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: quinolones attending: chief complaint: acute blood loss major surgical or invasive procedure: rbc transfusion history of present illness: ms. is an 86yo woman with h/o recent stroke who was transferred from after being found to have a low hematocrit. there was no reported bleeding and she was without complaint. per review of notes in the chart, there was no preceeding diarrhea or vomiting. she does not have any endoscopies or colonoscopies in the record. pt denies abd pain but hx limited by her aphasia/non-verbal status. per pcp and family, invasive treatment/work-up is preferred as long as there is no significant gi bleed. . she was taken to ed where her vs were stable, hct 17.4, and she was noted to have guaiac +, formed, brown stool. coags wnl at 1.2. also had sodium 151, which has since resolved w/ d5w if. pt was given 2urbcs, including that given in micu. she spent 1 day in micu where her hct bumped back to 17.4->27.7 o/n. she was seen by gi who recommended conservative rx w/ ppi and prn transfusions. past medical history: alzheimer's dementia h/o l mca stroke with persistent hemiparesis and aphasia htn b12 deficiency anemia with baseline hct 25-27 h/o utis cataracts glaucoma social history: lives in facility ( ) does not smoke/ etoh/ take illicit drugs. family history: not available at present physical exam: vs: 98.1 102 134/95 19 100% ra awake, responsive and orients well to examiner. unable to produce coherent speech. +cachectic. eomi. right pupil is round and reactive but left is difficult to appreciate if it is reacting. will not open mouth or follow commands but has a symmetric face. neck is supple heart is tachycardic and regular with a systolic murmur heard best at apex, though not holosystolic. no increased work of breathing, no accessory muscle use. lungs clear though does not breathe deeply. abd is soft and not tender. le are non-edematous b/l. she is able to squeeze her left hand and slow the rate of fall of her left leg. right arm is kept in flexion and is resistant to movement. 0/5 strength on right side. pertinent results: cbc: wbc-6.5# rbc-1.92*# hgb-5.3*# hct-17.4*# mcv-90# plt ct-271 coags: pt-13.4 ptt-27.0 inr(pt)-1.2* chemistries: 153 117 42 -------------< 161 4.2 27 1.1 hemolysis labs: caltibc-334 hapto-287* ferritn-27 trf-257 ekg: sinus tachycardia. borderline leftward axis. possible prior inferior myocardial infarction. compared to the previous tracing of the findings are similar. cxr: impression: no evidence of pulmonary edema. brief hospital course: this is an 86yo woman with dementia and h/o recent left mca stroke complicated by persistent aphasia and hemiparesis admitted with acute hematocrit drop and guaiac positive stool. . # anemia: pt has chronic anemia w/ baseline hct 25-27. hemolysis work-up was negative. acute drop in hct was thought to be from gi source. pt's hct bumped appropriately with 2u rbc transfusions, and she was monitored for 1 day in micu, where she remained hemodynamically stable. gi was consulted, and given her family's desire for minimal intervention, she was managed conservatively with ppi, hct checks, and prn transfusions. she was also taken off asa ppx for stroke, in setting of gib. although labs do not show iron deficiency, she was supplemented as she may continue to have gib. her hct remained stable at ~25 on day of discharge. she should have her hematocrit checked on the day after discharge. her hematocrit should be regularly monitored afterwards according to her attending doctor's discretion, but we would advise that another hematocrit be checked this , , and that she be transfused as needed to keep her hct at baseline ~ 25 . # hypernatremia: pt arrived with sodium of 153, which was thought to be due to free water deficit from poor access to water. she was gently hydrated with d5w and her hypernatremia resolved and has remained within normal range. . # elevated troponin: patient unable to verbalize chest pain. ekg does not show changes from prior tracing 3 weeks ago. her troponin remained stable at 0.03 after 3 sets of enzymes. she was continued on home simvastatin. . # s/p left mca stroke: continues to have significant aphasia and right sided weakness. keppra was continued. asa was held in setting of active bleed. . # htn: remained hd stable throughout hospitalization with good bp control. norvasc was held b/c of gi bleed, but discharge instructions were to re-start her anti-hypertensive medications at her long term care facility if she remained hemodynamically stsable. . # h/o cataracts and glaucoma: pt was continued on levobunolol. she was given xalatan eye drops instead of travatan due to formulary issues. . # heel ulcer: stage 1 pressure ulcer was identified this admission. the pt's legs were kept in waffle boots to minimize pressure to this area. . # code: dnr/dni medications on admission: asa 325mg daily keppra 500mg simvastatin 20mg qhs norvasc 2.5mg qhs risperdal 0.25mg qhs--recently stopped md lasix 20mg po daily calcium + vit d 500mg/200iu colace senna dulcolax travatan eye gtt ou qhs levobunolol 0.5% eye gtt ou qhs discharge medications: 1. simvastatin 10 mg tablet sig: two (2) tablet po hs (at bedtime). 2. levobunolol 0.5 % drops sig: one (1) drop ophthalmic hs (at bedtime). 3. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 4. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 6. senna 8.6 mg tablet sig: one (1) tablet po twice a day as needed. 7. colace 100 mg capsule sig: one (1) capsule po twice a day as needed. 8. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 9. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day: this was held during the hospitalization, but should be re-started if the patient's sbp remains stable >100. 10. lasix 20 mg tablet sig: one (1) tablet po once a day: this was held during the hospitalization, but should be re-started and added back to her regimen. discharge disposition: extended care facility: - discharge diagnosis: primary: -acute-on-chronic anemia with guaiac + stools and no further gi work-up secondary to family's desire for minimal intervention -hypernatremia secondary to inability to take adequate water, resolved with iv fluids secondary: -s/p left mca stroke with persistent hemiparesis and aphasia -left heel ulcer -alzheimer's dementia -hypertension -history of glaucoma & cataracts discharge condition: improved hematocrit, hemodynamically stable discharge instructions: you were admitted for an acute drop in your blood count. your blood count stabilized after 2 units of blood transfusion. it was thought that you are bleeding from your gi tract. because your family desires minimal interventions, we plan to conservatively treat your bleeding by monitoring your blood count and giving transfusions on an as needed basis. please continue to have your blood count monitored at your living facility. followup instructions: provider: , md phone: date/time: 1:30pm procedure: transfusion of packed cells diagnoses: unspecified essential hypertension acute posthemorrhagic anemia unspecified glaucoma other b-complex deficiencies late effects of cerebrovascular disease, hemiplegia affecting unspecified side alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance pressure ulcer, heel hemorrhage of gastrointestinal tract, unspecified hyperosmolality and/or hypernatremia late effects of cerebrovascular disease, aphasia unspecified cataract long-term (current) use of aspirin salicylates causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to