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: hematemesis major surgical or invasive procedure: egd history of present illness: 41 y/o male with etoh cirrhosis, chronic pancreatitis, who presented to an osh with hematemesis. he was recently discharged from corrections three days pta. on the morning of admission, he spoke with his mother who reported that he sounded well. later that day, he felt sick and had several episodes of hematemesis (approx 900 cc with 8+ episodes). he then went to for further care. at the osh, his vs were stable as was his hct. he reportedly had a transfusion reaction when getting 1 u prbcs (chest redness and tremors). he was subsequently intubated and transferred to . past medical history: 1. etoh cirrhosis 2. chronic pleural effusions social history: he is currently homeless. his kids live with his sister, who is his hcp. denies smoking, admits etoh in the past, which he can stop when he wants to. family history: non-contributory physical exam: vs: tc 98.2, 98.0, bp 118/62, hr 107, rr 16, sao2 97%/ra general: middle-aged male in nad, ao x 3 heent: nc/at, perrl, eomi. anicteric sclerae. mmm, op clear neck: supple, no lad or jvd chest: cta-b, no w/r/r cv: rrr s1 s2 normal, no m/g/r abd: soft, distended, +ttp over the epigastrum without rebound or guarding, quiet bs ext: no c/c/e, wwp neuro: ao x 3, +tremulous, no asterixis skin: + few spider angiomas and palmar erythema pertinent results: 04:05pm blood wbc-5.3 rbc-3.31* hgb-9.4* hct-26.8* mcv-81*# mch-28.3 mchc-35.0 rdw-16.0* plt ct-107*# 04:05pm blood neuts-82.1* lymphs-14.1* monos-2.2 eos-1.3 baso-0.2 04:05pm blood pt-16.6* ptt-34.8 inr(pt)-1.5* 04:05pm blood glucose-138* urean-15 creat-0.5 na-142 k-3.5 cl-105 hco3-22 angap-19 04:05pm blood alt-18 ast-36 totbili-1.3 04:05pm blood lipase-110* 04:05pm blood totprot-6.0* albumin-3.7 globuln-2.3 calcium-8.1* phos-3.8 mg-1.3* 06:35am blood hapto-69 blood cultures-pending egd esophagus: mucosa: abnormal mucosa was noted in the distal esophagus with erythema and friability consistant with moderate esophagitis. stomach: mucosa: two blood clots were noted below the ge junction with no evidence of active bleeding. one hemostatic clip was placed and 4 ml of epinephrine were injected into the mucosa underneath one of the clots. duodenum: mucosa: normal mucosa was noted. impression: abnormal mucosa in the esophagus abnormal mucosa in the stomach normal mucosa in the duodenum otherwise normal egd to third part of the duodenum brief hospital course: 41 y/o male with etoh cirrhosis, chronic pancreatitis, who presented to an osh with hematemesis. he was recently discharged from corrections three days pta. on the morning of admission, he spoke with his mother who reported that he sounded well. later that day, he felt sick and had several episodes of hematemesis (approx 900 cc with 8+ episodes). he then went to for further care. at the osh, his vs were stable as was his hct. he reportedly had a transfusion reaction when getting 1 u prbcs (chest redness and tremors). he was subsequently intubated and transferred to . . of note, patient was admitted to in with an upper gi bleed. at that time an upper endoscopy revealed severe esophagitis, probably portal hypertensive gastropathy but no evidence of varices. patient reports that he had an admission at 1-2 months ago for hematemesis and at the time the egd revealed varices. . in the ed, initial vs were significant for tachycardia into the 110's. he was given 1 l ns, started on an octreotide gtt, and given 1 gm ctx iv. . micu course: he was extubated on arrival successfully. his vs remained stable although hr was in the 110's. he was continued on an octreotide gtt overnight and kept npo. he had an egd which revealed 2 clots at the ge junction (no active bleeding); epi was injected and clips were placed. the octreotide gtt was stopped and the patient was continued on iv ppi only. his hct remained stable and he required no further transfusions. during his course he has had persistent abdominal pain, c/w pancreatitis, and was kept npo with sips only and given dilaudid for pain. he has required ativan per ciwa for withdrawal approx q3 hours. . # hematemesis - his hematemesis was most likely due to esophagitis and portal gastropathy, with abnormal mucosa at the ge junction. there was no evidence of varices on egd. his hct remained stable while on the medical floor and patient had been hemodynamically stable. initially after his endoscopy his had further episodes of hematemesis and there was a question of re-scoping but as his hct stabilized this was not felt to be indicated. he was on a ppi iv bid, and he had antiemetics prn. he started tolerating a clear liquid diet which was slowly advanced and he was felt to be stable for discharge. . # abdominal pain - his pain was consistent with a prior history of pancreatitis, patient reports flares 1-2x/month. lipase/amylase not elevated, possibly chronic pancreatitis. his diet was slowly advanced and his pain was controlled with iv dilaudid initially then po dilaudid. . # cirrhosis - secondary to etoh, patient with ongoing etoh abuse. inr mildly elevated but albumin normal, suggesting intact synthetic function. his coags/platelets and albumin were followed and platelets were maintained above 50, with ffp given for inr>1.5. he also received lasix and aldactone but they commonly had to be held due to borderline blood pressure (systolic 100's). the liver service followed him while he was hospitalized but he is not currently adherent to therapy. . # thrombocytopenia - his baseline platelets normal around 200 back in , now down to 80's. this is likely due to worsening cirrhosis and possible marrow suppression from etoh. there is no evidence of hemolysis as hct has been stable. hemolysis labs were negative and platelets were kept above 50 given his active bleeding on admission. . # etoh abuse -he was maintained on an ativan ciwa (avoiding valium given cirrhosis) as patient high-risk to withdraw. he continued thiamine/folate/mvi; and switched to po's once taking po's. sw was consulted and assisted the medical team in obtaining a shelter for him to be discharged to. . # ?adrenal insufficiency - the patient was unsure of history, noted to be on hydrocortisone, which was confirmed with his pharmacy. on contacting his pcp (dr. last saw him in ), the diagnosis began on a prolonged icu stay at a year ago. at times he does not take the steroids and his blood pressure maintains sbp 100's. he initially had been on hydrocortisone but upon learning this a prednisone taper was initiated. . # communication - mother ) home - ; cell - . medications on admission: pantoprazole 40 mg iv bid ondansetron 4 mg iv q8 hrs prn lorazepam 2 mg iv q2h prn ciwa>10 thiamine 100 mg iv daily folic acid 1 mg iv daily hydromorphone (dilaudid) 1-2 mg iv q4 hrs prn insulin sc trazadone 75 mg qhs seroquel 200 mg hydrocortisone 10 mg q8 discharge medications: 1. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. lamotrigine 100 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. sucralfate 1 gram tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 7. amylase-lipase-protease 20,000-4,500- 25,000 unit capsule, delayed release(e.c.) sig: one (1) cap po tid w/meals (3 times a day with meals). disp:*120 cap(s)* refills:*2* 8. prednisone 2.5 mg tablet sig: four (4) tablet po once a day for 5 days: please take 4 tablets a day for 5 days, then take 3 tablets a day for the next 7 days, take two tablets a day for the next 7 days and then one tablet a day for 7 days. disp:*65 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). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 10. quetiapine 200 mg tablet sig: 0.5 tablet po qhs prn (). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: gastric ulcer, esophagitis ----------------- alcohol cirrhosis chronic pleural effusions discharge condition: stable, afebrile, ambulatory discharge instructions: you were admitted to the hospital with hematemesis (vomiting blood). you had an egd (scope) to evaluate your esophagus and stomach, where an ulcer was found. you received medications to treat this and your symptoms improved. you should take your medications as prescribed. you will be taking prednisone 10mg a day and the dose will be decreased over time. followup instructions: please follow up with dr. thursday at 1:15pm procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other endoscopy of small intestine transfusion of packed cells diagnoses: thrombocytopenia, unspecified unspecified pleural effusion acute posthemorrhagic anemia alcoholic cirrhosis of liver chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction esophagitis, unspecified chronic pancreatitis other and unspecified alcohol dependence, continuous 

Answer: The patient is high likely exposed to