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: nafcillin attending: chief complaint: hematemesis major surgical or invasive procedure: esophagogastroduodenoscopy history of present illness: 31 y.o. female with history of autoimmune hepatitis complicated by cirrhosis and recurrent ascites presenting with hematemesis for one day. the patient reports on the morning of presentation she woke up without significant abdominal pain or nausea but did notice her abdomen was very distended. she then began to vomit and had a paroxysm of vomiting where she had five episodes of emesis each with about a half cup of dark blood per her report. she called ems and was brought to an osh where she had an ng passed that expelled a large amount of dark blood. reports vary and some sources (i.e. ed dash) said this was bright red blood but after reviewing with patient it seems this was all maroon with only flecks of dark red blood. unfortunately, she vomited out the ng tube. she was started on octreotide drip and transferred to . osh hct was 36.7. in the ed vs: t 99.4, p 62, bp 122/75, rr 16, o2 97% 3l. on arrival to hct was 36.4 and she remained hd stable without tachycardia or hypotension. she was started on pantoprazole drip. liver was called and plan to scope patient tomorrow. she was also started on ceftriaxone for pcp . she was sent to the micu. currently, she denies any symptoms. denies cp, sob, light-headedness. she reports abdominal distension leading to sob was worst symptom and this has resolved after having ng. past medical history: # autoimmune hepatitis: +, ama-, + # cirrhosis: # rheumatoid arthritis: # hep c: genotype 3. most recent viral load undetectable. # mulitple liver biopsies # compartment syndrome in r arm s/p surgical decompression # herpes zoster # c section in # osteomyelitis # nephrolithiasis social history: lives with mother in . smokes 5 cig/day (down from before) x 15 yrs. has h/o etoh and drug abuse (heroin and cocaine) but clean since 9/. has a 11 year old son and a 3 year old daughter ( ). mom is point person. family history: aunt w/ breast ca. no h/o autoimmune hepatitis, early colon ca, or crohn/uc. physical exam: physical exam on admission: vitals: tcurrent: 36.2 ??????c hr: 64 bp: 108/54(66) rr: 14 spo2: 95% general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema discharge physical exam: vss, abdomen is distended, nontender, no fluid wave, no masses. guiac positive stools. iv's present at time of elopement. pertinent results: labs on admission: =============================================================== wbc-6.9# rbc-3.24* hgb-12.1 hct-36.4 plt ct-51* neuts-76.7* lymphs-14.6* monos-5.8 eos-2.1 baso-0.7 pt-20.5* ptt-37.3* inr(pt)-1.9* glucose-97 urean-18 creat-0.5 na-137 k-4.7 cl-112* hco3-21* angap-9 albumin-2.4* mg-1.9 pertinent labs and studies: hct 36.4-->32.8 liver u/s : 1. nodular cirrhotic liver with splenomegaly and ascites suggesting the presence of portal hypertension. patent main portal vein with hepatopedal flow. 2. new echogenic focus in the left lobe of the liver, measuring 1.3 cm in greatest dimension. further characterization with non-emergent mri is recommended. egd : grade i varices at the lower third of the esophagus and gastroesophageal junction duodenal varices otherwise normal egd to third part of the duodenum discharge labs: 01:15pm blood wbc-8.4# rbc-2.97* hgb-11.2* hct-32.8* mcv-111* mch-37.9* mchc-34.2 rdw-16.1* plt ct-70* 04:50am blood glucose-160* urean-17 creat-0.7 na-133 k-4.4 cl-103 hco3-25 angap-9 04:50am blood alt-62* ast-67* alkphos-131* totbili-1.8* 04:50am blood pt-18.8* ptt-37.4* inr(pt)-1.7* brief hospital course: 31yo female with autoimmune liver disease presenting with ugib with bloody emesis x1 day, she is now s/p egd which did not reveal bleeding varices but did reveal small grade i varices in the esophagus and the duodenum. she missed 4 days of lasix doses so we will re-initiate her diuretic regimen as well as her other home medications. acute issues: #. gib: the patient had dark emesis and a lavage done at osh revealed blood. on egd, non-bleeding grade i varices are appreciated so unclear if this is source of bleed. we treated as for gib but we did not continue octreotide and ppi. treatment with ceftriaxone and converted to po cipro 500mg for 7 days, nadolol 20mg daily. patient's hematocrit remained stable around 33-35 and she remained hemodynamically stable . #. autoimmune hepatitis c/b cirrhosis, recurrent ascites. abdominal pain may be ascites. continued on home dose of lasix (of which she had missed 4 days of doses), aldactone, home dose of imuran, budesonide. started on weekly vitamin d 50,000 on wednesdays. the patient achieved relief of abdominal pain with carafate and was also advised to use tums for her pain. as well, she was given tramadol for this pain. . #.uncomplicated uti: patient had asymptomic pyuria, urine cultures show staph aureus coag positive. sensitivities revealed resistance to levofloxacin and so ciprofloxacin will not cover her. she was given a 3 day course of bactrim for uti. . #patient eloped with 2 iv's in arms. she left without receiving discharge paperwork but rx were delivered. . chronic issues: #. cirrhosis. meld was 15 on day of discharge. patient will continue to follow in transplant hepatology. . transitional care issues: code: full contact: , pending studies: none patient eloped with iv's intact. medications on admission: imuran 50 mg once a day, budesonide 3 mg one p.o. t.i.d., vitamin d 50,000 units once a week, furosemide 20 mg once a day, spironolactone 100 mg once a day, calcium with vitamin d is on hold due to kidney stones, iron 325 one three times a day discharge medications: 1. ergocalciferol (vitamin d2) 50,000 unit capsule sig: one (1) capsule po 1x/week (we). disp:*30 capsule(s)* refills:*2* 2. azathioprine 50 mg tablet sig: one (1) tablet po daily (daily). 3. budesonide 3 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po tid (3 times a day). 4. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. spironolactone 100 mg tablet sig: one (1) tablet po daily (daily). 6. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po tid (3 times a day). 7. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 4 days. disp:*8 tablet(s)* refills:*0* 8. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. sucralfate 1 gram tablet sig: one (1) tablet po four times a day as needed for abdominal pain for 7 days. disp:*28 tablet(s)* refills:*0* 10. tramadol 50 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain for 1 weeks. disp:*15 tablet(s)* refills:*0* 11. bactrim ds 800-160 mg tablet sig: one (1) tablet po twice a day for 3 days. disp:*6 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: gastrointestinal bleed urinary tract infection autoimmune liver disease cirrhosis secondary diagnosis: hepatitis c discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ***patient eloped prior to delivery of paperwork*** dear ms. , it was a pleasure taking care of you. you were admitted to the hospital for a gastrointestinal bleed. you did not receive a transfusion and your blood levels are stable. you were also found to have a urinary tract infection while you were in the hospital. you received an esophagogastroduodenoscopy while you were in the hospital which did not reveal a source of your bleeding. please note the following changes to your medications: please keep all of your follow up appointments. followup instructions: department: primary care name: dr. when: wednesday at 10:45 am location: primary care address: , 4th fl, , phone: department: transplant when: wednesday at 3:20 pm with: transplant clinic building: lm campus: west best parking: garage department: radiology when: monday at 1:40 pm with: xmr building: cc campus: west best parking: garage department: transplant when: wednesday at 1:20 pm with: transplant clinic building: lm campus: west best parking: garage procedure: other endoscopy of small intestine diagnoses: urinary tract infection, site not specified cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma rheumatoid arthritis hematemesis staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus esophageal varices without mention of bleeding autoimmune hepatitis 

Answer: The patient is high likely exposed to