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: no known allergies / adverse drug reactions attending: chief complaint: abdominal pain major surgical or invasive procedure: patch repair history of present illness: mr. is an 82 year old male who has been in his usual state of health until about a week ago when he experience some abdominal pain. he described pain began in lower abdomen then migrated to periumbilical. he also endorsed nausea and emesis in the mid week. his appetite has also been poor. pt reported that he was seen in nc 3 days ago with a normal ct scan. however, the pain continues to persist and got worse today. patient was worked up for possible aortic dissection given his intense abdominal pain in the ed. cta showed no evidence of aortic dissection but free air with stranding around the duodenum. patient denied any history of nsaid use but reported taking aspirin for about a month. he denied any history of abdominal pain in the past except history of gib more than 10 yrs ago. at the present, patient denied any abdominal pain (he has been given 8mg of morphine + 1mg dilaudid prior to being examined by surgery team). past medical history: rotator cuff injury mass; left long finger gerd bph hx of uti hx of gib 20 yrs ago hearing loss , pshx: rotator cuff repair social history: -lives alone; engineer -has flown a single engine plane across the into europe, middle east and -no tobacco, very rare etoh, no illicits family history: mother - deceased from cva in 70s father - cad with ami, deceased from cva in 70s physical exam: on admission: physical exam: vitals: 96.1 63 160/76 20 98% ra gen: a&ox3, nad heent: no scleral icterus, mucus membranes moist cv: rrr, no m/g/r pulm: clear to auscultation b/l, no w/r/r abd: tense, nondistended, mild tenderness at periumbilical region, no rebound, +guarding, no palpable masses dre: normal tone, no gross or occult blood ext: no le edema, le warm and well perfused pertinent results: 138 | 97 | 21 -------------< 148 agap=16 3.2 | 28 | 1.1 11.3 >----< 303 43.9 n:77.9 l:14.4 m:7.2 e:0.3 bas:0.2 pt: 13.1 ptt: 25.0 inr: 1.1 cta abd w&w/o c & reconstruction: 1. moderate pneumoperitoneum and complex fluid within the abdomen. focal stranding and mucosal hyperemia involving the distal stomach and duodenal bulb likely represents the source of perforation, possibly from a perforated ulcer. 2. colonic diverticulosis with no evidence of diverticulitis. 3. cholelithiasis. 4. no aortic aneurysm or dissection. 5. small bilateral pleural effusions with adjacent atelectasis. 6. hepatic capsular enhancement compatible with perihepatitis due to bowel perforation. helicobacter pylori antibody test (final ): positive by eia. ecg atrial fibrillation with rapid ventricular response. early r wave progression. st-t wave abnormalities echo the left atrium and right atrium are normal in cavity size. no left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the aortic arch is mildly dilated. the mitral valve appears structurally normal with trivial mitral regurgitation. the estimated pulmonary artery systolic pressure is high normal. there is an anterior space which most likely represents a prominent fat pad. impression: suboptimal image quality. normal biventricular cavity sizes with preserved global and regional biventricular systolic function. dilated thoracic aorta. compared with the prior study (images reviewed) of , the findings are similar. ecg sinus rhythm. borderline a-v conduction delay. non-specific anterolateral t wave flattening. ct abd & pelvis with contrast there are two complex fluid collections in the right upper abdomen, with an appearance suspicious for abscesses. the collections would be amenable to percutaneous drainage. 06:20am blood wbc-15.4* rbc-3.48* hgb-10.7* hct-33.3* mcv-96 mch-30.8 mchc-32.2 rdw-15.0 plt ct-726* 07:25am blood wbc-18.0* rbc-3.51* hgb-10.8* hct-33.6* mcv-96 mch-30.8 mchc-32.2 rdw-15.1 plt ct-667* 07:05am blood wbc-22.7* rbc-3.48* hgb-10.9* hct-33.2* mcv-96 mch-31.3 mchc-32.7 rdw-14.9 plt ct-605* 07:25am blood glucose-102* urean-11 creat-0.8 na-136 k-4.2 cl-99 hco3-29 angap-12 07:10am blood glucose-113* urean-10 creat-0.8 na-136 k-3.8 cl-101 hco3-29 angap-10 06:05am blood glucose-113* urean-10 creat-0.8 na-135 k-4.1 cl-101 hco3-27 angap-11 brief hospital course: mr. was admitted on under the acute care surgery service for management of perforated viscous. he was taken emergently to the operating room and underwent patch repair for pyloric channel perforated ulcer on (please see operative report by dr. for details of this procedure). post-operatively he was admitted to the floor and did well initially, requiring fluid boluses for hypotension and then developed afib with rvr. of note he does have a history of afib but was in sinus rhythm prior to the operation. he was transferred to the tsicu for a-fib with rvr associated with hypotension. in the icu he remained tachycardic and was started on a diltiazem drip. he ruled out for mi and cta chest was obtained given tachycardia and mild hypoxia with an a-a gradient which showed no evidence of pe. he did not convert to sinus rhythm on diltiazem and so was subsequently started on a heparin drip and ultimately converted to sinus rhythm with amiodarone. the heparin drip was then stopped. his h. pylori test was positive and antibiotics were changed to levofloxacin and zosyn for appropriate iv coverage of this organism. on pod 4 gastrograffin swallow showed no evidence of leak from the patch repair site and he was started on a diet. he was seen by cardiology who made recommendations for his care. he was transitioned to oral amiodoarone and he remained stable so was transferred to the floor on . on the floor he was monitored on telemetry and his vital signs were monitored routinely. he remained hemodynamically stable. however, his wbc began to rise and on a ct scan was performed which showed two complex fluid collections in the right upper abdomen. these fluid collections were drained on . gram stain and cultures were sent from the fluid and had no growth. his white blood cell count was monitored and it slowly decreased to 15.4. he is afebrile and his vital signs are stable. he is tolerating a regular diet without nausea or vomitting. he is voiding without difficulty. he is preparing for discharge with the abdominal drains in place. he has an appointment to follow up with the acute care service in 2 weeks. he also has folow-up with his cardiologist to determine the best management of his paf. of note: aspirin is still on hold upon discharge medications on admission: - metoprolol er 12.5mg po daily - ranitidine 150mg po bid - aspirin 325mg po daily discharge medications: 1. oxycodone 5 mg tablet sig: 0.5 tablet po q4h (every 4 hours) as needed for pain. 2. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 4. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day): continue until , then start 200 mg daily dosing. 5. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily): please begin on . 6. bismuth subsalicylate 262 mg/15 ml suspension sig: thirty (30) ml po tid (3 times a day): last dose 12/16. 7. clarithromycin 250 mg tablet sig: two (2) tablet po q12h (every 12 hours): last dose . 8. amoxicillin 250 mg capsule sig: four (4) capsule po q12h (every 12 hours): last dose . 9. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. 10. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for wheezing, sob. 11. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for sob. 12. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours) for 2 weeks: started on . 13. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 14. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours). 15. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). discharge disposition: extended care facility: - discharge diagnosis: pyloric channel perforated ulcer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you came to the hospital with abdominal pain and you were found to have a perforated ulcer. you were taken to the operating room and had patch placed to repair the perforation. you are recovering well from the procedure and are now being discharged to rehab with the following instructions: followup instructions: department: general surgery/ when: thursday at 2:30 pm with: , md with: acute care clinic building: lm bldg () campus: west best parking: garage name: , md specialty: internal medicine location: address: , , phone: please discuss with the staff at the facility a follow up appointment with your pcp when you are ready for discharge. they can call the number listed above. you also have an outpatient cardiology appointment at the center on with dr at 3:30 pm. it is important that you keep this appointment. the telephone number is #. procedure: percutaneous abdominal drainage suture of gastric ulcer site diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified pleural effusion cardiac complications, not elsewhere classified atherosclerosis of aorta atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) pulmonary collapse occlusion and stenosis of carotid artery without mention of cerebral infarction hypotension, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation unspecified hearing loss peritoneal abscess delirium due to conditions classified elsewhere leukocytosis, unspecified helicobacter pylori [h. pylori] first degree atrioventricular block personal history, urinary (tract) infection acute respiratory failure following trauma and surgery other fluid overload chronic or unspecified gastric ulcer with perforation, without mention of obstruction 

Answer: The patient is high likely exposed to