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: succinylcholine / erythromycin base / cephalexin / demerol attending: chief complaint: black stool, coffee ground vomitus. major surgical or invasive procedure: 1. blood transfusion 2. esophagealgastroduodenoscopy (egd) history of present illness: 53 yo f with complicated past gi history including history of peptic and jejeunal ulcer disease, esophageal strictures requiring stent placement, and multiple gi surgeries (most notable colectomy performed in various stages in the setting of perforation, s/p partial gastrectomy with multiple revisions resulting in poor gastric emptying, and s/p emergent ex-lap for jejeunal ulcer near g-j anastamosis site in in setting of steroid use) who presents with upper gi bleed. pt reports since she has been vomiting daily and having coffee ground emesis and melanotic stools. frequency of melanotic stools increased so she came in for evaluation. denies lh, dizziness or syncope but admits to fatigue, increased pallor, and decreased exercise tolerance over the past month. admits to chronic issues with l flank pain 'stabbing/colicky' and nausea and vomiting for the past few months. . in the ed, initial vs were: afebrile 105/60 98 15 98% on ra. labs for wbc of 13.5 and hct of 24.1 (baseline 33 in 6/). pt refused ng lavage. patient was given 1 u prbcs (2 ordered) and 1 l ns. gi was consulted recommended egd in the am, also asked for dr. surgical service was see patient for possible revision of gastrojejeunostomy next week. has picc for access given she is on tpn for nutrition. . on the icu floor, pt had episode of melanotic stool around 9:00 pm. no further coffee ground emesis. past medical history: constipation migraine headaches iron deficiency anemia: previously required transfusions, iron infusions rectal prolapse chronic gastric ulceration since dermatitis herpetiformis s/p menopause at age 42 years perforated colon dysphagia esophageal stricture with dilation currently q3 weeks perporated ulcer adjacent to gastrojejunostomy poor gastric emptying . multiple abdominal surgeries (see omr note of ) including: - sigmoid colostomy and ripstein sling surgery for rectal prolapse - partial gastrectomy with billroth ii anastomosis - sigmoid colectomy with colostomy for sigmoid perforation, unclear etiology - possibly stercoral ulceration - partial colectomy with colostomy closure - right colectomy and revision of the billroth ii to billroth i anastomosis. - revision jejunostomy - esophageal stents placed and removed ( - , , then ) - emergency laparotomy for perforated jejunal ulcer (adjacent to her gastrojejunostomy site and during systemic steroid use for esopgaheal stricture) social history: she is married, has two step children and three grandchildren. she herself has never been pregnant. she smokes one pack per day for the past 30 years. she does not take alcohol. family history: there is a family history of coronary artery disease in her father. mother died at age 70 years from carcinoma within the thorax. the primary site is not known. she has six siblings, all in good health. physical exam: upon admission: general: young f alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, pale conjunctivae neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, ttp in llq/l flank, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema . at discharge: gen: well-appearing, malnourished thin female in no acute distress heent: eomi, perrl, anicteric, no epistaxis or rhinorrhea, mmm, op clear neck: no jvd, no cervical lymphadenopathy, trachea midline cor: rrr, no m/g/r, normal s1 s2, radial pulses +2 pulm: lungs ctab, no w/r/r abd: soft, nt, nd, +bs, no hsm, no masses ext: no c/c/e, no palpable cords neuro: alert, oriented to person, place, and time. cn ii ?????? xii grossly intact. moves all 4 extremities. skin: no jaundice, cyanosis, or gross dermatitis. no ecchymoses. pertinent results: labs upon admission: 02:11pm blood wbc-13.5*# rbc-3.39* hgb-7.1*# hct-24.1*# mcv-71*# mch-20.9*# mchc-29.4* rdw-18.6* plt ct-709*# 02:11pm blood neuts-83.8* lymphs-11.7* monos-3.5 eos-0.5 baso-0.5 02:11pm blood pt-13.8* ptt-27.3 inr(pt)-1.2* 02:11pm blood glucose-96 urean-25* creat-0.4 na-137 k-4.2 cl-101 hco3-23 angap-17 02:11pm blood alt-14 ast-19 alkphos-145* totbili-0.1 02:11pm blood lipase-31 02:11pm blood calcium-9.2 phos-2.1*# mg-2.0 labs at discharge: 04:40am blood ck-mb-3 ctropnt-<0.01 04:40am blood hct-31.3* 04:40am blood pt-13.2 ptt-27.1 inr(pt)-1.1 12:59am blood plt ct-543* 04:40am blood glucose-89 urean-7 creat-0.4 na-138 k-4.1 cl-109* hco3-17* angap-16 04:40am blood calcium-7.9* phos-2.2* mg-2.5 imaging: cxr: the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pleural effusions or pneumothoraces are present. impression: no acute intrathoracic process. brief hospital course: 53 year old female with esophageal strictures, s/p partial gastrectomy with multiple revisions, and history of jejeunal ulcers near g-j anastamosis site who presented with three days of coffee ground emesis and melena. . #upper gi bleed: likely upper gi bleed near anastamosis site of gastrojejeunostomy. patient with bleeding for 5 days prior to presentation. baseline hct is 33 about 6 months ago, down to 24 on admission. hemodynamically stable, but with symptoms of anemia including fatigue and decreased exercise tolerance. patient was made npo and transfused 4 units prbc for goal hct of >26. she was started on protonix gtt for 48 hours. gi performed a bedside endoscopy however were unable to pass or dilate an esophageal stricture. the patient was transferred to the for egd under general anesthesia. surgery was also consulted and felt she will need a gastro-jejeunostomy revision in the future, but agreed with plan for current stabilization with egd. the patient was treated with morphine iv prn for abd pain. she was instructed to set up iv iron infusions with her outpatient hematologist at . . #esophageal strictures: she typically has dilatations q3 weeks as an outpatient. an inpatient bedside egd was planned for the day after transfer to the icu. the patient refused the recommendation of gastroenterology to undergo this egd and left prior to the scheduled time. an outpatient egd was scheduled for her for and she was given instructions for proper preparation. she was started on lansoprazole dissolving tablets twice daily to help decrease the acid production from her pud, likely the etiology of her esophageal strictures. . #migraines: her migraines were controlled with iv morphine as needed during her hospital stay. the patient can continue aspirin free excedrin once able to take po's. . #social: patient and husband very dissatisfied with the course of her care. pt felt that the specialists were not listening to her and that decisions were being made without her input and without consideration of the financial impact it would have on her. she requested to speak with a patient advocate. . #fen: the patient was npo for egd. her home tpn was held during her hospital stay. her tpn services were resumed at discharge. . #code status: the patient was full code during this admission. medications on admission: aspirin free excedrin vicodin 5 mg-500 mg tablet 1 or 2 tablet(s) by mouth qid prn pain peripheral tpn discharge medications: 1. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr twice a day. disp:*60 tablet,rapid dissolve, dr(s)* refills:*2* 2. vicodin 5-500 mg tablet : one (1) tablet po every six (6) hours as needed for pain. 3. outpatient lab work cbc checked every 3 days and sent to your gi doctor, dr. . phone: (/ fax: ( 4. tpn please continue with your outpatient peripheral tpn as prescribed to you. 5. acetaminophen-caffeine 500-65 mg tablet, rapid dissolve : one (1) tablet, rapid dissolve po every 4-6 hours as needed for headache. discharge disposition: home with service facility: home therapies discharge diagnosis: primary diagnosis: upper gi bleed, peptic ulcer disease secondary diagnosis: chronic abdominal pain discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it was a pleasure taking care of you during your stay here at . you were admitted with an upper gastrointestinal bleed and given blood to replete your blood levels. an egd revealed an esophageal stricture that was unable to be passed. a repeat egd has been planned for you. please have blood work done every three days to check your blood levels. please arrange for iv iron infusions with your outpatient hematologist to replete your iron stores. you are scheduled for an egd as an outpatient with dr. on , at 10 am. please have only clears on sunday and do not eat or drink anything after midnight that day. please arrive at 9am at 4 on the of . the following changes have been made to your medication regimen: start lansoprazole followup instructions: please attend the following appointments: department: endo suites when: at 10:00 am department: digestive disease center when: at 10:00 am with: , md building: building (/ complex) campus: east best parking: main garage procedure: other esophagoscopy diagnoses: other chronic pain constipation, unspecified abdominal pain, other specified site migraine, unspecified, without mention of intractable migraine without mention of status migrainosus dysphagia, unspecified chronic or unspecified gastrojejunal ulcer, with hemorrhage, with obstruction unspecified functional disorder of stomach 

Answer: The patient is high likely exposed to