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: optiray 300 attending: chief complaint: gi bleed major surgical or invasive procedure: none history of present illness: this is a 64 year old male with metastatic melanoma on sutent, hx chemotherapy induced hypotension who presents with hematemasis. the patient states that last night he felt nauseasted, vomited food x3, then had vomting x2 with a small amount of bright red blood followed by one emisis with darker black material. he has not had any further vomiting since approximately 11pm last night. he has not been lightheaded or dizzy other than when blowing his nose. he denies any diarrhea or melena in colostomy bag. . in ed, the patient had no further vomiting. on arrival to the ed, his hct was 30 which decreased to 27, from baseline 36-40. he underwent ng lavage with 1.5 l ns, which showed mostly clear liquid with a small amount of blood, no bile. gi was consulted who recommended icu admission and egd. the patient received ppi, 2 piv and t/s. in addition, there was an right infiltrate on cxr, prescribed ctx and azithromycin. vitals on arrival to ed: 98.2 95 132/88 18 100 vitals on transfer: hr 90, bp 134/78, 20 98%ra . ros: (+)+ weight loss, + cough (-) denies headache, sinus tenderness, rhinorrhea or congestion. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: pmh: 1. metastatic melanoma (lung, pleural, and liver)now on sutent 2. hemorrhoid surgery that was complicated by sphincter damage requiring diversion with a colostomy 30 years ago. 3. axillary ln dissection 4. seasonal allergies. 5. chemotherapy-induced htn 6. thumb amputation 7. toe amputation because cyst infection 8. right side pleural effusion s/p thoracentesis . psurgh: melanoma excision of his thumb, and hemorrhoid surgery complicated by sphincter damage requiring colostomy 30 years ago. social history: married, lives in . he worked as an electronics technician. he never smoked cigarettes, drank alcohol, or used illicit drugs. family history: his mother died fo pancreatic cancer while his father had kidney failure. he has 2 sisters, one of them has stage i breast cancer, and a brother who contracted hcv from ivda. he has one daughter, who has thyroid cancer, and 3 sons who are all healthy. physical exam: general: awake, alert, nad. heent: nc/at, perrl, eomi without nystagmus, no scleral icterus noted, mmm, no lesions noted in op neck: supple, no jvd or carotid bruits appreciated pulmonary: lungs cta bilaterally cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: firm over liver, nt/nd, normoactive bowel sounds, colostomy intact w/o bloody stool or melena extremities: no c/c/e bilaterally, 2+ radial, dp and pt pulses b/l. absent left thumb skin: no rashes or lesions noted, no petechia neurologic: -mental status: alert, oriented x 3. able to relate history without difficulty. pertinent results: 01:00pm pt-12.5 ptt-150* inr(pt)-1.1 01:00pm plt count-189# 01:00pm neuts-75.2* lymphs-21.8 monos-2.4 eos-0.4 basos-0.2 01:00pm wbc-2.7*# rbc-3.25* hgb-10.4* hct-30.3* mcv-93 mch-32.1* mchc-34.4 rdw-18.8* 01:00pm ck-mb-notdone ctropnt-<0.01 01:00pm alt(sgpt)-44* ast(sgot)-86* ck(cpk)-62 alk phos-302* tot bili-1.5 01:00pm estgfr-using this 01:00pm glucose-93 urea n-17 creat-0.8 sodium-136 potassium-3.6 chloride-99 total co2-28 anion gap-13 01:04pm hgb-11.3* calchct-34 03:45pm urine rbc-0-2 wbc-0-2 bacteria-none yeast-none epi-0 03:45pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-8.0 leuk-neg 03:45pm urine color-yellow appear-clear sp -1.014 04:45pm plt count-160 04:45pm neuts-77.7* lymphs-18.1 monos-3.2 eos-0.7 basos-0.2 04:45pm wbc-2.2* rbc-2.96* hgb-9.5* hct-27.8* mcv-94 mch-32.2* mchc-34.3 rdw-18.7* 05:30pm pt-11.8 ptt-28.0 inr(pt)-1.0 brief hospital course: 64 yo male w/ malignant melanoma on sutent therapy who presents with ugib s/p egd that was significant for esophagitis who is now being transferred from icu to omed. . the patient underwent egd on , which showed (1) erythema and ulceration in the gastroesophageal junction compatible with esophagitis, (2)small hiatal hernia, (3) schatzki's ring, with otherwise normal egd to third part of the duodenum. he was treated with ppi and carafate. his antihypertensive medications were held. the patient remained hemodynamically stable. initially, the patient expressed a strong desire to avoid blood transfusion. patient was transferred to the floors, where he remained otherwise hemodynamically stable. prior to discharge he was transfused two units of blood for a hct of 25. patient was discharge with instructions to follow up with his oncologist regarding permanently discontinuing vs restarting his sutent therapy. medications on admission: sutent last dose , currently off for two weeks amlodipine 10 mg tablet one tablet(s) by mouth daily cimetidine 300 mg tablet 1 (one) tablet(s) by mouth every six (6) hours as needed for heartburn and take one hour before ct scans codeine-guaifenesin 100 mg-10 mg/5 ml liquid - 10 ml by mouth every six (6) hours as needed for cough hydrochlorothiazide 25 mg tablet - one tablet(s) by mouth daily oxycodone 5 mg capsule 1 capsule(s) by mouth every 3 hours as needed for as required for breakthrough pain oxycodone 10 mg tablet sustained release 12 hr - 1 tablet(s) by mouth twice a day oxygen 2 liters via nasal canula while a sleep and with exertion diagnosis: hypoxia secondary to lung metastasis and pleural effusion magnesium oxide 250 mg tablet - 1 (one) tablet(s) by mouth once a day multivitamin discharge medications: 1. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 3. oxycodone 10 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for cough. 6. oxycodone 5 mg capsule sig: one (1) capsule po 3 hours as needed for pain. 7. magnesium oxide 250 mg tablet sig: one (1) tablet po once a day. 8. oxygen 2 liters via nasal canula while a sleep and with exertion discharge disposition: home discharge diagnosis: primary: esophagitis anemia malignant melanoma discharge condition: stable discharge instructions: you were seen in the hospital because you vomited blood. you underwent endoscopy that showed esophagitis. you remained stable, but we found your hematocrit to be low. we transfused you with 2 units of packed red blood cells. we have made the following changes to your medications: (1) we have switched your tagamet (cimetidine) to another medication called pantoprazole which will protect the lining of your esophagus and stomach. (2) we have started you on a medication called sucralfate. (3) we have stopped your amlodipine and hydrochlorothiazide. please follow up with your oncologist regarding whether you should continue taking sutent. if you should experience lightheaded, fevers, chills, vomiting blood, falls, or any concerning symptoms please call your pcp or return to the emergency room. followup instructions: please follow up with your oncologist dr. on 4:00pm at clinical ctr, . she will decide whether you should continue to take sutent. she can also check your blood pressure and see if you should restart your blood pressure medications. *** please make an appointment with dr. in gastroenterology. the number is (. procedure: other endoscopy of small intestine transfusion of packed cells diagnoses: anemia, unspecified malignant neoplasm of liver, secondary secondary malignant neoplasm of pleura diaphragmatic hernia without mention of obstruction or gangrene antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use other postprocedural status secondary malignant neoplasm of lung esophagitis, unspecified personal history of malignant melanoma of skin other toe(s) amputation status other unspecified secondary hypertension thumb amputation status 

Answer: The patient is high likely exposed to