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: sulfate salt attending: chief complaint: upper gi bleed major surgical or invasive procedure: egd history of present illness: 70 yo m with unresectable hepatocellular carcinoma and child class a hep b cirrhosis s/p chemo-embolization early admitted with an upper gi bleed to the . . of note, he was recently admitted to with acute renal failure. after discharge from the hospital he developed melena at home. on arrival to the ed on his his vital signs were as follows: t 98.5, p 75, bp 138/68, 99% on ra. his initial labs were notable as above for a hct of 26.2 down from 31.0 the day prior. . in the , he received iv pantoprazole and received 1 unit of prbcs. his repeat hct was 27.2. an upper endoscopy revealed a single non-bleeding 15 mm ulcer on the anterior wall of the first part of the duodenum and esophagitis. past medical history: 1. hepatocellular carcinoma: diagnosed with hbv prior to immigrating to us from . he reportedly eventually had a splenectomy for cytopenias whil in . recently, he was noted to have liver masses on ultrasound and an afp of 100. a ct performed on demonstrated a large lesion in the caudate lobe measuring 9.6 cm and a second lesion in segment vi of the right lobe measuring 6.3 cm. there were also multiple lymph nodes in the porta hepatis and with the common hepatic artery concerning for local disease spread. there was also a 1.1 cm left adrenal nodule identified. the patient's afp on was , on it was 9229 and most recently on it was 12,189. 2. hypertension 3. chronic venous insufficiency resulting in chronic lower extremity edema and chronic venous stasis changes associated with the skin. the patient apparently had radiofrequency ablation of the left greater saphenous vein on with clinical improvement in le edema 4. type 2 diabetes controlled with diet and medication. 5. cirrhosis. 6. history of splenectomy, status post thrombocytopenia approximately 15 years ago in , it is unclear whether he received vaccinations for this. social history: the patient is an immigrant from as described above. he came to america approximately nine years ago with his family. denies drinking alcohol or smoking cigarettes. he is a retired engineer. he currently lives with his son's family in , . he is mandarin speaking. denies any illicit iv drug abuse history or tattoos and no history of blood transfusions. family history: notable for grandparents with hepatitis b, though no confirmed diagnoses of hepatocellular carcinoma. his wife and two children who also been tested for hepatitis b and they are all negative and received hpv vaccine. there is no other pertinent family history. physical exam: vital signs: t 97.2, p 82, bp 158/60, 96% on ra. . physical examination: - gen: thin, elderly male in nad. - heent: sclera anicteric - neck: jvp <5cm - chest: normal respirations and breathing comfortably on room air. lungs clear to auscultation bilaterally. - cv: regular rhythm. normal s1, s2. iv/vi hsm at lsb with some radiation to carotids. - abdomen: normal bowel sounds. has tenderness and mass in ruq. no peritoneal signs or rebounding. - extremities: 3+ edema to upper thigh, hose in place - skin: diffuse erythematous, maculopapular rash on trunk predominantly pertinent results: 07:05am blood wbc-3.6* rbc-3.11* hgb-9.8* hct-31.0* mcv-100* mch-31.7 mchc-31.7 rdw-18.8* plt ct-167 07:42am blood wbc-4.2 rbc-2.95* hgb-9.6* hct-30.2* mcv-102* mch-32.4* mchc-31.8 rdw-21.6* plt ct-188 04:25am blood pt-15.4* ptt-29.3 inr(pt)-1.4* 07:42am blood glucose-94 urean-27* creat-1.2 na-135 k-3.9 cl-106 hco3-21* angap-14 07:05am blood alt-63* ast-111* ld(ldh)-269* alkphos-125 totbili-2.9* 04:25am blood alt-53* ast-120* ld(ldh)-303* alkphos-114 totbili-1.5 04:25am blood albumin-2.2* calcium-8.1* phos-2.1* mg-1.9 iron-27* 04:25am blood caltibc-131* vitb12-1899* folate-11.9 ferritn-665* trf-101* helicobacter pylori antibody test (final ): positive by eia. bilat lower ext veins us impression: bilateral greater saphenous vein thrombosis. no extension into the deep veins. egd: excavated lesions: a single non-bleeding 15 mm ulcer was found on the anterior wall of the first part of the duodenum. impression: grade 2 esophagitis in the lower third of the esophagus compatible with reflux esophagitis ulcer in the first part of the duodenum brief hospital course: patient presented to ed with melena and was found to have marked drop in hemocrit in one day (from 31 to 26.2). prior to admission, patient had chemo-embolization with adriamycin of his hepatocellular carcinoma. patient was found to have guaiac positive stool. he was fluid resuscitated in the ed and started on a ppi. gi was consulted and then he was sent to the icu for further management. while in the icu, patient remained hemodynamically stable. because of concern for variceal bleed given history of hep b cirrhosis, empiric octreotide therapy was started and ctx x 1 dose was given for sbp prophylaxis. gi performed an egd which revealed a 15mm nonbleeding ulcer in the first part of the duodenum. octreotide and ctx were stopped and ppi gtt was started. patient remained hemodynamically stable after the procedure. pt's h. pylori serology was found to be positive, and thus he was started on triple therapy with amoxicillin, clarithromycin, and pantoprazole x 14 days. . # hcc: locally advanced, s/p chemoembolization. - outpatient follow up . # hbv cirrhosis: chronic hbv infection. - continued tenofovir disoproxil fumarate 300 mg po daily . # rash: pt was found to have a diffuse pruritic rash over his body, with high suspicion for drug rash from albumin provided during the previous hospitalization. derm was consulted due to the extensive nature of the rash, and he was started on triamcinolone with benefit. . # le edema: chronically edematous. related to underlying liver disease and venous damage from rfas. pt had leni's on his legs, which were negative for dvt, however, he was found to have bilateral greater saphenous vein thrombosis that did not extend into the deep venous system. he was not anticoagulated due to his recent gi bleed. . # htn: on clonidine and lisinopril at home - continued home clonidine 0.1 mg po bid - continued lisinopril . # diabetes: - continued holding metformin and continue iss for now . # dvt ppx: pt received dvt prophylaxis with pneumatic boots given recent bleed . pt was screened by physical therapy, and was found safe for discharge to home. discharge medications: 1. clonidine 0.1 mg tablet sig: one (1) tablet po bid (2 times a day). 2. tenofovir disoproxil fumarate 300 mg tablet sig: one (1) tablet po daily (daily). 3. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 4. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 5. triamcinolone acetonide 0.1 % ointment sig: one (1) appl topical (2 times a day) for 1 weeks: apply to rash. do not apply to face, groin or axillae. . disp:*1 jar* refills:*0* 6. oxycodone 5 mg tablet sig: 0.5 tablet po q8 hr as needed for pain. disp:*30 tablet(s)* refills:*0* 7. amoxicillin 500 mg tablet sig: two (2) tablet po twice a day for 12 days. disp:*48 tablet(s)* refills:*0* 8. clarithromycin 500 mg tablet sig: one (1) tablet po twice a day for 12 days. disp:*24 tablet(s)* refills:*0* 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours): after 4 weeks, may decrease to 1 tab po q day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*3* 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation: purchase over the counter. 11. polyethylene glycol 3350 17 gram/dose powder sig: one (1) packet po daily (daily) as needed for constipation: purchase over the counter. 12. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for bloating: purchase over the counter. discharge disposition: home discharge diagnosis: # acute blood loss anemia # duodenal ulcer/h.pylori serology positive # hepatocellular carcinoma # chronic hepatitis b # liver cirrhosis # drug rash # hypertension, benign # t2dm discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with bleeding from your duodenum (upper gi tract). you were found to have a bleeding ulcer, and you were treated with medications to help stop the bleeding. you were found to have an infection in your stomach, which puts you at risk for ulcers, so you have been started on treatment for this. followup instructions: name: , h. location: address: , , phone: appointment: thursday 3:30pm procedure: other endoscopy of small intestine diagnoses: cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other acquired absence of organ dermatitis due to drugs and medicines taken internally malignant neoplasm of liver, primary chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health helicobacter pylori [h. pylori] secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes venous (peripheral) insufficiency, unspecified benign essential hypertension venous embolism and thrombosis of superficial vessels of lower extremity uric acid metabolism drugs causing adverse effects in therapeutic use reflux esophagitis 

Answer: The patient is high likely exposed to