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: patient recorded as having no known allergies to drugs attending: chief complaint: hypotension and altered ms major surgical or invasive procedure: central line placement history of present illness: 45 y.o male with end stage liver disease presented to osh from hospice with altered ms of breath with hemoptysis. pt transfused 2 units prbc at osh with hct up to 25. transfered to after family reversed code status for further care. in ed found to be hypotensive and tachypneic with hemoptysis. pt intubated and ng lavage performed which was positive for coffee ground material. cleared after 700cc. guiac negative in ed. . per brother pt has been hospitalized numerous times since his diagnosis. approx 2 weeks ago and was treated at for upper gi bleed and had egd at that time, unknown findings. . pt found to have elevated wbc to 27, lactate 2.7, >50 wbc in urine. received zosyn, flagyl and vanco in the ed. gi service consulted for gi bleed and pt started on sepsis protocol. pt received 5 liters ns in ed. no blood products. past medical history: etoh abuse hep c social history: pt was living with his brothers when he became increasingly ill and they were unable to care for him at home. brothers told that there was a place that could take care of him, were not informed that this place was hospice. family history: unable to obtain. physical exam: vs: 96.8 ax, hr 107, bp: 100/42 (on levophed) 100% (500/16, peep 5, fio2 0.4) gen: intubated and sedated, jaudiced. heent: pupils at 3mm bilaterally and reactive, no roving eye movements, scleral icterus, scleral edema. cv: tachy, regular, no murmur. chest: coarse bs throughout, no wheeze appreciated. abd: mildly distented, no fluid wave, soft, no masses appreciated. difficult to palpate liver edge. ext: jaudiced, warm to touch, 2+ pulses, 1+ pedal edema, palmar erythema. neuro: sedated, unresponsive. pertinent results: 09:35pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-sm urobilngn-neg ph-7.0 leuk-mod 09:35pm urine rbc->50 wbc->50 bacteria-many yeast-few epi-0-2 trans epi-0-2 09:35pm urine hyaline-0-2 08:47pm lactate-2.7* 08:30pm glucose-140* urea n-46* creat-2.3* sodium-138 potassium-4.0 chloride-110* total co2-16* anion gap-16 08:30pm alt(sgpt)-47* ast(sgot)-53* alk phos-257* amylase-83 tot bili-5.6* 08:30pm albumin-2.0* calcium-6.5* phosphate-4.7* magnesium-1.6 08:30pm neuts-95.8* bands-0 lymphs-2.2* monos-1.9* eos-0.1 basos-0 08:30pm plt smr-low plt count-149* 08:30pm pt-20.1* ptt-42.7* inr(pt)-2.9 . head ct: findings: there is no evidence of acute intracranial hemorrhage, mass effect, shift of normally midline structures, hydrocephalus, or major vascular territorial infarcts. the -white matter differentiation is preserved. the cisterns and sulci are maintained. the visualized portions of the paranasal sinuses and mastoid air cells are normally aerated. the patient is intubated. impression: no acute intracranial pathology, including no evidence of acute intracranial hemorrhage. . cxr: impression: 1. et tube in satisfactory position. 2. ng tube with its tip in the mid esophagus. 3. abnormal lung findings could be due to aspiration with partial atelectasis of the left lower lobe, multifocal pneumonia or pulmonary edema. brief hospital course: 45 y.o male with end stage liver disease presents with gi bleed and sepsis. . 1) sepsis: pt started on sepsis protocol in ed for elevated wbc (27 with no bandemia) and respiratory compromise. lactate 2.7. possible sources include urosepsis given >50 wbc in urine, pna given resp failure, vs abd source translocation from gi bleed. stool became positive for c.diff colitis and was started on broad spectrum abx in ed; zosyn, vanco and flagyl for coverage of gi flora and staph. eventually change in goal to comfort only and so antibiotics were stopped. . 2) resp failure: likely secondary to sepsis and mental status changes. cxr shows prominence of the pulmonary vasculature as well as patchy consolidation in the left lower lobe. possible pna vs pulm edema given low albumin and fluid rescusitation. hemoptysis likely secondary to upper gi bleed, however cannot rule out lung process. he was eventually extubated with change in goals of care to comfort. . 3) gi bleed: egd here with evidence of tear. supported with blood products and coagulopathy reversed until change in goal of care. . 4) liver failure: pt has hx of etoh abuse and hep c cirrhosis. pt was apparently diagnosed only 4 months ago. has received all of his care at . not on transplant list that we can tell. last etoh was 4 months ago, on diagnosis. extent of disease is evident by inr 2.9 and albumin 2.0. was seen by liver team with elevated meld score and not a transplant candidate and again supportive measures only were taken. . 5) renal failure: likely secondary to hepatorenal syndrome. low urine output throughout stay. . 6) altered ms: likely multifactorial. end stage liver disease causing hepatic encephalopathy, renal failure causing uremia and sepsis. head ct negative for bleed. however mental status only improved marginally to the point where he recognized family memebers, but never back to baseline. . 7) code: famiy was not aware iniitially of patient's wishes for hospice and comfort care only. once discussed with his physicians and his wishes made known, they agreed in change of care to comfort care only and all medications and procedures were stopped except morphine drip and prn ativan and scopolamine patch. he was then transitioned to equivalent dose of fentanyl patch and prn concentrated morphine solution for pain control. medications on admission: unknown discharge medications: none discharge disposition: extended care discharge diagnosis: c. diff sepsis tear resulting in gastrointestinal bleed hepatic failure from hepatitis c and alcoholic cirrhosis acute renal failure altered mental status discharge condition: deceased discharge instructions: -- followup instructions: -- procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube transfusion of packed cells transfusion of other serum diagnoses: chronic hepatitis c without mention of hepatic coma alcoholic cirrhosis of liver acute kidney failure, unspecified hepatorenal syndrome unspecified septicemia severe sepsis acute respiratory failure intestinal infection due to clostridium difficile hepatic encephalopathy gastroesophageal laceration-hemorrhage syndrome 

Answer: The patient is high likely exposed to