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: demerol attending: chief complaint: gi bleeding major surgical or invasive procedure: ir embolization history of present illness: mr. is a 57 year old male with past medical history of crohn's disease diagnosed 19 years ago, s/p colectomy with history of gi bleeding, hypertension and alcohol abuse who presented to hospital on with bleeding into his ileostomy bag, recently in icu for stoma bleed, now being transferred for stomal re-bleed. pt was in the micu from to and transferred 1 unit prbc's, and was hemodynamically stable and transferred to the floors on evening . this afternoon pt had large rebleed from stomal site, bp's dropped to 70s systolic, pressure was placed, but required balloon tamponade. pt was given 2 units prbc's and transferred to unit. pt is mentating well and otherwise feeling ok. denies abdominal pain, nausea, vomiting, chest pain, sob. he does have some lightheadedness. pt initially gi bleeding saturday . he describes this as painless ileostomy bleeding, requiring three bag changes and then he syncopized. he was admitted to that evening and discharged monday . he re-presented to tuesday-friday, for ongoing bleeding into his ileostomy bag. while at he recieved a cta, tagged red blood cell scan, video capsule study and endoscopy; all tests were negative for bleeding. he also had an ileoscopy as well which revealed a small ulceration but otherwise negative for signs of bleeding. the bleeding into his ileostomy bag occurs 3-4 times/week; it is intermittent, painless and stops on its own. he describes the blood as bright red mixed with dark green stool. aside from the syncopal episode initially and intermittent fatigue, he has not had any other symptoms (chest pain, shortness of breath). he denies any recent trauma, nausea, vomiting, diarrhea, contipation. he has minimal left lower quadrant tenderness which is intermittent and unrelated to food intake. he denies any recent medication changes. on sunday, , the patient presented to hospital with persistent bleeding into his ileostomy. his vitals were normal but he was admitted to icu for closer monitoring. his hematocrit remained stable around 32. in the icu he did recieve 2 units of ffp, 4 units prbc and 2 units of platelets. his bleeding resolved on its own. with concerns for crohn's flare, he was placed on high dose pulse steroid therapy of hydrocortisone 100mg q8h and continued on home pentasa. ct enterography revealed cirrhosis with evidence of portal hypertension and venous collaterals. ileoscopy revealed active stomal variceal bleed with limited other endoscopic findings. he was transferred for tips consideration after these findings. his hydrocortisone was discontinued. ursodiol was held on transfer and atenolol was switched to nadolol 20mg daily with continuation of ppi prophylaxis. he had no bleeding observed during the hospital stay. of note, the patient states his crohn's disease had been stable since colectomy without any need for other medications until . at that time, he developed gi bleeding that was more intermixed with stool and felt due to crohn's flare. he was treated with pentasa with improvement in his symptoms. he was recently started on prednisone 30mg on upon discharge from . the patient also has significant alcohol consumption history but denies hepatic encephalopathy, other gi bleeding (hematemesis), ascites. also denies ever becoming jaundiced. he was admitted on for consideration of tips. abdominal ultrasound without remarkable findings and tte (largely normal). bled two large bloody movements, apparently achieved control with a foley in the ostomy. ordered two units none given but did receive 1l ns. urgent tips ordered. upon going for tips, he was found to have a pressure gradient of 5, and was not considered a candidate for tips given that there was no significant benefit. following this, he was transferred to -, where he was monitored for re-bleeding and maintained on nadalol, pantoprazole, and ctx. past medical history: crohn's disease - diagnosed 19 years ago, s/p colectomy ~15 years ago hypertension chronic lower back pain alcohol abuse social history: -tatoos on bilateral arms 7-8 years ago -tobacco history: none -etoh: 3 drinks/day x years until 10-12 years ago; stopped secondary to feeling generally "lousy." the patient resumed alcohol consumption couple years ago, 2 drinks/day. drink of choice: vodka with coke (unclear how much vodka), quit three weeks ago with onset of gi bleeding -illicit drugs: none, denies any history of intranasal cocaine, marijuana, ivdu * also denies herbals, over the counters, anabolic steroids, excessive green tea -home: lives with wife, three children (aged 22, 23 and 3 years old) -work: bartender, does not find work to be stressful family history: father died of liver cancer at 71 years old, had mi when younger. mother died of cva, had diabetes s/p bilateral lower extremity amputations. brother with mild diabetes mellitus. children are alive and well. physical exam: physical exam on admission: general: well appearing male who appears stated age. comfortable, appropriate and in good humor heent: sclera non-icteric. perrl, eomi, dry mucus membranes, normal oro/nasopharynx. neck: supple with normal jvp cardiac: rrr, normal s1/s2, no murmurs/gallops/rubs. no spider angiomas noted. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use, moving air well and symmetrically. ctab, no crackles, wheezes or rhonchi. abdomen: soft, non-tender to palpation. dullness to percussion over dependent areas but tympanic anteriorly. no hsm or tenderness. midline vertical subumbilical scar with ileostomy, balloon in place, no active bleeding extremities: warm and well perfused, no clubbing or cyanosis. no cyanosis/ecchymosis/edema. physical exam on discharge: 99.5, 96-110/56-72, 69-86, 18, 98-99% ra general: comfortable, appropriate and in no distress heent: sclera non-icteric. perrl, eomi, dry mucus membranes, normal oro/nasopharynx. cardiac: rrr, normal s1/s2, no murmurs/gallops/rubs lungs: ctab no w/r/ abdomen: soft, non-tender to palpation. dullness to percussion over dependent areas but tympanic anteriorly. no hsm or tenderness. midline vertical subumbilical scar with ileostomy bag in the right lower quadrant, with no blood in the ostomy; tan/green colored soft stool and pink mucosa. extremities: wwp, 2+ distal pulses pertinent results: labs on admission: 12:45pm blood wbc-3.9* rbc-4.35* hgb-12.5* hct-37.4* mcv-86 mch-28.6 mchc-33.3 rdw-17.2* plt ct-68* 12:45pm blood pt-13.8* ptt-27.8 inr(pt)-1.3* 12:45pm blood glucose-76 urean-13 creat-0.9 na-142 k-3.7 cl-108 hco3-27 angap-11 12:45pm blood alt-242* ast-209* ld(ldh)-154 alkphos-79 totbili-1.5 12:45pm blood albumin-3.3* calcium-8.7 phos-4.1 mg-1.9 06:30am blood caltibc-321 ferritn-111 trf-247 01:01am blood hapto-27* 12:45pm blood hbsag-negative hbsab-positive hbcab-negative 12:45pm blood smooth-negative 06:30am blood afp-3.5 12:45pm blood -negative 12:45pm blood igg-1215 iga-235 12:45pm blood hcv ab-negative microbiology: urine cx : no growth blood cx and : ngtd imaging: echo : the left atrium is mildly dilated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). transmitral and tissue doppler imaging suggests normal diastolic function, and a normal left ventricular filling pressure (pcwp<12mmhg). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: normal regional and global biventricular systolic function. normal diastolic function. no pathologic valvular abnormalities. mildly elevated pulmonary systolic pressure. ruq us : 1. coarse liver echotexture and lobulated contour, suggestive of underlying cirrhosis. no focal hepatic lesion is identified. hepatic vasculature is patent with hepatopetal flow. 2. splenomegaly. 3. small amount of ascites. 4. cholelithiasis without evidence of acute cholecystitis. labs on discharge: 05:45am blood wbc-3.6* rbc-3.42* hgb-10.1* hct-28.6* mcv-84 mch-29.7 mchc-35.5* rdw-15.5 plt ct-36* 05:45am blood glucose-99 urean-9 creat-0.7 na-138 k-3.7 cl-105 hco3-26 angap-11 05:45am blood alt-41* ast-45* ld(ldh)-162 alkphos-63 totbili-0.9 05:45am blood albumin-2.8* calcium-7.6* phos-2.1* mg-1.6 brief hospital course: 57 year old male with past medical history of crohn's disease diagnosed 19 years ago, s/p colectomy with history of gi bleeding, hypertension and alcohol abuse who presented to hospital on with persistent bleeding into his ileostomy bag. # gastrointestinal bleeding: thought possibly due to stomal varices which were seen both on ct enteroscopy and ileoscopy. of note, these were not frankly bleeding on ileoscopy. no evidence of gastric/esophageal bleeding given history and physical exam. pt had radiographic cirrhosis and associated coagulopathy, thrombocytopenia, splenomegaly. the patient has not had complications, however, of encephlopathy or ascites. tips was attempted but his potosystemic gradient was only found to be 6 and therefore tips was not deemed to be an option to reduce the risk of bleeding from his stomal varices. pt was then transferred to the et service where he again had large stomal bleeding. he became hypotensive and was transferred back to the micu. his blood pressure remained stable after 2 units of prbc's and balloon tamponade of the stomal bleed. pt was then taken to ir where two branches of the superior mesenteric vein were successfully thrombosed. pt had no further bleeding after the procedure and serial hct's remained stable. pt was transferred back to the liver service on and his hct remained stable and no further bleeding was experienced x 48 hours. mr. was discharged with an increased dose of nadolol 40mg daily. . # cirrhosis: patient is a bartender with recent active drinking. thus, cirrhosis most likely due to alcohol consumption although etiology not confirmed. cirrhosis also not biopsy proven. he does not have classic 2:1 ast/alt. given history of auto-immune disease with crohn's, auto-immune hepatitis is on the differential athough anti-smooth muscle antibody was negative. imaging and laboratory evidence of portal hypertension, splenomegaly/ thrombocytopenia and impaired synthetic dysfunction. lft's mildly increased with normal bilirubin. no signs of current decompensation including ascites, jaundice, encephalopathy. he does have possible varices with bleeding around ileal stoma. normal afp. . #crohn's disease: no current symptoms of clinical exacerbation aside from bloody stool. the bleeding into the ileostomy, however, is more brisk than what is usually seen with crohn's. patient did not improve this time with prednisone, and has no extra-intestinal manifestations (has never had fistulas, rashes, ulcers etc). pentasa was continued. . # alcohol abuse: patient states he has been sober/abstinent for three weeks. monitored for signs/symptoms of withdrawal and was placed on a dmv, thiamine nad folate. . # hypertension: stable, recent gi bleed, anti-hypertensives were held in the setting of stomal bleeding. medications on admission: pentasa 1000mg qid atenolol 50mg daily ursodiol 300mg prednisone 30mg daily calcium carbonate daily fish oil daily multivitamin daily discharge medications: 1. mesalamine 250 mg capsule, extended release sig: four (4) capsule, extended release po qid (4 times a day). 2. calcium carbonate 400 mg (1,000 mg) tablet, chewable sig: one (1) tablet, chewable po once a day. 3. fish oil 1,000 mg capsule sig: one (1) capsule po once a day. 4. multivitamin tablet sig: one (1) tablet po once a day. 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. nadolol 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 8. ciprofloxacin 250 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: stomal varices cirrhosis crohn's disease hypertension chronic low back pain discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you at . you were admitted with life threatening bleeding from your stoma site. we were able to control this bleeding with a non-invasive surgery known as embolization. we also increased some of your medications to help ensure that you do not bleed again. it is of paramount importance that you no longer drink! if you drink any more, it could kill you. the following medication changes were made: stop atenolol and ursodiol, these will be replaced by nadolol, nadolol will prevent bleeding stop prednisone start nadolol to prevent bleeding start thiamine and folic acid for nutrition start cipro for 7 more days to prevent infection followup instructions: please keep your regularly scheduled appointment with your primary care doctor . name: , specialty: gastroenterology location: medical center- address: , , phone: **we were unable to schedule an appointment with dr . it is recommended you see the dr 1 week of your discharge. please contact the office at the number above to schedule your appointment** procedure: control of hemorrhage, not otherwise specified other endovascular procedures on other vessels injection of sclerosing agent into vein phlebography of the portal venous system using contrast material phlebography of other intra-abdominal veins using contrast material intravascular pressure measurement, other specified and unspecified vessels diagnoses: unspecified essential hypertension cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia alcoholic cirrhosis of liver portal hypertension pulmonary collapse other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hemorrhage of gastrointestinal tract, unspecified varices of other sites other and unspecified coagulation defects other and unspecified alcohol dependence, unspecified splenomegaly portal vein thrombosis personal history of other diseases of digestive system other colostomy and enterostomy complication other pancytopenia 

Answer: The patient is high likely exposed to