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: codeine / erythromycin base / amoxicillin / sulfur attending: chief complaint: acute gi bleeding major surgical or invasive procedure: subtotal gastrectomy with retrocolic billroth 2 gastrojejunostomy, . history of present illness: 83yo female with low-grade lymphone on rituxan felt diaphoretic and weak on the the day prior to presentation, followed by a bloody bowel movement. she presented to an outside hospital with an initial hematocrit of 28 (baseline 40), hypotensive. a femoral central line was placed, transfused two units packed cells, an ngt placed yielded maroon-colored material, and transferred to for further management. of note, she relates upper abdominal / epigastric pain of 2 weeks duration managed with over-the-counter maalox and rolaids. past medical history: cad s/p cabg chf (ef 30% ) afib htn lymphoproliferative d/o hemolytic anemia on prednisone cri depression gout social history: lives alone, multiple children and close family members. physical exam: on arrival: t 97.0, p 86, bp 145/86, rr 20 on surgical consult: t 96.3, p 98, bp 104/32, rr 29, 100% on levophed .033mg/kg/h arousable, alert, ashen anicteric ctab irreg irreg soft, nt, no r/g cool extremities rectal exam: brbpr pertinent results: 02:30am blood wbc-9.4 rbc-3.37* hgb-10.4* hct-31.0* mcv-92 mch-30.8 mchc-33.5 rdw-17.0* plt ct-91* 06:18am blood wbc-6.5 rbc-2.85* hgb-8.9* hct-25.9* mcv-91 mch-31.3 mchc-34.5 rdw-17.1* plt ct-87* 01:22pm blood hct-19.6* 02:30pm blood wbc-10.3# rbc-3.21* hgb-9.9* hct-28.5*# mcv-89 mch-30.9 mchc-34.9 rdw-15.3 plt ct-57* 05:41pm blood hct-31.5* 11:16pm blood hct-29.3* 05:49am blood hct-23.0* 05:23pm blood wbc-6.7 rbc-3.59* hgb-11.1* hct-30.1*# mcv-84 mch-31.0 mchc-37.0* rdw-16.1* plt ct-73* 03:07am blood wbc-7.7 rbc-3.17* hgb-9.9* hct-27.4* mcv-86 mch-31.1 mchc-36.0* rdw-16.3* plt ct-83* 06:03am blood wbc-6.8 rbc-2.90* hgb-8.7* hct-25.9* mcv-90 mch-30.1 mchc-33.6 rdw-16.4* plt ct-95* 08:42am blood hct-24.6* 03:34am blood hct-30.0* 05:30am blood wbc-5.9 rbc-3.38* hgb-10.4* hct-30.2* mcv-89 mch-30.8 mchc-34.5 rdw-16.3* plt ct-166 02:30am blood pt-16.1* ptt-24.0 inr(pt)-1.8 02:30am blood plt ct-91* 02:30pm blood pt-18.8* ptt-36.2* inr(pt)-2.5 02:59am blood pt-14.5* ptt-30.3 inr(pt)-1.4 02:12pm blood pt-13.6* ptt-27.2 inr(pt)-1.2 04:52am blood pt-13.5* inr(pt)-1.2 02:30pm blood fibrino-110* 02:59am blood fibrino-255# 02:12pm blood fibrino-337 02:30am blood glucose-331* urean-107* creat-1.7* na-136 k-5.1 cl-98 hco3-26 angap-17 05:23pm blood glucose-171* urean-65* creat-1.1 na-143 k-3.9 cl-112* hco3-23 angap-12 05:30am blood glucose-84 urean-25* creat-1.0 na-139 k-3.9 cl-99 hco3-31 angap-13 04:31am blood urean-24* creat-0.9 k-2.9* 04:52am blood k-3.9 06:18am blood alt-17 ast-13 ld(ldh)-204 ck(cpk)-34 alkphos-48 amylase-36 totbili-1.0 06:18am blood lipase-20 06:18am blood ck-mb-4 ctropnt-<0.01 06:18am blood calcium-8.3* phos-3.6 mg-1.9 brief hospital course: 83yo f initially admitted to the under the medical service for presumtpive upper gi bleed. she was transfused with serial hcts, received ivf resuscitation, and still required ionotropic support. gi and surgical consults was immediately obtained; a cordis line was placed and she was electively intubated. an egd found a large bleeding ulcer at the gastric incisura which was injected and electrocautery applied; please see egd report for details. a protonix drip was begun and the hemodynamics initially improved with no new bleeding noted. serial hcts however resumed downtrending the next morning. after receiving since admission in 24 hours a total of 9units of prbcs, 5units of ffp with successful normalization of inr, 1unit platelets and 1unit cryoprecipitate, she was therefore taken to the or for resection of the bleeding ulcer; please see operative report for details. a subtotal gastrectomy was performed on with a billroth 2 anastamosis. post-operatively, the patient was brought to the sicu in intubated condition with stable hemodynamics. serial hcts were stable, pressor support was unnecessary, and she was easily extubated. she was begun on lopressor for atrial fibrillation rate control and her home dose of digoxin. the cordis was changed to a triple-lumen and the femoral line removed. the patient was transferred to the floor on pod 2 and begun on stage 1 post-gastrectomy diet with was tolerated and advanced sequentially. pt began to see the patient. the hct slowly downtrended over the next two days with stable hemodynamics and asymptomatic anemia, likely either dilutional from mobilizing fluid or related to her pre-admission hemolytic anemia. she was seen earlier in the admission by heme/onc and was now transfused 2unit prbcs with lasix. cardiology was consulted for fluid management given her cardiac history. on pod 4 she developed respiratory distress and tachycardia due to pulmonary edema; pulmonary embolus was ruled out with a chest ct angiogram. cardiology was re-consulted and she was brought to the sicu for closer observation. aggressive diuresis with lasix commenced and she improved without requiring intubation. an echocardiogram was performed showing worsening mitral regurgitation and pulmonary hypertension without wall motion abnormalities. cardiac enzymes were negative. a diltiazem drip was begun for rate control and was later transitioned to pos. after successful diuresis and rate control, she was returned to the floor on pod 7. lasix was returned to her home dose, good rate control with diltiazem and digoxin, and pt was re-consulted to mobilize the patient. post-gastrectomy diet was resumed and advanced and tolerated. the mid-portion of the wound began draining dark serosanguinous fluid and was opened, cultured, and packed with wet-to-dry gauze; kefzol begun. erythema was minimal and resolved quickly, the wound base was clean and non-purulent, and kefzol discontinued. her affect was blunted but improved with family visits and better mobility from pt. hypokalemia was repleted and checked, the central line was removed and piv placed, and coumadin begun. upon discharge she was afebrile, tolerating a post-gastrectomy heart-healthy diet, with stable hematocrit, controlled afib, and a clean wound. medications on admission: lasix 40', coumadin 2.5', carvedilol 12.5", digoxin, colchicine, prednisone 40', protonix, insulin, rituxan discharge medications: 1. insulin regular human 100 unit/ml solution sig: qs units injection asdir (as directed): according to included sliding scale. 2. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 5. diltiazem hcl 30 mg tablet sig: 1.5 tablets po q6h (every 6 hours). 6. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 7. warfarin 2.5 mg tablet sig: one (1) tablet po hs (at bedtime). 8. potassium chloride 20 meq packet sig: two (2) packets po bid (2 times a day). 9. atrovent 18 mcg/actuation aerosol sig: two (2) puffs inhalation every six (6) hours as needed for shortness of breath or wheezing. discharge disposition: extended care facility: nursing home - discharge diagnosis: gastric ulcer atrial fibrillation congestive heart failure/pulmonary edema hemolytic anemia gout arthritis depression discharge condition: stable discharge instructions: md , chills; nausea, vomiting, abdominal pain, or inability to tolerate diet; of in incision develops redness, swelling, or drains pus. post-gastrectomy diet (soft solids) as tolerated. continue with wound care to incisional wound. continue medications as directed. follow-up with primary care physician for any adjustments to outpatient regimens. have your inr checked daily and coumadin dosage adjusted accordingly followup instructions: follow-up with dr. , surgeon, in weeks. call for an appointment. follow-up with dr. , hematology, upon discharge. call for an appointment. follow-up with your outpatient primary care physician and cardiologist upon discharge. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified partial gastrectomy with anastomosis to jejunum endoscopic excision or destruction of lesion or tissue of stomach diagnoses: thrombocytopenia, unspecified anemia, unspecified other postoperative infection congestive heart failure, unspecified gout, unspecified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction 

Answer: The patient is high likely exposed to