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 / shellfish attending: chief complaint: major surgical or invasive procedure: egd history of present illness: 1 yo endocrinologist here at , h/o gib (unknown source), p/w black stools. here with guaiac + brown stool with black specks. sbp 116, hr 75.warfarin recently stopped due to anemia on routine blood work. past medical history: 1. seizure disorder 30 yrs ago, no recurrence ever on meds 2. h/o sigmoid volvulus , rx colectomy and ileoanal anastemosis. 3. vf defect in , after stopping his coumadin after a fall. adm to showed no acute stroke on mri, but suggestion of pfo on bubble echo, and rx with resumption of anticoagulants 4. cataracts s/p bilateral surgery 5. hypertension 6. after sz got a foot drop, c/b dvt x 3/pe x 1 7. recent renal consult felt c/w nephrosclerosis 8. with sbo and summer with sbo, egd showed celiac on bx, + ab, and pt rx with diet after surgery for lysis of adhesions social history: endocrinologist; married with 4 children, lives in . does not smoke. social drinker family history: mother - 70's with encephalitis; father - esophageal cancer at 84 y.o.; paternal grandfather - 75 y.o. colon cancer; maternal grandfather with dm. physical exam: pertinent exam: pale. cv, rs - normal abd - soft, nontender. good bowel sounds. no distended. extremeties no edema. pertinent results: 01:05pm blood hct-38.2* 12:50am blood wbc-8.1 rbc-3.35* hgb-9.5* hct-28.2* mcv-84 mch-28.4 mchc-33.8 rdw-13.5 plt ct-261 12:50am blood neuts-55.4 lymphs-27.3 monos-5.6 eos-11.4* baso-0.2 06:15am blood pt-13.9* ptt-26.0 inr(pt)-1.2* 06:15am blood fibrino-227# 06:15am blood glucose-82 urean-35* creat-2.2* na-139 k-4.4 cl-107 hco3-25 angap-11 12:50am blood alt-22 ast-19 alkphos-94 totbili-0.2 12:50am blood lipase-35 06:15am blood calcium-9.2 phos-3.2 mg-2.1 12:50am blood albumin-3.8 calcium-9.8 phos-4.6* mg-2.0 cardiology report ecg study date of 12:40:12 am sinus rhythm with borderline a-v conduction prolongation. early r wave transition. non-specific st-t wave changes. compared to the previous tracing of there is no significant change other than the borderline prolonged p-r interval. egd: brief hospital course: gastrointestinal bleeding acute blood loss anemia - initially in icu, transfused 3 units of prbc. hct stabilized and pt sent to floor. egd done and results as above. capsule endoscopy was initiated prior to discharge. pt to follow up with primary gastroenterologist for results of capsule endoscopy. ppi continued. warfarin not initiated. hypertension - discharged only on valsartan. doxazosin and diltiazem held and to be restarted in clinic depending on bp. history of deep vein thrombosis, pulmonary embolism, chronic kidney disease, osteoporosis, hypothyroidism - no acute issues. medications on admission: valsartan 80 mg daily alprazolam 0.25 mg qhs:prn calcitriol 0.25 mcg diltiazem 240 mg daily doxazosin 8 mg daily boniva q6months levothyroxine 50 mcg daily phenytoin er 400 mg daily citracal +d asa 81 mg daily discharge medications: 1. alprazolam 0.25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed for insomnia. 2. calcitriol 0.25 mcg capsule sig: one (1) capsule po bid (2 times a day). 3. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. phenytoin sodium extended 100 mg capsule sig: four (4) capsule po once a day. 6. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). 7. citracal + d oral 8. ibandronate (boniva) as directed q 6 months 9. aspirin 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: gastrointestinal bleeding acute blood loss anemia hypertension history of deep vein thrombosis, pulmonary embolism, chronic kidney disease, osteoporosis, hypothyroidism discharge condition: stable. hct stable. discharge instructions: as you are aware, you were admitted for possible bleeding and transfused with 3 unit of blood. your hematocrit has responded well. the endoscopy you had did not show signs of bleeding. capsule study results should be available in days. please contact dr regarding the results. do not take doxazosin and diltiazem till your follow up blood pressure check with your primary care doctor. discuss with him regarding the timing of your medications. followup instructions: follow up with dr in days for follow up hematocrit and blood pressure check. provider: , md phone: date/time: 1:30 provider: density testing phone: date/time: 9:00 provider: , m.d. phone: date/time: 10:00 procedure: other endoscopy of small intestine transfusion of packed cells diagnoses: acute posthemorrhagic anemia unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified ostium secundum type atrial septal defect osteoporosis, unspecified malignant neoplasm of prostate celiac disease personal history of venous thrombosis and embolism hemorrhage of gastrointestinal tract, unspecified 

Answer: The patient is high likely exposed to