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: micu call out, initial admit for hematemesis major surgical or invasive procedure: egd x2 history of present illness: 46 y.o. male with history of alcoholism and hep. c, complicated by varices, ascites and encephalopathy who presented with hematemesis. . patient reported continued alcohol use, but less compared to his routine. he notes two recent stressors - pain and a break-up with his girlfriend, which caused him to rely more heavily on alcohol and in doing so, he noticed "dark" emesis evening of admisison around 10 pm, which was persistent, prompting him to call ems. he denies fevers, chest pain, sob, but does report some lightheadedness. he denied any brbpr, but did not increasing dark to black stools. . in the ed, patient was reported to have 700 ccs of coffee ground and bright red blood emesis. however, he remained hemodynamically stable with sbps ranging from 123-130 and no tachycardia. a hepatology consult was placed and the patient was started on ceftriaxone and received 3 l of ns before coming to the floor. . of note, pt. was hospitalized at from - for encephalopathy and had an egd revealing 2 cords of grade i - ii esophageal varices, which were banded. he was also found to have portal hypertensive gastropathy at this time. . patient was initially admited to the micu and underwent egd which showed varices. received 1 unit prbc with originally with no improvement in hct. had egd the following day. banding was not performed during either egd. in total received 3 units prbc, 2u ffp. last transfusion at 5pm. . at time of transfer pt has no complaints. denies any recent vomiting. continues to have some dark stools. denies lightheadedness, dizziness, chest pain. past medical history: - etoh cirrhosis, actively drinking, meld 18 - hcv viral load is 436,000 international units. the patient has not had a liver biopsy nor has the patient had any treatment to date for his hepatitis c followed by dr. (last seen ). - egd revealing varices at the lower third of the esophagus, with two bands placed, and portal gastropathy. - grade 3 esophageal varices with multiple admissions for gib, banding in past - ethanol abuse with history of dts. - h/o nephrolithiasis. - mva with two fractured lumbar vertebrae, torn rotator cuff, and humeral head fracture. - h/o coagulopathy, anemia (baseline hct ~30), thrombocytopenia - foot surgery - facial reconstruction as a child - leg cramps - asthma social history: the patient is single. moved to cape and is living with friends. currently moving. he is actively drinking. has long hx of etoh abuse (since high school, with 1 6 month period of sobriety) and withdrawl. he smokes 1 pack every 3 days, x 30+ years. he is not working. he used to work as a carpenter. he denies ivda x last 15 years, has used intranasal drugs within the past year or so, +cocaine/heroin use in past; hx of incarceration in the past. family history: he does not know much about his family history. he does not know of any liver disease or colon cancer. physical exam: tmax 99 tc 98.6 bp 131/93 (130-140/80-92) hr 80 rr 14 o2 96%ra i/o (24 hr)3216/1455 . gen: young male lying in bad in nad heent: perrl, eomi, op clear, poor dentition neck: supple, no lad lungs: ctab, no carckles. heart: s1, s2 nl, no m/r/g appreciated abd: soft, nontender, nd ext: no lower ext edema. neuro: cn ii - xii intact, moves all extremities equally pertinent results: egd varices at the lower third of the esophagus medium hiatal hernia blood in the stomach body erythema, congestion, nodularity and friability in the stomach body and fundus compatible with portal hypertensive gastropathy blood in the first part of the duodenum and second part of the duodenum there were no gastric varices. otherwise normal egd to second part of the duodenum . egd impression: esophageal varices erythema, congestion, nodularity and friability in the stomach body and fundus compatible with portal hypertensive gastropathy blood in the stomach otherwise normal egd to second part of the duodenum recommendations: continue once daily ppi. brief hospital course: pt is a 46 yo m with history of etoh/hcv cirrhosis with known varices and portal gastropathy admitted with hematemesis. now being called out of the icu. . # hematemesis: baseline hct 26-30 and patient presented with hct of 22 which then dropped to 19. egd was performed x2 which showed esophageal varices as likely source of bleed, but no active bleeding from site. he had variceal banding performed recently on . egd this admission also showed gastritis. he received a total of 3u prbcs and 2u ffp and hct at time of discharge was 30 and he was without evidence of any further active bleeding. nadolol and diuretics were originally held in the setting of unstable blood volume, but were restarted upon his discharge. . # cirrhosis: secondary to etoh and hcv. multiple complications including variceal bleeding, ascites, encephalopathy, coagulopathy, thrombocytopenia. as above, nadolol, lasix, and spironolactone were originally held, but were restarted for discharge. he was taking pentoxyfilline on admission, but this was discontinued per liver team. . # alcohol abuse: he continues to actively drink with last drink 1 night pta. he has history of withdrawal, no seizures. he was placed on ciwa scale with prn valium and was continued on mvi, thiamine and folate. although addressed with social work and case management, he currently refuses rehab as he states that he has been "detoxed" here. . # hepatic encephalopathy: he was not encephalopathic during this admission. he was continued on lactulose titrated for goal bowel movements daily. . # ascites: fluid from previous paracenteses showed saag c/w portal htn. no paracentesis performed during this admission. he was restarted on spironolactone and lasix prior to his discharge. . # coagulopathy/thrombocytopenia: secondary to cirrhosis. in the setting of his gi bleed, he received vitamin k and 2u ffp. . # asthma: during this admission, he had no active pulmonary issues. he was continued on prn albuteral and ipratropium. medications on admission: meds at home: has not been taking his meds for 5 days. meds from last d/c summary: 1. thiamine hcl 100 mg qday 2. hexavitamin qday 3. gabapentin 300 mg tid 4. nadolol 40 mg qday 5. pentoxifylline 400 mg tid 6. folic acid 1 mg qday 7. furosemide 80 mg 8. spironolactone 150 mg 9. lactulose 10 g/15 ml qid 10. clonidine 0.1 mg 11. albuterol 90 mcg prn 12. sucralfate 1 g qid 13. atrovent prn 14. omeprazole 20 mg 15. nicotine 21 mg/24 hr patch 16. hydromorphone 2 mg q8hrs:prn . meds at transfer: ciprofloxacin 400 mg iv q12h duration: 5 days multivitamins 1 cap po daily diazepam 10 mg iv q2h:prn ciwa>10 nicotine patch 21 mg td daily dolasetron mesylate 12.5 mg iv q8h:prn nausea pantoprazole 40 mg iv q12h gabapentin 300 mg po q8h hydromorphone (dilaudid) 0.5-2 mg iv q6h:prn lactulose 30 ml po qid goal bm's per day thiamine hcl 100 mg po daily discharge medications: 1. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 2. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*qs * refills:*2* 3. gabapentin 300 mg capsule sig: one (1) capsule po three times a day. disp:*90 capsule(s)* refills:*0* 4. nadolol 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 5. folic acid 1 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 6. lasix 80 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 7. spironolactone 100 mg tablet sig: 1.5 tablets po twice a day. disp:*90 tablet(s)* refills:*0* 8. lactulose 10 g/15 ml syrup sig: thirty (30) ml po qid (4 times a day): titrate to bms daily. disp:*qs * refills:*0* 9. clonidine 0.1 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 10. albuterol 90 mcg/actuation aerosol sig: inhalation every 4-6 hours as needed for shortness of breath or wheezing. disp:*qs * refills:*0* 11. sucralfate 1 g tablet sig: one (1) tablet po four times a day. disp:*120 tablet(s)* refills:*0* 12. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*0* 13. nicotine 21 mg/24 hr patch 24 hr sig: one (1) transdermal once a day. disp:*qs 1 month supply* refills:*2* 14. ciprofloxacin 500 mg tablet sig: one (1) tablet po twice a day for 2 days. disp:*4 tablet(s)* refills:*0* 15. atrovent inhalation 16. oxycodone 5 mg capsule sig: one (1) capsule po every six (6) hours as needed for pain. disp:*15 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: upper gi bleed esophageal varices cirrhosis alcohol abuse/dependence . asthma recent left humeral surgical neck fracture discharge condition: stable with stable hematocrit and hemodynamics. discharge instructions: please call your doctor or return to the emergency room if you develop blood in your vomit or stool, fevers/chills, nausea/vomiting, inability to tolerate food/fluid, heavy alcohol consumption, or alcohol withdrawal. . please avoid alcohol consumption. . please follow up with your appointments as scheduled below. please take your medications as prescribed and be sure to complete an addional 2 days of your antibiotics. followup instructions: please follow up with dr. on at 2:40pm. . appointments scheduled prior to this admission: 1. provider: . phone: date/time: 9:40am 2. provider: , md phone: date/time: 8:20am 3. provider: , md phone: date/time: 1:30pm procedure: other endoscopy of small intestine other endoscopy of small intestine transfusion of packed cells transfusion of other serum diagnoses: tobacco use disorder alcoholic cirrhosis of liver acquired coagulation factor deficiency iron deficiency anemia secondary to blood loss (chronic) hyposmolality and/or hyponatremia portal hypertension unspecified viral hepatitis c without hepatic coma asthma, unspecified type, unspecified diaphragmatic hernia without mention of obstruction or gangrene esophageal varices in diseases classified elsewhere, with bleeding hepatic encephalopathy other specified disorders of stomach and duodenum calculus of kidney unspecified gastritis and gastroduodenitis, without mention of hemorrhage other and unspecified alcohol dependence, continuous cocaine abuse, in remission other, mixed, or unspecified drug abuse, in remission 

Answer: The patient is high likely exposed to