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: history of present illness: the patient is a 67-year-old male with known alcoholic cirrhosis and grade iii esophageal varices that were recently banded in . he presented to the emergency department for sudden onset of bright red hematemesis. patient denied chest pain and shortness of breath as well as abdominal pain, however, did complain of nausea. in the emergency department, the patient had a nasogastric tube placed, however, bright red blood did not clear with lavage. the patient was transfused 2 units of packed red blood cells and given intravenous fluids and remained hemodynamically stable. an esophagogastroduodenoscopy was attempted in the emergency department, however, the airway was compromised by hemorrhage, and patient was emergently intubated for airway protection. the patient received ativan, demerol, vecuronium for intubation in esophagogastroduodenoscopy. past medical history: 1. alcoholic cirrhosis with grade iii esophageal varices status post banding in . 2. portal gastropathy. 3. hypertension. 4. seizure disorder. 5. type 2 diabetes. 6. history of prostate cancer status post prostatectomy. 7. history of chronic renal insufficiency with a baseline creatinine of 2.1-2.3. medications on admission: 1. propanolol 20 . 2. dilantin 500 once a day. 3. univasc 30 once a day. 4. aldactone 25 once a day. 5. insulin. 6. protonix 40 once a day. allergies: iv contrast as well as to sulfa and codeine. social history: notable for longstanding history of alcohol abuse. patient was actively drinking until his last admission in . no history of tobacco use. the patient has a very close-knit and involved family including daughter, and son, . on admission, the patient had a heart rate of 100, blood pressure of 117/60, saturation of 98% on fio2 of 0.4. the patient was ventilated with settings assist control tidal volume of 600, rate of 12, peep of 10, fio2 of 0.4. patient was in no apparent distress, sedated. had no evidence of jaundice. heent showed no scleral icterus. cardiovascular examination was tachycardic, but regular. chest examination was clear to auscultation bilaterally, anteriorly and laterally. abdomen was soft, slightly distended, nontender. extremities had no edema. laboratories on admission: the patient had a white count of 9.6, hematocrit of 24 which was down from 31.6 on discharge several days prior. platelets of 231. sodium of 136, potassium 4.5, chloride 101, bicarb 22, bun 21, creatinine 2.5 up from a baseline of 2.1. glucose of 235. liver function tests: alt was 15, ast 27, alkaline phosphatase 86, t bilirubin 0.2, amylase 172, lipase 140, inr was 1.7, and ptt 28. this is up from an inr baseline of 1.4. chest x-ray showed cardiomegaly and no evidence of pneumonia. electrocardiogram was notable for normal sinus at 94 with normal axis, normal intervals, no q waves, and no st changes, however, t-wave inversions in iii and v that were unchanged from . in short, this is a 57-year-old male with alcoholic cirrhosis admitted for upper gi bleed, emergently intubated for airway protection. hospital course: 1. gastrointestinal bleed: the patient underwent emergent esophagogastroduodenoscopy, which showed a bands had fallen off with typical banding ulcers and grade iv varices in his esophagus extending proximally. there was no acute bleeding, however, there was stigmata of bleeding from the banding ulcers. the patient had small cardiac and fundal varices, a lot amount of clot in his fundus. no gastric or duodenal ulcers were present. the patient was started on intravenous protonix as well as octreotide transfused as necessary. the initial plan was to take the patient for tips done by interventional radiology, however, tips was attempted unsuccessfully. surgery was consulted regarding surgical intervention and question of a portocaval shunt, however, the patient's anatomy was inappropriate for a portocaval shunt using the splenic vein. patient also was not felt to have been maximally medically managed at that time, thus plan changed. the patient was eventually weaned off octreotide, however, after rebled after being weaned off octreotide. the patient was rescoped by the hepatology service, who found no evidence of rebleeding, no stigmata of bleeding, and his banding ulcers, just large clot in his fundus. no obvious varices with stigmata of bleeding were noted, and his varices were noted to be grade ii at the time of re-egd on . the patient was restarted on octreotide, and continued on protonix as well as carafate, however, the patient continued to require large volumes of packed red blood cells. patient's bleeding had not fully resolved at the time of his death. multiple surgical options were rediscussed as well as consideration of repeat tips, however, it was felt that patient would be unlikely to benefit from any of these procedures given his poor mental status, and the increase risk of encephalopathy. also of great consideration, was the patient's mortality from surgery, which was felt to be astronomically elevated, thus making surgical intervention not an option for this patient. 2. pancreatitis: patient was noted to have elevated amylase and lipase. he underwent ct scan without contrast, however, this did not adequately visualize the pancreas. was started on tpn and continued on tpn throughout the course of his hospital stay. the patient's enzymes had started trending downward, however, they never fully normalized. 3. abdominal distention: patient's abdominal distention initially thought to be due to decreased portal hypertension and ascites. it was tapped successfully on , a liter and a half of clear fluid was removed without complications. this was not consistent by cell count or chemistry with being notable for spontaneous bacterial peritonitis. gram stain and cultures of fluids remain negative. patient's belly continued to increase in size, and it was again attempted to use paracentesis on , however, it was difficult to localize the pocket of fluid. ultrasound guided tap was attempted, which revealed only small to moderate ascites, just large dilated loops of bowel. flat film showed some air within the bowel, however, film was largely unremarkable and showed no evidence of obstruction. the patient continued to have melena and output from his nasogastric tube both suggesting that he was not obstructed. patient unfortunately continued to become more distended, and his bladder pressures were in the high 20s. surgery was consulted regarding the question of surgical decompression as his bladder pressures were not. patient's creatinine worsened as did his liver function tests, however, it is felt that the patient's surgical mortality would be enormous and surgical intervention was unlikely to be helpful to this patient. 3. mental status: patient initially had been intubated for airway protection only, and was sedated on ativan as well as propofol. the patient's sedating medications were stopped on , and it was thought that he would regain consciousness as his system slowly metabolized the ativan, however, patient never regained consciousness or purposeful movement. unclear whether this is due to worsening encephalopathy or whether patient had an acute cerebral event. 4. respiratory: patient was maintained on mechanical ventilation throughout the course of his hospital stay. he was initially, when heavily sedated, maintained on assist control, however, after his sedation was stopped, the patient tolerated pressure support fine. the patient became increasingly difficult to ventilate as his abdominal pressures increased and required higher and higher levels of peep. the patient, however, was electively extubated on at the request of his family, who wished to make him comfort measures only. 5. code status: the patient's family was actively involved with his care and supportive, however, they were concerned that their father would not want aggressive surgical intervention and prolonged hospitalization if at all possible. they were willing to entertain tips as a possibility, however, as the patient's situation became worse, and it became clear that tips was not likely to be helpful to their father, patient's family remained ambivalent about surgery especially after hearing the high mortality that would be associated with surgical options. family discussed what their father would want, and decided to stop medications and medical intervention, and make the patient comfortable. the patient was started on a morphine drip, and remained intubated for two days further at which point patient's family decided to withdraw ventilatory support. patient expired later the same day with his family present at the bedside. the patient's official time of death was 8:55 pm on . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other endoscopy of small intestine insertion of endotracheal tube endoscopic excision or destruction of lesion or tissue of esophagus injection of anesthetic into spinal canal for analgesia intra-abdominal venous shunt diagnoses: acidosis hyperpotassemia alcoholic cirrhosis of liver acute kidney failure, unspecified other convulsions acute respiratory failure esophageal varices in diseases classified elsewhere, with bleeding hepatic encephalopathy 

Answer: The patient is high likely exposed to