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: history of present illness: patient is a 50-year-old african-american man with a history of hypertension, insulin dependent-diabetes mellitus, status post upper gi bleed, status post esophagogastroduodenoscopy with epinephrine injection. the patient presented to the on . per report, he was in his usual state of health until 10 days prior to admission when he had abdominal pain and cough (yellow/green sputum). he began robitussin and another medication x7 days. on in the pm, the patient experienced nausea with vomit (digested food). on in the pm, the patient had an episode of melena, then emesis (coffee-ground in nature) with lightheadedness and weakness. the patient reported no syncope, no loss of consciousness. the patient has no history of a gastrointestinal bleed, no history of peptic ulcer disease, no history of nonsteroidal anti-inflammatories or coumadin use. in the emergency room, vital signs were 100.1, heart rate of 112, blood pressure 126/80, respiratory rate of 26. the patient had a 1.5 liters of lavage with persistent blood-tinged fluid. his previous hematocrit at that time was 42.3. ob positive, and in the emergency room the hematocrit was 30.7. the patient was transfused 2 units in the micu. the patient was transferred to the micu. the patient had an emergent esophagogastroduodenoscopy with an epinephrine injection. he was then transferred to the medicine service. physical examination following esophagogastroduodenoscopy: temperature 98.2, blood pressure 120/70, pulse 78, respiratory rate 20, and 98% on room air. in general, the patient was in no acute distress, easily arousable. heent: nasopharynx is clear. neck is supple. cardiovascular examination: regular, rate, and rhythm, no murmurs, rubs, or gallops. abdominal examination: positive bowel sounds, soft, nontender, nondistended and no guarding or rebound. respiratory examination: bilaterally clear to auscultation. extremities: no edema, no cyanosis. past medical history: hypertension, insulin dependent-diabetes mellitus, hepatitis c, stage i biopsy (history of intravenous drug abuse remote), history of alcohol use etoh. allergies: none. medications at home: lipitor, mvi, and nph 24/20 riff. medications from the unit: the patient was placed on insulin, proton pump inhibitor, multivitamin, thiamine, folic acid, and lorazepam prn. social history: the patient has a history of alcohol use. the patient has been sober for three years. the patient has a remote history of heroin and iv drug use in the past. family history: history of no coagulopathy. father died of colon cancer. mother died of old age. pertinent laboratories on : hematocrit 31, white blood cell count 9.2, platelets 176. electrolytes: sodium 140, potassium 3.6, chloride 108/bicarb of 24, bun 19, and creatinine 0.6; on , ck #3 of 79, ck #2 93, ck #1 111, troponin index was less than 0.3. inr 1.1, alt 34, ast 21, ld 150, alkaline phosphatase 64, t bilirubin 0.6. a albumin 3.4. negative on aspirin, ethanol, acetaminophen, benzodiazepines, barbiturates. a chest x-ray showed no pneumonia, no cardiopulmonary process. electrocardiogram on j-point st elevations, early r-wave progression. ct scan of the abdomen () right sided abdominal pain was normal. hospital course: gastrointestinal: the patient's hematocrit was monitored serially following his emergent esophagogastroduodenoscopy for hematemesis. esophagogastroduodenoscopy results demonstrated - tear. the patient's hematocrit remained stable throughout the hospitalization. the patient was placed on proton-pump inhibitor high dose in house. the patient was able to eventually to tolerate foods and then discharged home on the proton-pump inhibitor. hcv: the patient with a history of hepatitis b. we referred the patient to the liver center for outpatient followup for possible ribavirin and interferon therapy. the patient's liver enzymes in house were normal. diabetes: the patient was kept on subq sliding-scale insulin in house. he was recommended outpatient evaluation of hemoglobin a1c level. cardiovascular: the patient was ruled out for myocardial infarction with cpk. the patient had a troponin of less than 0.3. condition at discharge: the patient was discharged in stable condition, good. disposition: discharged to home. discharge medications: thiamine, multivitamin, folic acid, pantoprazole 40 mg q24h. the patient will follow up with dr. within one week, at . discharge diagnosis: - tear. , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled acute hepatitis c without mention of hepatic coma acquired hypertrophic pyloric stenosis 

Answer: The patient is high likely exposed to