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: bronchoscopy major surgical or invasive procedure: tips revision intubation bronchoscopy history of present illness: 45 yo male w/ hep c cirrhosis, p/w hematemesis & brbpr. pt is poor historian/confused, but reports coffee ground emesis daily x 1 mth. day pta, increased in frequency, vomited ~1 liter blood. also notes intermittent brbpr x many mths, ?recent increased frequency. no dizziness/lighheadedness/dyspnea/cp. records reveal recent admission for gib, following cocaine/etoh binge. following this, mom kicked him out of house, & he has been living on street/in shelter, w/ questionable medication compliance. on arrival to ed, tachy to 120s (sinus) bp 130s/60s, satting 99% on ra. confused. labs showed hct 21 (down from 30). got 2 u prbcs, cipro 500 iv for sbp ppx, & ppi. at time of micu eval, vss except sinus tach in 110s. ~500 cc uop since arrival, no documented hematemesis/brbpr. past medical history: hep c x 20 yrs ( ivda), cirrhosis x 3 yrs (?bx), h/o etoh hepatitis, portal htn s/p tips , grade 2 esophageal varices & gastric varices (per egd), ascites, h/o hepatic hydrothorax, gerd, left inguinal hernia, pulmonary nodule - coccidioidomycosis dx (to complete 3 mths fluc), h/o rt ij clot social history: sh - previously lived w/ mom on , homeless x ~ 2wks; h/o heavy etoh use had quit 2 yrs prior, but binged 2 wks prior; h/o heroin & cocaine abuse quit 2 yrs prior; recent binge of cocaine; tobacco - 3 packs per day family history: mother - hx of stroke father - died from getting hit by a drunk driver brother - died of problems related to alcohol physical exam: vs: heent: intubated and sedated, pupils 2-3mm reactive to light heart: s1/s2, rrr, no m/r/g lungs: clear to auscultation, using abdominal muscles for breathing abdomen: soft, +bs, non-tender, +gynecomastia, +rare spider nevi on right abdomen, no appreciable hepatosplenomegaly, no shifting dullness ext: 1+pitting edema to shins bilaterally. lle w/ 4x5 cm area of erythmea and small .5cm scabbed laceration pertinent results: 11:15pm pt-16.7* ptt-30.6 inr(pt)-1.8 09:00pm hct-20.8* 01:34pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 01:30pm glucose-113* urea n-31* creat-0.7 sodium-136 potassium-4.5 chloride-98 total co2-31* anion gap-12 01:30pm alt(sgpt)-26 ast(sgot)-47* alk phos-71 amylase-21 tot bili-2.1* 01:30pm wbc-5.7# rbc-2.41*# hgb-7.7*# hct-21.5*# mcv-89 mch-32.1* mchc-36.0* rdw-16.7* 01:30pm plt count-121*# brief hospital course: mr. was admitted to the micu/ with an initial elective intubation/respiratory support after presenting with ams and ugib. 1. gastrointestinal bleed/anemia: upon presentation, the patient had a stable upper gi bleed from presumed varices related to elevated portal pressures. an egd was planned, but was delayed because of patient agitation, combativeness and ams. thus, an elective intubation was pursued to allow egd evaluation. egd revealed grade i mid-esophageal varices along with bleeding gastric varices. the patient was stabilized with packed red blood cells, ffp, platelets. a tips revision was pursued - a patent tips was discovered, but a dilation was performed nevertheless. the patient's bleeding recurred several weeks after the initial stabilization. repeated hepatic ultrasounds with doppler studies revealed patent vasculature and tips. he required further packed red blood cellstransfusions. during his upper gi bleed episodes he was prophylaxed with either ciprofloxacin or zosyn. on overnight, pt had approximately 3 l of bloody stool from rectum with a 7 pt hematocrit drop and mild tachycardia. a left sided cordus was placed, and the pt was transfused a total of 5 units of blood and given several l of normal saline. gi was notified. a orogastric tube lavage was negative, a tagged rbc scan showed bleeding in the stomach and right side of abdomen. an us showed his tips to be patent. an angiography study was scheduled for the next day, however, prior to the study the patient's mother, who was his hcp, decided to make him since there was little medical or surgical intervention which could be offered to him. 2. respiratory failure: as mentioned, the patient was electively intubated to facilitate egd. however, it was soon discovered that he was difficult to wean, consistently requiring high peep. this was presumed secondary to a ventilator-associated pneumonia, underlying hepatopulmonary syndrome, along with ams. a tracheostomy tube was placed as he was on mechanical ventilation for greater than two weeks. by the end of his stay in the micu (he was later transferred to the because of hospital-wide issues with bed space), he was tolerating cpap. in regards to his pna, he had mrsa growing in his sputum and was treated with vancomycin (which was changed to linezolid) along with zosyn for ventilator-associated gram negative coverage. he also had a history of biopsy-positive coccidiomycosis, which was initially a concern given his difficulty with weaning and concerning chest ct (nodular right-sided opacities). however, after negative bal washings for coccidiomycosis and an evaluation by id, it was decided that he did not have active coccidiomycosis and only needed to complete he previous course of fluconazole, which was initiated for a three-week course. of note, a urine histoplasma ag and serum compl fixation for coccidiomycosis were ordered in the micu. in the , he was tried on a few trach trial and ps which he would be able to tolerate for a few hours. his cxr's improved with diuersis. all antibiotics were removed after a total of 14 days. after his gi bleed, he was kept on ac in order to comfortably ventilate him. once his care was changed to comfort, he was taken off of the ventilator and placed on cool mist and morphine drip for comfort. 3 ams. his ams was considered likely secondary to his hepatic encephalopathy with a possible contribution from his current infection. of note, his nh3 was at 59 late in his course. he slowly gained cognitive function once propofol was turned off, but remained confused and sleepy. 4. oliguric arf: after a dose of amphotericin (when active coccidiomycosis was first considered), continuous vancomycin, along with chronic hepatorenal disease, he had a few days of oliguric arf during the middle of his course. atn was confirmed by urine sediment and electrolytes. this resolved with conservative treatment. a renal u/s was unremarkable for hydro or blatant chronic disease). 5. hcv cirrhosis: tips was in place and revised as above because of concern for stenosis. he was continued on lactulose 30 ml po tid, spironolactone 25 mg po qd, and nadolol 20 mg po bid. he was placed on ciprofloxacin qweek for ppx and then changed to levaquin prior to being made . last us showed increased ascites. not a transplant candidate since he was actively using alcohol and drugs. liver service followed closely. 6. si: there was an expression of suicidal ideation during a brief period in an extubation trial. the pt told his family that his recent substance binges were suicide attempts. a psychiatric consult was planned once his mental status had resolved. 7. dispo: plan on admission was for rehabilitation for long term. however, once his gi bleed continued and he was still in respiratory failure, his mother made the decision to make him comfort care. support services were offered. pt placed on a morphine drip for comfort and all therapeutic measures other than comfort were stopped included ngt. he was called out the floor on . medications on admission: home meds (not taking): spironolactone, folic acid, lactulose, protonix, lasix, atenolol discharge disposition: expired discharge diagnosis: end-stage liver disease discharge condition: expired procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other endoscopy of small intestine other endoscopy of small intestine insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances angioplasty of other non-coronary vessel(s) thoracentesis other permanent tracheostomy arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus central venous pressure monitoring insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) transfusion of packed cells transfusion of other serum transfusion of platelets injection or infusion of oxazolidinone class of antibiotics diagnoses: acidosis acute kidney failure with lesion of tubular necrosis chronic hepatitis c with hepatic coma alcoholic cirrhosis of liver iron deficiency anemia secondary to blood loss (chronic) unspecified protein-calorie malnutrition portal hypertension infection with microorganisms resistant to penicillins other convulsions cocaine abuse, unspecified acute respiratory failure pneumonitis due to inhalation of food or vomitus methicillin susceptible pneumonia due to staphylococcus aureus hemorrhage of gastrointestinal tract, unspecified varices of other sites hyperosmolality and/or hypernatremia opioid abuse, unspecified other and unspecified alcohol dependence, continuous alcohol withdrawal coccidioidomycosis, unspecified 

Answer: The patient is high likely exposed to