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: morphine attending: chief complaint: shortness of breath, chest pain major surgical or invasive procedure: none history of present illness: 57 y/o m with h/o gib, htn, cad, chf, pafib, dm2, cri p/w 2 days intermittent cp, described as , sharp, not pressure, aggrevated by acitivity and relieved by rest, as well as worsening sob, increased le edema, and increased abdominal girth. ros positive for orthopnea, cough with activity, and decreased functional status. recent crack use two days ago. denied black or bloody stools. denied hematemesis. hematocrit 17 in the ed with black guaiac + stool. . in the ed, given nitroglycerin sl 0.4 mg sl, aspirin 325mg, pantoprazole 40mg, hydromorphone, and 1 unit prbcs. per report, patient vehemently refused ngt and gastric lavage. . icu course: 4 units prbc. remained hds. dyspnea improved with tx and lasix. s/p i&d of furnucle on face. . ros: positive for nightime coldness, hard stools. no night sweats, fevers, sick contacts, dysuria, or diarrhea. past medical history: polysubstance abuse - crack cocaine, etoh, tobacco. hypertension type ii diabetes mellitus dyslipidemia cad s/p mi, mibi in showed inf/lat reversible defect chf ef 20-30% severe global hk. atrial fibrillation cri anemia gi bleed- duodenal avm's, angioectasia in the proximal jejunum, angioectasia in the stomach body, s/p thermal therapy, sigmoid diverticuli hepatitis c chronic pancreatitis affective disorder s/p multiple psychiatric hospitalizations due to si depression gerd gout s/p arthroscopy with medial meniscectomy inflatable penile prosthesis social history: usually lives in apt with his girlfriend. used to be an electrician for , but has been on disability. tob: 45 pack-yr etoh: history of abuse with hospitalizations for delirium and detoxification. has not been drinking recently. illicits: 15 yr h/o crack cocaine use, last used two days ago. family history: his father with alcoholism and an uncle who committed suicide by hanging, and a cousin with cell anemia physical exam: t 97.6 bp 180/89 hr 112 rr 28 sat 100% on 5lnc wt 87 kg mildly tachypneic, speaking in sentances elevated jvp rales midway up back low pitched systolic murmur at apex abdominal distention, mild right sided tenderness pitting edema of lower ext to thighs no blood in stool, black stool, trace guaiac positive pertinent results: 09:22pm glucose-96 urea n-51* creat-3.3* sodium-140 potassium-4.4 chloride-110* total co2-20* anion gap-14 09:22pm ck(cpk)-116 09:22pm ck-mb-5 ctropnt-0.10* 09:22pm calcium-8.7 phosphate-3.8 magnesium-1.9 09:22pm wbc-9.3 rbc-2.75* hgb-7.2*# hct-21.5* mcv-78* mch-26.3* mchc-33.7 rdw-17.8* 09:22pm plt count-297 08:00am glucose-279* urea n-50* creat-3.3* sodium-137 potassium-4.3 chloride-108 total co2-19* anion gap-14 08:00am estgfr-using this 08:00am alt(sgpt)-11 ast(sgot)-9 ck(cpk)-129 alk phos-121* amylase-246* tot bili-0.3 08:00am lipase-296* 08:00am ctropnt-0.11* probnp-7932* 08:00am ck-mb-6 08:00am calcium-8.6 phosphate-3.2 magnesium-1.9 08:00am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 08:00am wbc-6.7 rbc-2.27*# hgb-5.5*# hct-17.8*# mcv-78* mch-24.2*# mchc-30.9* rdw-18.4* 08:00am neuts-82.1* lymphs-11.2* monos-4.5 eos-1.5 basos-0.8 08:00am hypochrom-3+ anisocyt-2+ poikilocy-1+ microcyt-2+ 08:00am plt count-328 08:00am pt-14.2* ptt-27.6 inr(pt)-1.3* . abd xr: 1. post-operative ileus. cannot exclude early small bowel obstruction. . cxr: impression: 1. chronic congestive heart failure. no evidence of acute decompensation. 2. moderate right effusion, persistent for a year, nature indeterminate. . cxr: pa and lateral chest compared to and , , moderate right and small left pleural effusion is smaller, but generalized interstitial abnormality has worsened slightly, probably edema. moderate cardiomegaly is stable. no pneumothorax. brief hospital course: # acute blood loss anemia: has a history of avm's and , he has several reaasons to bleed. could be slow bleed given lack of melena. recieved a total of ~7 units prbc in total but with brisk bleed. hct then remained stable and patient asymptomatic. gi consulted and felt not necessary to scope unless pt. with frank blood or incessant bleeding. . # chf: bnp > 7000. cxr with pleural effusion and ? edema, satting 100% on 2l. currently mildly vol overload - afterload reduction with nitrate + hydralazine - diurese with lasix, sent home on 40 mg daily lasix, will need to f/u cr and weight with pcp. cont. low salt diet and 1500cc fluid restriction. . # chest pain: no evidence of ekg changes. troponin elevated but stable with negative ck/mb in setting of ckd. now asx - cont asa, start statin - ruled out by ce's - avoid bb given h/o active cocaine use - increased nitrate for symptom relief . # leukocytosis: resolved - blood cx given skin infxn on antibx: pending - ua neg/ cx - lfts stable - repeat cxr: increased interstitial opacity c/w edema - diuresing - lactate normal, gap closing - on keflex for facial abscess . # facial furuncle - s/p i & d in icu and by plastics team - recommended wet to dry dressing change with wick placement, having vna to with dressing changes - keflex course for cellulitis . # cocaine abuse: - likely contributing to gib - sw c/s . # chronic renal insufficiency: creatinine is at baseline. no indication for acute dialysis at this time. - renally dose meds - follow lytes carefully . # diabetes mellitus 2: last hgb a1c 6.7 in . not checking sugars at home. cont. standing and sliding scale insulin. . # afib: on asa. currently sinus. not good coumadin candidate. no bb given cocaine, no rate issues currently. medications on admission: asa 81 mg qd lasix 40 mg hydralazine 10 mg qid terazosin 2 mg qhs protonix 40 mg qd discharge medications: 1. atorvastatin 40 mg tablet sig: one (1) tablet po hs (at bedtime). :*30 tablet(s)* refills:*2* 2. hydralazine 10 mg tablet sig: two (2) tablet po q6h (every 6 hours). :*240 tablet(s)* refills:*2* 3. terazosin 1 mg capsule sig: two (2) capsule po hs (at bedtime). 4. insulin nph human recomb 100 unit/ml suspension sig: ten (10) units subcutaneous twice a day. 5. humalog 100 unit/ml solution sig: sliding scale sliding scale subcutaneous four times a day. 6. cephalexin 500 mg capsule sig: one (1) capsule po q12h (every 12 hours) for 3 days. :*6 capsule(s)* refills:*0* 7. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day). :*120 tablet(s)* refills:*2* 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). :*60 tablet, delayed release (e.c.)(s)* refills:*2* 9. imdur 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. :*30 tablet sustained release 24hr(s)* refills:*2* 10. hydromorphone 2 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for prior to dressing change. :*56 tablet(s)* refills:*0* 11. lasix 40 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: vna discharge diagnosis: gi bleeding acute blood loss anemia nstemi discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 1500cc please continue to have your l cheek wound dressing and wick changed twice daily. a visiting nurse you in learning how to do this. please continue your medications as listed below. please follow up with your pcp in the next week. followup instructions: 1. please follow up with your pcp 1 week for a check of your liver function studies and your blood counts. 2. provider: , m.d. phone: date/time: 10:30 procedure: other incision with drainage of skin and subcutaneous tissue diagnoses: subendocardial infarction, initial episode of care congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified atrial fibrillation chronic kidney disease, unspecified systolic heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled angiodysplasia of intestine with hemorrhage cocaine abuse, continuous cellulitis and abscess of face 

Answer: The patient is high likely exposed to