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: patient recorded as having no known allergies to drugs attending: chief complaint: bloody diarrhea, jaundice, malaise major surgical or invasive procedure: egd paracentesis history of present illness: mr. is a 45 year old man with a history of hepatitis c, past heavy alcohol consumption, splenectomy, and upper gi bleed s/p esophageal and gastric banding who presented to an osh on with grossly bloody diarrhea, jaundice, and malaise. he recently returned from a trip to () and felt well up until approximately . he started having large volume, loose brown (not dark) stools without blood or mucus that morning. the bowel movements were accompanied by sharp pain mostly in his right flank. he did not have any fevers, chills, nausea, or vomiting, but he did have symptoms of rectal urgency and some constipation/straining with bowel movements. his diarrhea persisted following his return to the us and increased in frequency, up to 5-6 episodes per day. in addition, his right flank pain became constant and sometimes radiated across his back. mr. went to see his pcp . on after he began experiencing shortness of breath, chest pain, tachycardia, and lightheadedness (with standing after having a bm). he was started on levofloxacin and metronidazole but developed bloody diarrhea (bright red blood mixed with stool) the following day. in addition, he experienced increased malaise and noticed that he appeared jaundiced. he presented to hospital on due to concerns regarding the bloody diarrhea and jaundice. at osh, mr. had a hematocrit of 21.8. egd showed engorged grade varices and streak-like gastritis in his stomach. abdominal ct showed liver cirrhosis, ascites, varices, a distended gb with stones, but not cbd dilation. he was transfused with a total of 8u prbcs then transferred to . past medical history: (1) hepatitis c diagnosed , treated with ifn - inducing remission (2) "broken back" following fall from ladder (3) l knee reconstructive surgery (4) splenectomy , following fight with cousin. received transfusions (5) gi bleeds esophageal and gastric varices banded 3.04, 8.04, 11.04 (6) colon polyps colonoscopy 6.05 revealed polyps in sigmoid colon (7) internal hemorrhoids (8) long-standing h/o tremor social history: mr. is divorced, lives with his brother and aunt in . he works in construction (painting, roofing, and other jobs). he has an approximately 20 pack year history of smoking. used cocaine and injected heroin in early 80's, denies alcohol in last two years or current substance use. family history: no liver disease or diarrhea in family. mother died of lung cancer, father had brain tumor. multiple family members with diabetes, mi, other cancers. physical exam: temp 98.0 bp 145/55 hr 90 rr 16 99% ra gen: sitting in bed comfortable, nad derm: numerous telangiectasias, no caput medusa or palmar erythema appreciated. dry scaly skin on shins. heent: nc/at, perrl, eomi, + scleral and soft palate icterus, mmm, wears half set dentures, oropharynx without lesions. neck: trachea midline, no goiter or masses. jvp 5 cm above cm, supple cv: rrr nl s1 s2, 3/6 sem @ ulsb. 2+ pedal pulses. chest: cta b/l no r/r/t + gynecomastia abd: nt markedly distended, mild fluid wave, + bs. tender to palpation ruq and flank. midline scar from laparotomy. liver span difficult to appreciate due to habitus. ext: warm and well perfused, no c/c. 1 + pitting edema half way up calves neuro: a&o x 3. dozing off occasionally. cn 2-12 intact. resting tremor persists with movement. no significant muscle atrophy. motor strength 5/5 ue and le. intact, on ftn sometimes missed examiners finger. reflexes biceps, patellar 2+ bilaterally. ankle 1+ bilaterally. babinski: toes downgoing. no pronator drift, romberg negative, normal gait, no asterixis. pertinent results: 05:40am blood albumin-2.6* calcium-8.0* phos-2.7 mg-1.4* 10:00am ascites wbc-350* rbc-180* polys-20* lymphs-9* monos-69* mesothe-2* 10:00am ascites totpro-0.6 glucose-120 ld(ldh)-51 amylase-9 albumin-<1.0 time taken not noted log-in date/time: 2:25 pm peritoneal fluid gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture (preliminary): no growth. anaerobic culture (preliminary): no growth. 05:20am blood hiv ab-negative 05:20am blood cea-11* psa-1.6 afp-6.0 02:58am blood hbsab-negative 04:30pm blood igm hav-negative 06:37pm blood hbsag-negative hbcab-positive hav ab-positive igm hbc-negative igm hav-negative 7:45 pm immunology **final report ** hcv viral load (final ): hcv-rna not detected. performed by rt-pcr. detection range: 600 - 700,000 iu/ml. for research use only. not for use in diagnostic procedures. this test has been validated by the microbiology laboratory at . 11:44 pm stool consistency: loose source: stool. **final report ** fecal culture (final ): no enteric gram negative rods found. no salmonella or shigella found. campylobacter culture (final ): no campylobacter found. ova + parasites (final ): no ova and parasites seen. . this test does not reliably detect cryptosporidium, cyclospora or microsporidium. while most cases of giardia are detected by routine o+p, the giardia antigen test may enhance detection when organisms are rare. fecal culture - r/o yersinia (final ): no yersinia found. fecal culture - r/o e.coli 0157:h7 (final ): no e.coli 0157:h7 found. clostridium difficile toxin assay (final ): feces negative for c. difficile toxin by eia. reference range: negative. brief hospital course: 45 yo male w/ pmhx significant for hep c cirrhosis, esophageal varices s/p multiple banding procedures, w recent travel to far east admitted for diarrhea and gi bleed from presumed gastroenteritis and esophageal varices. (1) liver disease a. gi bleed -s/p variceal banding on at osh -no melena or hematochezia while on floor. guiac positive stools x2 on . -beta blocker held due to concern of hypotension developing with gi bleed. -sucralfate and pantoprazole to promote mucosal healing given varices b. cirrhosis -ultrasound and ct abdomen consistent with cirrhosis -portal vein thrombosis ct, unchanged on ct abdomen -transplant team consulted, pre-transplant evaluation began. had pfts, tte. negative for hiv, rpr, cmv, toxo, ebv. -will continue evaluation for liver transplant as outpatient -not grossly encephalopathic, maintained on lactulose c. ascites -saag > 1.6 consistent with portal hypertension as etiology of ascites -patient developed low grade fever, abdominal pain. concerned for sbp even though patient had been on cipro 500 mg for prophalaxis. ceftriaxone and metronidazole started on . switched to po metronidazole, discontinued ceftriaxone, started cephalexin on per hepatology. to complete 5 more days of course of cephalexin and metronidazole. will continue ciprofloxacin 250 mg po ongoing after cephalexin/metronidazole course finishes. daily for sbp prophalaxis -abdominal pain managed with oxycontin and oxycodone -ultrasound-guided paracentesis on yielded 2.6 l fluid. gram stain negative, culture pending. total leukocyte count 350, 20% polys. no laboratory evidence for sbp. -diuresed with sprionolactone and furosemide. low na diet, water restriction (3) diarrhea - levofloxacin and metronidazole discontinued on . diarrhea resolved, strong suspicion for infectious etiology in light of recent travel history. however, cultures for salmonella, shigella, campylobacter, yersinia, c. difficile toxin negative. etiology remains unclear at this time. (4) arf - likely due to volume depletion secondary to diarrhea. renal failure resolved, has continued to put out small volumes of dark urine. (5) hyponatremia - managed with 1.5l/day fluid restriction. continue spironolactone and furosemide. (5) fen - low sodium diet (6) ppx - pneumoboots for dvt prophalaxis, pantoprazole and sucralfate as above. medications on admission: at admission to outside hospital: ?????? pantoprazole 40 mg po daily ?????? propanolol 20 mg po twice daily from micu ?????? octreotide acetate 50 mcg/hr iv drip infusion ?????? zolpidem tartrate 10 mg po hs:prn ?????? artificial tears 1-2 drop ou prn eye lubrication ?????? sucralfate 1 gm po qid ?????? pantoprazole 40 mg po q12h ?????? levofloxacin 250 mg po q24h discharge medications: 1. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 2. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed) as needed for eye lubrication. disp:*1 * refills:*1* 3. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 4. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 5. oxycodone hcl 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 6. oxycodone hcl 20 mg tablet sustained release 12hr sig: one (1) tablet sustained release 12hr po q12h (every 12 hours). disp:*60 tablet sustained release 12hr(s)* refills:*0* 7. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. spironolactone 100 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 5 days. disp:*20 capsule(s)* refills:*0* 10. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 5 days. disp:*15 tablet(s)* refills:*0* 11. cipro 250 mg tablet sig: one (1) tablet po once a day: only start after you have finished with the 5 day treatment of keflex and flagyl. disp:*30 tablet(s)* refills:*2* 12. lotrimin 1 % cream sig: one (1) application topical twice a day for 10 days. disp:*1 tube* refills:*0* 13. propranolol hcl 20 mg tablet sig: one (1) tablet po twice a day. discharge disposition: home discharge diagnosis: cirrhosis; decompensated liver failure esophageal varices discharge condition: fair discharge instructions: please call you primary care physician if you experience bloody stool, shortness of breath, lightheadedness, markedly increased leg swelling, abdominal pain, chest pain, fevers, heart palpitations. please make an appointment with your primary care followup instructions: provider: , md where: lm phone: date/time: 9:00 provider: , where: transplant social work date/time: 11:00 procedure: percutaneous abdominal drainage transfusion of packed cells diagnoses: other and unspecified noninfectious gastroenteritis and colitis cirrhosis of liver without mention of alcohol acute kidney failure, unspecified hyposmolality and/or hyponatremia portal hypertension unspecified viral hepatitis c without hepatic coma other sequelae of chronic liver disease calculus of gallbladder without mention of cholecystitis, without mention of obstruction varices of other sites esophageal varices in diseases classified elsewhere, without mention of bleeding unspecified gastritis and gastroduodenitis, without mention of hemorrhage portal vein thrombosis 

Answer: The patient is high likely exposed to