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: no known allergies / adverse drug reactions attending: chief complaint: hematemesis major surgical or invasive procedure: right femoral central line placement, left femoral central line placement, tips procedure history of present illness: this patient is a 43 year old female pmh eoth cirrhosis with known varices, who was transferred from an outside facility for hematemesis. pt has a history of esophageal varices, followed at , who underwent a paracentesis at this am, who presented to the osh er with active hematemesis. ems reported to that er that there was 1 l blood loss in the field. she had an additional 500 cc hematemesis at that er. she was hypotensive on arrival to their er with bp of 60 systolic, but reportedly had been stabilized with sytolic bp 90 after 1 u prbcs, ffp; and a 2nd unit was being hung. their gi physician was consulted, who advised transfer to . on arrival to our er they report her sbp was 60 - 70 on arrival at osh er. she had the 5th u prbcs hung. they started pressors en route due to persistent hypotension. she has continued to have hematemesis since transfer and passed large clot per rectum as well. past medical history: -alcohol cirrhosis - diagnosed 6 years ago, complicated by esophageal varices (grade 3 on egd at center), ascites, sbp (treated at ), recent encephalopathy. also with portal gastropathy and recent hepatorenal syndrome -gerd -e. coli bacteremia/sepsis social history: -tobacco history: at least 25 years -etoh: started drinking at 11 years old, by 18 years old was taking drinks daily x 15 years. recently 1-2 drinks/week. -illicit drugs: cocaine use from 18 years old until . no history of ivdu, tattoos or transfusions. -home: married for 1.5 years, now divorced. living with a partner for 5 years. family history: prostate cancer, myocardial infarction, diabetes. sister has depression, hypothyroidism. aunt with scleroderma. physical exam: hr: 140s bp: 40 systolic o(2)sat: 94% normal constitutional: toxic appearing, awake, answering questions but lethargic heent: normocephalic, atraumatic, extraocular muscles intact, icteric blood in op chest: grossly clear to limited anterior examination cardiovascular: tachycardic, regular abdominal: distended rectal: large clot of red blood per rectum extr/back: non palpable dp. no sign le dema skin: mottled extremities neuro: speech fluent, but lethargic, maee psych: lethargic pertinent results: 11:35pm pt-30.3* ptt-101.1* inr(pt)-2.9* 11:35pm plt count-15*# 11:35pm fibrinoge-47*# 11:32pm type-art po2-64* pco2-53* ph-7.10* total co2-17* base xs--13 intubated-intubated 11:32pm glucose-207* lactate-6.3* na+-137 k+-5.0 cl--111* 11:32pm hgb-6.7* calchct-20 o2 sat-90 carboxyhb-1 11:32pm freeca-0.41* 09:58pm type- po2-106* pco2-53* ph-7.03* total co2-15* base xs--17 comments-green top 09:58pm glucose-261* lactate-5.4* na+-136 k+-5.5* cl--115* 09:58pm hgb-8.2* calchct-25 09:55pm glucose-278* urea n-23* creat-0.8 sodium-142 potassium-5.7* chloride-113* total co2-14* anion gap-21* 09:55pm calcium-6.9* phosphate-7.6* magnesium-1.1* 09:55pm wbc-4.5 rbc-2.67* hgb-8.2* hct-24.1* mcv-90 mch-30.7 mchc-34.0 rdw-14.2 09:55pm neuts-73* bands-2 lymphs-16* monos-1* eos-0 basos-0 atyps-0 metas-3* myelos-5* 09:55pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal burr-3+ acanthocy-occasional 09:55pm pt-23.7* ptt-115.3* inr(pt)-2.3* 09:55pm plt smr-low plt count-87* 09:03pm po2-95 pco2-59* ph-6.97* total co2-15* base xs--19 intubated-intubated comments-green top 09:03pm glucose-223* lactate-6.2* na+-132* k+-7.2* cl--110* 09:03pm hgb-9.1* calchct-27 o2 sat-93 carboxyhb-2 met hgb-0 09:03pm freeca-0.44* 08:50pm urea n-27* creat-0.9 08:50pm estgfr-using this 08:50pm lipase-82* 08:50pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 08:50pm wbc-5.8 rbc-2.95* hgb-9.1* hct-26.4* mcv-89 mch-30.8 mchc-34.4 rdw-15.0 08:50pm pt-23.2* ptt-34.7 inr(pt)-2.2* 08:50pm plt count-71* 08:50pm fibrinoge-284 08:50pm plt count-71* 08:50pm fibrinoge-284 07:30am wbc-12.3*# rbc-3.33* hgb-11.7* hct-33.6* mcv-101* mch-35.2* mchc-34.9 rdw-19.2* 07:30am plt count-53* 07:30am pt-22.0* inr(pt)-2.1* brief hospital course: patient arrived in the er in critical condition. we activated the massive transfusion protocol. hepatology fellow was notified of her transfer and approximate eta. they were paged on her arrival to er and reported they would come in but requested ir consultation as well, which was initiated within minutes of er arrival. she had active hematemsis with declining ms with severe lethargy and needed intubation, but was severely hypotensive with bp in 40s. levophed added to regimen, additional blood transfused, central lines placed. there was a r femoral line (cordis) placed by er resident, and attempt at a r ij placed that did not thread placed by another er reisdent and a l femoral resusication line placed by the ed attending for access. with continued blood, maxxed pressors and boluses of phenylephrine she continued to be hypotensive. dr. provided assistance during resuscitation and gave additional boluses of epinephrine, with which we acheived bp in70s and initiated rsi. intubation successful on 1st attempt. succinylcholine used as reports normal k at referring facility. ogt placed with >2 l bright red blood out- with rapidly increasing output. patient was persistently hypotensive in er despite >15 units prbcs, ffp, cryoprecipitation, and therefore tube obtained. surgery attending dr. at bedside for assistance in placement. gi at beside after placement. + decrease in og output and improvment in hemodynamics --> pressors weaneed. she did develop a wide complex bradycardia, and was treated presumptively for hyperk with improvement. given improved stability after placed with surgery, gi feels, surgery, emergency medicine, and icu attendings agreed that, it would be unsafe to deflate the tube for endoscopy. pt was taken directly to ir emergenctly for plan for tips. of note, during course of ed care, her abd became increasingly distended. it is also notable that there was persistent bleeding from the r ij attempt: a suture was placed and vascular surgery consulted. in interventional radiology, pt was continued on the massive transfusion protocol. pt was prepped for tips, and surgery was called to re-position the due to continued bleeding. re-positioning helped stem the flow of blood, but pt continued to bleed profusely. the patient became more abdominally distended, and more difficult to ventilate, with persistently dropping o2 saturations during the procedure. serial abgs revealed low oxygen content, acidosis, and persistent low hgb despite massive transfusions. during the tips procedure, pt went into pea arrest. she had received 53 u of prbc, 9 units of cryoprecipitate, 14 units of ffp, 12 units of platelets, and a total of 24 liters of fluids. it was decided that cpr was not indicated in this circumstance, and the patient was pronounced dead at 0238 on . medications on admission: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. multivitamin tablet sig: one (1) tablet po daily (daily). 3. ciprofloxacin 250 mg tablet sig: one (1) tablet po once a day. 4. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 6. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day): take at least once daily and titrate to bowel movements daily. 7. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). 8. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 10. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 11. spironolactone 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 12. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day) for 7 days. disp:*28 tablet(s)* refills:*0* discharge medications: none discharge disposition: expired discharge diagnosis: cirrhosis, variceal bleed, hypotension, pea arrest discharge condition: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified percutaneous abdominal drainage injection of anesthetic into spinal canal for analgesia intra-abdominal venous shunt insertion of sengstaken tube phlebography of the portal venous system using contrast material diagnoses: acidosis hyperpotassemia acute posthemorrhagic anemia alcoholic cirrhosis of liver portal hypertension acute respiratory failure other specified cardiac dysrhythmias cardiac arrest other shock without mention of trauma other ascites esophageal varices in diseases classified elsewhere, with bleeding other and unspecified coagulation defects other and unspecified alcohol dependence, unspecified acute alcoholic hepatitis 

Answer: The patient is high likely exposed to