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: brbpr major surgical or invasive procedure: spiral endoscopy history of present illness: 45 yo m h/o ulcerative colitis s/p colectomy with ileoanal renastamosis, hcm (ef-75%, resting gradient of 130mmhg), presenting with brbpr. the patient noticed dark stools 3 days prior to admission and his frequency increased from his normal of per day to 5-6 per day and were beginning to have small amounts of bright red blood. the morning prior to admission, his stools became bright red and increased in frequency to 7 stools. he is unable to quantify the amount. he was notably hospitalized for gi bleed in for five days. he initally presented with a hct of 22 and received 6 units of prbcs and 2 units of ffp during hospital stay. two ctas, egd, and a push enteroscopy at that time revealed no source of bleeding. the bleeding eventually resolved on its own and was thought to be secondary to nsaid-induced ulcers somewhere in the small bowel or perhaps had begun to heal by the time he was imaged. his mct on discharge was 32. he underwent capsule endoscopy after admission that revealed focal areas of erythema in the mid jejunum and ileum. however, no active bleeding site was identified. his last hct prior to this admission was 39.5 on . in the ed, initial vs: 98.7 95 145/84 20 100% ra. rectal exam showed blood and he notably had general pallor. labs were notable for a 12.5 point hct drop (27 from 39.5) ng lavage was negative. he was transfused 2 units of prbcs and received 40 mg iv protonix. gi was consulted and since ng lavage was negative, did not feel the need to scope immediately. ekg: lvh, q waves; general palor. he has 2 pivs (16g and 18g). last vitals prior to transfer: 131/79 76 13 100% ra. upon arrival to the icu, patient feels well and denies lightheadedness, sob, chest pain, nausea, vomiting, abdominal pain. past medical history: - uc s/p colectomy w/ileoanal anastomosis, ileostomy takedown and the resection of ileoanal stricture - asthma - anxiety - hypertrophic cardiomyopathy (resting gradient of 130mm hg) social history: remote alcohol use drinking 10-14 beers/day for 5-6 years. quit 15 years ago, and now drinks 1-2 times per year. h/o smoking 3 ppd for 4-5 years, however quit 10 years ago, just prior to his uc diagnosis. originally from . married. lives in and works in construction. family history: notable for a brother with ulcerative colitis who died of an mi at age of 60, uncle with cancer, brother with prostate and gastric cancer, and sister with breast cancer. physical exam: admission physical: vs: temp: 97.6 bp:123/69 hr: 75 rr: 16 o2sat 96% ra gen: pleasant, comfortable, nad heent: perrl, eomi, anicteric, mmm, op without lesions, no jvd, no carotid bruits, resp: cta b/l with good air movement throughout cv: rr, s1 and s2 wnl, 2/6 systolic murmur heard best at base abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly, old surgical scars present ext: no c/c/e skin: no rashes/no jaundice/no splinters neuro: aaox3. cn ii-xii grossly intact. 5/5 strength throughout. no sensory deficits to light touch appreciated. pertinent results: 11:59pm hct-26.8* 07:24pm hgb-10.0* calchct-30 07:15pm urine color-yellow appear-clear sp -1.021 07:15pm urine blood-neg nitrite-neg protein-25 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:15pm urine rbc-0 wbc-0-2 bacteria-rare yeast-none epi-<1 07:00pm glucose-100 urea n-16 creat-0.8 sodium-137 potassium-3.8 chloride-105 total co2-27 anion gap-9 07:00pm estgfr-using this 07:00pm wbc-9.5 rbc-3.01*# hgb-9.3*# hct-27.0*# mcv-90 mch-31.0 mchc-34.6 rdw-14.8 07:00pm neuts-73.5* lymphs-21.3 monos-3.7 eos-1.0 basos-0.5 07:00pm plt count-215 07:00pm pt-13.5* ptt-22.5 inr(pt)-1.2* brief hospital course: 45 yo m h/o ulcerative colitis s/p colectomy with ileoanal renastamosis p/w recurrent brbpr and a 13 point hematocrit drop admitted to icu for close monitoring. #. gi bleed: unclear source as prior studies (endoscopy, enteroscopy, and ct) were unable to identify source. admitted with 12.5 hct drop, blood on rectal and negative ng lavage. surgery, gi and ir consulted. no clear blush on cta. enteroscopies did not show any bleeding. hct remained stable. patient wanted to leave and was discharched after being medically cleared by the icu team and gi team with plan for f/u with gi. #. hypertrophic cardiomyopathy: resting gradient of 130 mm of hg. recently diagnosed in last admission. cardiology consulted. plan to be followed by cardiology in the outpatient per patient. initially held metoprolol given gi bleed but it was restarted once pt was hemodynamically stable. #. anxiety: ativan prn # h/o asthma: patient has been on advair in past, however has not required medication in quite some time. written for albuterol prn while in-patient medications on admission: toprol 50mg po daily discharge medications: 1. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. discharge disposition: home discharge diagnosis: primary: 1. gi bleeding . secondary: 1. ulcerative colitis, status post ileoanal pouch w/ ileostomy discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital for bleeding from your pouch. you underwent small bowel enteroscopy/spiral endoscopy with the gi doctors which did not show a source of the bleeding. if future episodes of bleeding occur, you may require repeat evaluation and consideration of open enteroscopy. . new medications/medication changes: - none . please seek medical evaluation for any lightheadedness, dizziness, bleeding, fevers, chest pain, shortness of breath, abdominal pain, nausea/vomiting, or any other concerns. followup instructions: please call dr. at to schedule an appointment with your primary care doctor in weeks. . the gi doctors for a follow-up appointment. please call to schedule this appointment if you do not hear from them. provider , md phone: date/time: 4:20 provider , md phone: date/time: 4:00 procedure: other endoscopy of small intestine colonoscopy diagnoses: other primary cardiomyopathies aortic valve disorders anxiety state, unspecified other postprocedural status chronic obstructive asthma, unspecified hemorrhage of gastrointestinal tract, unspecified ulcerative colitis, unspecified ileostomy status 

Answer: The patient is high likely exposed to