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 55-year-old gentleman with a history of hepatic cirrhosis secondary to alcohol, status post a variceal bleed in and type 2 diabetes (on insulin) who presented with as a transfer from an outside hospital after suffering a variceal bleed. he had been in his usual state of health until the afternoon prior to admission when he ate at mcdonald's and began to feel nauseous. he returned home and vomited bright red blood and called emergency medical service. at the outside hospital, his vital signs were initially stable, but he continued to hematemesis and dropped his blood pressure to 80/40, and then responded to fluids. an emergent esophagogastroduodenoscopy at the outside hospital revealed bleeding esophageal varices (2+), which were successfully banded. he was started on an octreotide drip. his hematocrit remained stable at 35, and he was transferred directly to medical intensive care unit for additional care. past medical history: 1. type 2 diabetes times 20 years (on insulin). 2. cirrhosis secondary to alcohol; awaiting transplant. 3. history of variceal bleed. 4. hepatitis b and hepatitis c negative. allergies: no known drug allergies. medications on admission: 1. nadolol. 2. isosorbide mononitrate. 3. glucotrol. 4. insulin (70/30) 45 units subcutaneously twice per day. 5. effexor. 6. methylphenidate. 7. ambien. 8. prilosec. physical examination on presentation: vital signs revealed his temperature was 98, his heart rate was 80, his blood pressure was 126/71, his respiratory rate was 18, and his oxygen saturation was 99%. in general, in no acute distress. his heart rate and rhythm were regular. normal first heart sounds and second heart sounds. no murmurs. his oropharynx was clear with no blood. his extraocular muscles were intact. cranial nerves ii through xii were intact. his lungs were clear to auscultation bilaterally. his abdomen was soft, nontender, and nondistended. there was no fluid wave. no caput medusae. no spider angiomata. his extremities were warm and dry with trace edema. pertinent laboratory values on presentation: his white blood cell count was 5.2, his hematocrit was 36.6, and his platelets were 63. his sodium was 143, potassium was 3.9, chloride was 113, bicarbonate was 22, blood urea nitrogen was 20, creatinine was 0.7, and blood glucose was 99. calcium was 7.9, magnesium was 1.5, and phosphorous was 3.3. inr was 1.5 and partial thromboplastin time was 38. total bilirubin was 2.2. pertinent radiology/imaging: a chest x-ray was within normal limits. electrocardiogram revealed a normal sinus rhythm at 60. normal axis and normal intervals. q wave in iii. poor r wave progression. no st changes or t wave changes. no change compared to a prior. brief summary of hospital course: after transfer, mr. was managed conservatively. two large-bore intravenous lines were placed. he was typed and crossed for 4 units of packed red blood cells, which he never required. he was kept nothing by mouth, and he was started on protonix intravenously. the octreotide drip was continued for 48 hours while in house. given his initial hypotension, his nadolol and isosorbide were held and then restarted the next morning. he was fluid resuscitated with normal saline. a gastrointestinal consultation was called to evaluate his bleeding. the decision was made to hold off on a repeat endoscopy for re-look. instead, the decision was made, given his stability and lack of active bleeding at this point, to wait until his regularly scheduled esophagogastroduodenoscopy in two weeks following his discharge. throughout his stay of three days, until discharge on the , he remained stable. he had no repeat episodes of hematemesis. his hematocrit remained stable after being checked every day. he was restarted on his insulin and his antihypertensives including nadolol. condition at discharge: condition on discharge was stable. discharge disposition: discharge disposition was to home. discharge diagnoses: 1. variceal bleed. 2. alcoholic cirrhosis. 3. type 2 diabetes mellitus. medications on discharge: 1. nadolol. 2. isosorbide mononitrate. 3. glucotrol. 4. insulin (70/30) 45 units subcutaneously twice per day. 5. effexor. 6. methylphenidate. 7. ambien. 8. prilosec. discharge instructions/followup: the patient was to follow up with his primary care physician and gastroenterologist physician for a repeat endoscopy in 7 to 14 days. , m.d. dictated by: medquist36 procedure: endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: thrombocytopenia, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver esophageal varices in diseases classified elsewhere, with bleeding 

Answer: The patient is high likely exposed to