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: melena major surgical or invasive procedure: esophagogastroduodenoscopy with ulcer injection and clipping history of present illness: this is a 66m with noncirrhotic portal hypertension secondary to hepatic sarcoidosis which was diagnosed at in , complicated by recurrent ascites, was admitted from clinic for evaluation of melena in , now being transferred from hospital for recurrent melena. he arrived to their hospital after noticing black tarry stool at home (he had been warned to seek medical attention if this occurred). at the osh, he was found to have a hct of 19. he was admitted, given 3 units prbc's, with a bump to 27, and was endoscoped, with evidence of varices but no active bleeding. upon transfer to us for further work up and evaluation per the gi team, he was awake, eating, with a pressure in the 90's systolic with 1 piv. . upon review of the omr, his ascites first appeared during a prolonged hospital stay for syndrome in of at , and extensive evaluation including mediastinoscopy and liver biopsy led to the diagnosis of sarcoidosis with liver involvement leading to nodular hepatic regeneration with noncirrhotic portal hypertension; he was discharged to rehab in on diuretics, which seem to have controlled his ascites rather well, and was subsequently lost to gi follow-up. . upon arrival to the micu, the patient feels well, he denies dizziness, thirst, chest pain, shortness of breath. he endorses mild abdominal pain in an area of a hernia which is chronic. past medical history: - - (), trigger apparently a viral uri; s/p tracheostomy, peg, now reversed; course complicated by mssa ventilator-associated pneumonia, c difficile colitis, and nstemi - sarcoidosis, with biopsy of a mediastinal lymph node demonstrating noncaseating granulomata and liver biopsy demonstrating noncaseating granulomata, nodular regeneration, and positive reticulin staining c/w sarcoidosis of the liver - s/p ventral hernia repair () - t&a as an adolescent social history: lives in with wife. 3 adult children. worked in sales. retired. traveled to europe, caribbean, and several cruises to . former smoker. drank alcoholic drinks per week; none in past 1 year. no illicits. family history: mother and ?uncle with "too much iron in their blood." no fh of dm. mother passed with emphysema in her 70s. physical exam: on admission: vitals: t: 97.3 bp: 109/64 p: 61 r: 18 o2: 99% ra general: alert, oriented, no acute distress heent: sclerae anicteric, mm dry, oropharynx clear neck: supple, jvp to mandible with brisk upstroke, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, ii/vi sem murmur at llsb radiating across precordium, no rubs, gallops abdomen: soft, mild ttp over area of ventral hernia, non-distended, bowel sounds present, no rebound tenderness or guarding, mild ascites ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cn ii-xii in tact bilaterally. strength 5/5 upper and lower b/l. mood appropriate. no focal deficits. pertinent results: 7:22pm wbc-6.1 rbc-3.28* hgb-10.4* hct-30.6* mcv-93# mch-31.6 mchc-33.9 rdw-17.0* plt count-167 sodium-132* potassium-6.2* chloride-105 total co2-23 anion gap-10 glucose-91 urea n-37* creat-1.6* calcium-8.6 phosphate-3.3 magnesium-2.7* pt-14.6* ptt-29.5 inr(pt)-1.3* hct trends: 30.6 26.7, 29.9, 31.8 29.9 on discharge, : wbc 6.0 hb 10.0* hct 29.2* plt 138 glucose-87 urean-32* creat-1.5* na-135 k-4.1 cl-109* hco3-22 angap-8 studies: ecg: sinus rhythm. prolonged q-t interval. left axis deviation. no previous tracing available for comparison. egd: impression: 1 cords of grade ii varices and two cords of grade i varices were seen in the lower third of the esophagus and gastroesophageal junction without stigmata of bleeding. duodenitis portal hyprtensive gastropathy 10 mm ulcer in the antrum, anterior wall (injection, endoclip) otherwise normal egd to second part of the duodenum brief hospital course: 66 y/o m with a history of noncirrhotic portal hypertension secondary to hepatic sarcoidosis transferred from osh for the work up of recurrent melena, found to have antral ulcer. 1. gi bleed - the patient had a known history of esophageal varices, but per report, the endoscopy performed at osh did not show any active bleeding. however, given the patient's melena, he was schedules for an egd the following morning. the patient's hct decreased to 26.7 overnight. egd was performed the morning of . it showed non bleeding varices, portal hypertensive gastropathy, and duodenitis/duodenopathy. egd also showed an antral ulcer, which was injected and clipped. gi recommendations were followed, including iv ppi, carafate and ciprofloxacin for sbp prophylaxis. also, the patient received 1 unit of blood, causing his hct to increase to 29.9. after that, he was transferred to the floor where his tolerated regular meals and had a stable hematocrit. other considerations for source of bleed are oozing from his gastropathy vs. gave. he needs a repeat egd in weeks with a biopsy to rule out gave syndrome. 2. hepatic sarcoid - the patient's spironolactone, nadolol and lasix were held overnight given the questionable gi bleed but restarted the morning after egd. his bp and cr were stable. 3. renal failure - creatinine on admit was 1.6 (baseline is around 1.4 from our records). it was felt that this could be some component of prerenal azotemia, however, caution was used in giving patient fluids. at discharge, cr improved to 1.3 with ivf and blood. likely was pre-renal in setting of gib given resolved with hydration. 4. ? bph - patient reports that his urologist recently started him on flomax for "incomplete emptying." this was held in the event that it might be contributing to his hypotension. medications on admission: home medications: multivitamin calcium carbonate 500 mg cholecalciferol (vitamin d3) 400 unit spironolactone 25 mg tablet once daily lasix 20 mg tablet once daily omeprazole 20 mg capsule nadolol 10mg daily medications on transfer: 1. pantoprazole 40 mg iv q12h 3. ciprofloxacin hcl 500 mg po q12h 3. sucralfate 1 gm po qid discharge medications: 1. spironolactone 25 mg tablet sig: one (1) tablet po once a day: restart . 2. lasix 20 mg tablet sig: one (1) tablet po once a day: restart . 3. nadolol 20 mg tablet sig: 0.5 tablet po once a day: restart . 4. multivitamin tablet sig: one (1) tablet po once a day. 5. calcium carbonate 500 mg (1,250 mg) tablet sig: one (1) tablet po once a day. 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po once a day. 7. omeprazole 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* 8. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 days. disp:*6 tablet(s)* refills:*0* 9. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: upper gi bleed secondary to antral ulcer acute on chronic renal failure secondary: hepatic sarcoidosis with esophageal varices discharge condition: stable hemocrit, tolerating regular diet, no melena discharge instructions: you were admitted to the hospital for having some black, tarry stools. you were admitted to the icu for an egd. you had a low blood count and were given some blood. the egd showed some enlarged blood vessels in your esophagus without active bleeding, inflammation of your duodenum and an ulcer in the antrum of your stomach. this ulcer was clipped. after the procedure, your blood count remained stable, and you tolerated liquids and a full diet. you haven't had any blood in your stools or vomiting since the procedure. . the following changes were made to your medications: 1. we increased your omeprazole to 40mg twice a day 2. we added 3 days of cipro twice a day, which is an antibiotic to help prevent infection. 3. we added sucralfate 1 tablet 4 times a day to coat your stomach. . if you experience black tarry or bright red stools, nausea/vomiting, abdominal pain, difficulty breathing or chest pain, please call your doctor or go to the er. . please keep your follow-up appointments listed below. . followup instructions: you need a follow-up egd in weeks and will be contact by dr. office to schedule this. follow up with your pcp weeks. md procedure: endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: acute gastric ulcer with hemorrhage, without mention of obstruction cirrhosis of liver without mention of alcohol acute kidney failure, unspecified portal hypertension sarcoidosis hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified duodenitis, without mention of hemorrhage esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum 

Answer: The patient is high likely exposed to