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: erythromycin base attending: chief complaint: nausea, vomiting of coffee grounds major surgical or invasive procedure: endoscopic gastroduodenography history of present illness: this is a 29 year-old man with history of diabetes mellitus, severe gastroparesis, erosive gastritis and esophagitis who presents with nausea and vomiting consistent with his gastroparesis and coffee ground emesis which often accompanies these other symptoms. multiple recent hospitalizations for same. patient says these symptoms are exactly the same as his usual symptoms. denies fever, chills, cough, cp, palpatations, urinary sx. during admission had gastric pacer adjusted. most recently admitted end of , discharged , managed with iv anti-emetics. in the ed: initial vitals: 99.1, 128, 163/104, 97% ra 16 he was given: ativan, zofran, protonix, tylenol, 2.5l ns the patient refused ng lavage and rectal exam. he was admitted to the icu for further evaluation past medical history: 1. diabetes mellitus 2. gastroparesis, failed and gastric pacer 3. erosive gastritis, esophagitis--last egd in 4. fe deficiency anemia 5. hypercholesterolemia 6. hypertension 7. chronic renal insufficiency--evaluated by transplant surgery, awaiting gfr to fall<20, will get pancreas transplant as well social history: patient lives with his wife who is very dedicated to his care. denies tobacco, alcohol, and illicit drug use. he is currently unemployed and on disability. family history: paternal grandfather with mother and sister with thyroid disease physical exam: physical exam on admission temp: 99.6, 134/88, 101, 18, 98% general: uncomfortable, diaphorectic. heent: perlla, eomi, anicteric, no scleral icterus, no sinus tenderness, mmm, op without lesions, no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules lungs: cta b/l with good air movement throughout heart: tachy, rr, s1 and s2 wnl, no murmurs, rubs or gallops appreciated abdomen: diffuse mild tenderness, nd, +b/s, soft extremities: no cyanosis, clubbing or edema skin/nails: no rashes/no jaundice/no splinters neuro: aaox3. cn ii-xii intact. 5/5 strength throughout. no sensory deficits to light touch appreciated. rectal:patient refused pertinent results: 12:51am blood wbc-7.0 rbc-2.86* hgb-7.8* hct-24.3* mcv-85# mch-27.4 mchc-32.2 rdw-13.3 plt ct-273 09:50pm blood neuts-84.8* lymphs-11.8* monos-2.5 eos-0.2 baso-0.7 05:20am blood pt-13.4* ptt-27.9 inr(pt)-1.2* 06:36am blood glucose-97 urean-5* creat-1.5* na-142 k-3.4 cl-106 hco3-27 angap-12 12:51am blood alt-6 ast-11 12:51am blood albumin-3.1* calcium-7.2* phos-2.9 mg-1.4* 12:00pm blood lactate-1.4 cxr: impression: chest x-ray examination within normal limits. no focal infiltrate to suggest aspiration pneumonitis. picc line noted. axr: impression: 1. doubt obstruction, though assessment for fluid-filled dilated loops of small bowel is limited. 2. two small curvilinear focis of air in the right upper quadrant, of uncertain etiology or significance. if there is any clinical reason to suspect abnormal portal venous gas, then further evaluation with ct scan would be recommended. egd: findings: esophagus: mucosa: grade 3 esophagitis was seen in the gastroesophageal junction. stomach: mucosa: segmental erythema of the mucosa was noted in the stomach body. these findings are compatible with gastritis. duodenum: normal duodenum. impression: grade 3 esophagitis in the gastroesophageal junction erythema in the stomach body compatible with gastritis otherwise normal egd to second part of the duodenum brief hospital course: initially to micu with arf on ckd and acute blood loss anemia. patient transferred from micu to hospitalist service after hydration and stabilization. 1. acute gastritis/grade 3 esophagitis - egd done as above - ppi - h pylori serologies pending at d/c to f/u as outpatient - tolerating full po - patient never had chest or abdominal pain due to his gastritis/esophagitis - gi consultation feels may need additional gastric pacemaker adjustment as an outpatient 2. iron deficiency/acute blood loss anemias - patient given iv ferrlicet 125mg infusion - folate and thiamine - did not need transfusion 3. acute renal failure on chronic kidney disease - resolved in icu with iv hydration - baseline 1.5 - renal dosing of medications - presumed due to diabetes and hypertension 4. benign hypertension - valsartan, clonidine, metoprolol 5. type 1 dm uncontrolled with complications - glargine - hiss - /gastroparesis diet medications on admission: 1. clonidine patch q wednesday 2. protonix 40mg 3. valsartan 80mg 4. metoprolol 25mg 5. reglan 10mg qid 6. promethazine prn nausea 7. ativan prn nausea 8. lantus 32 units daily 9. humalog ss discharge medications: 1. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qwed (every wednesday). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. valsartan 80 mg tablet sig: one (1) tablet po bid (2 times a day). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 7. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* discharge disposition: home discharge diagnosis: grade 3 esophagitis acute gastritis iron deficiency anemia acute blood loss anemia type 1 dm uncontrolled with complications chronic kidney disease discharge condition: good discharge instructions: return to the hospital if you have an inability to eat, further bloody or coffee-ground vomitting, nausea/vomitting, fevers, black/tarry stool you have grade 3 esophagitis and gastritis. you should make sure that you eat a low residue diet and remain seated or standing for some time after eating to reduce your reflux. when you see your doctor he should follow up on the studies of your endoscopy here followup instructions: provider: phone: date/time: 11:00 provider: , md phone: date/time: 1:00 provider: , md phone: date/time: 12:10 procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine diagnoses: pure hypercholesterolemia acute posthemorrhagic anemia acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified iron deficiency anemia, unspecified esophagitis, unspecified dehydration diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with renal manifestations, type i [juvenile type], uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], uncontrolled background diabetic retinopathy gastroparesis acute gastritis, with hemorrhage 

Answer: The patient is high likely exposed to