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: patient recorded as having no known allergies to drugs attending: chief complaint: gi bleed major surgical or invasive procedure: egd colonoscopy tagged rbc scan cvl placement transfusion of 10 units of prbc history of present illness: for full details please see prior admission note and micu transfer notes x 2. briefly the patient is a 65 year old male with history of prostate cancer s/p resection and bicuspid av who initially presented to hospital with gi bleeding and syncope x 2. he was prepped for colonoscopy but this was deferred given ct imaging revealed large bladder and mild hydro for which patient was transferred to , foley placed by urology without difficulty. since that time patient has had recurrent bleeding and syncope x 2 requiring transfer to icu. the patient underwent colonoscopy which revealed blood throughout the colon and significant diverticulosis but no obvious bleeding lesion. the patient was transferred to the medical floor and subsequently transferred back to icu given recurrent bleeding of approximately 1l maroon blood with anginal jaw pain and lateral st depressions. evaluation by angio was expedited but no active bleeding seen at time of procedure. the patient was transferred back to the icu for supportive care early this a.m. the patient is now called out to the medical floor for ongoing management given relative stability and need to free an icu bed. the patient has in total received 7u prbc, 5 at , 2 at osh. the patient's hct today has trended from 32 -> 27 with passing small amounts of very dark/black stool around noon. the patient received 1u prbc prior to transfer for hct of 27 as above. on arrival to the floor the patient reports he currently feels well. he denies any chest or jaw pain, difficulty breathing, abdominal pain, nausea/vomiting or any other localizing symptoms. he is fatigued. remainder of ros negative as below. ros: -constitutional: wnl weight loss fatigue/malaise fever chills/rigors nightweats anorexia -eyes: wnl blurry vision diplopia loss of vision photophobia -ent: wnl dry mouth oral ulcers bleeding gums/nose tinnitus sinus pain sore throat -cardiac: wnl chest pain palpitations le edema orthopnea/pnd doe -respiratory: wnl sob pleuritic pain hemoptysis cough -gastrointestinal: wnl nausea vomiting abdominal pain abdominal swelling diarrhea constipation hematemesis hematochezia melena -heme/lymph: wnl bleeding bruising lymphadenopathy -gu: wnl incontinence/retention dysuria hematuria discharge menorrhagia -skin: wnl rash pruritus -endocrine: wnl change in skin/hair loss of energy heat/cold intolerance -musculoskeletal: wnl myalgias arthralgias back pain -neurological: wnl numbness of extremities weakness of extremities parasthesias dizziness/lightheaded vertigo confusion headache -psychiatric: wnl depression suicidal ideation -allergy/immunological: wnl seasonal allergies . past medical history: #. hypertension #. hyperlipidemia #. bicuspid aortic valve without as - followed by dr. #. dm ii #. prostate cancer s/p prostate resection #. s/p penile prosthesis social history: the patient currently lives alone, he is divorced. he has three daughters. the patient works for an mri production company tobacco: none etoh: none illicits: none family history: nc physical exam: vitals: 98.6, 116/69, 76, 18, 98% ra general: patient is a middle aged male, tired appearing, but in no distress heent: ncat, eomi, sclera anicteric, conjunctiva pale. mild facial flushing neck: jvp not elevated chest: generally cta anterior and posteriorly cor: rrr, normal s1/s2. ii/vi systolic murmur at llsb abd: soft, non-tender, non-distended ext: no c/c/e gu: + triple lumen in right groin, dressing c/d/i . brief hospital course: the patient is a 65 year old male with history of hypertension, diabetes, prostate cancer s/p resection now admitted with recurrent gi bleed . #. gi bleed: .the patient was admitted to the service as a transfer from an outside hospital with a gi bleed. he was brought to the when had syncope while having a bloody bowel movement on the floor. gi performed an upper and lower endoscopy, but despite the investigation of multiple diverticuli, none were identified as sources of bleeding. his upper egd was normal. he was in fact called out to the floor, but again started bleeding. he was brought back to the . the evening of and morning of he had an angiographic study looking for bleeding which was negative. a femoral cvl was placed. of note, he had jaw pain and ischemic ekg changes with a hct of 26. he was transfused to keep his hct ~30 as a result. he remained stable, but did have several dark stools. he was transfered to the floor for continued monitoring. for the remainder of the hospitalization his hematocrit remained stable and he displayed no further signs of active bleeding. he will follow-up for a outpatient capsule endoscopy study. #. urinary obstruction, acute on chronic: s/p foley placement on arrival by urology. he intermittently required foley catheterization this hospitalization. however, at discharge he was voiding large volumes without post-void residuals. . #. hypertension: - antihypertensives were held at admission and throughout most of the hospitalization. his ace-i was restarted prior to discharge #. hyperlipidemia: continued on statin . #. diabetes ii controlled without complication: blood sugar improved on transfer to floor treat with insulin sliding scale during acute illness. he did not require insulin prior to discharge and was discharge on his home medications. . medications on admission: atenolol 25mg daily metformin 1000mg qam, 500mg qpm glipizide xl 5mg daily zocor 20mg daily moexipril 15mg daily discharge medications: 1. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 2. metformin 1,000 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 3. metformin 500 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 4. glipizide 5 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po once a day. 5. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 6. moexipril 15 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home discharge diagnosis: 1. gi bleed discharge condition: good discharge instructions: you were admitted to the hospital with gi bleed and fainting episodes from the bleed. we did egd, colonoscopy and a tagged nuclear scan to but could not find the exact source of your bleeding. you have multiple coloni diverticuli and you may have bled from there. the recommended treatment would be colectomy but you stopped bleeding and did not want to pursue surgery. you need to call the number given below to set up a capsule endoscopy. you also should follow up with your primary care doctor next week for a check on your blood count please return to ed for another gi bleeding episode, fainting episode, dizziness, chest pain, shortness of breath, or any other concerning symptoms. followup instructions: 1. pcp, . , ph: , please call and make appt to be seen next week with a cbc check 2. gi, ph: , please call to set up outpt capsule endoscopy procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine colonoscopy diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of malignant neoplasm of prostate congenital insufficiency of aortic valve hydronephrosis diverticulosis of colon with hemorrhage orthostatic hypotension other ureteric obstruction 

Answer: The patient is high likely exposed to