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: no known allergies / adverse drug reactions attending: chief complaint: gi bleeding major surgical or invasive procedure: egd duodenal ulcer injected and ligated history of present illness: mr. is well-known to the transplant surgery service. briefly, he is a 68 year-old male who is s/p olt with esrd on hd who was recently admitted to for a gi bleed and discharged 4 days prior. during his previous admission, he underwent egd and colonoscopy that did not show a source of bleeding. he did not have any episodes of bloody stools while he was in the hospital and was transfused a total of 1 unit prbc. he did have episodes of diarrhea but was c.diff negative x 3. furthermore, he is s/p a peg tube and has been getting tube feeds at home. per his wife, he awoke this am (~530am) and had one episode of bloody bm. by approximately 930am, he had a total of 4 bloody bms, unknown quantity. he presented to hospital and was found to have a hematocrit of 20. he was transfused one unit of prbc and was transferred to via . in the emergency room, his repeat hematocrit was 26.0 after his transfusion. he has been hemodynamically stable without signs of hypotension. gastroenterology evaluated him and plans for a egd given the coffee ground drainage from his peg tube. review of systems: denies fatigue, weakness, fevers, chills, cough, chest pain, palpitations (rapid/skip, headache, fainting, blackouts, seizures, confusion, change in appetite, heartburn, nausea, vomiting, abd. pain, bloating, diarrhea, constipation, jaundice/hepatitis, dysuria, nocturia, polyuria, hematuria. past medical history: hcc, etoh cirrhosis s/p olt, cad, htn, chf/cardiomyopathy (ef 25-30%) with frequent admissions for systolic heart failure, stage iv ckd (baseline cr 3.6), pancreatic insufficiency, anemia, bronchitis, copd, tube feeds at home through g-tube, copd past surgical history: olt , peg placement social history: married, lives at home with wife. previously smoked 1ppd, now trying to quit smoking. no current etoh use for past 5 years. family history: father died of prostate cancer. physical exam: vital signs: temp: 98.1 pulse:88 bp:138/69 rr:18 o2 sat:98% on room air gen:wd/wn, cachectic neuro/psych: oriented x3, affect normal, nad, cooperative with exam. neck: no masses, trachea midline, thyroid normal size, non- tender, no masses or nodules, no right carotid bruit, no left carotid bruit, supple. nodes: no clavicular/cervical adenopathy, no inguinal adenopathy . skin: no atypical lesions. heart: regular rate and rhythm. lungs: clear, normal respiratory effort. gastrointestinal: soft not distended, no masses, guarding or rebound, no hepatosplenomegaly, no hernia, no aaa, not tender to palpation, bowel sounds present. rectal: normal tone, no gross blood, guaiac negative. extremities: no popliteal aneurysm, no femoral bruit/thrill, no rle edema, no lle edema, no varicosities, no skin changes pulse exam (p=palpation, d=dopplerable, n=none) rue radial:p. ulnar:p. brachial:. lue radial:p. ulnar:p. brachial:. rle femoral:. popliteal:. dp:p. pt:p. lle femoral:. popliteal:. dp:p. pt:p. description of wound: well-healed abdominal chevron incision laboratory data: 134 | 93 | 92 / --------------- 95 5.1 | 29 | 4.5 \ ca: 8.8 mg: 1.4 p: 0.5 &#8710; alt: 23 ap: 130 tbili: 0.6 alb: 2.8 ast: 42 ldh: dbili: tprot: : lip: 55 \ 8.8 / 16.3 ------ 195 / 26.0 \ n:56 band:5 l:17 m:7 e:2 bas:2 atyps: 3 metas: 3 myelos: 2 pt: 13.8 ptt: 28.3 inr: 1.2 microbiology: none imaging and studies: none pertinent results: 01:40pm blood wbc-16.3* rbc-3.07* hgb-8.8* hct-26.0* mcv-85 mch-28.6 mchc-33.8 rdw-15.9* plt ct-195 05:43am blood wbc-13.7* rbc-3.50* hgb-10.4* hct-29.4* mcv-84 mch-29.6 mchc-35.3* rdw-16.3* plt ct-99* 05:43am blood pt-14.0* ptt-28.6 inr(pt)-1.2* 05:43am blood glucose-141* urean-48* creat-3.6*# na-139 k-3.2* cl-103 hco3-28 angap-11 05:43am blood alt-12 ast-34 alkphos-120 totbili-0.9 05:23am blood rapmycn-7.8 brief hospital course: 68m s/p olt, esrd on hd s/p peg with gi bleed, likely from an upper gi source. he was admitted to sicu on the transplant service. he was kept npo and given 2 units of prbc. dr. performed and egd noting the following: a single oozing ulcer was found in the superior fornyx of the duodenal bulb. there was a large adherent red clot (1-2cm); the base could not be visualized. one triclip was successfully applied for the purpose of hemostasis. 3 1 cc.epinephrine 1/ injections were applied for hemostasis with success. otherwise normal egd to third part of the duodenum recommendations included a ppi drip x 72 hours then po bid until repeat egd in 6 weeks. hct remained stable and he as transferred out of the sicu. of note, h.pylori testing on was negative. on , hct dropped from 27 to 25. 2 units of prbc were given. hct then remained stable. he continued to have 8 bms/day. diet was resumed on as well as tube feeds. imodium was started. bms slowed down and were not bloody. these were well tolerated without further gi bleeding. hct remained stable. hemodialysis was performed on without incident. protonix drip was switched to prilosec . cvl was removed and he was discharged to home. follow up with dr. (heme/onc)was rescheduled to . medications on admission: carvedilol 3.125 mg po bid, bisacodyl 10 mg po daily prn, b complex-vitamin c-folic acid 1 mg po daily, nicotine 14 mg/24 hr transdermal daily, prednisone 5 mg po daily, epoetin alfa 10,000 unit/ml one, simvastatin 10 mg po daily, testosterone 2.5 mg/24 hr transdermal daily, omeprazole 20 mg po bid, lipase-protease-amylase 12,000-38,000 -60,000 unit po tid w/meals, sirolimus 1 mg po daily, loperamide 2 mg po bid prn, sulfamethoxazole-trimethoprim 200-40 mg/5 ml po qod, mirtazapine 30 mg po hs, methylphenidate 2.5 mg po bid allergies: nkda discharge medications: 1. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 2. sulfamethoxazole-trimethoprim 400-80 mg tablet sig: one (1) tablet po every other day (every other day). 3. methylphenidate 5 mg tablet sig: 0.5 tablet po bid (2 times a day). 4. mirtazapine 15 mg tablet sig: two (2) tablet po hs (at bedtime). 5. testosterone 2.5 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 6. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 7. sirolimus 1 mg tablet sig: one (1) tablet po daily (daily). 8. loperamide 2 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*0* 9. nephrocaps 1 mg capsule sig: one (1) capsule po once a day. 10. lipase-protease-amylase 12,000-38,000 -60,000 unit capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po three times a day. 11. simvastatin 10 mg tablet sig: one (1) tablet po once a day. 12. prilosec 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* discharge disposition: home discharge diagnosis: gi bleed duodenal ulcer h/o liver transplant crf discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: please call the transplant office if you experience any gi bleeding/dizziness, fevers, chills, nausea, vomiting, increased abdominal pain or increased fatigue. you can take imodium twice daily if needed for diarrhea continue tube feedings: vivonex @100cc/hour x 17 hours resume your usual hemodialysis schedule weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: provider: , md phone: date/time: 11:00 provider: , md phone: date/time: 11:00 provider: , md, phd: date/time: 10:00 procedure: enteral infusion of concentrated nutritional substances hemodialysis endoscopic control of gastric or duodenal bleeding diagnoses: other primary cardiomyopathies end stage renal disease renal dialysis status anemia, unspecified tobacco use disorder congestive heart failure, unspecified long-term (current) use of steroids portal hypertension chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease chronic systolic heart failure varices of other sites esophageal varices in diseases classified elsewhere, without mention of bleeding liver replaced by transplant adult failure to thrive gastrostomy status chronic myeloid leukemia, without mention of having achieved remission essential thrombocythemia duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction allergic rhinitis due to other allergen 

Answer: The patient is high likely exposed to