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: history of present illness: mr. is a 65 year-old male with a history of chronic intermittent small bowel obstruction, who was in his usual state of health until two days prior to admission when he began to experience nausea and vomiting. his vomit was originally yellowish and then changed to black "coffee ground." he has been unable to eat during this time, although has not been eating well for a long while due to early satiety. this episode is only the most recent in a long history of intermittent instruction, causing multiple hospitalizations and two surgeries. however, his episodes of hematemesis has been increasing in the frequency over the past three months, four times in , twice in and twice in . these recent episodes were usually preceded by a couple of days of fever of 100 to 102 degrees for which he would take an antipyretic (unsure of what exactly) after vomiting he would feel relief. he was hospitalized several times for this problem over the past several years while living in , but has stopped presenting to the hospital with these episodes, because of his frustration over the lack of a clear explanation for his problem. at approximately 61 pounds over the past ten years, including an approximately 5 pound weight loss over the past three months. the patient denies change in mental status, dysphagia, or alcohol use. he does admit to experiencing fevers over the past two days, a mild cough with whitish-yellowish sputum and abdominal bloating and nausea. he was seen by his primary care physician at ( ) and was referred to the for an abnormality noted on chest x-ray. while in the emergency department he had an nasogastric tube placed, which drained black fluid, which was guaiac positive. he received 2 liters of normal saline and protonix. medications on admission: traditional chinese medications and "stomach pills." social history: denies tobacco or alcohol use. lives with family. speaks only mandarin chinese. retired engineer originally from , moved to in , moved to in . physical examination: on physical examination the patient was afebrile, temperature 98.4. pulse 62. blood pressure 128/58. respirations 18. in general he is cachectic elderly chinese male resting comfortably in bed in no acute distress. his skin was anicteric. his head and neck examination was remarkable for temporal wasting bilaterally. tube in place draining black liquid. his chest examination was remarkable for a 2 out of 6 holosystolic murmur best appreciate at the left lower sternal border. he had slight crackles in his right lung base, otherwise his chest was clear to auscultation. his abdomen had well healed surgical scar. bowel sounds were present. abdomen was nondistended, nondistended. there were no masses or hepatosplenomegaly. shoddy lymphadenopathy in the inguinal region. rectal examination was guaiac negative. laboratories on admission: on admission white blood cell count was 8.3, hematocrit 34.7, platelets 326. chest x-ray , revealed a 4.4 cm diameter cavitary lesion overlying right hilum, concerning for reactivation tuberculosis. right upper lobe fibronodular opacity, bronchiectasis and pleural thickening. also seen were coarse reticular opacities at the bases. kub - nonspecific, nonobstructed bowel gas pattern possibly representative of ileus. chest ct previously noted cavitary lesion most likely represents a cystic dilatation of the right upper lobe and main stem bronchus. also seen was focal consolidation of the inferior right lung base and mucous plugging. , chest x-ray new focal infiltrate at right lung base medially, compatible with pneumonia. also possible second infiltrate at left base. enteroclysis - multiple nodular filling defects as well as focal area of nodular thickening and tethering in left lateral abdomen. hospital course: 1. rule out tuberculosis: original chest x-ray showed lesions suspicious for pulmonary tuberculosis. the patient was placed on respiratory precautions and three induced sputum samples were sent for acid fast bacilli were sent. subsequent chest ct revealed that the suspicious lesion seen on plain film actually represented bronchiectasis. sputum analysis returned negative for acid fast bacilli. at this time respiratory precautions were discontinued. 2. recurrent small bowel obstruction/hematemesis: the patient had a long history of recurrent small bowel obstruction of unclear etiology. episodes of hematemesis now appear to be worsening. flatus, which provided some relief of symptoms. the patient was placed npo and received intravenous fluids at maintenance. the patient also received protonix for history of gastritis. the patient was gradual able to tolerate foods by mouth after removal of nasogastric tube without difficulty. on hospital day five the patient had esophagogastroduodenoscopy performed, which showed short segment of barrett's esophagus, gastritis in the stomach body evidence of a jejunojejunostomy. a median hiatal hernia was present. however, there was no evidence of old or active bleeding. however, on hospital day seven the patient began to experience hematemesis. the patient was transferred to the medical intensive care unit for a repeat esophagogastroduodenoscopy. upon arrival to the medical intensive care unit the patient was noted to be febrile with a temperature of 104, heart rate of 130 and blood pressure of 90/50. esophagogastroduodenoscopy was deferred for stabilization. on hospital day nine the patient was deemed stable and asked to return to the general medical floor. the patient had enteroclysis performed on that day. this showed nodular mural filling defects with serosal spiculations. also seen were areas of wall thickening and tethering in mid jejunum. these findings were concerning for malignancy versus granulomatous disease. dr. of surgery for follow up as an outpatient, in order to explore the possibility of an exploratory laparotomy in the future or bowel lesions. 3. pneumonia: the patient was noted to be febrile with a temperature of 104 upon transfer to the medical intensive care unit. chest x-ray at that time revealed a new focal infiltrate in the right lung base. 4. fluids, electrolytes and nutrition: the patient's diet was advanced cautiously. electrolytes were monitored and repleted as necessary in the setting of a potential refeeding syndrome. condition on discharge: good. discharge status: the patient is to return to home. discharge diagnosis: small bowel obstruction. discharge medications: 1. levofloxacin 500 mg po q day. 2. pantoprazole 40 mg po q day. follow up plans: the patient is to follow up with primary care physician . at . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified esophagogastroduodenoscopy [egd] with closed biopsy biopsy of lymphatic structure diagnoses: intestinal bypass or anastomosis status unspecified protein-calorie malnutrition pneumonitis due to inhalation of food or vomitus hematemesis enlargement of lymph nodes bronchiectasis without acute exacerbation unspecified gastritis and gastroduodenitis, without mention of hemorrhage unspecified intestinal obstruction 

Answer: The patient is high likely exposed to