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: levofloxacin / macrobid / sulfa (sulfonamides) / opioid analgesics attending: chief complaint: melena, coffee-ground emesis major surgical or invasive procedure: egd on gda embolectomy by interventional radiology on history of present illness: the patient is an 89 year old female with a history of paf off of coumadin recently secondary to elevated inr, dementia, htn, and oa who presented 1 day after recent discharge for pancreatitis with watery diarrhea and coffee-ground emesis x 2 with a 10 point hct drop from 34 to 24 in 1 day on . ng lavage cleared with 500 ccs. as a result, the patient was transferred to the micu where she was evaluated by gi with an egd and found to have multiple ulcers in the duodenum and antrum which were cauterized and given epinephrine injections. she was transfused a total of 7 units in the micu. however, her bleeding recurred and interventional radiology performed an angiogram and subsequent gastroduodenal artery embolization which resulted in arrest of her gi bleed. however, the plan was that if further bleeding occurred, the patient would need surgical involvement. on , the patient was transferred from the micu to the floor after her hematocrit remained stable for 24 hours post-embolectomy with no further episodes of emesis/nausea/bloody diarrhea. the patient states that she has chronic epigastric pain. she denies any dizziness/lightheadedness/cp/sob/cough. however, her main complaint on transfer is bilateral knee pain which she has had in the past secondary to osteoarthritis. past medical history: atrial fibrillation oa pancreatitis dementia htn depression diverticulitis ?gib in past social history: lives at center. family history: noncontributory. physical exam: tc=97.6 p=81 bp=132/56 rr=21 100% on ra i/o = gen - lethargic, in no apparent distress heart - grade ii/vi holosystolic murmur at lsb, regular rate and rhythm lungs - ctab (anteriorly) abdomen - soft, nontender, nondistended, active bs, no rebound/guarding ext - scd bilaterally, bilatral knee pain, +2 pulses bilaterally skin - at times confluent macular, erythematous, pruritic rash on neck, trunk, back and bilateral upper extremities (first noted ) pertinent results: chest (portable ap) 5:09 pm impression: 1) interval decrease in size of right-sided pleural effusion. persisting patchy opacification at the right base, consistent with atelectasis/consolidation. stable cardiomegaly. 2) possible hiatal hernia. brief hospital course: the patient is an 89 year old female with dementia, paf now off of coumadin, htn, and oa who presented with gib and 10 point hct drop secondary to gastric/duodenal ulcers. . # pt presented with melena times one day. she had just recently been admitted to the hospital for pancreatitis and pna. during her prior stay she did have guaiac positive but this was in the setting of a supratherpeutic inr to 7 and her hct remained stable throughout around 34-36. this time she presented with several eipsodes of melena. her hct dropped from 34-24. she was seen by gi, started on ivf, transfused, started on iv protonix and sent to the micu. in the micu they did egd which found numerous antrum/duodenal ulcers (h.pylori neg) one of which had visible vessel. they attemted to clip this vessel but were unable to do, therefore they used epi to slow the bleeding. pt was monitored and had another 10 point hct drop after the procedure and receiving blood. this time ir was consulted and they embolized the gda artery. after this procedyure hct remained stable around 38-39. she continued to have some guaiac positive stools but hct was stable. she was started on clear diet and switched back to po meds. per gi, will require ppi for two months and then plan to change to daily. . # diffuse rash- the rash was first noted on in the micu. it was attributed to morphine which the patient was receiving for her bilateral knee pain. however she had also received other new meds that could have been the causative . she was started on iv benadryl and fexofenadine 60 and ranitidine 150 mg with some improvement per the patient's grand-daughter. we stopped the benadryl due to concerns for anti-cholinergic effects. . # paroxysmal atrial fibrillation- pt was in nsr on tele throughout her stay. coumadin had been stopped during her last admission. she was only on aspirirn which was stopped. she had no episodes of afib on tele. she was continued on bb for rate control. . # pt was somewhat hypertensive after micu stay so her metoprolol was titrated with good effect. . # joint pain- the patient had imaging of her right hip and knees during her last admission. her knees showed extensive djd and her right hip showed avascular necrosis. however, the patient's family opted not to pursue surgical intervention at the time. had pt work with the patient. she will need further rehab after discharge. continued tylenol and vicoden for pain. . 7. fen - advanced as toelrated to cardiac diet and encouraged boost. . 9. code- dnr/dni medications on admission: pantoprazole 40 mg po q12h fexofenadine 60 mg po bid ranitidine 150 mg po bid metoprolol 50 mg po bid dolasetron mesylate 12.5 mg iv q8h:prn hydrocodone-acetaminophen 1 tab po q6h:prn pain acetaminophen 325-650 mg po q4-6h:prn multivitamins 1 cap po daily paroxetine hcl 20 mg po daily donepezil 5 mg po hs discharge medications: 1. donepezil hydrochloride 5 mg tablet sig: one (1) tablet po hs (at bedtime). 2. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). 3. multivitamin capsule sig: one (1) cap po daily (daily). 4. hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 6. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 8. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. 9. fexofenadine hcl 60 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. 10. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day: please give twice a day for two months and then once a day. discharge disposition: extended care facility: for the aged - acute rehab discharge diagnosis: duodenal ulcers ugib paroxysmal a.fib htn discharge condition: stable, afebrile, hct stable discharge instructions: if the patient experiences any bloody stools, melena, passing out lightheadedness, chest pain, shortness of breath, fevers/chills, they should seek medical attention immediately. followup instructions: pt will be followed by physicians at rehab.pt provider: , m.d. where: center phone: date/time: 1:30 procedure: other endoscopy of small intestine endoscopic control of gastric or duodenal bleeding arteriography of other intra-abdominal arteries transcatheter embolization for gastric or duodenal bleeding transfusion of packed cells diagnoses: unspecified essential hypertension atrial fibrillation other opiates and related narcotics causing adverse effects in therapeutic use other persistent mental disorders due to conditions classified elsewhere dermatitis due to drugs and medicines taken internally chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction aseptic necrosis of head and neck of femur osteoarthrosis, localized, not specified whether primary or secondary, lower leg 

Answer: The patient is high likely exposed to