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: gi bleed major surgical or invasive procedure: colonoscopy, capsule endoscopy history of present illness: 55m with cad and esrd ( fsgs) s/p lrt presented to and osh ed on with bloody diarrhea, frequent episodes. his admission here thus far has been significant for two tagged rbc scans, two colonoscopies, egd, meckel's scan, and finally a capsule endoscopy, with the final conclusion being that the bleeding source was a number of sites in the jejunum, likely angioectasias that were persistently oozing. he has required frequent transfusions, about 18 to date with his last being the evening prior to transfer (). transplant surgery has been consulted for possible operative intervention, though nothing has been planned yet. when seen in the icu, he said he felt completely fine, had no complaints. he had been up walking his room for most of the day with no lightheadedness, chest pain, or dyspnea. he had no abdominal pain or nausea. his last bowel movement was a few hours prior and was dark with a small amount of red blood. his hct's over the last 14 hours have trended 27 -> 33 -> 30 -> 29.4 without transfusion. . past medical history: pmh: -cad: mi , stented x 1 -esrd fsgs s/p lrt . psh: -ccy -back -r knee arthroscopic social history: married, lives with wife, retired for 5y; h/o tobacco, 1ppd x 40y, quit ; rare etoh, 1 beer/month; denies drug use . family history: fhx: per omr, no h/o gi bleed in family, no gi cancers, no renal disease . physical exam: pe: t 99.9/99.9, bp 141/55, hr 92, rr 16, spo2 97%ra gen- pleasant, well appearing/functioning male, non-tox, nad heent- anicteric, op clear with mmm cv- rrr, s1s2, no m/r/g pul- moves air well, no w/r/r abd- soft, nt, nd, nabs extrm- no cyanosis/edema, warm/dry nails- no clubbing, no pitting/color changes/indentations neuro- a&ox3, no focal cn/motor deficits . pertinent results: 05:33pm calcium-7.9* magnesium-1.8 05:15am glucose-132* urea n-19 creat-1.1 sodium-141 potassium-3.5 chloride-109* total co2-24 anion gap-12 05:15am wbc-3.4* rbc-2.97*# hgb-8.6*# hct-24.8*# mcv-84# mch-28.9 mchc-34.5 rdw-14.3 05:15am pt-10.3* ptt-18.5* inr(pt)-0.9 brief hospital course: a/p: 55m with cad, esrd s/p xpl admitted with gib- capsule endoscopy shows jejunal angioecatasias required multiple transfusions but has been stable since last night. . #gi bleed -- jejunal avm's per capsule study, hct stable during and after capsule study, thus enteroscopy was not done- only indicated if pt actively bleeding; gi and transplant surgery followed throughout hospital course, a central line was maintained for access; pt transfused x 1 before discharge home, cleared by transplant surgery. . #cad -- no active ischemia; held asa due to bleed; continued atorvastatin throughout hospital stay. . #renal xpl -- cr stable throughout hospital course, renal transplant service followed throughout hospital stay; pt was maintained on immunosuppressives. . #leukopenia -- anc 1700. likely immunosuppressives. pt remained afebrile throughout hospital course, no indication for id workup during this admission, renal transplant service aware. . #code -- full medications on admission: -asa 325 mg qd -cellcept mg qam, 1000mg qpm -bactrim ss qd -lipitor 10mg qd -rapamycin 2mg qd inpt -mycophenolate mofetil 1000 mg po qpm -mycophenolate mofetil 500 mg po qam -pantoprazole 40 mg iv q12h -atorvastatin 10 mg po daily -sirolimus 2 mg po daily -sulfameth/trimethoprim ss 1 tab po daily discharge medications: 1. sirolimus 1 mg tablet sig: two (2) tablet po daily (daily). 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 4. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po qpm (once a day (in the evening)). 5. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home discharge diagnosis: gib discharge condition: stable discharge instructions: please present to the hospital if you have bloody stool or black tarry stool, dizzyness/headache, chest pain/shortness of breath, fever/chills. please follow up with your appointments and take your medications as directed. followup instructions: you have the following appointments:provider: , md phone: date/time: 11:00 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other endoscopy of small intestine colonoscopy colonoscopy arteriography of other intra-abdominal arteries transfusion of packed cells transfusion of platelets other diagnostic procedures on small intestine diagnoses: coronary atherosclerosis of native coronary artery acute posthemorrhagic anemia percutaneous transluminal coronary angioplasty status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease old myocardial infarction angiodysplasia of intestine with hemorrhage other specified anemias kidney replaced by transplant 

Answer: The patient is high likely exposed to