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: mr. is a 53-year-old gentleman who was transferred to medical intensive care unit from an outside hospital for esophageal bleeding. the history is obtained from the chart only as the patient is portugese speaking. mr. was transferred to after presenting with hematemesis on . he had a first episode at 6 am on the morning of presentation, five episodes of bright red blood per mouth associated with some nausea. he also relates some melena and two episodes of syncope at home along with persistent lightheadedness. patient in addition, had an episode of rectal bleeding now for a few months, although he denies any abdominal pain. patient has a long history of alcohol abuse, but no other complications from the alcohol abuse per report. upon admission, the patient's hematocrit was 40.3 and his coags were normal. the patient apparently last drank at 2 am the morning of admission. an esophagogastroduodenoscopy was performed at outside hospital which showed severe acute and chronic esophagitis. varices were not definitively identified, but there is a deep esophageal ulcer tear with the bleeding vessel that was treated with bipap and epi in the lower esophagus. there is also bleeding vessel just below the ge junction which was injected with good hemostasis. three clips were placed. there was no banding of any vessels due to fibrosis. the patient was intubated for airway protection and he received 2 units of packed red blood cells, and had a repeat hematocrit of 39.5. he was transferred to micu for further management. initially, he was evaluated by the thoracic surgery service, as it was felt he was high risk for rebleed due to his - tear. however, surgery felt that no other intervention was necessary from a surgical standpoint. at that point, he was then transferred to the micu for potential alcohol withdrawal and further management of his gastrointestinal bleed. the patient was changed to cpap with pressure support the day following admission. past medical history: 1. alcohol abuse 20 years drinking 1 liter of hard alcohol per day. 2. status post right herniorrhaphy. 3. status post left knee surgery from a motorcycle accident. home medications: none. medications inhouse: 1. protonix. 2. folic acid. 3. thiamine. 4. atrovent. 5. levofloxacin. 6. clindamycin. 7. colace. 8. senna. 9. valium prn. allergies: the patient has no known drug allergies. social history: the patient drinks 1 liter of hard alcohol a day and has tobacco history. in the medical intensive care unit, the patient had the following physical examination: vital signs: temperature 100.8, blood pressure 138/78, pulse 94. he was breathing at 30 and sating 98%. general: the patient was intubated and sedated. heent: pupils are equal, round, and reactive to light. his mucous membranes were dry, poor dentition. neck: neck was supple. there was an ij line in his right neck. lungs: he had absent breath sounds on the right, but clear on the left. cardiovascular: patient has a regular, rate, and rhythm with no murmurs, rubs, or gallops. abdomen: his abdomen is soft, nontender, nondistended with normal bowel sounds and no caput medusae or spider angiomas. extremities: no edema or palmar erythema. neurologic: the patient was opening his eyes to voice and looking at examiner, but did not follow commands. laboratory data: on admission from the outside hospital, the patient had the following laboratories: his white blood cell count was 9.5, hematocrit of 40.3, and platelets were 189. sodium was 137, potassium of 3.9, chloride 100, bicarb 24, bun 20, creatinine 1.0, and sugar 141. his albumin was 4.2, his ast was 73, alt was 59, alkaline phosphatase was 79, t bilirubin 0.8, ck was 143, lipase 21, amylase 19. his pt was 13.0, ptt is 24.8, and inr is 1.1. his electrocardiogram was normal sinus rhythm at 92 with normal axis. there were no q waves. there were no st-t wave changes. a chest x-ray was read as no acute infiltrate or cardiopulmonary abnormalities. the patient had a chest x-ray on which showed right slight atelectasis at the right space, but no pneumothorax. the day of the patient's discharge, the patient's laboratories were as follows: his white blood cell count was 12.7, hematocrit 35.3, platelet count was 145. his potassium was 3.9, bun 15, creatinine 0.7, glucose of 25. he had the following cultures grown during his stay in . on , he had sputum which grew staphylococcus aureus that was sensitive to levofloxacin and penicillins, and 3+ gram-negative rods. he had blood and urine culture sent on which have been negative to date. summary of hospital course: 1. gastrointestinal: the patient had this acute large volume of hematemesis at the outside hospital with the esophagogastroduodenoscopy done at the outside hospital with the intervention previously mentioned. since his arrival at , he has had no further incidences of active bleeding and his hematocrit has remained stable at 35.3 the day of discharge. he has had no further symptoms of lightheadedness, chest pain, shortness of breath. he was placed on protonix 40 mg , but received no additional transfusions at . he was seen by the thoracic surgery team prior to discharge, who cleared him without any further intervention necessary for the - tear. of note, he had normal lfts and normal coags despite his history of alcohol abuse. 2. infectious disease: during the patient's stay in the micu, he was weaned from the ventilator with some difficulty and he was found to have copious secretions that were green in color, to have spiked a fever, growing staphylococcus aureus, and gram-negative rods in the sputum. he was initially covered with levofloxacin and flagyl which after one day was changed to levofloxacin and clindamycin. he subsequently was afebrile and he had a good oxygen saturations without any shortness of breath. he was continued on the levofloxacin and the clindamycin until the day of discharge when he was discharged on a 10 day course of levofloxacin for presumed aspiration pneumonia versus pneumonitis from the esophagogastroduodenoscopy. 3. etoh abuse: the patient has a 20+ year history of alcohol abuse drinking roughly 1 liter of alcohol per day. during the stay in the medical intensive care unit, he received 2 doses of valium for agitation, but thereafter remained stable with no evidence of alcohol withdrawal. he was continued on prn valium, but required no additional doses. prior to his discharge, he was explained in portugese by an interpreter the danger that his continued drinking opposed to his health. in particular, he was instructed if he continues to drink, his risk of rebleed, and potentially additional bleeding episodes remain significant. the patient indicates that he understood the risks and would refrain from further alcohol. in addition, the patient was given daily doses of folic acid and thiamine during his hospital stay and sent home on a multivitamin on discharge. 4. hematologic: the patient was found to have a low platelet count on admission and it gradually rose to 145, but remained depressed. this is possibly due to splenic sequestration and the patient's cirrhotic liver, given the increased in the platelets of the course of his hospitalization, no further workup was undertaken as there is no spontaneous active bleeding. he should follow this up with his primary care physician. condition on discharge: fair. discharge status: to home. discharge diagnoses: 1. upper gastrointestinal bleed secondary to esophageal bleeding vessels. 2. esophageal tear consistent with - tear. 3. history of alcohol abuse. 4. thrombocytopenia. 5. aspiration pneumonia. discharge medications: 1. protonix 40 mg po bid x2 weeks followed by 40 mg po q day. 2. levofloxacin 500 mg po q day x10 days. 3. multivitamin one tablet po q day. follow-up plans: the patient is to call clinic at ( for follow-up appointment with a new primary care physician three days after discharge. he should be seen within 3-4 days of his discharge to have his hematocrit checked. this is communicated to the patient through the portugese interpreter. the patient understood the importance of doing so. the patient at that time is also in addition his primary care physician that he should have followup with clinic roughly eight weeks from his discharge. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours non-invasive mechanical ventilation diagnoses: thrombocytopenia, unspecified acute respiratory failure gastroesophageal laceration-hemorrhage syndrome other and unspecified alcohol dependence, continuous acute esophagitis alcohol withdrawal pneumonitis due to inhalation of oils and essences 

Answer: The patient is high likely exposed to