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: allopurinol attending: chief complaint: anaemia major surgical or invasive procedure: blood transfusion history of present illness: mr. is a 55 y.o. male with a h.o. etoh cirrhosis (meld 18) c/b portal htn, hyerptensive gastropathy, esophageal varicies (grade i), sbp, low grade chronic gi bleed angiodysplasias requiring transfusions who presents with anaemia, ascites. pt resides at healthcare rehab after fracture his left leg. he has been transfusion dependent for his angiodysplasia, his last transfusion occured . during routine labs he was anaemic, per outside records his hct was 18. he had recurrent anemia from gi bleed ongoing for months. he does endorse melenotic stools however these have been present since and have not changed in frequency, consistency. he states he has 2bms a day, formed. he denies any hematochezia, hematemesis, nausea, vomiting, fevers, chills, shortness of breath, chest pain, episodes of confusion. in regard to his ascites, he reports the rehab have not been giving him furosemide and that he usually only receives it now when he gets his transfusions. he does also endorse lle swelling which has occured over the past month, which he attribute to renal dysfunction. of note, he has had 8 prior admissions in the past 14 weeks for anemia and many times prior to this, treated with blood transfusions and sent home the following day. during his most recent admission, colonoscopy was discussed at length with him and he did not wish to have one due to recent hip fracture. in ed, his vs were: 99.1 77 95/53 14 100%. self reported dark stool but on fe. guaiac positive. he refused diagnostic ng lavage or colonoscopy. discussed with hepatorenal fellow and the plan is to transfuse and back to rehab. he was started on ppi gtt, not transfused yet by the time he transferred from ed to the floor. past medical history: # htn # djd of r hip # gout # etoh cirrhosis, c/b portal hypertension, jaundice, hypertensive gastropathy, grade 1 esophageal varices, ascites, sbp # bowel perforation: lap-assisted r colectomy by dr. for cecal perforation while on steroids for gout flare # lgib- showed angioectasias in term ileum/rectum, bx neg # legally blind social history: he is divorced in and has lived alone since. he notes that he was drinking rum and cokes daily until . he says that he has remained sober since . he has remote tobacco use (8 pack years, quit 25 years ago), remote cocaine, marijuana, and methamphetamines. he used to work as a taxi driver until he was forced to retire because he was declared legally blind. family history: grandmother with dm. physical exam: vitals: t:97.3 bp: 82/54 p:76 r: 16 o2: 100% on ra general: caucasian male laying down in bed in nad heent: sclera anicteric, mmm lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: s1, s2, systolic ejection ii/vi murmur noted left sternal border, otherwise rrr. abdomen: soft, non-tender, distended with positive fluid wave, abdominal hernia noted easily reducible, +bs x 4 ext: + edema noted b/l to hip, with scrotal edema. no asterixis noted neuro: cn ii-xii intact on examination, aao x3 rectal: no hemorrhoids noted, stool in vault, brown but guaiac positive discharge physical exam: gen: nad, cachectic heent: eomi, perrl, sclera anicteric, poor dentition, mm dry, op clear neck: no jvd, no cervical lymphadenopathy, trachea midline cor: rrr, ii/vi sem at the lsb no otherm/g/r, normal s1 s2, radial pulses +2 pulm: lungs ctab abd: soft, nt, distended, +fluid wave and dullness to percussion, ext: no c/c/ +2 edema, no asterixis neuro: alert, oriented to person, place, and time. cn ii ?????? xii grossly intact. moves all 4 extremities. pertinent results: 09:05pm plt count-109* 09:05pm neuts-67.7 lymphs-20.3 monos-6.6 eos-5.1* basos-0.2 09:05pm wbc-4.2 rbc-1.93* hgb-6.4* hct-18.6*# mcv-97 mch-33.4* mchc-34.5 rdw-19.8* 09:05pm lipase-40 09:05pm alt(sgpt)-18 ast(sgot)-114* alk phos-132* tot bili-1.8* 09:05pm estgfr-using this 09:05pm glucose-110* urea n-45* creat-1.3* sodium-135 potassium-4.2 chloride-107 total co2-21* anion gap-11 09:47pm pt-16.6* ptt-34.5 inr(pt)-1.5* 05:20am blood hct-28.1* 06:45am blood wbc-2.8* rbc-2.48* hgb-8.3* hct-22.6* mcv-91 mch-33.3* mchc-36.5* rdw-18.6* plt ct-71* 06:45am blood plt ct-71* 06:45am blood pt-20.1* ptt-44.7* inr(pt)-1.9* 10:16am blood plt ct-88* 06:45am blood glucose-133* urean-42* creat-1.4* na-139 k-3.2* cl-107 hco3-21* angap-14 10:16am blood glucose-79 urean-45* creat-1.5* na-135 k-3.5 cl-105 hco3-22 angap-12 02:43am blood glucose-82 urean-46* creat-1.5* na-137 k-3.7 cl-108 hco3-21* angap-12 06:45am blood alt-10 ast-56* ld(ldh)-166 alkphos-63 totbili-4.4* 10:16am blood alt-16 ast-102* ld(ldh)-244 alkphos-86 totbili-4.1* 02:43am blood alt-18 ast-111* ld(ldh)-215 alkphos-106 totbili-4.2* 06:45am blood albumin-3.2* calcium-8.5 phos-3.4 mg-1.5* 10:16am blood calcium-8.2* phos-3.4 mg-1.6 brief hospital course: 55 y.o. male with h.o. etoh cirrhosis c/b varicies, portal htn, sbp now on ppx, chronic gi bld angiodysplasia requiring frequent transfusion transferred from rehab with asymptomatic anemia. # hematemesis - developed hematemesis of 150 cc after transfusion of 3 units prbcs. he had been placed on a pantoprazole ppi on admission, octreotide gtt was started. given history of grade 1 varices (no history of bleed) and hypertensive gastropathy, patient was started on ceftriaxone, and transferred to icu for closer monitoring and egd. while in the icu he declined an egd. he did not have any further episodes of bleeding. he was transferred back to the floor in stable condition. on the floor he received 1 unit of blood overnight and 1 unit of blood in the morning of the following day. he reported no episodes of hematemesis or change in bowel habits. he was discharged with explicit instructions to have his hematocrit followed up in rehab and have the results faxed to the liver center. . # anemia: chronic, transfusion dependent. recieved 3 units prbcs with appropriate increase in hematocrit. colonoscopy recommended as outpatient when hip fracture healed. we managed his low hematocrit with transfusions as above. . # ascites: diuretics had been held at rebab and on admission in setting of gi bleed. on transfer to the icu he was noted to have tense ascites and his urine output was declining. a therapeutic thoracentesis was performed and 4.5l of fluid was removed. he was given 37.5g of albumin after this procedure and another 50g of albumin the morning after. his urine output significantly improved after this procedure. . # arf - his creatinine increased to 1.5 while inpatient, his baseline is likely 1.2-1.3. this was felt due to hypoperfusion of the kidneys due to low hematocrit. his creatinine responded to transfusions and trended down. . # etoh cirrhosis: initially continued cipro on admission for continued sbp prophylaxis. lactulose continued, meld labs trended. no paracentesis was performed on admission as patient had no leukocytosis, fever or abdominal pain. diuretics initially held pending evaluation of gi bleed and subsequently hematemesis. while inpatient he was started on ceftriaxone for presumed sbp. he is to go home and resume his home dose of ciprofloxacin 250 mg tab 1 tablet(s) by mouth for prophylaxis. . # djd of hip: he was continued pt on home regimen of oxycodone prn. . medications on admission: - lactulose 10 gram/15 ml oral soln 30 ml by mouth twice a day - mirtazapine 7.5mg po qhs - folic acid 1 mg tab 1 tablet(s) by mouth once a day - ferrous sulfate 325 mg (65 mg iron) tab 1 tablet(s) by mouth twice a day - thiamine 100 mg tab 1 tablet(s) by mouth once a day - uloric 40 mg tab one and a half tablet(s) by mouth daily - nadolol 20 mg tab 1 tablet(s) by mouth once daily - cholecalciferol (vitamin d3) 1000 unit daily - ciprofloxacin 250 mg tab 1 tablet(s) by mouth - oxycodone 5 mg tab 1 tablet(s) by mouth as needed for pain - pantoprazole 40 mg tab, delayed release 1 tablet(s) by mouth once daily - sucralfate 1mg po qid - senna - docusate - biscolax - prednisone 10mg q dailyprn gout - lasix 40mg po q blood transfusion discharge medications: 1. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po bid (2 times a day). 2. mirtazapine 15 mg tablet sig: 0.5 tablet po hs (at bedtime). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po bid (2 times a day). 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 6. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). 7. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 9. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 13. cholecalciferol (vitamin d3) 1,000 unit capsule sig: one (1) capsule po once a day. 14. ciprofloxacin 250 mg tablet sig: one (1) tablet po once a day. 15. uloric 40 mg tablet sig: 1-2 tablets po once a day: 1.5 tabs daily. discharge disposition: extended care facility: healthcare center - discharge diagnosis: primary: cirrhosis chronic gi bleed secondary: hypertension gout djd legally blind discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital with worsened anemia. while here, you received 6 units of blood products and remained hemodynamically stable. you are being discharged back to rehab with plans to closely monitor your blood counts. please stop taking your lasix on discharge. dr. will reassess your need for this medication when you follow up with him. please continue to have your hematocrit monitored regularly at rehab. you should have labs drawn on - please fax them to your liver doctor. followup instructions: department: gastroenterology - liver clinic when: wednesday : dr. . please have your rehab center call dr. in the liver center and confirm the appointment time with him as he will schedule a pheresis bed at that time as well. location: -division of gastroenterology/liver center address: , ste 8e, , phone: fax: department: bmt/oncology unit when: wednesday at 10:00 am building: fd building (/ complex) campus: east best parking: main garage department: bmt/oncology unit when: wednesday at 10:00 am building: fd building (/ complex) campus: east best parking: main garage department: bmt/oncology unit when: wednesday at 10:00 am building: fd building (/ complex) campus: east best parking: main garage md procedure: percutaneous abdominal drainage diagnoses: alcoholic cirrhosis of liver acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) portal hypertension hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified chronic kidney disease, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure blood in stool other ascites other specified complications of procedures not elsewhere classified hematemesis esophageal varices in diseases classified elsewhere, without mention of bleeding osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh legal blindness, as defined in u.s.a. nontraumatic compartment syndrome of abdomen 

Answer: The patient is high likely exposed to