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: gi bleed major surgical or invasive procedure: egd history of present illness: the patient is a 58 yo man with h/o htn and gastritis who presented to the ed with melena, hematemesis, and jaundice. the patient was reportedly in his normal state of health until last friday, when he developed nausea, chills, fatigue, and a sore throat, which he thought was the flu. he had anorexia and was forcing himself to eat, at which point he vomited up his food multiple times. on tuesday night, he developed dark, tarry stools, which he continued to have throughout the day on wednesday. last night, he vomited approximately 3 times, and he noticed a small amount of blood. he went back to bed and work up at 2 am and felt very weak, diaphoretic, and dizzy. per his wife, he reportedly fell to the floor and vomited approximately 200 cc of bright red blood. she also at this time noticed that his eyes were jaundiced. she immediately called 911 and he was brought to for further evaluation. . in the ed, the patient's initial vs were t 96.5, p 106, bp 120/68, r 16, o2 100% on 3l. ng lavage demonstrated red blood that then cleared after approximately 750 cc and then demonstrated pink blood at the end. a repeat ngl an hour later cleared after approximately 250 cc. gi was c/s in the ed and recommended egd in the am. he was started on protonix and octreotide, and he was ordered for ffp. . on the floor, the patient states that he has not had any further episodes of blood in his vomit since last night. his abdominal pain has improved from earlier this evening, and his only complaint is the pain in his throat from his ng tube. . . review of systems: (+) per hpi. he also endorses subjective fevers, rhinorrhea, nausea. (-) denies fever, night sweats, recent weight loss or gain. denies headache, sinus tenderness, congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: htn gastritis social history: the patient is a project manager for an electronics contractor. he does not smoke cigarettes and he drinks approximately beers/day. he denies recent travel. family history: coronary artery disease, diabetes mellitus. his mother had emphysema. physical exam: on admission: general appearance: well nourished, no acute distress, anxious eyes / conjunctiva: perrl, conjunctiva pale, no(t) sclera edema, scleral icterus head, ears, nose, throat: normocephalic, ng tube cardiovascular: (s1: normal), (s2: normal), (murmur: systolic), tachycardic peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (percussion: resonant : ), (breath sounds: clear : ) abdominal: soft, non-tender, bowel sounds present extremities: right lower extremity edema: absent, left lower extremity edema: absent skin: warm, jaundice neurologic: attentive, responds to: not assessed, oriented (to): person, place, and time, movement: not assessed, tone: not assessed pertinent results: admission labs: 03:00am wbc-7.5# rbc-2.85*# hgb-11.3*# hct-32.2*# mcv-113*# mch-39.5*# mchc-34.9 rdw-15.1 03:00am neuts-78.8* lymphs-14.6* monos-5.1 eos-1.0 basos-0.5 03:00am plt count-86* 03:00am pt-21.9* ptt-34.1 inr(pt)-2.0* 03:00am ret man-4.5* 03:00am glucose-169* urea n-24* creat-0.9 sodium-131* potassium-3.8 chloride-95* total co2-20* anion gap-20 03:00am alt(sgpt)-32 ast(sgot)-67* ld(ldh)-270* alk phos-143* tot bili-9.2* dir bili-4.9* indir bil-4.3 03:00am lipase-63* 03:00am asa-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:00am vit b12-1460* haptoglob-<5* 04:00am urine color-amber appear-clear sp -1.021 04:00am urine blood-neg nitrite-neg protein-25 glucose-neg ketone-tr bilirubin-sm urobilngn-1 ph-7.0 leuk-neg 04:00am urine rbc-0-2 wbc-0-2 bacteria-none yeast-none epi-0-2 renal epi-0-2 11:41am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg . pertinent labs: 02:16pm caltibc-187* ferritin-1042* trf-144* 02:16pm igg-1138 02:16pm blood ceruloplasmin-18 (ref: 18-36 mg/dl) 02:16pm blood alpha-1-antitrypsin-119 (ref: 83-199 mg/dl) . studies: ekg: sinus tachycardia. left atrial abnormality. occasional ventricular ectopy. since the previous tracing of the precordial t waves are tall and peaked. there is occasional ventricular ectopy. otherwise, no apparent diagnostic interim change. clinical correlation is suggested. . cxr: the lungs are clear. there is no appreciable pleural effusion or pneumothorax. the heart size is normal. mediastinal silhouette, hilar contours and pulmonary vasculature are normal. healed right posterior rib fractures are new since . no acute intrathoracic abnormality. . duplex doppler abdominal u/s: 1. heterogeneously echogenic liver, which may reflect fatty infiltration, though more severe liver disease including hepatic fibrosis/cirrhosis cannot be excluded on this study. 2. no concerning focal liver lesions. 3. patent hepatic vasculature. 4. small perihepatic ascites. . egd: esophageal varices, erythema, congestion and friability in the stomach, gastric erosion; otherwise normal egd to third part of the duodenum. . discharge labs: . 05:25am blood wbc-3.9* rbc-3.07* hgb-11.6* hct-32.0* mcv-105* mch-37.9* mchc-36.3* rdw-19.0* plt ct-53* 05:25am blood glucose-91 urean-16 creat-0.8 na-137 k-3.6 cl-106 hco3-25 angap-10 05:25am blood alt-27 ast-68* alkphos-123 totbili-11.1* 05:25am blood albumin-2.5* calcium-7.8* phos-1.7* mg-1.9 brief hospital course: 58 yo man with h/o htn, gastritis, and etoh abuse who presents with melena, hematemesis, and jaundice, concerning for upper gi bleed. . #. gi bleed: patient presented with history of 2 days of melena and 1 episode of hematemesis. ng lavage in the ed confirmed blood within the stomach that eventually cleared. during the course of his micu stay he was transfused three units and his hematocrit stabilized around 33. no episodes of melena or hematemesis in the micu. patient underwent egd which showed findings consistent with portal gastropathy including esophageal varices, erythema, congestion and friability in the stomach, as well as a gastric erosion. he was started on ppi and octreotide drips and nadolol was also started per hepatology recommendations. he also received ctx 1 g daily for prophylaxis. he was transferred to the floor when hemodynamically stable and low clinical suspicion of ongoing gi bleed. on arrival it was noted that the platelet count was in the 30s so the patient received one unit of platelets. the following day it was felt that the patient was ready for discharge. his home hctz was restarted, nadolol was continued (in place of his home metoprolol), he was transitioned from an iv ppi to po omeprazole, and received ciprofloxacin for an additional three days. patient was instructed to contact the gi department the following week to schedule outpatient follow up with dr. . . #. new cirrhosis: patient presented with jaundice, hyperbilirubinemia, transaminitis (ast>alt) and history of alcohol abuse. possibly secondary to etoh abuse, though need to rule out other potential causes as an additional insult seems likely. ruq us demonstrated heterogeneously echogenic liver (us from revealed as well) but no concerning focal lesions and patent hepatic vasculature and trace perihepatic ascites. alpha-1-antitrypsin level 119. ceruloplasmin 18. + only 1:40. smooth muscle ab + only 1:20. igg 1138. fe/tibc = 93.6% and ferritin 1042. hepatitis b and c serologies, anti-mitochondrial and coppuer level were pending at the time of discharge. medications were started as per above. . #. hypertension: patient's hctz and metoprolol were initially held in the setting of gi bleed. hctz was restarted once there was low suspicion for ongoing bleed. metoprolol was not restarted as the patient had been started on nadolol for prophylaxis. nadolol was continued at discharge. medications on admission: hctz 25 mg daily metoprolol 25 mg po bid discharge medications: 1. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 days. disp:*6 tablet(s)* refills:*0* 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 4. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary diagnoses: cirrhosis of the liver upper gi bleed discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , you were admitted to the hospital because you were having bloody stools and bloody emesis. you have cirrhosis of your liver, likely from long-term alcohol drinking. you had an upper endoscopy done in the intensive care unit which showed that you have esophageal varices from your cirrhosis, but these were not bleeding. your bloody stool and emesis was likely secondary to gastritis, not from the varices. the varices are still at high risk for severe bleeding -- for that reason, we have started you on a medication to reduce the blood pressures in your portal venous system, as below. please be sure to follow up in the liver center with dr. . it is very important that you never drink alcohol again. the following changes have been made to your medications: - please start nadolol 20mg daily - please stop your metoprolol - please start ciprofloxacin 500mg twice daily x 3 more days - please start omeprazole 40mg (two 20mg tablets) daily followup instructions: please schedule a followup appointment in the liver clinic with dr. in the next 1 week. ( procedure: other endoscopy of small intestine diagnoses: unspecified essential hypertension cirrhosis of liver without mention of alcohol alcoholic cirrhosis of liver portal hypertension esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum other and unspecified coagulation defects other and unspecified alcohol dependence, continuous other specified gastritis, with hemorrhage 

Answer: The patient is high likely exposed to