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: beeswax attending: chief complaint: epistaxis major surgical or invasive procedure: nasal packing blood transfusion history of present illness: 54m cad s/p mi, iddm, transferred from nvmc with epistaxis. seen in ed originally friday for l sided epistaxis which spontaneously resolved. seen again sunday for recurrent episode, had anterior packing placed and removed on tuesday given clindamycin. epistaxis resolved until when had recurrent episode, seen again in ed, had anterior and posterior packing on l, anterior packing to r, given ativan, zofran morphine prn, 2l ns boluswas tachy to 130s with hct drop 3 points over 3 days and was trasnferred for icu monitoring. in ed here sbp 130s, hr 110s, had 1 episode of bleeding from lacrimal duct resolved. patient only on asa, no other nsaid, coumadin, plavix. no new meds. notes weakness, dizziness today with melena x 2 days, diarrhea. no brbpr, hematochezia, or syncope. 1 episode coughing up blood assoc. with nausea during transfer from ed now resolved. denies facial trauma, surgery, inhaled drug or nasal spray use, allergies. no prior history of epistaxis. denies cp, palpitations or sob. past medical history: pmh: cad s/p mi , reports multiple pci, no stent placement iddm: since htn hypercholesterolemia . psurghx: ulnar nerve surgery social history: social hx: cleans cross-country gas lines. lives in with wife. 4 kids. denies etoh tobacco, other drug use. family history: fam hx: no h/o bleeding d/o physical exam: vs: t 97.3 hr 108 rr 12 bp 150/68 sao2 94% ra gen: nad, obese, pleasant, appears somnolent but arousable, interactive eyes: perrl, 2-3 mm, eomi heent: nc/at nose with r sided mercocel, packings on left. has evidence of dried blood on beard, in posterior oropharynx. no bleeding from nares currently. no active bleeding. mm dry neck: supple, thick, no lad, no mass. no jvd cv: tachy. reg. 1-2/6 systolic murmur lusb resp: cta bl with diminished bs in bases abd: soft. obese. nt/nd with umbilican hernia. + but hypoactive bs ext: no c/c/e 2+ dp/pt bl pertinent results: 01:20am blood wbc-11.0 rbc-3.84* hgb-11.6* hct-33.4* mcv-87 mch-30.3 mchc-34.8 rdw-14.2 plt ct-286 07:54am blood hct-30.4* 12:12pm blood hct-31.4* 01:20am blood pt-13.0 ptt-20.8* inr(pt)-1.1 brief hospital course: 54m cad s/p mi, iddm, transferred from osh with recurrent episodes epistaxis for micu monitoring # epistaxis: epistaxis of unclear etiology. contributing factors may include seasonal allergies, aspirin use, and hypertension. s/p anterior packing to both nares with achievement of hemostasis. ent evaluated patient the morning after admission, confirmed r side anterior merocel nasal packing and l side (side of epistaxis) with an anterior rapid rhino nasal balloon. however, on the afternoon of , pt developed recurrent epistaxis. he was seen by ent and nares were repacked with achievement of hemostasis. ~30 min after packing, pt had a likely vagal event during which he became acutely bradycardic and somnolent. anesthesia was called, but he was breathing and maintained his blood pressure throughout the event. hemostasis was again achieved. he was given narcan 0.4mg without significant reponse. abg: 7.43/36/130/25. ekg without ischemic changes. cardiac enzymes sent and were negative x 3. hct decreased to 26.8 on so 1 unit prbcs transfused. he was continued on strict epistaxis precautions (no nose-blowing, no lifting/straining/bending, sneeze with mouth open, no alcohol consumption. sleep with hob elevated 30 degrees). episodes of epistaxis were treated with afrin sprays to nasal packing and pressure for at least 20 min. asa was held. he was treated with course of keflex while packing in place. he will return to ed for remaoval of packing. # cad s/p mi: patient has h/o cad with mi in . holding asa given acute epistaxis, continuing beta blocker, statin # htn: goal sbp <150-160 to avoid further episodes of bleeding. we continued his home medications of metoprolol, amlodipine, lasix. he received prn lopressor to maintain sbp<160. # iddm: holding home hypoglycemics in house and using fixed lantus 20 units qhs and sliding scale humalog insulin with fs qid. # hypercholesterolemia: continued home niaspan, statin # fen: regular cardiac, diabetic # code: full, confirmed with patient and wife. . # comm: with patient, wife . medications on admission: lasix 40 po daily metoprolol 50 asa 81 daily amlodipine 10 daily actos 30 po daily metformin 1000 po bid pravastatin 40 po qhs clindamycin 300mg po tid x 3 days niaspan er 500 po bid glipizide 10 mg po bid lantus 20 units sq qhs ntg sl prn discharge medications: 1. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 2. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 3. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). 4. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. disp:*30 capsule(s)* refills:*0* 6. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. disp:*30 tablet(s)* refills:*0* 7. niacin 250 mg capsule, sustained release sig: two (2) capsule, sustained release po bid (2 times a day). 8. cephalexin 250 mg capsule sig: two (2) capsule po q6h (every 6 hours) for 3 days. disp:*24 capsule(s)* refills:*0* 9. actos 30 mg tablet sig: one (1) tablet po once a day. 10. glipizide 10 mg tablet sig: one (1) tablet po twice a day. 11. lantus 100 unit/ml solution sig: twenty (20) units subcutaneous at bedtime. 12. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. discharge disposition: home discharge diagnosis: primary: epistaxis hypertension coronary artery disease diabetes hypercholesterolemia discharge condition: epistaxis stable. nasal packing in place. discharge instructions: you were admitted for a severe nose bleed. the ear, nose and throat doctors saw and placed a nasal packing in your left nostril. you were admitted to the intensive care unit for observation and were given 1 unit of blood. . **very important** please return to the emergency room on monday to have your packing removed by the ent doctors. they will also arrange follow up and instruct you on further antibiotics. please use pillows to keep your head elevated while sleeping . it is critical that your blood pressure is well controlled. please check your blood pressure daily and call your primary care doctor if your pressure is above 160/90. . do not take aspirin until you consult with your doctors. . do not strain, and when you cough or sneeze- do so with your mouth open so as to relieve pressure from your nose. you have been prescribed as bowel regimen which you should continue, this will help reduce straining during bowel movements. . continue keflex (antibiotic) as directed. . if you have nosebleeds that continue to bleed despite applying of pressure go to the emergency room. if you have chest pain, shortness of breath, fevers, chills or other worrisome symptoms please go to the emergency room. . restart your home diabetes regimen. followup instructions: ear, nose and throat follow up. md procedure: transfusion of packed cells control of epistaxis by anterior nasal packing diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia acute posthemorrhagic anemia old myocardial infarction diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled epistaxis benign essential hypertension 

Answer: The patient is high likely exposed to