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: amoxicillin attending: chief complaint: brbpr major surgical or invasive procedure: five units of blood transfusion () esophagogastroduodenoscopy with banding of esophageal varices () history of present illness: mr is a 65m with hx of etoh cirrhosis with hx of varices and upper gi bleed, s/p variceal sclerotherapy/banding in who presented to his pcp this week with c/o intermittent brbpr. labs were drawn and notable for a crit of 16, therefore he was instructed to go to the ed. . in the ed initial vs were: 98.6 66 122/63 16 100%, he denied melena, hematemesis, recent brbpr, currently, however did report periodic bright red blood per rectum. he denied abd pain and weakness and was guiaic negative and he was hemodynamically stable. labs were notable for a crit of 19.6 and creatinine of 1.4. he was transferred to the icu for egd and monitoring. . on the floor, pt is asymptomatic and confirms that he has not had any recent hematemesis or rectal bleeding. the last episode of brbpr was a week ago and pt attributed it to hemorrhoids while straining. . review of systems: (+) per hpi, also endorses chills and weakness (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: 1. etoh cirrhosis: decompensated with varices, h/o variceal bleed s/p banding 2. hypertension social history: lives with wife, . drink sometime between per wife. she is not aware of how much he drinks daily. occasional tobacco use. wife reports no history of drug use. family history: no known physical exam: vitals: t:99.3 bp:104/53 p:54 r:11 o2:100% ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, pale conjunctiva neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, 1/6 sem loudest at the apex abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly rectal: + hemorrhoids, no gross bleeding ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: admission labs 01:30pm pt-18.3* ptt-27.8 inr(pt)-1.7* 01:30pm plt count-206# 01:30pm hypochrom-3+ anisocyt-2+ poikilocy-1+ macrocyt-normal microcyt-2+ polychrom-normal ovalocyt-1+ schistocy-occasional teardrop-occasional 01:30pm haptoglob-76 01:30pm albumin-3.8 05:00pm wbc-6.1 rbc-2.13* hgb-3.9* hct-15.4* mcv-73* mch-18.5* mchc-25.5* rdw-23.0* 05:00pm plt count-178 . discharge labs 06:55am blood wbc-6.5 rbc-3.51* hgb-8.4* hct-27.0* mcv-77* mch-24.1* mchc-31.3 rdw-20.9* plt ct-158 06:55am blood glucose-83 urean-10 creat-1.0 na-134 k-3.9 cl-105 hco3-21* angap-12 . pertinent labs 05:00pm blood wbc-6.1 rbc-2.13* hgb-3.9* hct-15.4* mcv-73* mch-18.5* mchc-25.5* rdw-23.0* plt ct-178 06:00am blood wbc-5.6 rbc-3.33*# hgb-7.9*# hct-25.1*# mcv-76* mch-23.7*# mchc-31.4# rdw-20.9* plt ct-154 . pertinent reports egd (): varices at the lower third of the esophagus (ligation). otherwise normal egd to third part of the duodenum brief hospital course: 65 year old male with alcoholic cirrhosis complicated by ascites and variceal bleeding s/p sclerotherpy and banding admitted with hematocrit drop due to ugib. . 1. bright red blood per rectum. he was transfused two units of packed red blood cells in the ed and transferred to the micu. in the micu, he received three more units of packed red blood cells. he was started on iv pantoprazole 40 mg and iv ceftriaxone 1 gm q24. egd was performed next morning which showed 4 grade ii varices in distal esophagus with stigmata of recent bleeding. he had three varices banded. he was started on carafate and continued on iv ppi and ceftriaxone. his hct remained stable and no hemodynamic compromise noted. he was transferred to the floor for monitoring. his hematocrit stayed stable. he was restarted on nadolol 20 mg po qdaily for secondary prevention of variceal bleeding. he was discharged with sucralfate for 10 days and pantoprazole 40 mg po bid. . 2. microcytic anemia: iron deficiency anemia due to problem #1. discharged on iron sulfate 325 mg po tid and supplementation with folic acid 1 mg po qdaily and thiamin 100 mg po qdaily. . 3. alcoholic cirrhosis: meld of 15. . follow up issues: 1. please follow up with dr. in two weeks for repeat egd. medications on admission: 1. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. 2. omeprazole 20 q day 3. diovan 160 q day 4. nadolol 20 mg daily discharge medications: 1. nadolol 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. sucralfate 100 mg/ml suspension sig: ten (10) ml po every six (6) hours for 10 days. disp:*500 ml* refills:*0* 6. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 7. iron (ferrous sulfate) 325 mg (65 mg iron) tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis 1. esophageal variceal bleeding . secondary diagnosis 1. alcoholic cirrhosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital due to low blood count. it was thought to be due to esophageal variceal bleeding. you were given five units of packed red blood cells. hepatology performed esophagogastroduodenoscopy which showed varices in your distal esophagus which were banded. . following medication changes were made to your medical regimen continue nadolol 20 mg by mouth once a day continue thiamine 100 mg by mouth once a day continue diovan 160 mg by mouth once a day increase omeprazole to 40 mg by mouth twice a day start folic acid 1 mg by mouth once a day start ferrous sulfate 325 mg by mouth three times a day start sucralfate 1 gm suspension four times a day for 10 days (end date: ) followup instructions: please follow up with dr. in two weeks for repeat esophagogastroduodenoscopy -division of gastroenterology/liver center view map , phone: fax: department: endo suites when: friday at 11:00 am department: digestive disease center when: friday at 11:00 am with: , md building: building (/ complex) campus: east best parking: main garage procedure: endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: unspecified essential hypertension alcoholic cirrhosis of liver acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) esophageal varices in diseases classified elsewhere, with bleeding other and unspecified alcohol dependence, unspecified 

Answer: The patient is high likely exposed to