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: lisinopril attending: chief complaint: admitted for poor po intake, anorexia, fatigue; transferred to micu for acute blood loss anemia due to gastric bleeding and hematemesis major surgical or invasive procedure: central line placement endoscopic gastroduodenography (egd) history of present illness: ms. is a 62 year old woman with h/o hepatitis c, substance abuse, sbo s/p small bowel resection and gi bleed transferred to the micu in the setting of an acute gi bleed. she was initially admitted to medicine on with "failure to thrive" in the setting of poor po intake. initial findings were significant for tachycardia and hypertension with orthostatic hypotension and guaiac positive stool. labs revealed a lactate of 4, a metabolic acidosis with anion gap of 24. her hct was below baseline on admission (baseline 26-30, 24 on admission). on the evening of , the patient developed coffee-ground emesis. she had 2 episodes of 100-200cc red-tinged emesis with maroon flecks. her sbp dropped to 88 (although she returned to sbp in 140s without fluids), and labs were significant for 7.40/27/109/17 with hct of 20. as the team was attempting to give her iv fluids, she lost her two pivs. she was then transferred to the unit because of gi bleed in the setting of poor iv access. of note, the patient was admitted with chest pain in the setting of cocaine abuse. enzymes were negative x 3. also, she had an episode of gi bleeding during an admission for hypoglycemia in 07/. work-up at the time revealed a small gastric ulcer and a small colonic polyp that was not removed. upon arrival to the micu from her brief stay on the medicine floor, her vitals were t 97.1, hr 85, bp 119/70, rr 15, o2 sat 100%. past medical history: diabetes mellitus, type 2 - on insulin chronic kidney disease, baseline cr 1.6-2.0 hepatitis c-rebetron years ago discontinued after poor response h/o acute hepatitis from tylenol overdose hypertension h/o chronic pancreatitis s/p tah/bso substance abuse (cocaine, etoh) h/o sbo with subsequent small bowel resection in and again carpal tunnel syndrome depression nstemi in the context of cocaine use anemia with baseline hct 26-30, but has dropped into low 20s in past. social history: patient is known to abuse alcohol and cocaine. she reported that her last drink was 2 weeks ago, which she had also reported in a prior admission. she said her last cocaine use was 5 days before admission. she smoked x 10 pack years and quit 20 years ago. she lives with her boyfriend; he is her only sexual partner. she denies iv drug use. family history: hypertension. no history of premature cad. father with lung cancer who died in his early 60s, mother with sarcoid who died in her early 50s. no family hx of breast ca. physical exam: micu admission vitals and pe tmax: 36.4 ??????c (97.5 ??????f) tcurrent: 36.4 ??????c (97.5 ??????f) hr: 106 (85 - 106) bpm bp: 125/76(87) {119/59(74) - 136/76(90)} mmhg rr: 19 (15 - 19) insp/min spo2: 100% cvp: 4 (4 - 4)mmhg ivf: 1,000 ml physical examination general appearance: thin head, ears, nose, throat: normocephalic, dry mm; no lesions in op cardiovascular: (pmi normal), (s1: normal), (s2: normal) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (breath sounds: clear : ) abdominal: soft, non-tender, bowel sounds present extremities: right: absent, left: absent skin: warm, no(t) rash: neurologic: attentive, oriented, somewhat slow speech but fluent and without slurring; some low frequency tremor with outstretched hands, no apparent asterixis pertinent results: emergency department labs 10:15am wbc-5.3 rbc-2.48* hgb-8.1* hct-23.9* mcv-96 mch-32.8* mchc-34.1 rdw-17.9* 10:15am neuts-41.3* bands-0 lymphs-55.2* monos-1.9* eos-0.5 basos-1.2 10:15am plt count-51* 10:15am glucose-130* urea n-28* creat-2.2* sodium-147* potassium-4.5 chloride-105 total co2-18* anion gap-29* 10:15am ck(cpk)-105 10:15am ctropnt-0.10* 10:15am ck-mb-4 10:15am calcium-9.0 phosphate-3.8 magnesium-1.6 . 10:15am asa-neg ethanol-313* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg . 01:44pm lactate-4.0* . 01:50pm urine hours-random 01:50pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 01:50pm urine color-yellow appear-clear sp -1.011 01:50pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-15 bilirubin-neg urobilngn-1 ph-5.0 leuk-neg 01:50pm urine rbc-0-2 wbc-0-2 bacteria-rare yeast-none epi-0-2 01:50pm urine hyaline-* 01:50pm urine mucous-occ in-house labs, prior to micu transfer 07:05pm urea n-24* creat-1.7* sodium-142 potassium-4.2 chloride-105 total co2-14* anion gap-27* 10:43pm hgb-6.8* calchct-20 10:43pm lactate-3.9* 10:43pm type-art po2-109* pco2-27* ph-7.40 total co2-17* base xs--5 : liver ultrasound. impression: cirrhotic liver. no evidence of portal vein thrombosis. cxr : right internal jugular line tip is in low svc. no pneumothorax, apical hematoma, or pleural effusion is demonstrated. cardiomediastinal contour is unremarkable. lungs are clear. calcifications projecting over the left upper abdomen correspond to pancreatic calcifications, most likely consistent with chronic pancreatitis. egd : findings: esophagus: lumen: a small size hiatal hernia was seen. stomach: mucosa: erythema and erosion of the mucosa were noted in the whole stomach. these findings are compatible with gastritis. duodenum: mucosa: erythema and congestion of the mucosa were noted in the duodenal bulb compatible with duodenitis. impression: small hiatal hernia erythema and erosion in the whole stomach compatible with gastritis erythema and congestion in the duodenal bulb compatible with duodenitis otherwise normal egd to third part of the duodenum brief hospital course: 62yo woman with h/o polysubstance abuse, hepatitis c, sbo s/p 2 small bowel resections, and gi bleed in the past transferred to the micu for care of gi bleed, stabilized and transferred to the floor for monitoring of her anemia. . # acute blood loss anemia due to acute gastritis: she was admitted to the micu. after admission to the micu she was seen by the liver team who conducted an egd in the unit. they saw gastritis but no varices. she had no hemodynamic instability. hematocrit was stable x 24 hours after she received total 3u prbc, last on am. on the floor her hematocrit and platelets remained low but were stable, however she was without evidence of acute bleed or hemodynamic instability. she was discharged with a ppi , however h. pylori was negative therefore abx were not started. # alcohol withdrawal: although patient denied recent alcohol use, her alcohol level was 311 in ed. she did score on the ciwa scale and was written for valium prn for ciwa >10. thiamine, folate and multivitamin were continued. addictions nurse d and patient was provided with resources for outpatient assistance with her etoh and drug use. she was not in etoh withdrawal for the last 48 hours of her admission. # cirrhosis, coagulopathy, chronic hepatitis c, alcohol dependence. no varices, encephalopathy, ascites. an abdominal ultrasound confirmed cirrhosis but showed no portal flow defects. coagulopathy was treated with vitamin k 10 mg po x 3 days. the liver service followed her and as above conducted an egd in the unit; pt is not currently a candidate for transplant due to her alcoholism. a follow-up appointment was scheduled for hepatology. # anion gap acidosis: primary alcoholic/starvation ketosis and renal failure. lactate trended down. renal function at baseline. # thrombocytopenia: baseline 60-200. likely secondary to liver disease. ruled out for hit in past and low t4 score therefore unlikely hit. stable during the admission with plt of 24. discharge to rehab was recommended by pt as patient is at risk for bleed with fall, however patient declined after a discussion of the risks and benefits. # depression: on outpatient sertraline. diazepam provided for anxiety and ciwa while inpatient. # chronic pancreatitis: no acute issues. her pancreatic enzymes were continued for the hospitalization and at discharge. # ckd stage iii: cr at baseline 1.6-2.0 during the admission. her calcium and vit d were continued inpatient and on discharge. # type 2 diabetes uncontrolled without complications: pt received insulin sliding scale while inpatient. she was re-started on her home dose of lantus on discharge. # benign hypertension: her blood pressure meds were discontinued while in the icu, however she was restarted on hydralazine in the icu and verapamil on the floor. she was well controlled on verapamil, therefore hydralazine was dc'd for ease of dosing and she was discharged on her home dose of verapamil. # elevated troponin: troponin elevation on admission was likely due to ckd. tox screen negative for cocaine. no symptoms of cardiac ischemia. no indications of acs. no cp while inpatient. medications on admission: 1. amylase-lipase-protease 20,000-4,500- 25,000 unit capsule, delayed release(e.c.) sig: two (2) cap po tid w/meals 2. hydralazine 10 mg po q6h 3. sertraline 50 mg po daily 4. multivitamin po daily 5. insulin glargine 100 unit/ml (6) units subcutaneous q9am. 6. verapamil 180 mg sr po q24h 7. cholecalciferol (vitamin d3) 400 unit po daily 8. calcium carbonate 500 mg chewable po daily 9. oxycodone 5 mg po q6h as needed for pain. 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. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 4. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). 5. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 6. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 8. amylase-lipase-protease 20,000-4,500- 25,000 unit capsule, delayed release(e.c.) sig: two (2) cap po tid w/meals (3 times a day with meals). 9. verapamil 180 mg tablet sustained release sig: one (1) tablet sustained release po once a day. 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 11. insulin glargine 100 unit/ml cartridge sig: one (1) 6 units subcutaneous q9am. discharge disposition: home discharge diagnosis: acute blood loss anemia acute gastritis with hemmorhage acute duodenitis with hemmorhage cirrhosis due to chronic hepatitis c thrombocytopenia chronic pancreatitis chronic kidney disease stage ii substance dependence - alcohol substance dependence - cocaine depression type 2 diabetes controlled without complications benign hypertension discharge condition: good discharge instructions: you were admitted for a gastrointestinal bleed. you were treated in the icu for this bleed with blood products and evaluation from the gastroenterology service who found no evidence of an active bleed. your hematocrit and blood pressures were stable when you were transferred out of the icu. please take all of your medications as directed on discharge. please return to the hospital if you notice new sob, chest pain, lightheadedness, blood in your stool or cough, or any other symptoms that may be concerning to you. please follow up with your hepatologist, dr , as scheduled below. followup instructions: provider: phone: date/time: 11:00 provider: , md phone: date/time: 8:00 procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine transfusion of packed cells diagnoses: acidosis thrombocytopenia, unspecified chronic hepatitis c without mention of hepatic coma acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver depressive disorder, not elsewhere classified chronic pancreatitis alcohol withdrawal hypertensive chronic kidney disease, benign, with chronic kidney disease stage i through stage iv, or unspecified duodenitis, with hemorrhage acute gastritis, with hemorrhage chronic kidney disease, stage ii (mild) cocaine dependence, unspecified 

Answer: The patient is high likely exposed to