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: sulfa (sulfonamide antibiotics) / shellfish derived / latex attending: chief complaint: transferred from osh for transplant evaluation major surgical or invasive procedure: placement of temporary hemodialysis catheter continuous -venous hemodialysis endotracheal intubation placement of central venous catheter placement of arterial line history of present illness: 69f c h/o etoh-cirrhosis admitted to osh with vomiting and weight loss on now transferred for transplant evaluation/ patient had hip surgery wks prior to presentation to -. since then her husband noted that she has been increasingly confused, trying to dial a telephone number on the vcr remote. he called her gastroenterologist who increased her lactulose from 3 tbsp to 4tbsp four times daily and placed her on reglan for chronic vomiting. one day prior to admission to osh she had diarrhea all day, was incontinent and had lost 5-8lbs over the week secondary to nausea and decreased po intake so her husband brought her into the . in the ed at the osh she was noted to be dehydrated and encephalopathic. she was hydrated and then had a significant drop in her hematocrit (from 21 to 26) with hydration over the next few days. she had guaiac positive stools without overt gib. she was transfused to a hct of 24.5 on the day of discharge. she was also treated for a positive ua (although denied sx) with cephtriaxone. a culture was not perofrmed. on presentation to patient notes she has been feeling better and is able to hold down meals as long as she eats slowly. she has had no dysuria or abdominal pain and no urinary frequency. she denies h/o gib, melena, brbpr. she denies sick contacts or travel recently. she denies sob, edema, chest pain. she does feel a little dehydrated but thinks she can keep up with it with her meals. rest of ros is negative including no chest pain, palpitations, syncope or presyncope, falls, fevers, chills, night sweats, sob, rash. past medical history: esld from etoh cirrhosis gastric ulcer in hepatic encephalopathy transfusion dependend anemia egd with gastral antral vascular ectasia (gave) syndrome and portal hypertensive gastropathy depression chronic headaches valvular heart disease: on recent evaluation with tte normal lv size and function with some evidence of diastolic dysfunction, mod mr , mild ao stenosis and trace pr social history: per omr, married with 5 children. she had 1 miscarriage during a pregnancy. she is a retired bookkeeper. she has never smoked cigarettes nor used recreational drugs. per omr initial hepatology note, "she has a history of alcohol excess with 4 glasses of wine per night over a prolonged period. she has not consumed any alcohol since she was given her diagnosis of cirrhosis back in ." family history: negative for liver disease. brother with prostate ca. father had emphysema. mother died of heart disease in her 80s. physical exam: vs: 65 103/58 12 98%2l nc gen: responsive to verbal stimuli heent: scleral icterus. perrl. neck supple cv: nl s1+s2, ii/vi systolic murmur at the base pulm: bibasilar rales abd: distended, nt. +bs ext: 2+ pitting edema. 1+ dp bilaterally. neuro: responsive to verbal stimuli. not oriented. +asterixis. pertinent results: labs on admission: 05:25am blood wbc-4.8 rbc-2.48* hgb-8.2* hct-24.7* mcv-100* mch-32.9* mchc-33.0 rdw-18.8* plt ct-51* 05:25am blood pt-20.4* ptt-44.2* inr(pt)-1.9* 05:25am blood glucose-110* urean-15 creat-1.1 na-141 k-4.6 cl-115* hco3-21* angap-10 05:25am blood alt-51* ast-96* ld(ldh)-318* alkphos-79 totbili-5.7* 05:25am blood albumin-2.6* calcium-7.6* phos-2.1* mg-1.1* iron-140 . labs on : 01:55am blood wbc-10.1 rbc-2.02* hgb-6.9* hct-21.1* mcv-104* mch-34.4* mchc-33.0 rdw-24.1* plt ct-30* 01:55am blood plt ct-30* 01:55am blood pt-27.6* ptt-49.0* inr(pt)-2.7* 01:55am blood fibrino-109* 01:55am blood glucose-157* urean-28* creat-1.9* na-136 k-3.9 cl-100 hco3-22 angap-18 01:55am blood calcium-10.8* phos-3.4 mg-2.1 . cth (): no evidence of acute intracranial abnormality. . hip (): there is no evidence for fracture or dislocation. pelvic calcifications likely represent phleboliths. . abd u/s (): 1. patent hepatic vasculature but with slow flow in the main portal vein with possible new non-occlusive thrombus in the main portal vein wall. 2. diffuse coarsened echogenic liver consistent with stated history of cirrhosis. 3. cholelithiasis, without evidence of acute cholecystitis. 4. mild-to-moderate ascites around the liver capsule. . cxr (): no previous images. the cardiac silhouette is at the upper limits of normal in size, with the lungs clear and no evidence of vascular congestion or pleural effusion. mild eventration of the central aspect of the right hemidiaphragm, with no clinical significance. . ecg (): sinus rhythm with atrial premature beats including a four beat run of probable atrial tachycardia. non-specific st-t wave changes. since the previous tracing of further t wave changes are suggested but there may be no significant change. . ecg (): sinus with 1:1 conduction. na-ni. laa. non-specific st-t wave changes anteriorly present on prior ecgs. . tte (): the left atrium is moderately dilated. the right atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (valve area 1.2-1.9cm2). no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. . egd (): - varices at the lower third of the esophagus. - erythema, congestion, abnormal petechial vascularity and mosaic appearance in the whole stomach compatible with portal hypertensive gastropathy - linear erythematous streaks in the antrum compatible with gastric antral vascular ectasia - schatzki's ring . flex sig (): - large internal hemorrhoids - small non bleeding rectal varices. brief hospital course: ms. is a 69 year old female with meld ~32 etoh cirrhosis c/b encephalopathy, ascites, portal hypertensive gastropathy, and grade ii varices transferred to the micu for encephalopathy and renal failure after admission to the floor for gib and evaluation for transplant. pt was admitted to the micu where pt underwent flexible sigmoidoxcopy on demonstrating internal hemorrhoids and non-bleeding rectal varices. pt remained stable and was transferred to the floor. the pt underwent egd on that demonstrated 5 cords of grade ii varices, a schatzki's ring, gave and portal hypertensive gastropathy. over the following days pt developed progressive renal failure and encephalopathy. pt was started on rifaxamin and lactulose and transferred back to the micu. renal failure was initially thought to be hepatorenal and pt was treated with midodrine, albumin and octreotide, however, renal was consulted and thought that the renal failure was atn and so these medicines were discontinued. pt deteriorated further clinically and started on pressors and intubated for airway protection. she continued to deteriorate on pressors and renal function did not recover and so cvvh was initiated. pt had recurrent atrial fibrillation and was put on hold on the transplant list because she was felt to be too sick. ultimately, a family mtg was held as it was felt that her ultimate prognosis was very poor. the decision was made to terminally extubate her and pressors were discontinued. contact: (husband) medications on admission: home medications: neomycin 500mg qid omperazole 20mg daily aldactone 50mg daily lasix 20mg lactulose 4 tbspn 4 times daily reglan 5mg/5ml 2 tspns qid . medications (on transfer): albumin 25% (12.5g / 50ml) 50 g iv daily ceftriaxone 1 gm iv q24h citalopram hydrobromide 10 mg po daily hemorrhoidal suppository 1 supp pr daily lactulose 30 ml po q2h metoclopramide 10 mg po qidachs miconazole powder 2% 1 appl tp tid:prn rash midodrine 7.5 mg po tid levothyroxine sodium 37.5 mcg iv daily metoprolol tartrate 2.5 mg iv q6h pantoprazole 40 mg iv q12h discharge disposition: home with service discharge diagnosis: discharge condition: discharge instructions: followup instructions: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage arterial catheterization flexible sigmoidoscopy diagnoses: acidosis thrombocytopenia, unspecified acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified alcoholic cirrhosis of liver iron deficiency anemia secondary to blood loss (chronic) other and unspecified alcohol dependence, in remission portal hypertension atrial fibrillation depressive disorder, not elsewhere classified acute respiratory failure defibrination syndrome mitral valve insufficiency and aortic valve stenosis other ascites headache awaiting organ transplant status hepatic encephalopathy dehydration esophageal varices in diseases classified elsewhere, without mention of bleeding ventilator associated pneumonia diseases of tricuspid valve gastroparesis candidiasis of vulva and vagina angiodysplasia of stomach and duodenum with hemorrhage hemorrhage of rectum and anus shock, unspecified tracheoesophageal fistula, esophageal atresia and stenosis 

Answer: The patient is high likely exposed to