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: chest pain. major surgical or invasive procedure: 1. cardiac catheterization. 2. esophagogastroduodenoscopy; electrocautery of - tear. 3. endotracheal intubation. 4. r internal jugular central line placement. history of present illness: 70 y/o male with htn, hypercholesterolemia s/p inferior stemi with cath showing 50% lcx and 90% distal rca, s/p cypher stent to rca. pt. received asa, plavix, and integrillin in cath lab. . on floor in the evening post-cath, pt. had large volume melena/brbpr. integrillin gtt was immediately d/c'd and volume resuscitation initiated. gi was contact. pt. soon after became nauseated and had lg. volume hemetemesis with frank clot. an ng-tube was placed and lavage revealed many clots, and bloody fluid after 4l lavage. hct dropped from 36 to 23. pt. received 4u prbc via iv on floor and 2 doses of 40mg iv protonix. a right-ij cordis catheter was inserted at this time. the pt was evaluated by gi, with plan for emergent upper endoscopy. blood transfusions continued upon transfer to ccu with protonix gtt. during egd maps declined to 40-50s with sedation, levophed started at 1 mcg/kg/min with improvement to map 60-70s. a line placeed without incident. egd further complicated by continued bloody emesis with clots despite erythromycin. pt was intubated for airway protection. past medical history: ?cad, ef 55% 4/05, cri 1.5, htn, gerd, hypercholesterolemia, bph, diverticulitis, s/p arthroscopic cholecystectomy, s/p appy, herniated disk at l4/5, gout, chronic pmr with anemia, exposure to rat poison, asbestos exposure - with pleural plaques, zoster ', pilonidal cysts social history: married to wife . former trailer driver, no etoh/illicits, former tobacco 1.5ppd quit 8 years ago. family history: father died of mi at 59, brother w/emphysema, mother died at 74 of renal failure, ?pat uncle and brother physical exam: vitals: 99.8 75 125/44 20 100%2l ht 65" wt 172lbs gen: nad, resting comfortably in bed. heent: perrl/eom intact, op clear, mmm, no jvd, no carotid bruit. neck: no masses, no lad. cv: rrr, nl s1s2, no murmurs. chest: cta b/l, no crackles or wheezes. abd: soft, nt/nd, +bs, no organomegaly. extr: warm well perfused, 2+ dp pulses, no cyanosis, no le edema. neuro: a&ox3, cn ii-xii intact; motor, sensory, coordination, and language grossly non-focal. pertinent results: admission labs: 12:30am wbc-6.0 rbc-5.01 hgb-14.3 hct-39.2* mcv-78* mch-28.6 mchc-36.6* rdw-13.1 12:30am neuts-57.0 lymphs-33.5 monos-6.3 eos-2.8 basos-0.4 12:30am microcyt-1+ 12:30am plt count-236 12:30am pt-12.7 ptt-24.9 inr(pt)-1.1 12:30am glucose-93 urea n-21* creat-1.1 sodium-140 potassium-4.0 chloride-100 total co2-26 anion gap-18 12:30am calcium-9.7 phosphate-4.0 magnesium-2.2 12:30am ck(cpk)-249* 12:30am ck-mb-5 ctropnt-<0.01 . labs: 06:49am ck-mb-64* mb indx-12.6* ctropnt-0.34* 07:20pm ck(cpk)-1428* 07:20pm ck-mb-191* mb indx-13.4* 11:24pm ck(cpk)-1116* 11:24pm ck-mb-124* mb indx-11.1* ctropnt-4.13* . tte : the left atrium is normal in size. the left atrium is elongated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction. overall left ventricular systolic function is low normal (lvef 50-55%). resting regional wall motion abnormalities include mild inferior hypokinesis. right ventricular chamber size is normal. right ventricular systolic function is normal. the aortic valve leaflets are mildly thickened. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. compared with the findings of the prior report (images unavailable for review) of , the lv function was normal. . egd : the entire esophageal mucosa was coated with fresh blood. a 3-4 cm - tear was seen spanning from the distal esophagus to the ge junction. there was an adherent clot at the distal end of the - tear near the ge junction. there was no active bleeding. 5 cc epinephrine 1/ was injected around the adherent clot. -cap electrocautery was also applied for hemostasis successfully. the stomach was filled with dark blood and blood clots. the fundus was poorly visualized due to a large pool of blood and clots that could not be repositioned. there were no bleeding lesions in the stomach. the duodenal mucosa was coated with fresh blood. a blood clot was seen in the proximal bulb that was washed away with irrigation. there were no bleeding lesions in the duodenum. . cardiac cath : right dominant, 2v cad. lmca: no flow limiting stenosis; lad: mild disease; lcx: mild disease proximally and a 50% stenosis in the mid vessel, om1: moderate diffuse disease in distal portion; rca: subtotal occlusion in distal vessel before the bifurcation of the pda/pl branch. there were left to right collaterals seen. lvedp 26mmhg and rvedp 11mmhg, c/w biventricular diastolic dysfunction. mild pa htn, with pa systolic bp 47mmhg. left ventriculography revealed ef=54% with mild postero-basal hk. cypher stent placed to rca. brief hospital course: 70yom with nstemi s/p cath (cypher stent to rca), with large volume bleed from - tear. . # gi bleed: likely due to pre-existing - tear exacerbated by integrillin which was given for cath procedure. emergent egd revealed - tear in lower esophagus, which was injected with epinephrine and electrocauterized. initially managed on protonix gtt, transitioned to iv, then to po. pt. received erythromycin to promote gastric motility. pt. received 10u prbc, ffp and platelets before hemorrhage was controlled, and did not require additional transfusions after electrocautery. pt. was on a levophed gtt briefly for hypotension. due to concern for aspiration of hemetemesis, the pt. was intubated for the egd, and started on empiric antibiotic coverage for aspiration pneumonia consisting of vancomycin / levofloxacin / metronidazole. the pt. received these antibiotics for 3-days; they were stopped because the pt. was afebrile, with no elevated wbc count, and had no clinical signs of infection. the pt. was weaned off ventilation without complication, and was extubated and on room air within 2 days of intubation. . # cardiac: he came in with chest pain, found to have st segment elevation mi, underwent cardiac catheterization with rca stent for 90% occluded rca. he was started on asa and plavix for stent protection. he was eventually placed on bet-blocker and ace-inhibitor once hemodynamically stable. tight glucose control was maintained with an insulin sliding scale. a left ventriculogram revealed preserved ef, and diastolic dysfunction (mild inferior hk). he was given iv lasix to promote diuresis of excess fluids from ivf resuscitation and blood products, and was euvolemic at the time of discharge. the pt. was monitored on telemetry and remained in normal sinus rhythm with no significant events. medications on admission: hctz, flomax, allopurinol, tylenol, enalapril 10, asa 81 on day of admission, lipitor 10 discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atenolol 25 mg tablet sig: 0.5 tablet po once a day. disp:*30 tablet(s)* refills:*2* 4. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*30 capsule, sust. release 24hr(s)* refills:*2* 7. amoxicillin 500 mg capsule sig: one (1) capsule po q8h (every 8 hours) for 9 days. disp:*27 capsule(s)* refills:*0* 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. non-st elevation mi of rca. 2. - tear. 3. htn 4. high cholesterol 5. gerd 6. coronary artery disease discharge condition: ambulatory. discharge instructions: please return to the emergency department if you have chest pain, shortness of breath, dizziness, rectal bleeding or any other concerning symptoms. . please take all medications as prescribed. . please keep all follow up appointments. followup instructions: 1.provider: , md phone: date/time: 11:00 . 2. please follow up with your primary care doctor in one to two weeks. you should have them refer you to cardiac rehabilitation. you should ask them to follow up on the throat culture that was done during your admission. . 3. please call ( for a cardiology appointment within three weeks. you should ask for appointment with dr. who performed your procedure. his number is . procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures other endoscopy of small intestine injection or infusion of platelet inhibitor diagnostic ultrasound of heart insertion of endotracheal tube arterial catheterization endoscopic control of gastric or duodenal bleeding transfusion of packed cells insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified pleural effusion congestive heart failure, unspecified pneumonitis due to inhalation of food or vomitus acute myocardial infarction of inferolateral wall, initial episode of care gastroesophageal laceration-hemorrhage syndrome acute pharyngitis other abnormality of red blood cells 

Answer: The patient is high likely exposed to