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: morphine attending: chief complaint: melena major surgical or invasive procedure: upper endoscopy history of present illness: 31 yo m with crohn's disease on prednisone and remicade (last infusion ) who presented to the ed after having had 2 episodes of melena at home around 7:30am. has had no bm since he arrived to the ed. recent admission in for partial sbo. ed course: vitals on presentation t 97.9 hr 106 bp 138/82 100%ra. he was given ivf and a one time bolus of protonix 80 mg iv. 2 18gpiv were placed. he was admitted to the icu for further monitoring and likely egd today with gi. upon arrival to the icu, pt was hemodynamically stable and had no complaints. he reported that he has been doing quite well in regards to his crohn's disease since starting on remicade. he reports some epigastric discomfort and bloating that began on monday. he thought it may be related to food consumption. he explains that this began to resolve and then noted the two bms of melena this am. he called his gi doctor who advised him to be evaluated in the ed. denies f/c. denies hematochezia or hematemesis. denies urinary symptoms. admits to diffuse, crampy lower abdominal pain. past medical history: 1. crohn's disease - dx in , recently started on remicade, last infusion . had small bowel resection x 2 and stricturoplasty in the past as well. he then had fistulas repaired. hospital admission to for a duodenal bleed secondary to a crohns flare. during this adm he received his first dose of remicade. one day admit for n/v and perianal abcess which has been healing and was treated with a course of levofloxacin and flagyl. he is now s/p 3 infusions of remicade. 2. vitamin b12 deficiency, only on mvi currently. social history: married. works as an architect. denies any history of tobacco, alcohol, or other drug use. family history: father- irritable bowel disease. father's family has heart disease. mother's family had lung cancer, breast cancer. physical exam: on presentation: vs: t 97.9 hr 106 bp 138/82 100%ra general appearance: well nourished, no acute distress eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic cardiovascular: (pmi normal), (s1: normal), (s2: normal) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (breath sounds: clear : ) abdominal: soft, tender: lower quadrants extremities: no edema skin: warm neurologic: attentive, follows simple commands, responds to: not assessed, movement: not assessed, tone: not assessed pertinent results: 10:10am glucose-91 urea n-14 creat-0.7 sodium-139 potassium-3.7 chloride-103 total co2-32 anion gap-8 10:10am wbc-10.4 rbc-3.86* hgb-9.2* hct-28.8* mcv-75*# mch-23.7*# mchc-31.8 rdw-15.5 10:10am neuts-74.8* bands-0 lymphs-16.8* monos-7.3 eos-0.9 basos-0.1 10:10am hypochrom-1+ anisocyt-1+ poikilocy-normal macrocyt-normal microcyt-2+ polychrom-normal target-occasional 10:10am pt-13.3 ptt-27.5 inr(pt)-1.1 01:49pm hct-25.8* 12:01pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg u/a: negative imaging/studies: egd (): esophageal candidiasis normal duodenal mucosa. improved previously seen duodenal ulcers. no signs of erosions or bleeding. otherwise normal egd to second part of the duodenum brief hospital course: 31 yo m with crohn's disease on prednisone and remicade who presents with 2 episodes of melena. egd showed no cause of bleed. hct stabilized for 25 hours and patient was discharged home in stable condition. he has gi follow up on . # ugi bleed: the patient has a known history of crohn's disease. his baseline hct is in the high 20's to low 30's and on admission his hct was 28.8. a repeat hct later in the day of admission showed that it had dropped to 25.8 after ivf. he was bolused with protonix in ed and started on a ppi iv bid. inr 1.1. the most likely etiology to ibd, however an egd was performed to rule out an upper gi. the egd showed no ulcers or other cause of bleeding. his hct was followed and was stable at 25 and rose to 27 the day of discharge. patient will schedule mr enterography for next week and has follow up appointment with dr. on . # crohn's disease: as above for gib. egd as above. continued on home mesalamine and prednisone. started on calcium and vitamin d give prolonged steroid use. also bactrim prophylaxis given steroid use. # esophageal candidiasis: the patient was seen to have candidiasis on his egd and was started on fluconazole. he will complete a 10 day course as an outpatient. # code: full medications on admission: pentasa 2 g po bid percocet 5/325 tab q4-6h prn pain prednisone 25 mg po daily ensure daily mvi discharge medications: 1. prednisone 50 mg tablet sig: 0.5 tablet po daily (daily). 2. multivitamin tablet sig: one (1) tablet po daily (daily). 3. pentasa 500 mg capsule, sustained release sig: four (4) capsule, sustained release po twice a day. 4. fluconazole 200 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 9 days. disp:*9 tablet(s)* refills:*0* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 6. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po qmowefr (monday -wednesday-friday). disp:*12 tablet(s)* refills:*2* 7. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary - upper gastrointestinal bleed esophageal candidiasis secondary - crohn's disease discharge condition: stable, with no signs of active bleeding. discharge instructions: you were admitted to the hospital with two episodes of dark stools concerning for gastrointestinal bleeding. you were admitted to the intensive care unit where you underwent an upper endoscopy which saw infection of your esophagus by , but no cause for your bleed. you were started on fluconazole for treatment of the and will need to finish a course of treatment as an outpatient. your bleed was likely from crohn's disease. medication chagnes: 1. you will need to take 9 more days of 200 mg of fluconazole daily to treat the infection of your esophagus. 2. you were started on pantoprazole 40 mg for ulcer prophylaxis while on steroids. no changes were made to your outpatient medications. continue to take them as prescribed. you should also take a calcium and vitamin d supplementation daily, in addition to your multivitamin. please discuss having a bone mineral density scan with your primary care doctor, as being on long term steroids (prednisone) can lead to early osteoporosis. go to the emergency room or call your primary doctor if you experience fevers, chills, shortness of breath, dizziness, blood in your stool, dark black stool, or inability to tolerate oral intake. followup instructions: please keep your previously scheduled appointment: provider: , md phone: date/time: 4:45 you should contact the radiology department to schedule and mr enterography before your appointment with dr. . the number is (. please follow up with your primary care physician, . within one week. you should have a repeat blood count (hematocrit) drawn at that time to ensure that you are not having further bleeding. procedure: other endoscopy of small intestine diagnoses: other b-complex deficiencies regional enteritis of unspecified site hemorrhage of gastrointestinal tract, unspecified candidal esophagitis 

Answer: The patient is high likely exposed to