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: no known allergies / adverse drug reactions attending: chief complaint: lacrimal duct infection, bacterial uti major surgical or invasive procedure: egd history of present illness: 87 year old transfered from , with concern for endophthalmitis and uti. also of note is acute renal failure. the patient was apparently found down at his house by his wife, and was down for a reported 10 minutes. he was seen at hospital by dr. in the ed, where he was noted hypotensive, orthostatic, with a positive ua. he was also noted with a severe right eye infection as follows in the ed transfer note: ed: "severe right eye infection - extropion, with chemosis, injection, cloudy cornea with 100% flourescein uptake. visual acuity 20/200 on left, finger count on right. pressures: 18-22 on right, 18-20 on left. got iv cipro, and cipro drops q 1 hour. there is no optho in house coverage to see patient if admitted here. of note - was dx with right conjuntivitis 10 days ago which improved on cipro gtt." the patient was also noted with a uti, and was given iv unasyn, agressive hydration with improvement in his blood pressure. in our ed, ophthamology was called, and will be seeing the patient while in house. vitals in the ed 100 109/49, 21, 100%3l. patient states that he gets his care at the va, however the patient has no records at the va since . i will clarify this with his wife. past medical history: lower back pain s/p 2 back surgeries possible history of pud denies htn, hyperlipidemia, diabetes social history: lives with wife; retired from computer assembly plant; no etoh; no toboacco; enjoys golf; former runner family history: non-contributory to this admission physical exam: ros: gen: - fevers, - chills, - weight loss eyes: + photophobia, + severe visual changes as in hpi heent: - oral/gum bleeding cardiac: - chest pain, - palpitations, - edema gi: - nausea, - vomitting, - diarhea, - abdominal pain, - constipation, - hematochezia pulm: - dyspnea, - cough, - hemoptysis heme: - bleeding, - lymphadenopathy gu: - dysuria, - hematuria, - incontinence skin: - rash endo: - heat/cold intolerance msk: - myalgia, - arthralgia, - back pain neuro: - numbness, - weakness, - vertigo, - headache physical exam: vss: 97.6, 113/72, 85, 22, 100 2l% gen: uncomfortable, lethargic pain: 0/10 heent: eomi, winces to light, cloudy cornea right eye with lack of red reflex, injected sclera, able to resolve light/dark and fingers, dry mm, - op lesions although poor dentition, 4cm keloid on occiptal area pul: cta b/l cor: rrr, s1/s2, - mrg abd: nt/nd, +bs, - cvat ext: - cce neuro: caox3, cn ii-xii grossly intact (other than eye as above) pertinent results: admission labs: 06:00am glucose-100 urea n-53* creat-1.4* sodium-139 potassium-4.3 chloride-104 total co2-25 anion gap-14 06:00am alt(sgpt)-12 ast(sgot)-26 alk phos-94 amylase-130* tot bili-0.2 06:00am lipase-24 06:00am albumin-3.4* 06:00am wbc-12.9*# rbc-3.11* hgb-9.3* hct-28.0* mcv-90# mch-29.9# mchc-33.2 rdw-13.2 06:00am neuts-81.5* lymphs-15.6* monos-2.6 eos-0.1 basos-0.3 06:00am plt count-242 .egd tuesday, impression: ulcers in the fundus two clots adjacent to each other, which could not be removed despite extensive washing. no active bleeding. the clot on the right had a likely protruding visible vessel. (thermal therapy) appeared to have had prior vagotomy and pyloroplasty. otherwise normal egd to second part of the duodenum . portable tte (complete) done at 3:43:34 pm final impression: normal global and regional biventricular systolic function. mild mitral regurgitation. moderate pulmonary hypertension. . ecg study date of 9:16:46 am sinus rhythm with atrial premature beats. earlier wide complex beats may be atrial with aberration versus ventricular. since the previous tracing the rate is slower. otherwise, findings are unchanged. tracing #3 read by: , a. intervals axes rate pr qrs qt/qtc p qrs t 77 182 76 356/385 69 23 156 imaging: orbit ct : impression: mildly enlarged right lacrimal gland relative to the left, possibly inflammatory or infectious in etiology. however, rare occurrence of lacrimal gland neoplastic process cannot be excluded. air-fluid level in right sphenoid sinus pterygoid recess suggests an acute inflamamtory process. orbit ct : impression: 1. unchanged mildly enlarged right lacrimal gland relative to the left. interval decrease in periorbital and lid swelling. there is no evidence to suggest orbital cellulitis or abscess in the region of this mildly enlarged lacrimal gland. 2. slightly decreased air-fluid level in the right sphenoid sinus suggests resolving acute inflammatory process. 3. these findings were discussed with dr. at 2:15 p.m. on . . head ct : conclusion: 1. no evidence of hemorrhage, edema, masses, mass effect or infarction. 2. prominent sulci and ventriculomegaly, likely related to age-related atrophy. 3. these findings were discussed with dr. at 9:45 am on . . discharge labs: 06:27am blood wbc-7.5 rbc-3.30* hgb-9.7* hct-29.0* mcv-88 mch-29.4 mchc-33.5 rdw-17.2* plt ct-232 06:27am blood glucose-109* urean-16 creat-1.2 na-138 k-4.1 cl-104 hco3-28 angap-10 brief hospital course: 1. acute blood loss anemia due to gastric ulcer with hemorhage, with hpylori infection. on hd # 2, he was found to have a acute anemia, with a hct of 11. he was transferred to the icu. he was treated with large volume transfusion (9 units prbc, 2 units ffp). egd performed with ulcer with visible vessel. central access maintained until patient stabilized. gi consultation followed. of note, the patient is a difficult crossmatch due to antibodies. he will require a repeat egd in weeks. he should remain on ppi until then. he should remain on carafate for a few more weeks. in addition, he should complete 2 weeks of treatment with amoxicillin/clarithromycin/prilosec for h pylori disease. . 2. acute eye inflammation: threatened vision, due to patient has suffered severe decrease in visual acuity, so an emergent ophthomology consult was obtained. he was treated with ciprofloxacin optic and erythromycin ointment. urgent orbital ct of the right orbit did not demonstrate abscess or endophthalmitis. he failed to improve with appropriate therapy, and had worsening pain/exam on , at which time he was found to have a new corneal ulcer in addition to ongoing dacryadenitis. once he completed a course of iv antibiotics (for uti, as below) he was changed to cefpodoxime. his eye did not improve. repeat ct showed persistent inflammation. he was transferred to the for a second opinion, and dr. of oculoplastics diagnosed him with most likely a floppy eyelid syndrome with corneal ulcerations. he recommended aggressive eye lubrication and ointments, and follow up in 1 month with a local eye doctor, for reassessment and consideration of a wedge resection of his eyelid if his functional status improves. . 3. acute renal failure: likely due to initial infection and hypotension. resolved with iv fluid rescusitation. . 4. bacterial uti: he was diagnosed with a urinary tract infection. unasyn changed to cefepime in discussion with id. he has already completed a full course of iv antibiotics. . 5. metabolic encephalopathy, fall: multifactorial likely some underlying dementia, but clearly delerious. geriatrics consult obtained. patient fell on and a ct head and arm xray were negative. mental status markedly improved with normalization of his day night cycle and treatment of his infection. . full code medications on admission: states he takes no medications discharge medications: 1. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day) for 2 weeks. 2. prilosec 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 3. white petrolatum-mineral oil 56.8-42.5 % ointment sig: one (1) appl ophthalmic qid (4 times a day). 4. erythromycin 5 mg/gram (0.5 %) ointment sig: 0.5 inch ophthalmic four times a day. 5. atorvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). 6. polyethylene glycol 3350 17 gram/dose powder sig: seventeen (17) mg po daily (daily). 7. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 8. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection (2 times a day). 9. quetiapine 25 mg tablet sig: 0.5 tablet po q12h (every 12 hours) as needed for agitation/delerium. 10. amoxicillin 500 mg tablet sig: two (2) tablet po twice a day for 2 weeks. 11. clarithromycin 500 mg tablet sig: one (1) tablet po twice a day for 2 weeks. 12. artificial tears drops sig: two (2) drops ophthalmic q 1 hour. 13. tylenol extra strength 500 mg tablet sig: 1-2 tablets po three times a day. discharge disposition: extended care facility: - discharge diagnosis: corneal ulcer uti, bacterial acute blood loss anemia gi hemorrhage secondary to peptic ulcer disease h pylori disease acute delirium discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted with a urinary tract infection and sepsis. additionally, you had an ulcer in your stomach which lead to a life threatening gi bleed which required 9 units of blood transfusion. you were also found to have a severe lacrimal duct (tear duct) inflammation and an ulcer on your eye. the doctors at thought this was due to floppy eyelid syndrome, which caused the inflammation. all of these conditions improved with treatment. you are now being transferred to rehab to regain your strength after this serious illness. . medication changes: complete 2 weeks of treatment for h. pylori with prilosec, amoxicillin, and clarithromycin. use the eye drops every hour while you are awake. use the eye ointments four times per day. . follow up with the opthalmologist as below. followup instructions: you will need to follow up with after discharge. it is important for you to follow up for a repeat egd in weeks. and a repeat eye exam in 1 month. . the eye doctor at infirmary that you saw is . he is at . he thinks you may need surgery on your eye - and if you recover from your acute illness, you may want to follow up with him for surgery. you can discuss this with your pcp when you see him. procedure: endoscopic control of gastric or duodenal bleeding diagnoses: acute gastric ulcer with hemorrhage, without mention of obstruction coronary atherosclerosis of native coronary artery urinary tract infection, site not specified acute posthemorrhagic anemia acute kidney failure, unspecified unspecified septicemia percutaneous transluminal coronary angioplasty status sepsis chronic kidney disease, unspecified constipation, unspecified old myocardial infarction metabolic encephalopathy spinal stenosis, unspecified region delirium due to conditions classified elsewhere helicobacter pylori [h. pylori] restless legs syndrome (rls) corneal ulcer, unspecified acute dacryoadenitis other disorders of eyelid 

Answer: The patient is high likely exposed to