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: 27 yo man who presented to the ed with hematemesis, who is found to be anemic with markedly elevated platelet counts major surgical or invasive procedure: embolization, with coils, of gastroduodenal artery pseudoaneurysm neck and gastroduodenal artery itself, proximal and distal to pseudoaneurysm neck. history of present illness: patient presented to ed evening of vomiting blood that started 1 month ago. he says it had always been bright red blood. he has headaches at night 3-4x/week and admits to lightheadedness that are both worse with increased hematemesis. he is able to tolerate liquids and small amounts of solid food. denies abdominal pain, chest pain secondary to quadraplegia. he also admits to dark stools that he's noticed for the past couple fo months. when asked about his high platelet counts he states that it started "back in with my spleen". past medical history: 1. c5 traumatic fracture sustained in diving accident with resultant quadriplegia 2. s/p splenectomy for splenic rupture in 3. le dvt s/p ivc filter which is now clotted 4. mrsa bacteremia in , currently on bactrim (to complete course ) 5. recurrent utis; pt has indwelling suprapubic catheter quadriplegia 6. gastric varices, diagnosed after ugib in at 7. duodenal avms, diagnosed with ugib as above social history: etoh- heavy, smokes 1 pack per week cigarettes. admits to cocaine 2x/month and occasional marijuana use. family history: mother died of breast cancer. grandmother with gastric cancer. physical exam: on discharge the patient's vital signs were tm 98.5 tc 98.0 p 65 bp 124/87 rr 16 sao2 99% ra the patient was sitting in his wheelchair, paralysis as stable. he was in no acute distress, alert and oriented x3. he was in regular rate and rhythmn, clear to auscultation bilterally, his abdomen was soft, nontender, non distended. pertinent results: 06:06am blood hct-28.0* 02:38am blood wbc-8.7 rbc-2.97* hgb-8.1* hct-25.9* mcv-87 mch-27.3 mchc-31.4 rdw-16.3* plt ct-958* 01:34am blood neuts-77.4* lymphs-13.9* monos-7.8 eos-0.6 baso-0.3 02:38am blood plt ct-958* 02:38am blood pt-13.6* ptt-33.0 inr(pt)-1.2* 02:38am blood glucose-102 urean-5* creat-0.3* na-138 k-4.1 cl-106 hco3-27 angap-9 02:38am blood alt-4 ast-7 alkphos-63 amylase-22 totbili-0.3 02:53am blood caltibc-170* vitb12-628 folate-8.1 hapto-268* ferritn-50 trf-131* brief hospital course: the patient was admitted on with complaints of vomiting blood that started 1 month ago. he was resucitated with 3l iv fluid given and one unit of packed red bloods cells in the ed. he was then transferred to the nsicu and an edg was performed which showed no new blood. the patient tolerated the procedure well and was stable on return to the sicu. the patient also had an angiogram and five coils placed in the gastric duodenal artery and no more bleeding was seen. no surgical intervention was needed at this time. the patient had a central line placed, he was treated with iv fluids, vancomycin, potassium repletion the patient was transferred to the floor with mrsa precautions, no telemetry. the patient remained alert and oriented with a good appetite. the patient was discharged home on bactrim for a uti. medications on admission: adderal, protonix, valium, iron discharge medications: 1. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 3. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po tid (3 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. bactrim ds oral 7. bactrim ds 160-800 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: gastroduodenal pseudoaneurysm discharge condition: good discharge instructions: please call doctor greater than 101, nausea/vomiting, inability to eat, wound redness/warmth/swelling/foul smelling drainage, pain not controlled by pain medications or any other concerns. please resume taking all medications as taken prior to this admission. please follow-up as directed. followup instructions: please follow up with dr. in 2 weeks. call ( for an appointment. please follow up with your pmd, dr. , this week. procedure: venous catheterization, not elsewhere classified transcatheter embolization for gastric or duodenal bleeding transfusion of packed cells diagnoses: tobacco use disorder urinary tract infection, site not specified cocaine abuse, unspecified blood in stool personal history of venous thrombosis and embolism alcohol abuse, continuous quadriplegia, unspecified cannabis abuse, unspecified family history of malignant neoplasm of breast aneurysm of other visceral artery carrier or suspected carrier of other streptococcus 

Answer: The patient is high likely exposed to