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: zosyn / oxaliplatin attending: chief complaint: bloody diarrhea, coffee-ground emesis major surgical or invasive procedure: esophagogastroduodenoscopy history of present illness: 51m h/o metastatic colon cancer s/p irinotecan, presented with watery black stools x24h, nausea, and non-bloody/non-coffee-ground emesis x1 one day prior to admit. during this time, pt noted that chronic baseline diarrhea increased significantly, with black stools and no frank blood. . ed course: # vitals: sbp 80 --> sbp 100 with 1l ivf bolus; hr 70s-90s # labs: hct 36.1 (baseline) # clinical course: --black guaiac positive stool in vault --ng lavage with 900cc: clot, fresh blood --svt to 200 bpm --> adenosine x2, diltiazem --> nsr # meds: pantoprazole 40mg iv, erythromycin 125mg iv for motility . micu course: admitted for urgent egd. hct stable while in micu. . initial ros: (+) gassy discomfort, chills, lip blisters since last chemo (-) abdominal pain, lh/dizziness, f, cp/sob, ha/sensory changes, uri sx, myalgias/arthralgias past medical history: ponch # colon cancer (t3n1, stage iiib, dx ) c/b liver, pancreas, lung mets - s/p l colectomy - s/p adjuvant folfox/bevacizumab x8 cycles - s/p segmental liver resection () - s/p pancreatic cyberknife tx () - chronic splenic vein occlusion - irinotecan - d/c chemotherapy s/p oxaliplatin reaction - current therapy: irinotecan ( - current) q2wks c/b diarrhea . pmh # hypertension # depression # pafib () social history: # professional: production planner in radionuclide product plant # personal: single # tobacco: past smoker # alcohol: none # recreational drugs: none family history: noncontributory physical exam: # vs: t 98.4, bp 89/76, hr 80, rr 21, o2sat 100% ra gen: nad heent: crusted lesions on upper lip, op clear, mmm, no lad, neck supple, no jvd cv: rrr, s1s2 (s2 loud), no m/r/g resp: ctab abd: soft, ntnd, bs+ ext: no c/c/e, wwp pertinent results: 09:45am wbc-4.5 rbc-4.05* hgb-12.1* hct-36.1* mcv-89 mch-29.7 mchc-33.4 rdw-14.6 09:45am neuts-81.3* bands-0 lymphs-14.5* monos-1.3* eos-2.5 basos-0.4 09:45am hypochrom-normal anisocyt-1+ poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 10:11am pt-13.2 ptt-25.2 inr(pt)-1.1 . studies: . # ct torso w/contrast 3:53 pm 1. compared to prior exam from , there is slight increase in the size of poorly defined pancreatic mass. 2. marginal increase in size of left supraclavicular/retroperitoneal lymphadenopathy, hepatic lesions, and left lower lobe metastatic lesion. 3. chronic occlusion of the splenic vein/artery and smv, with extensive network of varices as described above. . # egd : no esophageal varices. varices at the stomach. a large ulcerated mass lesion was seen in the region of the angularis (distal body/prox antrum). no visible vessel, oozing or active bleeding was seen. blood in the stomach. otherwise normal egd to second part of the duodenum. . # gastric mass biopsy 1. adenocarcinoma, see note 2. immunostains of the tumor are strongly positive for cdx2 and cytokeratin ck-20; and focally positive for ck-7 with satisfactory controls. 3. separate fragments of gastric fundic mucosa without dysplasia. note: the tumor histology and immunoprofile are most suggestive of a metastatic colonic carcinoma. brief hospital course: 51m h/o metastatic colon cancer, admitted with ugib ulcerated stomach mass, found to have metastatic colon cancer to incisura of stomach. . # ugib: ugib found to be ulcertated mass metastatic colon cancer per pathology obtained during egd. pt was started on pantoprazole 40mg po daily, as well as inpatient xrt to stomach x 2 sessions. upon discharge, pt was scheduled to complete xrt as outpatient, with hct stable x 48 hours. . # anemia: anemia was considered likely ugib and aci given metastatic colon cancer. pt received prbc as necessary, and upon discharge, hematocrit had been stable x48h. . # tachycardia: pt was noted to be in avrt/avnrt in the ed, considered 2/2 blood loss. tachycardia resolved with ivf, blood transfusion, and pt was maintained on metoprolol 12.5 mg po bid. . # metastatic colon cancer: pt was found to have metastatic colon cancer to the stomach and was started on xrt as inpatient, with irinotecan chemotherapy held during xrt course. . # cold sores: pt's hsv lip lesions resolved without intervention during inpatient admission. . # full code medications on admission: metoprolol 25mg po daily creon 20mg daily loperamide 4mg po qid prn lomotil 2.5mg-0.025mg 1-2 tabs po qid prn opium tincture qid prn kcl 20meq clonazepam 1mg po daily mvi . all: piperacillin/tazobactam --> hives oxaliplatin --> red man syndrome discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 2. clonazepam 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po qam: take upon awakening. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 4. 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* 5. amylase-lipase-protease 33,200-10,000- 37,500 unit capsule, delayed release(e.c.) sig: one (1) cap po qidwmhs (4 times a day (with meals and at bedtime)). disp:*120 cap(s)* refills:*2* 6. loperamide 2 mg capsule sig: two (2) capsule po four times a day as needed for diarrhea. disp:*30 capsule(s)* refills:*5* 7. lomotil 2.5-0.025 mg tablet sig: 1-2 tablets po four times a day as needed for diarrhea. disp:*40 tablet(s)* refills:*5* 8. opium tincture 10 mg/ml tincture sig: one (1) ml po four times a day as needed for diarrhea. disp:*120 ml* refills:*0* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day. disp:*60 tab sust.rel. particle/crystal(s)* refills:*2* 10. multiple vitamin-minerals tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary diagnosis . # upper gi bleeding # metastatic colon cancer at stomach incisura # paroxysmal atrial fibrillation . secondary diagnosis . # hypertension # depression discharge condition: stable hematocrit over the last 48 hours. discharge instructions: you were admitted because you were bleeding in your stomach. we did an esophagogastroduodenoscopy and found a bleeding mass in your stomach, which was metastatic colon cancer. we started you on radiation therapy to the stomach, and you stopped bleeding. . we also found that your heart rate was initially fast when you were bleeding, but then it normalized when we transfused blood. . you have two more follow-up appointments to get radiation therapy to your stomach (see below). please take your anti-nausea medication before you arrive for your radiation therapy appointments. . we have added a new medication to your regimen: # for your stomach: take pantoprazole 40mg every 24hours. . otherwise, we have not changed your medications. . if you have any worrisome symptoms, call dr. and go to the emergency room. followup instructions: you have a radiation oncology appointment on monday at 8:15 am, and another appointment on tuesday as well. . when you go for your radiation oncology appointment, you must later go to 9 and get your blood counts checked. this is critical. do not forget. you do not need an appointment; instead, just walk in. . your cancer appointment: . provider: , md phone: date/time: 1:00 provider: , md phone: date/time: 1:00 procedure: other endoscopy of small intestine esophagogastroduodenoscopy [egd] with closed biopsy transfusion of packed cells other radiotherapeutic procedure diagnoses: malignant neoplasm of liver, secondary unspecified essential hypertension acute posthemorrhagic anemia other specified cardiac dysrhythmias personal history of malignant neoplasm of large intestine secondary malignant neoplasm of lung hemorrhage of gastrointestinal tract, unspecified embolism and thrombosis of other specified artery herpes simplex without mention of complication secondary malignant neoplasm of other digestive organs and spleen 

Answer: The patient is high likely exposed to