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: dark stools, nausea major surgical or invasive procedure: egd paracentesis history of present illness: 53f pmhx sig hepc cirrhosis c/b esophageal varices s/p banding and multiple episodes of ugi bleeds presents with 2d hx of melena and nausea. first noticed loose, dark stools yesterday. felt a little more fatigued and like her heart was racing this am. mild nausea, one episode of retching with small amount of "dark" mucous, but no vomiting. does say she had a few glasses of wine over the weekend, but no nsaid use. denies dizziness, shortness of breath, brbpr, or abdominal distention (though she says this fluctuates). no confusions, fevers, or chills. she went to see her pcp today for evaluation of the melena, where she was noted to be tachycardic and was sent to the ed for further evaluation. . in the ed, inital vitals were 97.8 116 124/72 18 99% ra. exam was remarkable for tachycardia and black stool, grossly guaiac-positive. initial labs were remarkable for a h/h of 6.4/21.3 (down from 31.3 on ) and inr 1.7. ng lavage came back with pink fluid, no coffee grounds. gi/liver was consulted in the ed and advised transfer to the micu for planned egd in the early am. she was given 2 l ns, transfused 1 unit prbcs (typed and crossed for 4 units), ceftriaxone 1 g, and started on octreotide and pantoprazole gtt. . on arrival to the micu, pt is in no distress, hemodynamically stable. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies shortness of breath, or wheezing. denies chest pain, chest pressure, or weakness. denies constipation or abdominal pain. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: - hepatitis c c/b by varices s/p banding in - h/o pud and antral erosions in past s/p h. pylori treatment in - iron deficiency anemia - gerd - hypertension social history: she lives alone, works in marketing - tobacco: denies - alcohol: occasionally has a few glasses of wine on weekends - illicits: denies family history: no family history of liver disease. physical exam: admission physical exam: vitals: t: 100.5 bp: 144/60 p: 111 r: 26 o2: 100% ra general: alert, oriented, no acute distress heent: sclera mildly icteric, mmm, oropharynx clear neck: supple, jvp ~7, no lad cv: tachycardic w regular rhythm, normal s1 + s2, systolic ejection murmur heard at base lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: bs+, soft, distended but minimal fluid wave, non-tender, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema physical exam on discharge: vitals: 100.4, normotensive, normal heart rate and sating 100%ra general: aaox3 in nad heent: clear rhinorrhea, +sinus tenderness bilteral maxillary sinuses. no visible exudate in the posterior pharynx cv: rrr, no mrg lungs: ctab abdomen: soft, protuberant, small shifting dullness of ~1inch, no palpable organomegaly ext: warm, well perfused, no edema cyanosis pertinent results: labs: on admission: 07:40pm blood wbc-4.1 rbc-2.36*# hgb-6.4*# hct-21.3*# mcv-90# mch-27.2# mchc-30.1* rdw-17.5* plt ct-108*# 07:40pm blood neuts-67.7 bands-0 lymphs-24.2 monos-7.8 eos-0.2 baso-0.1 07:40pm blood pt-19.0* ptt-26.7 inr(pt)-1.7* 07:40pm blood glucose-94 urean-14 creat-0.6 na-142 k-3.5 cl-107 hco3-24 angap-15 06:39am blood alt-30 ast-85* alkphos-51 totbili-2.2* 06:39am blood calcium-7.2* phos-3.4 mg-1.4* iron-222* 06:39am blood caltibc-309 vitb12-746 folate-8.8 ferritn-31 trf-238 . labs on discharge: 07:00am blood wbc-2.7* rbc-2.95* hgb-8.0* hct-25.8* mcv-87 mch-27.2 mchc-31.2 rdw-17.6* plt ct-77* 09:10pm blood neuts-71.6* lymphs-21.7 monos-4.9 eos-1.5 baso-0.2 09:10pm blood hypochr-3+ anisocy-1+ poiklo-1+ macrocy-normal microcy-1+ polychr-occasional spheroc-occasional ovalocy-1+ 07:00am blood plt ct-77* 07:00am blood glucose-107* urean-5* creat-0.7 na-136 k-3.3 cl-103 hco3-24 angap-12 07:00am blood calcium-8.1* phos-2.8 mg-1.6 . egd: varices at the lower third of the esophagus erythema and mosaic appearance in the stomach body compatible with moderate portal gastropathy, which was likely the cause of bleeding small ulcer in the stomach body normal mucosa in the whole duodenum otherwise normal egd to third part of the duodenum ascites fluid: 09:23am ascites wbc-175* rbc-* polys-7* lymphs-42* monos-46* macroph-5* other-0 micro: helicobacter pylori antibody test (final ): negative by eia. hcv viral load (final ): 173,000 iu/ml. blood cultures x 2- pending imaging: findings: as compared to the previous radiograph there is no relevant change. borderline size of the cardiac silhouette with mild tortuosity of the thoracic aorta, mild reducing lung volumes. no pneumonia, no pleural effusions. no pneumothorax. the hilar and mediastinal structures are unremarkable. trace fluid and tiny pocket of free fluid. ultrasound-guided aspration of 0.5 ml of slightly blood-tinged clear ascitic fluid. given the small volume, sample could only be sent for one laboratory evaluation.1 brief hospital course: 53f pmhx sig hepc cirrhosis c/b esophageal varices s/p banding and multiple episodes of ugi bleeds presents with 2d hx of melena and nausea, likely upper gi bleed, who developed a fever in the setting of uri symptoms unlikely to be due to sbp or bacteremia. . # gi bleed: positive ng lavage and hx of bleeding varices and ulcers made suspicion very high for upper gi source. she was transfused 2 units prbcs for her severe anemia, and her hematocrits then stayed stable on frequent monitoring. she was started on a ppi and octreotide gtt and given ceftriaxone for antibiotic prophylaxis. egd was performed and showed portal gastropathy (presumed cause of bleeding) and non-bleeding varices not requiring any banding. her melena decreased, and she was stable for transfer out of the micu. on the floor she remained stable with no furhter episodes of melena. she was switched to oral ppi and switched to po antibiotics to complete a 10 day course. . #fever: patient developed a fever at the time she arrived on themedical floor. her cxr was clear, ans she had uri symptoms with sinus pressure. she was on ceftriaxone at the time, and given she had a small amount of ascites, she had a tap of the ascites performed by ir who saw minimal amount of fluid and only got 1/2 cc, which was sent for cell count which was negative for sbp. the patient did not want to wait another day to be monitored in hospital, so she was discharged with instructions to call her pcp or come back to the ed if she spiked a fever. the cause of the fever is likely sinusisit, she was discharged on a 10 day course of cipro, whch would cover her for her ugib abx prophylaxis as well as sinusitis. . # anemia: hx of iron-deficiency anemia, per report. hct baseline appears to be in high 20s, acute drop due to gi bleed as above. as the iron studies performed during this admission were during the time she received a blood transfusion, these should be repeated on a outpatient basis. . # hepatitis c cirrhosis: other than gi bleeding, no signs of acute decompensation. she was continued on her home dose of nadalol 40 mg initially, however the hepatology team recommended up-titrating the dose to a hr of 55-65, and she was discharged on nadolol 60mg po bid. ransitional issues: pending labs: blood cultures , hcv viral load , hpylori serology pending. medications started: 1.ciprofloxacin 500 mg pill by mouth twice a day x 10 days (antibiotic) 2.flonase as prescribed for sinus/nasal symptoms medications stopped: none medications changed: 1. nadolol- please increase the dose to 60mg by mouth twice a day (new prescription given) if you develop a high fever, please call your doctor, or feel free to come back to the ed. medications on admission: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po bid (2 times a day). 5. nadolol 20 mg tablet sig: one (1) tablet po bid (2 times a day). discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 3. multivitamin tablet sig: one (1) tablet po once a day. 4. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 5. nadolol 20 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 6. cipro 500 mg tablet sig: one (1) tablet po twice a day for 10 days. disp:*20 tablet(s)* refills:*0* 7. acetaminophen 500 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain, fever. 8. flonase 50 mcg/actuation spray, suspension sig: sprays nasal twice a day as needed for cold symptoms. disp:*1 bottle* refills:*1* discharge disposition: home discharge diagnosis: primary: upper gastrointestinal bleed from portal gastropathy secondary: hepatitis c cirrhosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was a pleasure taking care of you at . you were admitted to the hospital for an upper gastrointestinal bleed where you were having dark tary stools. in the ed they found that you had lost a lot of blood and required a blood transfusion and you were monitored in the intensive care unit. you underwent a camera study called endoscopy, which showed stomach inflammation, likely from your liver disease, as the cause for your bleeding. we would recommend that you limit any your alcohol intake and continue the medications below. after you were transferred to the regular medical floor you had a fever and we were concerned that you could have an infection in the fluid in your abdomen, so we performed a paracentesis (take the fluid amount out). the source of your fever is likely your sinuses, and we will send you out on an antibiotic pill to cover you for both the sinus infection as well as preventing infections after having the gi bleed. transitional issues: pending labs: blood cultures , hcv viral load , hpylori serology pending. medications started: 1.ciprofloxacin 500 mg pill by mouth twice a day x 10 days (antibiotic) 2.flonase as prescribed for sinus/nasal symptoms medications stopped: none medications changed: 1. nadolol- please increase the dose to 60mg by mouth twice a day (new prescription given) if you develop a high fever, please call your doctor, or feel free to come back to the ed. followup instructions: name: , location: address: , , phone: appointment: thursday 2:20pm name: , location: address: , , phone: appointment: thursday 3:20pm procedure: other endoscopy of small intestine percutaneous abdominal drainage diagnoses: esophageal reflux chronic hepatitis c without mention of hepatic coma acute posthemorrhagic anemia alcoholic cirrhosis of liver portal hypertension iron deficiency anemia, unspecified chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction hemorrhage of gastrointestinal tract, unspecified other specified disorders of stomach and duodenum other and unspecified alcohol dependence, continuous essential thrombocythemia chronic gastric ulcer without mention of hemorrhage or perforation, without mention of obstruction 

Answer: The patient is high likely exposed to