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: aspirin / reglan / quinine sulfate / codeine attending: chief complaint: syncope and brbpr major surgical or invasive procedure: upper endoscopy and colonoscopy history of present illness: hpi: 58 diabetic female with dvt in , sarcoid and ms presents with w/ melena turning into brbpr. pt was found by daughter on the toilet unresponsive without blood on the toilet. there was no witnessed seizure activitiy. ems found sbp to be in the 80s. hr:90s. in er, sbp of 140s (s/p 250 cc ns total, including in ambulance). inr of 7. hct:41 ng lavage without blood. given 6units of ffp and vitamin k and transferred to icu. in the ed she also developed arm twitching which resolved with administration of morphine for pain controll. past medical history: 1. ms, diagnosed , presented with generalized weakness, blurred left eye vision. never had lp, but apparently had mri with multiple lesions. weelchair bound since . never treated with steroids 2. stroke in , p/w speech difficulty and l-sided weakness-no residual deficit 3. spinal cord compression s/p c3-7 and t2-11 laminectomies and fusion, with residual paraparesis and absent sensation bilat le 4. seizures (no motor component, "staring spells"), ~1-2x/week 5. asthma 6. dm type ii, on insulin, with ? diabetic neuropathy 7. htn 8. hypercholesterolemia 9. sarcoidosis-dx'd via ln bx 10. uterine ca, s/p radical hysterectomy 11. dvt, treated with coumadin. social history: lives with daughter, former alcoholic, sober since 36yo when pregnant, 80py tobacco quit at 36yo, unable to walk but uses wheelchair. retired rn at . *dnr/dni* family history: dm, cad, htn in multiple relatives. tumor in mother. no dvt/pe physical exam: 98.4, 145/76, 90 regular, 18, 97% ra gen: obese. nad. a/o x 3 heent: pearla. eomi. op: dry mm. neck: obese. unable to test rom as s/p laminectomy cv: distant heart sounds. s1>s2. no murmurs. lungs: cta b/l. poor effort. no wheezes. abd: obese. soft. mild ttp over llq without rebound or guarding. multiple hemmorhoids. stool grossly bloody. guaiac + back: stage 1 decub over sacrum ext: 3+ edema on right. 1+ edema on left. normal cap refill. neuro: motor at flex/ex in upper ext but 0/5 distal to hips b/l. sensation diminished below waistline b/l. cn ii-xii gi (aside from mild ptosis b/l and nystagmus with horizontal gaze ~7 beats). reflexes absent in patella. normal babinski reflex. non-ambulatory. pertinent results: 140 102 15 -------------<189 4.1 25 0.7 carbamaz: 8.0 wbc: 17.6 hct:41.4 plt:239 (n:90.8 band:0 l:6.4 m:2.5 e:0.1 bas:0.2) pt: 30.5 ptt: 38.7 inr: 7.0 serum and urine tox (-) u/a: (-) nit, (-) le. (-) bld 0-2 wbc, 0 rbc. 0 epi. 03:35am blood wbc-19.1*# rbc-4.74 hgb-14.4 hct-42.3 mcv-89 mch-30.4 mchc-34.0 rdw-13.8 plt ct-241 12:40pm blood wbc-13.9* rbc-3.15*# hgb-9.7*# hct-27.2*# mcv-86 mch-30.9 mchc-35.8* rdw-14.1 plt ct-171 03:30am blood wbc-15.3* rbc-3.44* hgb-10.6* hct-30.1* mcv-87 mch-30.8 mchc-35.2* rdw-14.3 plt ct-186 03:10pm blood hct-30.5* 06:18am blood wbc-11.0 rbc-3.84* hgb-11.7* hct-32.8* mcv-85 mch-30.5 mchc-35.7* rdw-14.3 plt ct-334 06:22am blood wbc-12.1* rbc-3.30* hgb-10.1* hct-28.4* mcv-86 mch-30.5 mchc-35.4* rdw-13.9 plt ct-306 colonscopy-cecal lipoma and friable mucosa at the sigmoid flexure which was biopsied ct abdomen-1. wall thickening and stranding of the pericolonic fat around the splenic flexure. distribution is consistent with ischemic colitis. however, other forms of colitis including infectious or inflammatory colitis cannot be excluded based on ct scan. 2. probable tiny left adrenal adenoma. 3. enlarge left paraaortic lymph nodes measuring up to 11 mm. they are increased when compared to . clinical correlation recommended. 4. severe degenerative changes of the thoracic and lumbar spine with severe spinal stenosis at multiple levels as described above. clinical correlation is recommended. 06:18am blood plt ct-334 06:18am blood pt-14.6* ptt-87.0* inr(pt)-1.5 04:10pm blood pt-13.9* ptt-67.6* inr(pt)-1.3 12:40pm blood pt-19.9* ptt-36.8* inr(pt)-2.8 03:35am blood plt smr-normal plt ct-241 05:20am blood pt-30.5* ptt-38.7* inr(pt)-7.0 06:18am blood glucose-157* urean-7 creat-0.5 na-143 k-3.9 cl-106 hco3-25 angap-16 02:47am blood glucose-130* urean-7 creat-0.5 na-139 k-3.7 cl-104 hco3-26 angap-13 03:35am blood glucose-172* urean-17 creat-0.8 na-138 k-3.7 cl-102 hco3-21* angap-19 04:59pm blood calcium-8.4 phos-2.4* mg-1.9 brief hospital course: gi bleed-in the micu the pt had a transfusion of total 6 units of ffp, hct dropped to 27.5 subsequently increased to 33.5. inr was lowered to 1.8. stable hemodynamics. egd on showed mild gastritis and duodenitis. colonscopy on tiny polyps in the distal rectum, lipoma in the cecum, nodular infiltrate with purplish, edematous, and friable mucosa in the left colon near the splenic flexure from 55 to 45 cm. erythematous and congested mucosa with patchy ulcerations from 45 to 25 cm. biopsy was taken. pt was transfered to the floor for further management. in the setting of supratherapeutic inr: unclear source. colonoscopy showed friable mucosa in splenic flexure with stranding on ct. due to history of hypotensive episode and distribution is vascular watershed area this was thought to be due to ischemic colitis. contributing factor was inr 7.0. hct has been remained stable for 72h but was transfused 1 u prbc's due to feeilng of weakness on with apropriate rise in hct. biopsies from colonoscopy will need to be followed up and relayed to the the patient likely via her pcp . . . # elevated inr: has been on couamdin for dvt and plavix for cva. no dvt in rle on doppler but was a suboptimal study. since ischemic bowel was not thought to be due to embolic source but pt had hx of tia and dvt with pe heparin was starting with goal ptt of 50-70 until coumadin was titrated to inr 2.0-2.2 with plan for undershoot since history of gib. after approval from gi plavix was also restarted. . # tachycardia: intially thought to be due to gi bleed although has been chronic. cta in past have been negative showing no pre as cause. she had one episone of an asymptomatic 10 beat run of nsvt on . she remained hypertensive and was started on low dose metoprolol at 25mg . . wbc normal and afebrile today - unlikely infection. . # diabetes: long-standing. on nph and iss with fs remaining mostly in the 130-180 range. continued iss and nph as npo. . # ms: no active disease per patient. not on steroids or immunosuppresants. . # seizure history: on tegretol and levatiracetam. ct head w/o bleed. eeg was negative for epileptiform activity. she was seen by neurology who witness arm twitch and felt that it was due to seizure activity. per neurology she was started on keppra which was titrated up to 1000mg with plan to titrate of the carbamazepine with 100mg qid for 5 days then 100mg for 5 days and then discontinue. pt will follow up with dr . # recent dvt - had been on coumadin. no clinical evidence of pe at present, although she had concerning tachycardia and low grade fever. rle u/s was negative but lle not done due to patient noncompliance. coumadin restarted as above with heparin bridge on day of discharge heparin was at 1900 u/hr with stable ptt. . medications on admission: plavix 75 daily coumadin lipitor 40 daily tegretol 200 qid insulin regular 25 qam, 10qpm insulin nph 75 qam, 35qpm discharge disposition: extended care facility: & rehab center - discharge diagnosis: gastrointestinal bleeding diabetes seizure disorder paraplegia discharge condition: stable hct and blood pressure. discharge instructions: please follow-up with dr. within 1 week of leaving the hospital. notify your doctors immediately of black stool, blood in the stool, nausea, abdominal pain, dizziness, lightheadedness, headaches, limb shaking or seizures. followup instructions: please follow-up with dr. within 1 week of leaving the hospital for a bloodwork (hematocrit) check. please follow-up with dr. (neurologist) within 2 weeks of leaving the hospital. md, procedure: other endoscopy of small intestine closed [endoscopic] biopsy of large intestine transfusion of packed cells transfusion of other serum removal of nail, nail bed, or nail fold diagnoses: pure hypercholesterolemia unspecified essential hypertension asthma, unspecified type, unspecified other convulsions diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes sarcoidosis personal history of malignant neoplasm of other parts of uterus paroxysmal ventricular tachycardia other and unspecified angina pectoris long-term (current) use of insulin long-term (current) use of anticoagulants multiple sclerosis acute vascular insufficiency of intestine unspecified gastritis and gastroduodenitis, without mention of hemorrhage open wound of toe(s), without mention of complication 

Answer: The patient is high likely exposed to