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: upper gi bleed major surgical or invasive procedure: egd history of present illness: 38yom with h/o etoh abuse, likely cirrhosis with grade i varices, and s/p gastric bypass c/b prior gi bleed, who presented to hospital ed today with complaint of 3days of progressive bloody emesis associated with rectal bleeding, ruq abdominal pain, and dizziness. on presentation to osh ed he was hypotensive with sbp 90, hr 140. bp normalized after 3lns. initial hct was 18. egd prior to this had showed 1+ varices and gastritis. egd at osh showed grade i varices, oozing cratered gastric ulcer with adherent clot at the anastomosis (30x30mm). this was injected with epinephrine for hemostasis. diffuse moderately hemorrhagic mucosa without active bleeding but with stigmata of bleeding. he received octreotide infusion, iv pantoprazole, and sucralfate. he was transfused 5units prbc prior to transfer. . patient normally drinks 6beers/day, but will binge for patriot's games. his last drink was two days ago. he denies having a history of withdrawals. on presentation now he complains of persistant ruq pain. past medical history: etoh abuse h/o gi bleed after gastic bypass surgery ?cirrhosis, h/o alcoholic hepatitis s/p gastric bypass surgery polyneuropathy obstructive sleep apnea s/p septoplasty chronic pain syndrome hypertension s/p mvc h/o c.diff colitis () tobacco use legally blind following mcv social history: lives alone, going through divorce with one seven year old son disabled etoh: 4-6beers/day, no h/o withdrawals tob: 1/2ppd x 20yrs illicits: denies family history: mother w/ hypertension, copd son has a heart condition physical exam: wt 86.7kg t 96.7 hr 114 bp 124/100 rr 15 97%ra gen: comfortable, cooperative, nad heent: perrl, anicteric, mmm, op clear neck: supple, jvp nondistended, no lad cv: tachy, regular, no mrg, pmi nondisplaced resp: ctab abd: +bs, soft, ttp ruq (non tender with distraction), no rebounding/guarding, liver edge palpable ext: no edema, 2+ dps neuro: a&ox3, cn ii-xii intact, strength 5/5 throughout, sensation intact to touch skin: tattoos on chest and arms, no rashes pertinent results: 09:53pm glucose-81 urea n-11 creat-0.5 sodium-135 potassium-3.5 chloride-105 total co2-26 anion gap-8 09:53pm estgfr-using this 09:53pm alt(sgpt)-16 ast(sgot)-30 ld(ldh)-109 alk phos-108 amylase-24 tot bili-0.8 09:53pm lipase-14 09:53pm albumin-2.4* calcium-8.0* phosphate-3.4 magnesium-1.9 09:53pm wbc-4.4 rbc-3.14* hgb-9.5* hct-26.9* mcv-86 mch-30.4 mchc-35.5* rdw-16.8* 09:53pm neuts-55.6 lymphs-39.2 monos-3.3 eos-0.7 basos-1.1 09:53pm anisocyt-1+ poikilocy-1+ microcyt-1+ 09:53pm plt count-144* 09:53pm pt-12.0 ptt-30.0 inr(pt)-1.0 brief hospital course: 38yo man with h/o etoh abuse c/b polyneuropathy, grade i varices, and s/p gastric bypass p/w ugib, gastric ulcer seen on egd at outside hospital. during his hospitalization the following issues were addressed: # ugib: ugib due to gastric ulcer seen at anastamosis site on egd. it was injected with epinephrine at the outside hospital prior to transfer. he remained hemodynamically stable with stable hct. he did not require transfusion. hct ranged 26-29. he was continued on iv pantoprazole. he underwent repeat egd which showed nonbleeding ulcer. he was also evaluated by surgical service who found no need for surgical intervention. he should have a repeat endoscopy in four weeks. he should also follow-up with his surgeon to further evaluate the anastamoses. h.pylori serology was negative. he was having some intermittent abdominal pain secondary to his ulcer. he will be discharged with a small amount of pain medication for management of his abdmoinal pain. . # etoh abuse: he has no history of withdrawal. he was monitored on a ciwa scale but did not require any benzodiazepine. he was kept on thiamine, folate, and multivitamin. smoking and alcohol cessation were discussed with the patient. he is interested in alcohol cessation but not smoking cessation at this time. he does not have plans to go to aa meetings. . # cirrhosis: no documented history of cirrhosis but with h/o varices and ascites. no varices were seen egd here. no ascites on exam. he is on lasix and spironolactone as an outpatient; these were not restarted during his admission. he will discuss restarting them with his pcp. . # htn: diltiazem was initially held and then restarted prior to discharge. . # polyneuropathy: thought to be d/t alcohol abuse; gabapentin was initially held and then restarted prior ot discharge. he also has a history of chronic pain syndrome and is on a fentanyl patch 25mcg at home. . # dispo: he was discharged to home. his a full code. medications on admission: meds on admission to osh: kcl 20meq po daily diltiazem xr 240mg daily fentanyl patch 25mcg q72hr flagyl 250mg po qid gabapentin 300mg lasix 40mg daily spironolactone 50mg daily mvi daily feso4 325mg tid omeprazole 20mg daily . meds on transfer: sucralfate 1g qid nicotine tp morphine 2mg prn pain zofran prn pain ativan per ciwa thiamine 100mg daily mvi daily discharge medications: 1. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. diltiazem hcl 240 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 5. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day). 6. 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* 7. oxycodone 5 mg capsule sig: one (1) capsule po every eight (8) hours as needed for pain for 5 days. disp:*12 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: bleeding gastric ulcer . secondary: alcohol abuse tobacco abuse cirrhosis discharge condition: good discharge instructions: 1. please plan to follow-up with a gastroenterologist to have a repeat endoscopy in 4weeks 2. please follow-up with your surgeon . remember: if you stop drinking alcohol and smoking, you will heal your ulcers more quickly . if you develop recurrent severe abdominal pain, bloody vomiting, black vomit, or any bloody or black colored stool, please contact your primary care doctor and/or return to the emergency room followup instructions: please follow-up with your primary care doctor, dr. , to discuss your hospitalization and have your blood levels (hct) checked to ensure you are not having ongoing bleeding. you have an appointment scheduled for monday at 1:30 pm. . if you would like to see a new pcp at , please follow-up with dr. at 1:30 pm on at , building - (. . please follow-up with gastroenterologist to have a repeat egd in four weeks. if you would like to follow-up here at , you should call ( to schedule an appointment. . please follow-up with your surgeon as well to discuss the ulcer that has developed on the suture site of your surgery procedure: other endoscopy of small intestine diagnoses: tobacco use disorder unspecified essential hypertension alcoholic cirrhosis of liver chronic airway obstruction, not elsewhere classified surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction alcoholic polyneuropathy esophageal varices in diseases classified elsewhere, without mention of bleeding alcohol abuse, continuous bariatric surgery status 

Answer: The patient is high likely exposed to