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 45 year old woman with a past medical history significant for liver cirrhosis secondary to hepatitis c and alcohol abuse and known esophageal varices, who presented to this institution with a three day history of diarrhea, increasing in intensity and color over the course of the three days. she complained of nausea, poor p.o. intake and abdominal cramping which was relieved by defecation. on the night of presentation while in the emergency department, she vomited four basins of bright red blood not otherwise quantified which cleared with 300 ccs of nasogastric lavage. she was admitted directly to the medical intensive care unit with stable vital signs and a hematocrit of 25.9. past medical history: 1. alcohol abuse. 2. cirrhosis. 3. hepatitis c. 4. esophageal varices. 5. hypertension. 6. asthma. 7. depression. allergies: codeine, morphine leading to nausea. family history: mother with pancreatic cancer. social history: significant for alcohol abuse. per patient none since of this year. thirty pack year history of tobacco and intravenous drug use in the past but clean now. medications on admission: 1. nadolol 20 mg q.d. 2. zoloft 50 mg q.d. 3. albuterol mdi two puffs b.i.d. 4. flovent mdi two puffs b.i.d. 5. lactulose 30 mg q.d. 6. prilosec 40 mg q.d. laboratory data: she had a white count of 11.0, hematocrit 25.9, platelet count 141,000. sodium 144, potassium 3.1, chloride 113, bicarbonate 21, blood urea nitrogen 18, creatinine 0.6. lipase 33, alt 32, ast 51, ld 28, albumin 3.1, alkaline phosphatase 82, amylase 32, total bilirubin 1.8. physical examination: on admission, significant for temperature of 99.7, blood pressure 115/55, heart rate 93, respiratory rate 25. in general, she was in no acute distress. the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. she had no scleral icterus. her oropharynx was clear and mucosa was moist. heart had a regular rate and rhythm with normal s1 and s2 and no murmurs, rubs or gallops. her lungs were clear to auscultation bilaterally. her abdomen was soft, obese, with mild right upper quadrant tenderness, no rebound and no guarding. rectal examination was significant for guaiac positive stool. she had no jaundice and no rash. neurologically her cranial nerves ii through xii are intact. she had 5/5 strength bilaterally in both upper and lower extremities. hospital course: 1. gastrointestinal - as above, the patient was admitted directly to the intensive care unit where she received two units of fresh frozen plasma and two units of packed red blood cells and was started on octreotide drip 50 mcg per hour with a 50 mcg intravenous bolus. two large bore peripheral intravenouses were placed and present at all times. she was started on protonix intravenous 40 mg q12hours. the following morning an esophagogastroduodenoscopy was performed significant for grade iii varices seen in the lower one third of the esophagus. the varices were not bleeding at the time of the examination. four bands were successfully placed on the varices without complications. she received an additional two units of packed red blood cells and had no further bleeding while in the intensive care unit. she was started on ciprofloxacin intravenous for prophylaxis after her esophagogastroduodenoscopy. hematocrit was checked q6hours and she was extubated following the esophagogastroduodenoscopy without difficulty on the following day. she was called out to the floor for care on , where she had no additional bleeding. she was transfused with an additional two units of packed red blood cells for a hematocrit under 30.%. she was continued on the octreotide drip and the protonix. on the fifth day following admission, , she had had no additional bleeding since her banding. her vital signs were stable as was her hematocrit at approximately 35%. 2. hypertension - the patient was continued on her outpatient dose of nadolol throughout her course. 3. pulmonary - the patient had no difficulty with her extubation and was continued on her albuterol and atrovent throughout her course with no exacerbations. condition on discharge: good. disposition: the patient was to be discharged directly to home. discharge diagnoses: 1. upper gastrointestinal bleed. 2. esophageal varices. 3. cirrhosis. 4. hepatitis c. discharge medications: 1. nadolol 20 mg q.d. 2. zoloft 50 mg q.d. 3. albuterol mdi two puffs b.i.d. 4. flovent mdi two puffs b.i.d. 5. lactulose 30 mg q.d. 6. prilosec 40 mg q.d. 7. ciprofloxacin 500 mg b.i.d. times ten days. , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: unspecified essential hypertension cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma asthma, unspecified type, unspecified esophageal varices in diseases classified elsewhere, with bleeding other and unspecified alcohol dependence, unspecified 

Answer: The patient is high likely exposed to