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: transferred for tips major surgical or invasive procedure: variceal banding tips- unsuccessful orotracheal intubation history of present illness: patient is a 69yo m w/cirrhosis of uncertain etiology (believed likely fatty liver/nash w/component of alcohol induced) who began to have sob in . at that time he was diagnosed with "a partially blocked artery" and was started on aspirin. in , he experienced ugib which on egd showed a bleeding varix which was banded. in early , he experienced a recurrent bleed; large gastric varices were noted and no intervention was performed. last pm, he bleed overnight and was transfused four units overnight. egd was performed the am of transfer to which demonstrated large varices with mucosal ulceration indicative of recent bleed; he was banded x 2. banding resulted in variceal bleeding so further banding was applied. he was then transferred to on an octreotide drip. past medical history: alcoholic cirrhosis shortness of breath gastroesophageal reflex social history: quite smoking . now drinks 1 quart/month. used to have max of five drinks/night in on sat and sun nights. family history: no fh cad, dm, ca. physical exam: 99 117/59 70 98%ra pleasant, nad mmm, neck supple ctab nl s1/s2 obese, distended; organomegaly difficult to assess warm x 4 w/o c/c/e a&o x 3 pertinent results: embolization; 1. co2 portogram failed to show portal vein, therefore transhepatic portogram was performed which demonstrated small gastric varices, no pressure gradients between the portal vein and right atrium. 2. transhepatic varices embolization was performed with 15 cc of absolute alcohol. 3. transjugular liver biopsy was performed. . liver needle biopsy: 1. consists almost completely of fibrous tissue. multiple levels examined. 2. tiny fragment of hepatocytes, insufficient for diagnosis. . gall bladder u/s; findings: again identified is a heterogeneous and diffusely echogenic liver. there is no evidence of hematoma, fluid collection or focal hepatic mass. the main portal vein is patent with appropriate hepatopetal flow. there is no intra- or extrahepatic biliary ductal dilatation. the gallbladder is normal without stones or wall edema. a small right pleural effusion is identified. limited views of the upper pole of the right kidney demonstrate no hydronephrosis, mass or calculi. no ascites is evident. impression: 1. no evidence of hematoma, hepatic lesion or ascites. 2. diffusely heterogeneous, echogenic liver consistent with chronic liver disease. 3. appropriate direction of flow within the main portal vein. . ekg; sinus bradycardia. compared to the previous tracing of there is variation in the precordial lead placement and the rate has slowed. otherwise,no diagnostic interim change. there is low precordial lead voltage. . echo;conclusions: 1. the left ventricular cavity size is normal. regional left ventricular wall motion is probably normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). 2. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. 3. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. . 05:40pm blood wbc-10.3 rbc-3.33* hgb-9.8* hct-28.5* mcv-86 mch-29.3 mchc-34.2 rdw-16.5* plt ct-136* 08:15am blood wbc-3.3* rbc-3.39* hgb-10.1* hct-30.0* mcv-89 mch-29.8 mchc-33.7 rdw-15.3 plt ct-94* 02:50pm blood hct-33.6* 05:40pm blood neuts-48.7* lymphs-43.5* monos-3.7 eos-3.1 baso-0.9 05:40pm blood hypochr-1+ anisocy-1+ poiklo-1+ 08:15am blood plt ct-94* 05:40pm blood pt-13.4* ptt-24.4 inr(pt)-1.2 05:40pm blood plt ct-136* 05:50am blood glucose-129* urean-7 creat-0.7 na-140 k-3.7 cl-111* hco3-21* angap-12 05:40pm blood glucose-153* urean-14 creat-0.7 na-138 k-4.1 cl-110* hco3-21* angap-11 05:50am blood alt-21 ast-24 ld(ldh)-147 alkphos-57 totbili-0.9 05:40pm blood alt-11 ast-14 ld(ldh)-114 alkphos-60 amylase-41 totbili-1.1 05:40pm blood lipase-53 05:57pm blood ck-mb-notdone ctropnt-<0.01 05:45am blood ck-mb-7 ctropnt-0.02* 04:29pm blood ck-mb-9 ctropnt-<0.01 05:36am blood ck-mb-5 05:50am blood albumin-2.6* calcium-7.4* phos-2.2* mg-1.9 05:40pm blood tsh-0.69 01:56pm blood type-art fio2-50 po2-156* pco2-30* ph-7.46* calhco3-22 base xs-0 intubat-intubated vent-controlled 05:05pm blood type-art temp-36.7 fio2-100 po2-133* pco2-37 ph-7.36 calhco3-22 base xs--3 aado2-543 req o2-90 intubat-not intuba brief hospital course: transferred from osh and admitted to micu for gi bleed. gi bleed: unstable hematocrit in setting of grade 1 bleeding gastric varices. , he bleed overnight and was transfused four units overnight. egd was performed the am of transfer to which demonstrated large varices with mucosal ulceration indicative of recent bleed; he was banded x 2. banding resulted in variceal bleeding so further banding was applied. he was then transferred to on an octreotide drip. he had a repeat egd and banding with attempted tips taht was unsuccessful. post procedure he was extubated, then reintubated agitation. he was extubated on with out complication and transferred to the team. on the , his hematocrit was monitored and remained stable through . he had one melanic stool but was otherwise asymptomatic, tolerating po and ambulating without assistance. melanic stool x 2 on deferred by one dat. repeat hct increased to 29 then 31; pt. remained hd stable on the . chest pain: one episode of chest pain early in admission. negative work up for acute myocardial infarction. diabetes: pt concerned about possibility of diabetes. blood sugars monitored and patient told to follow with primary care doctor . medications on admission: inderal plavix medications: 1. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 2. propranolol 80 mg capsule, sustained action 24hr sig: one (1) capsule, sustained action 24hr po daily (daily). disp:*30 capsule, sustained action 24hr(s)* refills:*2* 3. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* disposition: home diagnosis: gastic varices gastrointestinal bleeding hepatitis condition: good with stable hematocrit instructions: 1. continue medications as prescribed 2. return to the emergency room for continued dark stools, fever, chills, nausea, vomiting, chest pain, shortness of breath, notable light headedness or other concerns followup instructions: 1. follow up with dr. within one week at hospital procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closed (percutaneous) [needle] biopsy of liver transcatheter embolization for gastric or duodenal bleeding transfusion of packed cells diagnoses: esophageal reflux congestive heart failure, unspecified acute posthemorrhagic anemia alcoholic cirrhosis of liver hemorrhage of gastrointestinal tract, unspecified varices of other sites 

Answer: The patient is high likely exposed to