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: heparin agents attending: chief complaint: hematemesis, bright red blood per rectum major surgical or invasive procedure: blood transfuions history of present illness: the patient is a 67 year-old female with coronary artery disease, history of mi, end stage renal disease on hemodialysis, diabetes mellitus, hypertension and known duodenal and gastric antral ulcers transferred from the emergency department of hospital for an upper gi bleed. she was admitted - for an upper gi bleed. on the day of this current admission, she felt weak, had a non-bloody bowel movement, and went to the ed where she developed massive melena and hematochezia (1 liter). she received packed red blood cells at hospital (conflicting reports of how many - mostly likely 2) and was transferred via med flight to emergency department. past medical history: past medical history: - diabetes mellitus - end stage renal disease on hemodiaylsis - hypertension - coronary disease - peptic ulcer disease - congestive heart failure - diverticulitis past surgical history: - appendectomy - cholecystectomy - c-section physical exam: (per surgery resident in the ed on admisson) vs hr 62 bp 120/74 intubated ng tube - frank blood heart regular rate and rhythm chest clear abd obese, soft, non-distended frank blood per rectum pertinent results: on admission: hematocrit 28.0 (range 27.4 - 37.3) wbc 10.6 inr 1.4 ptt 34.1 ck 29 trop 0.06 electrolytes k 5.2, creatinine 6.7, urean 34, glucose 174 (others wnl) abg 7.45/185/43/31 angiography () no active contrast extravasation in the stomach or duodenum. occlusion of sma and proximal portion of the splenic artery and right hepatic artery. cxr () the et tube tip terminates in the origin of the right main bronchus. the position was corrected and was demonstrated on the subsequent chest radiographs from 4:00 a.m. in the morning. the ng tube is coiled in the stomach with its tip most likely terminating in the mid or distal position of the stomach, not included on the field of view. there is new left lower lobe opacity which may represent either atelectasis or aspiration. no evidence of congestive heart failure is present. cxr () the patient is after median sternotomy and cabg. at least one of the mid sternal sutures is broken. the cardiac silhouette is mildly enlarged. the aorta is calcified. the right lung is essentially clear. the linear opacities in the mid area of the left lung most likely represent atelectasis. there is no sizable right pleural effusion. a left pleural effusion cannot be excluded due to the fact that the left costophrenic angle was not included in the field of view. ekg () normal sinus rhythm cxr() endotracheal tube remains in standard position, but nasogastric tube has been removed. cardiomediastinal contours are stable in appearance. worsening opacity in the left retrocardiac region probably represents a combination of atelectasis and effusion. right lung is grossly clear except for minimal discoid atelectasis in the perihilar region. echocardiography: mild symmetric left ventricular hypertrophy with normal cavity sizes and regional/global biventricular systolic function. mild pulmonary artery systolic hypertension. cxr (picc placement): interval improvement of aeration as noted above. the tip of the right subclavian line is in the right subclavian vein and requires advancement for standard positioning. brief hospital course: *) gi bleed: the patient was intubated in the emergency department for airway protection given hematemesis. she had been transfused with packed red blood cells at the outside hospital (unclear number, likely 2) and on arrival her systolic blood pressure was in the 70s with a hematocrit of 28. she was transfued 4 units of packed red blood cells in the emergency department with recovery of systolic blood pressure to the 120s. an initial egd performed on (night of admission) showed clot throughout the stomach and the scope could not be passed through the pylorus given that the clot covered the channel. an angiography demonstrated no active bleeding, as well as occlusions in the superior mesenteric artery and splenic artery, both which reconstituted. the patient was admitted to the surgical icu. a second look egd demonstrated a 1cm ulcer with a clean base in the antrum with evidence of recent bleeding which was treated with bicap and 4cc of epinephrine. multiple shallow ulcers in the duodenum were treated with bicap. the plan, given high estimated risk of rebleed, was for angiography with attention to the left gastric artery. the patient had hematocrit checked every 8 hours. between and , the patient received a total of 12 units of packed red blood cells and 3 units of platelets with hematocrit ranging between 27.4 and 37.3. since the last transfusion, her hematocrit has been stable between 27.4 and 31.0. once she was taking clears, the patient was started on treatment for h. pylori: proton pump inhibitor (to be taken indefinitely), clarithromycin and amoxicillin (renally dosed - to be taken for a total of 2 weeks). the patient was extubated on and did well from a respiratory standpoint for the rest of her admission. she was transfered from the intensive care unit to the floor on the evening of . her hematocrit remained stable, as did her vital signs for the rest of her admission. *) end stage renal disease: the patient was dialyzed on , , , . *) fen: the patient was advanced to sips then clears on , to full liquids on and then to a regular, soft, diabetic diet on which she tolerated well. she did complain of some loose/watery bowel movements on that were light-medium brown with no blood. stool was sent for c. difficile assay. the diarrhea resolved on the night of . on dishcharge on hospital day #9, the patient's vital signs were stable, she was afebrile and she was able to tolerate a regular diet and ambulate well. she will follow up with her regular gastroenterologist and is aware that dr. is available should she have any problems or questions. medications on admission: lantus humalog nephrocap toprol diovan vytorin phoslo felodipine amoxicillin clarithromycin discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*5* 2. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 3. metoprolol tartrate 50 mg tablet sig: two (2) tablet po once a day. 4. felodipine 2.5 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po qtuthsasu (). 5. vytorin 10-40 10-40 mg tablet sig: one (1) tablet po once a day. 6. clarithromycin 250 mg tablet sig: one (1) tablet po bid (2 times a day) for 10 days. disp:*20 tablet(s)* refills:*0* 7. amoxicillin 250 mg capsule sig: two (2) capsule po q24h (every 24 hours) for 10 days. disp:*20 capsule(s)* refills:*0* 8. lantus 100 unit/ml solution sig: sixty (60) units subcutaneous at bedtime. 9. humalog 100 unit/ml solution sig: sliding scale subcutaneous sliding scale. 10. phoslo 667 mg tablet sig: one (1) tablet po once a day. 11. diovan 160 mg tablet sig: one (1) tablet po once a day. 12. outpatient physical therapy patient needs physical therapy for significant deconditioning after long hospitalization 13. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day). disp:*qs qs* refills:*2* discharge disposition: home discharge diagnosis: upper gi bleed discharge condition: stable discharge instructions: please call your doctor > 101.5, severe pain, dizziness or lightheadedness, fainting, bleeding from the rectum or bloody/black bowel movements, vomiting blood, nausea or vomiting, or any other questions or concerns. followup instructions: please follow up with your regular gastroenterologist. if needed, you can contact dr. office at ( procedure: venous catheterization, not elsewhere classified other gastroscopy insertion of endotracheal tube hemodialysis endoscopic control of gastric or duodenal bleeding transfusion of packed cells transfusion of other serum diagnoses: end stage renal disease congestive heart failure, unspecified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction other diseases of lung, not elsewhere classified helicobacter pylori [h. pylori] chronic or unspecified duodenal ulcer with hemorrhage and perforation, without mention of obstruction 

Answer: The patient is high likely exposed to