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: penicillins / ceftriaxone / clozaril / loxitane / lamotrigine / shellfish attending: chief complaint: ecchymoses in hands, supratheurapeutic inr major surgical or invasive procedure: na history of present illness: pt is a 66m with a-fib on coumadin and schizophrenia who presented with 1 day history of bilateral hand brusing and dizziness. no falls or trauma. pt also noted left sided abdominal pain with no changes in bowel habits (constipated at baseline). pt has continued to tolerate po intake however has taken less in over the past few days by report of his caretaker. dizziness resolved by arrival. no f/c. patient presented to ed with the hand bruising, and inr found to be 22 adn hct was found to be in the low 20s. in ed, received 4 units of ffp and factor 9 to reverse coagulopathy in setting of rp bleed. pt was also transfused prbc. he was transferred to the icu for close monitoring. past medical history: 1. schizophrenia 2. kleinfelters syndrome 3. atrial fibrillation 4. gerd 5. hypertension? 6. seizure disorder; no seizure in "years" social history: lives in a group residence on beacon street. no tobacco or etoh; denies illicit drugs. family history: mother with breast cancer. father with heart disease. physical exam: vs: t 98, hr 100, bp 140/80 rr 18 sat 100 ra gen: nad pleasant heent: perrl, anicteric neck: no jvd lungs: ctab no c/w heart: rrr s1 s2 no g/m/r abd: +bs, soft, mild ttp periumbilical no rebound or guarding; ext: +2 rp no edema neuro: a&ox 3, speech fluent, cn 2-12 intact strength +5 throughout pertinent results: 12:00pm blood wbc-14.9*# rbc-4.25* hgb-12.1* hct-35.8* mcv-84 mch-28.4 mchc-33.7 rdw-13.8 plt ct-371 07:25am blood wbc-11.0 rbc-4.01* hgb-11.8* hct-33.9* mcv-85 mch-29.4 mchc-34.7 rdw-14.1 plt ct-382 12:00pm blood neuts-83.7* lymphs-9.8* monos-5.5 eos-0.8 baso-0.3 01:13pm blood neuts-72.1* lymphs-16.3* monos-9.1 eos-2.3 baso-0.2 12:00pm blood pt->150* ptt-107.1* inr(pt)->22.8* 04:43am blood pt-15.4* ptt-41.1* inr(pt)-1.4* 11:03am blood pt-15.6* ptt-42.9* inr(pt)-1.4* 07:25am blood pt-14.5* inr(pt)-1.3* 12:00pm blood glucose-179* urean-27* creat-1.6* na-133 k-5.1 cl-95* hco3-18* angap-25* 07:25am blood glucose-99 urean-17 creat-0.9 na-134 k-3.6 cl-101 hco3-24 angap-13 12:00pm blood alt-17 ast-21 ld(ldh)-247 alkphos-99 totbili-0.4 12:00pm blood albumin-4.1 calcium-9.0 phos-2.9 mg-2.3 07:55am blood calcium-8.8 phos-3.5 mg-2.2 ct abd/pel no c 1. interval development of moderate-sized retroperitoneal hematoma, likely due to the patient's coagulopathy. 2. interval development of mild-to-moderate left-sided hydronephrosis, which may be due to hemorrhage within the proximal ureter, or related to inflammation/stranding within the retroperitoneum from underlying hemorrhage. an underlying proximal ureteral stricture cannot be completely excluded, as no iv contrast was administered. a followup ct or mri examination is recommended after resolution of the hematoma to exclude an underlying lesion. 3. unchanged mesenteric and retroperitoneal lymphadenopathy dating back to , of unclear etiology. 4. stable mild calcification involving the gallbladder wall. ct head no c no acute intracranial process. probable chronic opacification involving the right maxillary and ethmoid air cells. cxr as compared to the previous radiograph, there is no relevant change. minimal left suprabasal atelectasis. otherwise, unremarkable, no evidence of pneumonia. normal size of the cardiac silhouette. brief hospital course: in brief the patient presented with echymoses in his hands and noted to have elevated inr. a ct scan was positive for retroperitoneal hematoma. surgery was consulted in the ed and did not think a surgical intervention was necessary at the time. initially the patient was admitted to the icu (2 day stay) and then transfered to the wards. 1. retroperitoneal hematoma: this was attributed to the elevated inr. the etiology of the patient's elevated inr is umclear. the patient was not given any new medications recently. his group home dispenses his medications. the trigering event for the hematoma might have been the minor fall that the patient experienced. the echymoses in his hand may have been explained by the fall/coagulopathy. the patient received ffp and his inr normalized to less than 1.4 (4 units, last unit ). the patient was advised to have his inr checked in three days. the patient's hct stablized after trasfusion of prbcs (x4 units, last unit ). on d/c hct was 39. a repeat ct showed resolving hematoma. warfarin will be restarted as an outpatient by his pcp when safe. the pcp was and to hold warfarin for one month 2. fever: the patient developed intermittent fever throughout the stay. blood and urine cultures were negative, throughout his stay. a cxr was positive only for atelectasis and a repeat ct was read as a resolving rp hematoma without acute changes. the fever was felt to be secondary to the hematoma and no antibiotics were indicated. 3. atrial fibrillation: this was stable during this admission. rate controlled with metoprolol. the patient will not receive anticoagulation because of the retroperitoneal bleed. 4. schizophrenia remained stable during admission on his outpatient regimen. 5. code: full discharge medications: 1. olanzapine 10 mg tablet sig: 2.5 tablets po hs (at bedtime). 2. oxcarbazepine 600 mg tablet sig: 0.5 tablet po qhs (once a day (at bedtime)). 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 5. outpatient lab work please have cbc and inr drawn 3 days from discharge. please fax results to . 6. seroquel 100 mg tablet sig: see below tablet po see below: take 300mg qhs take 100mg qam. 7. trileptal 300 mg tablet sig: one (1) tablet po at bedtime. 8. senna 8.6 mg capsule sig: one (1) capsule po once a day. 9. lorazepam 1 mg tablet sig: one (1) tablet po at bedtime. 10. milk of magnesia 400 mg/5 ml suspension sig: one (1) po at bedtime as needed for constipation. 11. colace 100 mg capsule sig: one (1) capsule po twice a day. 12. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day: hold for sbp <100, hr <55. discharge disposition: home with service discharge diagnosis: supratherapeutic inr/coagulopathy retroperitoneal bleed acute blood loss anemia secondary: schitzophrenia atrial fibrilation kleinfelter's disease discharge condition: stable discharge instructions: you were admitted because your dosing of blood thinning medication was high. also you experienced bruising of your hands. although not exactly clear why this happened we believe that it may be due to the decreased oral intake and diarrhea that you experienced prior to the admission. we did a scan of your abdomen and noted that you had some bleeding which has been stable over the last several days. . we gave you medications to help restore your blood's ablity to clot as well as blood trasfusions to help restore your blood loss. please call your regular doctor or come to the ed if you experience lightheadedness, bleeding, blood in your stool, dark-tarry stool or any other symptom that is concerning for you. . in addition, you will need to have your inr and hematocrit checked 3 days after discharge. please have this done at your pcp's office. . your coumadin was stopped. please do not take this medication until you discuss with your pcp when to resume this medication. followup instructions: please follow up with dr at your earliest convinience. . provider: , m.d. phone: date/time: 10:00 . provider: , m.d. date/time: 10:50 md procedure: transfusion of other serum transfusion of coagulation factors diagnoses: esophageal reflux urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia atrial fibrillation blood in stool epilepsy, unspecified, without mention of intractable epilepsy anticoagulants causing adverse effects in therapeutic use hydronephrosis enlargement of lymph nodes hemoperitoneum (nontraumatic) klinefelter's syndrome urethral stricture, unspecified 

Answer: The patient is high likely exposed to