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: penicillins / vancomycin attending: chief complaint: l rectus sheath hematoma major surgical or invasive procedure: paracentesis history of present illness: the patient is a 43m with etoh cirrhosis on liver transplant list p/w hct 15.7, and an 11 cm left rectus sheath hematoma with cta showing no extravasation, 8mm aneurysm l inf epigastric a. branch. past medical history: - htn - cholelithiasis - gout - depression - c. diff colitis - mild pulmonary artery systolic hypertension-mean pa pressure 28 - incarcerated umbilical hernia s/p repair c/b subcutaneous hematoma and wound dehiscence . social history: lives alone, divorced x2, has three children. denies tobacco or other iv drug use. last drink was . not sexually active, has never had sex with men. no recent travel. no sick contacts. family history: no history of liver disease or gi cancer physical exam: gen: wd, wn in nad heent: ncat, eomi, anicteric cv: rrr, +s1s2 w no m/r/g pulm: cta b/l w no w/r/r, normal excursion, no respiratory distress back: no vertebral tenderness, no cvat abd: soft, nt, nd, no mass, no hernia pelvis: deferred ext: wwp, no cce, no tenderness, 2+ b radial/dp/pt neuro: strength intact/symmetric, sensation intact/symmetric derm: no rashes/lesions/ulcers psych: normal judgment/insight, normal memory, normal mood/affect vitals: 97.1, 132/79, 94, 18, 99% ra general - nad, comfortable heent - eomi, mild scleral icterus, mmm, op clear, no lad neck - supple, no thyromegaly, no jvd lungs - ctaheart - rrr, no mrg, nl s1-s2 abdomen - distended abdomen, soft, nabs extremities - 3+ pitting edema b/l le, 2+ dps skin - no rashes or lesions lymph - no cervical, axillary, or inguinal lad neuro - awake, a&ox3, cns ii-xii grossly intact, asterixis present mental status: alert, oriented x3, somewhat confused, recalls objects after 5 min, can count backwards by serial 7s pertinent results: labs on admission: 09:17pm wbc-3.6* rbc-3.13* hgb-10.5* hct-28.6* mcv-91 mch-33.4* mchc-36.5* rdw-24.4* 09:17pm plt count-32* 09:17pm pt-18.0* ptt-34.2 inr(pt)-1.7* 04:09pm glucose-124* urea n-34* creat-1.1 sodium-128* potassium-4.8 chloride-95* total co2-25 anion gap-13 04:09pm wbc-3.8* rbc-2.83* hgb-10.1* hct-27.1* mcv-96 mch-35.8* mchc-37.4* rdw-23.7* 04:09pm plt count-38* 04:09pm fibrinoge-165* 08:55am blood wbc-5.2 rbc-3.84* hgb-12.8* hct-37.4* mcv-97 mch-33.3* mchc-34.2 rdw-24.0* plt ct-27* 08:55am blood plt ct-27* 08:55am blood pt-32.6* ptt-40.6* inr(pt)-3.2* 08:55am blood glucose-85 urean-28* creat-1.3* na-129* k-4.4 cl-93* hco3-31 angap-9 labs on discharge: 08:55am blood wbc-5.2 rbc-3.84* hgb-12.8* hct-37.4* mcv-97 mch-33.3* mchc-34.2 rdw-24.0* plt ct-27* 08:55am blood pt-32.6* ptt-40.6* inr(pt)-3.2* 08:55am blood glucose-85 urean-28* creat-1.3* na-129* k-4.4 cl-93* hco3-31 angap-9 08:55am blood alt-22 ast-37 alkphos-147* totbili-17.8* 08:55am blood albumin-3.1* calcium-8.5 phos-3.1 mg-1.8 brief hospital course: hospital course:the patient was admitted to the west 3 surgery service on and with anemia and rectus sheath hematoma. neuro: post-operatively, the patient received dilaudid iv/pca with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: pulmonary toilet including incentive spirometry and early ambulation were encouraged. the patient was stable from a pulmonary standpoint; vital signs were routinely monitored. gi/gu: post-operatively, the patient was given iv fluids until tolerating oral intake. his/her diet was advanced when appropriate, which was tolerated well. patient passed flatus on podx and had a bm on podx. he/she was also started on a bowel regimen to encourage bowel movement. foley was removed on pod#1. intake and output were closely monitored. id: post-operatively, the patient was started on iv cefazolin, then switched to po cephalexin on pod#2. the patient's temperature was closely watched for signs of infection. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. at the time of discharge on pod#3, the patient was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. hospital course: patient was transfered to the medical service on the day of discharge for hyponatremia and . #. elevated creatinine: over the past month the baseline creatinine has ranged 1.1 - 1.3 over the last month. on admission the patient creatinine was 1.2 and improved with volume. without volume the patient's creatinine trended back up to 1.3 from 0.8 yesterday. gfr today is not far off baseline and likely represents a relative intravascular volume depletion in setting of diuretic use. patient was given albumin 75 grams iv and discharged with follow up in two days for repeat lytes and urine studies with dr. . patient was also asked to stop lasix/aldactone for two days. #. hyponatremia: unclear if tolvaptan has been given daily during hospitalization. sodium of 127 not far from baseline. patients ms is normal. patient to continue tolvaptan and follow up with electrolytes in two days time. medications on admission: 1. alendronate 70 mg tablet sig: one (1) tablet po once a week. 2. ciprofloxacin 250 mg po q24h 3. vitamin d2 sig: 50,000 units once a week. 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. furosemide 20 mg tablet sig: three (3) tablet po once a day. 6. lactulose 10 gram/15 ml syrup 30 ml po three times a day. 7. lidocaine 5 %(700 mg/patch) adhesive patch daily 8. omeprazole 20 mg capsule po daily 9. oxycodone 5 mg tablet 1-2 tablets po twice prn pain 10. rifaximin 550 mg tablet po bid 11. spironolactone 100 mg tablet daily 12. tolvaptan 30 mg tablet daily 13. zolpidem 5 mg tablet qhs prn insomnia 14. calcium carbonate-vitamin d3 600 mg(1,500mg) -400 unit po bid 15. magnesium oxide 400 mg po tid prn cramps 16. multivitamin daily 17. simethicone 80 mg tablet 0.5-1 tablet, po qid prn bloating discharge medications: 1. alendronate 70 mg tablet sig: one (1) tablet po once a week. 2. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 3. rifaximin 550 mg tablet sig: one (1) tablet po bid (2 times a day). 4. clotrimazole 10 mg troche sig: one (1) troche mucous membrane qid (4 times a day). 5. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). 6. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 7. ciprofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours). 8. oxycodone 5 mg tablet sig: 1-2 tablets po twice a day as needed for pain: do not drive or drink alcohol with medication. 9. vitamin d 50,000 unit capsule sig: one (1) capsule po once a week. 10. folic acid 1 mg tablet sig: one (1) tablet po once a day. 11. calcium 500 + d (d3) 500-125 mg-unit tablet sig: one (1) tablet po twice a day. 12. magnesium oxide 400 mg tablet sig: one (1) tablet po three times a day as needed for cramps. 13. multivitamin tablet sig: one (1) tablet po once a day. 14. simethicone 80 mg tablet sig: 0.5-1 tablet po four times a day as needed for gas. 15. tolvaptan 30 mg tablet sig: one (1) tablet po daily (daily). 16. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 17. outpatient lab work pleae obtain lab work on . please check cbc, cmp, urine sodium, urine urea nitrogen, urine creatinine, urinalysis. discharge disposition: home discharge diagnosis: primary: rectus sheath bleed anemia acute renal failure hyponatremia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. , it was a pleasure caring for you at while you were admitted with bleeding into your rectus sheath. you were initially monitored in the intensive care unit and given blood transfusions. your blood counts stabilized. prior to discharge you were found to have a rise in your creatinine (a measure of kidney function) slightly above your baseline. we felt this was secondary to dehydration and ask you to hold your diuretics (lasix/spironolactone)for two days and have lab tests done on wednesday prior to seeing dr. in clinic on that day. the following changes were made to your medications: --stop lasix (until dr. instructs you to restart) --stop spironolactone (until dr. instructs you to restart) please call on tuesday to arrange follow up in dr. clinic on wednesday . followup instructions: please contact the transplant clinic on tuesday at to confirm and appointment with dr. on wednesday . . department: transplant when: wednesday at 11:00 am with: transplant clinic building: lm campus: west best parking: garage md procedure: percutaneous abdominal drainage arterial catheterization arteriography of other intra-abdominal arteries central venous catheter placement with guidance diagnoses: urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia alcoholic cirrhosis of liver acute kidney failure, unspecified hyposmolality and/or hyponatremia gout, unspecified hematoma complicating a procedure personal history of tobacco use depressive disorder, not elsewhere classified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure calculus of gallbladder without mention of cholecystitis, without mention of obstruction other ascites streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] nontraumatic hematoma of soft tissue awaiting organ transplant status hepatic encephalopathy esophageal varices in diseases classified elsewhere, without mention of bleeding personal history of alcoholism aneurysm of other visceral artery 

Answer: The patient is high likely exposed to