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: brbrp major surgical or invasive procedure: colonoscopy x2, egd, mesenteric angiography. s/p right colon embolization by interventional radiology history of present illness: 69 f with fibromyalgia, bipolar d/o, who was usoh until 3 days pta at which time she had a bm and noticed blood on the toilet paper as well as in the toilet bowel. her pcp was called, she was seen the office and there was ? of a polyp. 1 day pta, she had one black stool. later in the day, she went to the bathroom after developing lower abd cramps. she saw red blood in her stool and in the toilet bowel. the cramps were relieved with bm. no n/v, eating and drinking well. +bloating/gas sxs. unclear if she has ever had c-scope in past. . in addition, the pt had a syncopal episode prior to arrival in the ed after she had a bm this evening. the pt went to her bedroom and "passed out." states she was out for 10 mins, no head trauma. had some right sided rib pain/under breast pain. no cp, chest pressure, sob, lh/dizziness prior. came to ed via ems. . in the ed, 97.4, 74, 144/80, 16, 96 % ra. guiac + in the ed. anoscopy was unrevealing for source, limited exam. gi and surgical services were made aware of the pt's case. ngl was negative. patient was admitted to medicine for w/u of gib. past medical history: 1. bipolar disease 2. fibromyalgia 3. obesity 4. htn 5. sleep disorder, ?osa 6. dm2? social history: lives at home, no alcohol, no tobacco family history: non-contributory physical exam: temp 97.4 bp 116/68 pulse 81 resp 22 o2 sat 97% ra gen - alert, no acute distress, anxious and very talkative heent - perrl, extraocular motions intact, anicteric, mucous membranes dry, no sores neck - no jvd, no cervical lymphadenopathy chest - clear to auscultation bilaterally anteriorly; ttp under right breast, no eccyhmosis cv - normal s1/s2, rrr, se murmur in axilla c/w mr, no rubs, or gallops abd - soft, nontender, nondistended, with normoactive bowel sounds, som discomfort with palp in lower abd, rectal deferred as done in ed back - no costovertebral angle tendernes extr - no clubbing, cyanosis, or edema. 2+ dp pulses bilaterally neuro - alert and oriented x 3, cranial nerves intact, upper and lower extremity strength 5/5 bilaterally, sensation grossly intact skin - no rash pertinent results: on admission : wbc-8.3 rbc-3.85* hgb-11.7*# hct-34.3*# mcv-89 mch-30.4 mchc-34.1 rdw-12.5 plt ct-227 neuts-52.5 bands-0 lymphs-43.1* monos-3.3 eos-0.8 baso-0.2 pt-12.2 ptt-23.2 inr(pt)-1.0 glucose-175* urean-25* creat-0.7 na-139 k-3.4 cl-105 hco3-24 angap-13 calcium-8.0* phos-2.9 mg-2.1 ck(cpk)-69 ck-mb-notdone ctropnt-<0.01 . ekg: nsr 73, 1mm st elev in v2, no tw changes, lad, no change compared to prior brief hospital course: assessment: 69 f with pmh gerd and ? hemorrhoids who presents with 1 day of brbpr after noting brb on tissue 3 days pta and passing 1 large melanotic stool 1 days pta. ngl in ed was negative. hospital course by problem: . #lgib. initial tagged rbc scan and colonoscopy did not reveal active bleeding, and patient was transferred to floor for observation and serial hematocrits. she was followed by the gi service and by the surgical service during her stay. on the floor she had an episode of bleeding with an sbp=50s (responded to fluid), and was transferred back to the micu. her bleeding then self-resolved and the plan was for a repeat colonoscopy. the night before the planned procedure the pt had another episode of bleeding, hypotension and tachycardia, and was resuscitated with ivfs and prbcs (16 units total by ). repeat tagged rbc scan did not show a source of bleeding. she underwent a rapid prep and had a colonoscopy the following day which again did not show active bleeding. since she had remained hemodynamically stable with stable hematocrits for over 24 hours she was transferred back to the floor with the plan to to a repeat ngl and tagged scan in case of bleeding. pt was made aware of the possibility of need for surgery. after transfer to the floor, the patient rebled again. she was transferred back to the micu for fluid and blood resuscitation. on , she had another episode of brbpr in the micu and was taken emergently for a tagged rbc scan, which was negative. the morning of a positive scan was reported and she was taken emergently back to interventional radiology. initially no source was identified but pt rebled in ir and a site in r colic artery was successfully embolized with coils. she was observed in the micu for another 12h and then transferred to the medicine floor. on the floor, her hematocrits were monitored and remained overall stable at 28-29. she received one additional unit of prbcs for a hct drop from 34 -> 28 (received a total of 26u prbcs over the course of her stay). she was kept npo x 24h after her embolization procedure due to some complaints of nausea and abdominal tenderness and suspicion of potential bowel ischmia from the surgical service. after that period she was started on a clear diet and advanced as tolerated without event. her hct and blood pressure remained stable until the day of discharge. . #. atrial fibrillation. on the patient was had an episode of afib with rvr, hr = 160s. she responded to 5mg iv metoprolol with hr -> 80s and auto-correction to nsr. she reported palpitations during the episode but no other symptoms, and her other vital signs remained stable. she did not have any further episodes of afib and remained in nsr during the rest of her admission. given her lgib she was not discharged on anti-coagulation or any other therapy for afib. . # hypertension. her hypertension remained stable over the course of her stay, with more problems with hypotension as described above. the patient does not take any outpatient anti-hypertensives and was not discharged on any new medications for her hypertension. . #. bipolar disorder/anxiety. the patient was followed by the psychiatry service throughout her stay. her home treatments consist of only herbal supplements. she remained fairly anxious duing her admission but did well on ativan 0.5mg tid. her mood improved after her final transfer to the floor and she was discharged on prn ativan with instructions to arrange follow-up with her outpatient psychiatrist. . # fibromyalgia. pt complained of right sided chest wall discomfort, l shoulder pain, hip pain/lbp over the course of her admission. she was treated successfully with tylenol, heating pads, and bengay. . # code status: full code. . # other/dispo. the patient was discharged home with services when her hematocrits and vital signs had remained stable for several days. she was evaluated by pt who cleared her as safe for home. she was able to consume a low-residue diet (given for her diverticulosis) and did not have any signs or symptoms of lower gi bleeding. . medications on admission: maalox prn pepcid mvi herbs- , -e discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. ciprofloxacin 250 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 4 days. disp:*8 tablet(s)* refills:*0* 3. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po tid w/meals (3 times a day with meals). disp:*180 tablet, chewable(s)* refills:*2* 4. lorazepam 0.5 mg tablet sig: one (1) tablet po tid prn as needed for anxiety. disp:*30 tablet(s)* refills:*0* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. multivitamin capsule sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* discharge disposition: home with service facility: home health care discharge diagnosis: lower gastrointestinal bleed atrial fibrillation discharge condition: good discharge instructions: continue your home medications/supplements/vitamins. if you experience new bloody stools or black stools, lightheadedness, or dizziness, or other new and concerning symptoms, please call your doctor or come to the emergency room. followup instructions: 1. follow up with your primary care doctor in the next weeks. 2. follow up with your psyciatrist and therapist asap. 3. follow up with gastroenterology -- we made an appointment with dr. on at 2:00 pm. the office is located in the building on the . you need to call them prior to your appointment ( to register. md procedure: parenteral infusion of concentrated nutritional substances other endoscopy of small intestine colonoscopy colonoscopy other endovascular procedures on other vessels transfusion of packed cells diagnoses: urinary tract infection, site not specified unspecified essential hypertension iron deficiency anemia secondary to blood loss (chronic) atrial fibrillation hemorrhage of gastrointestinal tract, unspecified bipolar disorder, unspecified volume depletion, unspecified 

Answer: The patient is high likely exposed to