:40am lactate-1.0 03:40am type-art po2-96 pco2-51* ph-7.32* total co2-27 base xs-0 -assist/con intubated-intubated .. 05:50am blood wbc-8.0 rbc-3.62* hgb-10.9* hct-33.2* mcv-92 mch-30.1 mchc-32.8 rdw-16.0* plt ct-326 06:08am blood neuts-80.6* lymphs-7.2* monos-3.4 eos-8.7* baso-0.1 05:50am blood pt-18.5* ptt-25.1 inr(pt)-1.7* 05:50am blood plt ct-326 05:50am blood glucose-80 urean-32* creat-1.0 na-141 k-3.4 cl-99 hco3-34* angap-11 03:27am blood digoxin-0.9 .. blood cultures from : pending .. imaging: cxr : an endotracheal tube tip lies 5.7 cm above the carina. nasogastric tube appears appropriately positioned. the patient is rotated. the cardiomediastinal silhouette is obscured by a prominent retrocardiac opacity with air bronchograms. the central vessels are enlarged consistent with known pulmonary hypertension. there is also a right basilar opacity. . brief hospital course: 72 y/o f with hx of pulm htn on remodulin, pe and chf who presented to an osh on with hematemesis and hct form 45-->29. she clinically deteriorated from a respiratory standpoint, sats in 70s while vomiting, and was urgently intubated. her inr was reversed with ffp and she received a total of 5 u prbcs. she then had an endoscopy showing a non-bleeding gastric ulcer. she was transferred to for remodulin therapy given the osh pharmacy did not carry the medicine. . on arrival here, she was intubated and sedated. she had a stable hct. her sbp was moderately low and levophed was started. her bp was thought to be secondary to sedation. gi was consulted and did not feel a need to rescope her given her stable hct. pharmacy was consulted and converted her remodulin to an iv pump form. . # ugib: osh report with photos of large gastric ulcer, no longer bleeding. her anticoagulation was held, her hct remained stable, and she was placed on a ppi. gi was consulted and saw no indication for further endoscopy. . # hypotension: occurred in setting of sedation for vent/line and with increase in peep. she required levophed transiently, and was weaned successfully. . # hypoxic respiratory failure: in setting of ugib likely aspiration. has underlying hypoxia at baseline from pulmonary hypertension (on baseline 5l nc). no pneumonitis or infiltate seen on cxr but given underlying lung disease was treated empirically until cultures returned negative. for her severe pulmonary hypertension she was continued on remodulin and sildenafil, and the remodulin was discontinued successfully prior to discharge. she was successfully weaned from the ventilator. . # svt: intermittently tachy to 130s with a known h/o svt. here she intermittently converted in to afib/flutter. she was kept on telemetry, resuscitated with blood, and treated with av nodal blocking agents, including diltiazem and digoxin. . # pulmonary embolus: on admission the patient was anticoagulated for a recent pe. her inr was reversed given gib. her anticoagulation was held for a period and then restarted to in light of need to minimize right heart strain in pt with severe pulmonary hypertension. . # the patient is dnr/dni. medications on admission: amlodipine 5 mg tablet warfarin 2 mg (held and inr reversed yesterday) furosemide 60mg qd sildenafil 80 mg tid gabapentin 300 mg qhs triamcinolone acetonide topical remodulin 16.25 ng/kg/min discharge medications: 1. acetylcysteine 20 % (200 mg/ml) solution sig: 6-10 mls miscellaneous q6h (every 6 hours) as needed for wheeze. 2. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for itching. 3. potassium chloride 20 meq packet sig: two (2) packets po twice a day: please take with lasix dose. 4. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for sleep. 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 6. digoxin 125 mcg tablet sig: one (1) tablet po every other day (every other day). 7. sildenafil 20 mg tablet sig: four (4) tablet po tid (3 times a day). 8. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. warfarin 2 mg tablet sig: one (1) tablet po daily (daily). 11. furosemide 80 mg tablet sig: two (2) tablet po bid (2 times a day). 12. morphine sulfate 2-4 mg iv q2h:prn pain, shortness of breath hold if sedated 13. diltiazem hcl 30 mg tablet sig: one (1) tablet po qid (4 times a day). discharge disposition: extended care facility: - discharge diagnosis: gastrointestinal bleed with gastric ulcer decompensated pulmonary hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital with a bleed from an ulcer and trouble breathing due to pulmonary hypertension. you were intubated because you were having troulbe breathing. you were taken off the ventilator successfully. your blood thinner was held briefly and then restarted. your pulmonary hypertension medication, remodulin, was causing you pain. it was stopped successully. .. the following changes were made to your medications: you were started on diltiazem, morphine, trazodone, sarna lotion, potassium, docusate (colace), and pantoprazole. your furosemide (lasix) dose and gabapentin dose were increased. your triamcinolone cream was stopped. followup instructions: gi clinic 4 weeks post gi bleed provider: , md phone: date/time: 2:00 md procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: other iatrogenic hypotension unspecified essential hypertension acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified atrial fibrillation atrial flutter hypopotassemia acute respiratory failure other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus primary pulmonary hypertension long-term (current) use of anticoagulants personal history of venous thrombosis and embolism gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction encounter for palliative care hyperosmolality and/or hypernatremia electrolyte and fluid disorders not elsewhere classified arthropathy, unspecified, site unspecified other dependence on machines, supplemental oxygen other sedatives and hypnotics causing adverse effects in therapeutic use shock, unspecified swelling of limb 

Answer: The patient is high likely exposed to