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: colchicine / protein powder attending: chief complaint: abdominal pain. major surgical or invasive procedure: none. history of present illness: mr. is a 53 year-old man with history of renal transplant, esophageal cancer undergoing xrt, and dvt who presented with abdominal discomfort for a few days. he was discharged on from . during that admission he had an egd and cauterization for hematemesis bleeding from his ca site. after discharge he continued his xrt daily. he had abdominal pain even during his last admission which has been getting somewhat worse after his discharge. he also notes that he has not had a bowel movement for the past 4 days. he also complains of low grade fevers (~100) at home since this morning. . he has been having decreased appetite with mild nausea. he denied any vomiting/hematemesis/melena/hematochezia. . in the ed his vital signs were stable; he had ct abdomen which was not changed compared to his previous admission. there was no evidence of progression or sbo. he got cipro/flagyl for presumed diverticulitis. past medical history: # esophageal ca stage iv (metastatic to bones, liver, lung; diagnosed after esophageal mass discovered; progressive dysphagia s/p palliative esophageal stent ), has been on cisplatin and irinotecan therapy as first line treatment, currently receiving palliative radiation therapy to chest wall and spine, plan for initiating high-dose taxotere following completion of his palliative radiation therapy # dvt # pe # remote hx of gastric ulcer not seen on recent egds. # esrd to iga nephropathy s/p kidney transplant and # status post right arm avf # avascular necrosis of the bilateral hips # htn # hyperlipidemia # cataracts status post extraction, # gout # squamous cell carcinoma of the face x3 # status post umbilical hernia repair # status post ventral hernia repair mass social history: lifetime nonsmoker. he is a civil engineer working in tunnel building. he lives with his wife and three children. he drinks occasionally and notes no exposure to asbestos or radiation. family history: mother had a cva, father had chf, had a grandfather with gastric cancer. physical exam: review of systems . gen: + fevers, - chills, - weight loss eyes: - photophobia, - visual changes heent: - oral/gum bleeding cardiac: - chest pain, - palpitations, - edema gi: + nausea, - vomitting, - diarhea, + abdominal pain, - constipation, - hematochezia pulm: - dyspnea, - cough, - hemoptysis heme: - bleeding, - lymphadenopathy gu: - dysuria, - hematuria, - incontinence skin: - rash endo: - heat/cold intolerance msk: - myalgia, - arthralgia, - back pain neuro: - numbness, - weakness, - vertigo, - headache .. physical exam at admission: vss: 99.3, 110/78, 88, 20, 95%/ra gen: nad, appears comfortable pain: discomfort in middle of abdomen heent: eomi, mmm, - op lesions pul: cta b/l cor: rrr, s1/s2, - mrg abd: mild tenderness in periumblical region, no guarding/rigidity, - cvat ext: left le circumference>right le, no edema neuro: caox3, non-focal . physical exam at discharge: vital: t 97.8, bp 123/80, hr 88, rr 20, o2 100% ra general: aaox3; nad cv: rrr, normal s1/s2 lung: cta abdomen: no tenderness to palpation; normal bowel sounds; no guarding; no rigidity; no cough or percussion tenderness pertinent results: labs at admission . 01:15pm blood wbc-5.5 rbc-3.16* hgb-9.8* hct-28.3* mcv-90 mch-30.9 mchc-34.5 rdw-16.0* plt ct-256 01:15pm blood glucose-108* urean-12 creat-0.8 na-131* k-3.8 cl-96 hco3-24 angap-15 01:15pm blood alt-24 ast-37 alkphos-340* totbili-0.5 01:22pm blood lactate-1.9 . chest x-ray unremarkable . ct abdomen/pelvis () 1) decompressed colon, with no significant change in the appearance of the bowel from prior. colonic diverticulosis without evidence of diverticulitis. 2) diffuse metastatic disease involving the lungs, liver, lymph nodes, and osseous structures. 3) small left pleural effusion. . ct abdomen () 1. apparent mild wall thickening of the descending and sigmoid colon may be due to underdistension. however, given underlying diverticulosis, and mild stranding around the ascending and left colon, a focal/segmental colitis secondary to diverticulitis, or other infectious or ischemic etiologies could be considered in the appropriate clinical setting. 2. increased size of multiple liver metastases, some of which bulge the liver capsule. 3. new small bilateral pleural effusions. brief hospital course: in summary this is a 53 year-old man with history of metastatic esophageal ca, dvt, renal transplant, and hypertension presenting with abdominal pain, low grade fevers and concern for diverticulitis vs colitis. . # abdominal pain there was concern for diverticulitis/colitis, especially in the setting of past h/o diverticulitis and current immunosuppression. he was continued on iv antibiotics with cipro and flagyl. he was made npo initially but quickly progressed to clears than solids on hd 2. blood cultures returned negative x2 and abdominal pain improved significantly by hd 2. he will be sent home to complete a ten-day course of ciprofloxacin and metronidazole. . # esophageal ca stage iv (metastatic to bones, liver, lung) he is currently undergoing xrt and will resume this next week. . # history of dvt/pe he had been on lovenox but this was stopped during previous admission due to hematemesis. he has an ivc filter in place. . # esrd to iga nephropathy s/p kidney transplant and he was continued on tacrolimus and dexamethasone. the transplant team came by and recommended no changes to his current regimen. he was continued on bactrim for prophylaxis. . # h/o gi bleed he is s/p recent upper endoscopy and cauterization to bleeding esophageal mass. the xrt is being administered in part to prevent future bleeding. while in house, he was continued on protonix twice daily. his outpatient regimen consists of protonix in the morning and ranitidine at night. . # hyperlipidemia we continued his outpatient lipitor. . prophylaxis with subcutaneous heparin, then discontinued once ambulating. he was kept on bactrim, ppi, and bowel regimen throughout. he was npo initially but quickly progressed diet as tolerated. medications on admission: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 4. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea. 5. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 6. tacrolimus 1 mg capsule sig: four (4) capsule po q12h (every 12 hours) as needed for transplant. 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed. 9. morphine 30 mg tablet sustained release sig: one (1) tablet sustained release po q12h (every 12 hours). disp:*40 tablet sustained release(s)* refills:*0* 10. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*120 tablet(s)* refills:*0* 11. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 12. ranitidine hcl 300 mg capsule sig: one (1) capsule po at bedtime. 13. zofran 8 mg tablet sig: one (1) tablet po three times a day. 14. ativan 0.5 mg tablet sig: one (1) tablet po q6h prn. 15. atorvastatin 40 mg tablet sig: one (1) tablet po at bedtime. 16. emend 125 mg capsule sig: one (1) capsule po once a day. 17. dexamethasone 4 mg daily discharge medications: 1. ondansetron 8 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po q8h (every 8 hours) as needed. 2. lorazepam 0.5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 3. dexamethasone 4 mg tablet sig: one (1) tablet po daily (daily). 4. tacrolimus 1 mg capsule sig: four (4) capsule po q12h (every 12 hours). 5. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 6. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. oxycodone 5 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 9. morphine 15 mg tablet sustained release sig: three (3) tablet sustained release po q12h (every 12 hours). disp:*60 tablet sustained release(s)* refills:*0* 10. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 8 days: please do not drink alcohol while taking this medicine. disp:*24 tablet(s)* refills:*0* 11. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 8 days. disp:*16 tablet(s)* refills:*0* 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qam. tablet, delayed release (e.c.)(s) 13. ranitidine hcl 300 mg tablet sig: one (1) tablet po at bedtime. 14. compazine oral 15. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day. discharge disposition: home discharge diagnosis: primary diagnosis acute diverticulitis . secondary diagnoses metastatic esophageal cancer end stage renal disease s/p kidney transplant hypertension hyperlipidemia discharge condition: vital signs stable. afebrile. pain adequately controlled. discharge instructions: you were hospitalized for treatment of diverticulitis. you received intravenous antibiotics for two days and will need to take an additional eight days of antibiotics to complete a ten day course. . the antibiotics are ciprofloxacin and metronidazole. cipro is to be taken twice daily, and metronidazole to be taken three times daily. please do not drink alcohol with the metronidazole. . we have increased the dose of your pain medicines. the ms contin has been increased to 45 mg twice daily from 30 mg twice daily. please continue to take 5-10 mg of oxycodone for breakthrough pain. . there have been no other changes to your medications. . please follow-up with dr. . your next appointment is listed below. followup instructions: , rn phone: date/time: 9:00 . , md, phd: date/time: 1:30 . , md, phd: date/time: 2:00 md, procedure: other endoscopy of small intestine interruption of the vena cava transfusion of packed cells other radiotherapeutic procedure diagnoses: end stage renal disease malignant neoplasm of liver, secondary iron deficiency anemia secondary to blood loss (chronic) hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease constipation, unspecified other and unspecified hyperlipidemia long-term (current) use of anticoagulants personal history of venous thrombosis and embolism secondary malignant neoplasm of lung other pulmonary embolism and infarction secondary malignant neoplasm of bone and bone marrow malignant neoplasm of other specified part of esophagus esophageal hemorrhage kidney replaced by transplant diverticulitis of colon (without mention of hemorrhage) acute venous embolism and thrombosis of unspecified deep vessels of lower extremity 

Answer: The patient is high likely exposed to