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: lisinopril / aspirin / diovan / ultram / nsaids attending: chief complaint: blood in stool major surgical or invasive procedure: none history of present illness: yo f with the history of diverticulosis, diastolic chf, cad, hypertension who presented to the er this am. the patient and son report that this am at approximately 2:30 am the patient had several episodes of bright red blood per rectum. after approximately 3-4 episodes of bleeding (initially stool mixed with blood and then frank blood). after these episodes the patient became presyncopal and 911 was called. the patient had been in her usual state of health until yesterday and had no complaints of pain, dyspnea or chest discomfort prior to or during the episodes at home. in the ed, she received 1 l ns, 2 large bore ivs. there is some report of mild dyspnea while in the ed, but the patient denies this. . the patient was admitted to 11reisman and found to have several episodes of brbpr with decrease in her bp to the 90s. she was not tachycardic. given the persistent bleeding and hypotension the patient was transferred to the . . on arrival to the the patient was asymptomatic and no longer hypotensive. the patient has no pain, dizziness, lightheadedness, dyspnea. . . past medical history: 1. hypertension. 2. gi bleeding pancolonic diverticula 3. arthritis of both knees 4. hypothyroidism. 5. angioedema from ace inhibitors, shrimp. 6. diastolic chf (see study below from ) 7. cad, s/p mi in but normal pharm stress in 8. right hip pain 9. colonoscopy with adenoma 10: osteoporosis 11. spinal stenosis lbp, followed by pain clinic 12. left shoulder pain, followed by pain clinic 13. s/p cholecystectomy . s/p hysterectomy 15. hx of syphilis neither patient nor son know of any lung disease and do not recall why she is on the advair . social history: she is a retired factory worker. husband died 2 years ago. lives with her son and grand-son. lots of family in the area, all of whom are very involved in her care. she is functional at home, does her own adls though her son gives her her medications. she walks w/ a walker. family history: nc pertinent results: 06:00am wbc-6.9 rbc-3.44* hgb-10.4* hct-31.3* mcv-91 mch-30.2 mchc-33.2 rdw-14.1 06:00am neuts-58.2 lymphs-34.9 monos-4.2 eos-2.3 basos-0.3 06:00am plt count-169 06:00am pt-13.8* ptt-26.8 inr(pt)-1.2* 06:00am glucose-113* urea n-23* creat-1.1 sodium-146* potassium-4.0 chloride-109* total co2-27 anion gap-14 06:00am alt(sgpt)-10 ast(sgot)-21 ck(cpk)-108 alk phos-78 tot bili-0.5 06:00am ck-mb-5 ctropnt-0.03* 06:15am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-1 ph-6.5 leuk-neg 06:15am urine color-yellow appear-clear sp -1.016 06:15am urine gr hold-hold 06:15am urine hours-random 06:20am freeca-1.07* 06:20am hgb-10.2* calchct-31 06:20am glucose-107* lactate-1.5 na+-143 k+-3.9 cl--104 10:14am hct-24.8* 06:17pm hct-33.6*# 12:00am hct-31.3* gi bleeding scan: no evidence of gastrointestinal bleeding. cxr: findings: again seen is bilateral hilar prominence and moderate cardiomegaly. there is no new infiltrate or effusion. brief hospital course: plan: 1. gi bleeding/hypotension: given history of diverticuli, brisk lower bleed and significant hct drop, the most likely cause of bleeding is the sigmoid diverticuli. the patient was admitted to the icu and was transfused 2 u prbc on the day of admission. ng lavage was negative. she underwent a radiopharmaceutical tagged rbc scan that was negative for an acute bleed. she was monitored in the intensive care unit and on hd#3 was noted to have a recurrence of melena. a repeat bleeding scan was negative. she received additional blood transfustions. her hematocrit remained stable and she was transferred to the general medical floor the next day. on the floor, she had an additional episode of hematochezia with small amounts of blood. given the low volume of blood, another rbc scan was not performed. she was monitored in the hospital for another 36 hours. she had no recurrent bleeding and her hematocrit remained stable. the primary team on the floor had a discussion with the patient and her son. the patient again reiterated that she would not want to have a colonscopy or surgery, and thus no further evaluation was undertaken during this admission. she would however consider angiography should she have recurrent bleeding in the future. given the likelihood of recurrent bleeding and the patient'd desire for hospitalization, transfusions, and possible angiographic intervention, she was instructed to return to the hospital should she have episodes of blood on or in the stool or bright red blood per rectum. both the patient and her son had good understanding of this. i encouraged the patient to continue ongoing discussions with her primary care giver about these issues. the patient and son were also educated about the discontinuation of asa. . 2. dchf: patient with grade ii diastolic dysfunction. has not had event of decompensation in approx 1 year. she received lasix with some of the blood transfusions and remained euvolemic. . 3. allergy history: the patient has history of multiple allergies including shellfish. thus would require pretreatment with solumedrol, benadryl and famotidine should she require an angiography procedure in the future. . 4. vaginal bleeding: patient had an episode of vaginal bleeding during this hospitalization. she was seen by ob-gyn who noted a pocket from a previous suture, but no evidence of bleed. . 5. hypothyroidism- continued home meds . 6. osteoporosis: continued calcium when taking pos. vitamin d was initiated. . # code: dnr/i. this was confirmed several times during this hospitalization. patient clearly had capacity to make medical decisions. . medications on admission: medications: advair diskus - 250-50mcg disk with device - take 1-2 puffs twice a day furosemide - 40 mg tablet - 1 tablet(s) by mouth daily hydralazine - 50 mg tablet - 1 tablet(s) by mouth three times a day levothyroxine - 25 mcg tablet - 1 tablet(s) by mouth daily with 200mcg tablet levothyroxine - 200 mcg tablet - one tablet(s) by mouth daily with 25mcg tablet potassium chloride - 20 meq packet - (not taking per son) (d3) - 500 mg-200 unit tablet - 1 tablet(s) by mouth three times a day colace - 100 mg capsule - 1 capsule(s) by mouth twice a day cyanocobalamin - 100 mcg tablet - 1 tablet(s) by mouth once a day loratadine - 10 mg tablet - 1 tablet(s) by mouth daily aspirin daily . allergies: son and patient recall no allergies, but there is a documented history of ace/ angioedema, possible reaction to ultram/nsaids and gi bleeding to aspirin discharge medications: 1. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. calcium 500 500 mg (1,250 mg) tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 3. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 4 days. disp:*8 tablet(s)* refills:*0* 4. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 5. cyanocobalamin 100 mcg tablet sig: one (1) tablet po daily (daily). 6. hydralazine 50 mg tablet sig: one (1) tablet po three times a day. 7. levothyroxine 200 mcg tablet sig: one (1) tablet po once a day. 8. levothyroxine 25 mcg tablet sig: one (1) tablet po once a day. 9. potassium chloride 20 meq packet sig: one (1) po once a day. discharge disposition: home discharge diagnosis: 1) lower gi bleed 2) diastolic heart failure 3) urinary tract infection 4) vaginal bleeding discharge condition: good/stable discharge instructions: you were admitted with a lower gi bleed. you should return to the hospital if you have have large amounts of dark tarry stool or bright red blood on or in your stool. followup instructions: provider: , md phone: date/time: 3:30 provider: , : date/time: 1:00 if you would like ob/gyn follow-up for your vaginal bleeding, please call to make an appointment. the ob/gyn offices are located in building, of the of . procedure: transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site iron deficiency anemia secondary to blood loss (chronic) unspecified acquired hypothyroidism alkalosis osteoporosis, unspecified old myocardial infarction pain in joint, pelvic region and thigh surgical or other procedure not carried out because of patient's decision hyperosmolality and/or hypernatremia diverticulosis of colon with hemorrhage chronic diastolic heart failure other specified noninflammatory disorders of vagina osteoarthrosis, unspecified whether generalized or localized, lower leg orthostatic hypotension spinal stenosis, lumbar region, without neurogenic claudication latent syphilis, unspecified personal history of allergy to other specified medicinal agents allergy to seafood 

Answer: The patient is high likely exposed to