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: aspirin / ibuprofen / gabapentin / tylenol attending: chief complaint: abdominal pain major surgical or invasive procedure: egd history of present illness: ms. is a 52 yof with esld secondary to hepc & etoh with recently banded esophageal varices, who presents with a two day history of melena. prior to this, she has not had a known gib. on she had an egd that showed grade ii varices, which were banded. she had a scheduled repeat egd on which showed three cords of grade ii-iii varices in the lower third of the esophagus as well as two post-banding ulcers seen in the lower esophagus; no active bleeding was noted though it was recommended that she return in wks for "slowly healing banded ulcers." . the morning after the procedure on she developed melena with approximately 7 bm's throughout the day and night. the afternoon of prior to going to the , she noted brb on the tp, but otherwise has not had brbpr. in addition, on she had a single episode of a small volume of coffee-grounds emesis. of note, she has been on lovenox for portal vein thrombosis (dx , see below). she was transferred to for further work-up and care. . in the ed, vs were bp 93/57 (baseline sbp ~110's), hr 75, t 97.6, rr 14, 100% ra. hct was noted to be 20.0 with a baseline in the mid to upper 20's (last checked on and was 27.8). platelets were 60 (baseline ~70); inr 1.6. two 20 g piv were placed; 1l ns was given and two units rbc were ordered. the ed staff spoke with the gi fellow who recommended ocreotide/iv ppi and scope in the am. . ros: * positive for ruq pain (few weeks), dizziness/lightheadedness (improved now after ivf and blood in the ed), epigastric "cramping" (gets with lactulose use) and neuropathic pain in le b/l. * negative for cp, sob, ha, fevers, anorexia past medical history: - polysubstance abuse: etoh, benzodiazepine, cocaine. - cirrhosis, c/bencephalopathy, ascites, and stage 4esophageal varices (but has not had a history of gi bleeding) she reports having a history of sbp in the past, treated @ - hepatitis c (she reports from tatoos) - diabetes mellitus, type 1? - neuropathy - thrombocytopenia - depression - anxiety social history: lives alone, though her neighbor is closely involved in her care. history of cocaine use and alcohol abuse. endorses current sobriety. unemployed and on disability. family history: multiple family members with alcohol/substance abuse. mother with scleroderma. multiple siblings with diabetes. physical exam: vs in the ed: bp 93/57, hr 75, t 97.6, rr 14, 100% ra vs on arrival to the micu: general: comfortable appearing, thin, pleasant/conversant lungs: crackles at right base; otherwise cta b/l, no wheezes, no rales cardio: rrr, no m.r.g abd: hyperactive bowel sounds, soft, ntnd, no fluid waves appreciated skin: no rashes, somewhat dry, no petechiae extremities: no neuro: aa, ox3, somewhat slowed speech but comprehensible; neg asterixis; cn ii - xii in tact, moving all extremities pertinent results: 08:30pm hct-22.3* 03:14pm hct-22.3* 08:31am hct-22.4* 03:15am glucose-156* urea n-59* creat-1.0 sodium-135 potassium-4.2 chloride-103 total co2-23 anion gap-13 03:15am calcium-8.4 phosphate-3.2 magnesium-2.0 03:15am wbc-2.7* rbc-2.40* hgb-8.1* hct-22.2* mcv-93 mch-33.7* mchc-36.4* rdw-17.1* 03:15am plt count-52* 03:15am pt-17.7* ptt-41.2* inr(pt)-1.6* 10:33pm pt-17.6* ptt-42.2* inr(pt)-1.6* 09:00pm glucose-199* urea n-62* creat-1.1 sodium-135 potassium-4.4 chloride-101 total co2-24 anion gap-14 09:00pm estgfr-using this 09:00pm alt(sgpt)-16 ast(sgot)-32 alk phos-70 tot bili-1.4 09:00pm albumin-3.2* 09:00pm wbc-3.5* rbc-2.09*# hgb-7.1*# hct-20.0*# mcv-95 mch-34.0* mchc-35.7* rdw-16.9* 09:00pm neuts-80* bands-1 lymphs-15* monos-3 eos-1 basos-0 atyps-0 metas-0 myelos-0 09:00pm hypochrom-1+ anisocyt-1+ poikilocy-1+ macrocyt-1+ microcyt-1+ polychrom-1+ spherocyt-1+ ovalocyt-1+ 09:00pm plt smr-very low plt count-60* brief hospital course: 53 yo female with history of hep c cirrhosis, portal vein thrombosis admitted for ugib. (#) gib: upper gi bleed requiring initial icu stay. egd showed erosion of varices that extended through the ge junction, no indication for banding per gi. the patient??????s hct remained stable s/p 2 units of prbcs, although lower than baseline, bp has remained stable. maintained active t&s, two large bore iv's, and a right ij triple lumen which was removed prior to floor transfer. hct checked q6h, goal hct 21. did not require platelet or ffp transfusion, however given vit k 5mg x1 orally. continued octreotide drip and iv ppi. abdominal us showed consistent portal vein thrombosis. no tips persued. . (#) esld, portal vein thrombosis: from etoh & hep c; currently being evaluated for liver (not listed yet). monitored for hepatic encephalopathy with gib; no evidence of he. continued lactulose titrated to 3 bm's per day. continued cipro 250 mg qd ppx for sbp. held lasix, spironolactone and nadolol in setting of hypotension with bleed. held lovenox for pvt while gib. . (#) diabetes: continued ssi + home dose glargine 44 units qhs (half dose when npo) . (#) neuropathy: stocking glove; likely dm -- cont home oxycodone 5 mg . (#) coping: consulted sw . (#) access: 2 x 20 g piv . (#) nutrition: clears only per gi . (#) ppx: iv ppi; pneumoboots; lactulose for bowel regimen . (#) code: full . (#) communication: with patient medications on admission: enoxaparin (was supposed to be switched to coumadin at soem point) furosemide 40 mg spironolactone 50 mg lactulose tid titrated to 4 bm's daily nadolol 20 mg qd fluticasone-salmeterol 250-50 one puff ergocalciferol (vitamin d2) 50,000 unit qweek folic acid 1 mg qd sucralfate 1 gram qid (to be taken through ) zolpidem 5 mg qhs lidocaine 5 %patch on legs b/l for neuropathic pain (not using any more) nortriptyline 25 mg qhs ciprofloxacin 250 mg qd oxycodone 5 mg omeprazole 40 mg glargine 44 units qhs + ssi discharge medications: 1. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 2. oxycodone 5 mg tablet sig: one (1) tablet po q12h (every 12 hours) as needed for pain. 3. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 4. ciprofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours). 5. nortriptyline 25 mg capsule sig: one (1) capsule po hs (at bedtime). 6. vitamin d 50,000 unit capsule sig: one (1) capsule po once a week. 7. folic acid 1 mg tablet sig: one (1) tablet po once a day. 8. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day) for 2 weeks. disp:*60 tablet(s)* refills:*0* 9. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). 10. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 11. furosemide 40 mg tablet sig: one (1) tablet po twice a day. 12. spironolactone 50 mg tablet sig: one (1) tablet po twice a day. 13. insulin glargine 44 units at night with sliding scale discharge disposition: home with service facility: vna discharge diagnosis: acute blood loss anemia varices peptic ulcer disease end stage liver disease hepatitis c discharge condition: hemodynamically stable, hematocrit stable, not encephalopathic. discharge instructions: you were admitted with bleeding from your esophogus and stomach. you were treated in the icu and the bleeding was controlled. . it is critical to your recovery that you take all of your medications exactly as prescribed. contact your doctors if have any questions. we have discontinued your lovenox. . please come to the hospital immediately if you develop black or bloody stools, vomiting black or bloody material, confusion, or any other worrisome signs. followup instructions: follow up with dr as listed below. provider: (st-3) gi rooms date/time: 9:00 provider: , md phone: date/time: 9:00 provider: density testing phone: date/time: 8:40 procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine percutaneous abdominal drainage transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma acute posthemorrhagic anemia chronic hepatitis c with hepatic coma alcoholic cirrhosis of liver portal hypertension polyneuropathy in diabetes dysthymic disorder personal history of venous thrombosis and embolism other ascites esophageal varices in diseases classified elsewhere, with bleeding other and unspecified alcohol dependence, unspecified diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction 

Answer: The patient is high likely exposed to