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: versed attending: chief complaint: gi bleed major surgical or invasive procedure: exploratory laparotomy and resection of the fourth portion of the duodenum. history of present illness: 41 yo m chron's disease who presented to osh with brbpr, near syncope and hct 19. patient reports light headedness while walking yesterday. then 11pm last night almost fainted and had 1 large bm with melena and brbpr. patient then went to ed where he was given 2 units prbc with hct -> 24. given 2 more units prior to transfer. . on presentation to patient has no complaints. lightheadedness resolved. denies abd pain, fevers, chills, cp, sob, diarrhea, dysuria. past medical history: - chron's disease: dx at age 12. has multiple strictures and h/o sbo - large gi bleed : egd(hiatal hernia)/c-scope(colitis) - psoriasis - gerd social history: chief of medicine at hospital lives with wife and 4 sons denies , drugs. rare etoh family history: m - brca, f - htn, dm, cad no history of crohn's disease or colitis physical exam: on admission vs - 97.1 87 123/79 20 98 on ra gen - a+ox3, nad heent - op clear, eomi neck - supple, no lad chest - ctab abd - s/nt/nd +bs ext - w/wp, no c/c/e pertinent results: pathology of fourth part of the duodenum: arteriovenous malformation 10:06pm hct-24.7* 06:30pm alt(sgpt)-24 ast(sgot)-24 alk phos-27* amylase-45 tot bili-0.9 06:30pm pt-11.8 ptt-22.5 inr(pt)-1.0 08:22pm blood wbc-12.1* rbc-3.85* hgb-12.2* hct-34.8* mcv-91 mch-31.8 mchc-35.1* rdw-15.6* plt ct-155 02:18am blood wbc-11.6* rbc-2.77* hgb-8.8* hct-24.0* mcv-86 mch-31.9 mchc-36.9* rdw-18.4* plt ct-106* 06:40am blood wbc-10.9 rbc-3.93* hgb-11.9* hct-35.3* mcv-90 mch-30.2 mchc-33.6 rdw-15.5 plt ct-910* 05:05am blood wbc-12.3* rbc-3.89* hgb-11.5* hct-35.0* mcv-90 mch-29.6 mchc-32.9 rdw-15.7* plt ct-976* brief hospital course: this is a 41-year-old gentleman with a longstanding history of crohn disease who presented to the with gastrointestinal bleeding. he had greater than 15 units of blood transfusion requirement. he had undergone an endoscopy which had identified an area in the duodenum which was actively bleeding after biopsy. this area appeared ulcerated and could not be controlled with endoscopic measures. he had also undergone an arteriogram, and the arteriogram did not demonstrate any active bleeding at that time. however, due to recurrence of bleeding requiring continuing blood transfusion requirement, the patient was referred to dr. for further treatment. he was taken to the or on hd 2 for an exploratory laparotomy and resection of the fourth portion of the duodenum. the pathology of the lesion showed an arteriovenous malformation. he was also found to have two strictures distal to the re-anastamosis from his crohn's disease. he was taken to the trauma icu post-operatively. he remained intubated until day 9 post-op. he was difficult to extubate, however once it was performed he tolerated it well. his tpn was discontinued on hd 12 and he was started on a cld. his bowels were functioning well by hd 12. he tolerated a regular diet without difficulty. on pod 13 his jp drain was taken out and the staples were d/ced with steri strips applied. he was discharged for home in good condition with clear discharge and follow up instructions. medications on admission: 6-mp 125, prednisone 20, protonix 40 , feso4 discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed: please do not drive while taking narcotic pain medications. disp:*45 tablet(s)* refills:*0* 2. colace 100 mg capsule sig: one (1) capsule po twice a day: take for constipation while taking percocet for pain. disp:*60 capsule(s)* refills:*2* 3. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. mercaptopurine 50 mg tablet sig: two (2) tablet po q 24h (every 24 hours). discharge disposition: home discharge diagnosis: upper gi bleed, arteriovenous malformation discharge condition: good discharge instructions: please call your doctor or come to the er if you notice wound redness, swelling, purulent discharge, have a fever greater than 101.5, have severe pain not controlled by medications or for any other concerns. please do not drive while taking narcotic pain medications. please resume taking your home medications as prior to your operations. you have steri strips on your abdominal wound. they will fall off on their own in about 7-10 days. you may shower with them in place, blot dry afterward. please do not soak in a bath. followup instructions: please call dr. clinic to schedule a follow up appointment in 2 weeks. the clinic phone number is (. procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other partial resection of small intestine insertion of endotracheal tube arterial catheterization other intubation of respiratory tract endoscopic control of gastric or duodenal bleeding esophagogastroduodenoscopy [egd] with closed biopsy arteriography of other intra-abdominal arteries transfusion of packed cells diagnoses: esophageal reflux unspecified essential hypertension long-term (current) use of steroids other specified disorders of pancreatic internal secretion adrenal cortical steroids causing adverse effects in therapeutic use other specified intestinal obstruction hematoma complicating a procedure hemorrhage complicating a procedure acute respiratory failure other psoriasis angiodysplasia of stomach and duodenum with hemorrhage regional enteritis of small intestine 

Answer: The patient is high likely exposed to