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: no known allergies / adverse drug reactions attending: chief complaint: brbpr major surgical or invasive procedure: esophagogastroduodenoscopy history of present illness: 58 year old man with hepatitis c cirrhosis complicated by portal htn and esophageal varices who presented hematemesis and hematochezia. he had an egd on which revealed 3 cords of grade ii-iii varices that were banded. then, yesterday he had two episodes of brbpr and presented to hospital where his hct was stable and he was sent to . in our ed, his bp was 91/57 and rectal exam revealed gross blood. he was started on iv protonix and octreotide, and had an episode of hematemesis. he was then admitted to the micu. review of systems: (+) per hpi (-) denies fevers, chills, headache, dysphagia, chest pain, sob, cough, pnd, orthopnea, abdominal pain, dysuria, hematuria, myalgias, arthralgias, or rash. past medical history: hcv cirrhosis genotype 2b secondary to remote iv drug use --> started pegasys/ribavirin on with rapid virological response. stopped treatment at 10 wks due to bone marrow toxicity and hepatic decompensation including ascites and hepatic encephalopathy. following the end of treatment, he relapsed and his hcv vl is now 6,454,517 iu/ml. - esophageal varices -> egd on showed 3 cords of grade ii-iii varices with red whale sign in the lower third of the esophagus. 3 bands were placed. - portal htn - gerd - cad with mi s/p 3-vessel cabg at hospital - type 2 dm social history: lives with wife. multiple grown children. smoked tobacco until when he had his cabg. drank alcohol heavily in the past as well, no use since cirrhosis diagnosis. h/o ivdu in the past, none recently. family history: father alcoholic, h/o chf and dm. mother with h/o cva, dm. no fh of heart or liver disease. physical exam: admission physical exam: vitals: afebrile 100/53 45 18 98%ra general: alert and oriented x3, nad. heent: sclera anicteric, conjunctiva slightly pale, eomi, perrl, mmm, oropharynx clear neck: supple, jvp not elevated, no lad chest: several spider angiomas on chest, bradycardia but normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly ext: warm, well perfused, 2+ pulses, trace pedal edema discharge physical exam vitals: afebrile bp 110/70's hr 50-60 18 98%ra general: alert and oriented x3, nad. heent: sclera anicteric, eomi, perrl, mmm, oropharynx clear neck: supple, jvp not elevated, no lad chest: several spider angiomas on chest, rrr, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly ext: warm, well perfused, 2+ pulses, trace pedal edema pertinent results: admission labs: 09:24pm hct-29.3* 05:55pm alt(sgpt)-57* ast(sgot)-65* alk phos-52 tot bili-2.0* 05:55pm lipase-63* 05:55pm albumin-3.2* calcium-8.7 phosphate-2.4* magnesium-1.8 05:55pm wbc-7.5# rbc-3.13* hgb-11.1* hct-34.0* mcv-108* mch-35.5* mchc-32.7 rdw-14.1 05:55pm neuts-72.0* lymphs-18.2 monos-6.0 eos-2.5 basos-1.1 05:55pm plt count-129*# 05:55pm pt-15.2* ptt-26.2 inr(pt)-1.4* discharge labs: 05:45am blood wbc-4.9 rbc-3.67* hgb-12.8* hct-38.4* mcv-105* mch-34.9* mchc-33.3 rdw-15.4 plt ct-88* 05:45am blood pt-13.1* ptt-30.8 inr(pt)-1.2* 05:45am blood glucose-162* urean-16 creat-1.0 na-135 k-3.8 cl-101 hco3-26 angap-12 05:45am blood alt-49* ast-60* ld(ldh)-237 alkphos-58 totbili-1.4 05:45am blood calcium-8.0* phos-2.8 mg-1.8 studies: ecg : sinus bradycardia. compared to the previous tracing of no change. cxr : no acute cardiopulmonary process. egd : impression: varices at the middle third of the esophagus, ulcer in the lower third of the esophagus, blood in the antrum, stomach body and fundus, no gastric varcies were seen, otherwise normal egd to third part of the duodenum brief hospital course: 58m with hcv cirrhosis complicated by portal htn and esophageal varices s/p recent banding who presented with hematochezia with subsequent hematemesis from upper gi bleed. active issues: #. upper gi bleed: he was admitted to the micu due to concern for variceal bleed. his hct dropped from 34.0 to 29.3 and he was transfused 2 units prbcs with appropriate response. he was started on an octreotide drip, ceftriaxone, and iv ppi drip. he underwent egd in the micu which showed blood in the stomach, known esophageal varices that were not bleeding, and an esophageal ulcer without active bleeding. his previous banding of the varices were no longer in place. his hematocrit subsequently remained stable and his diet was advanced the next day. his ceftriaxone was changed to ciprofloxacin with plans for 7 day course. also started on sucralfate for 5 days after the procedure. his iv pantoprazole drip was changed to iv ppi and then to 40mg po bid to be continued after discharge. he has an appointment in 2 weeks for follow-up egd with dr. . nadolol was held during the admission due to bradycardia, but restarted at discharge. #. hcv cirrhosis: he has known hepatitis c cirrhosis without evidence of decompensation. his diuretics and nadolol were held given his gi bleed and bradycardia. he was continued on his rifaximin. #. bradycardia: he had bradycardia while in the micu that was sinus on ecg. it was felt to be liekly related to his octreotide infusion. his nadolol was held due to his bradycardia, but his hr improved upon discontinuation of the octreotide and nadolol was restarted on discharge. he was monitored on telemetry throughout admission. inactive issues: #. cad s/p cabg: he remained asymptomatic and chest pain free. #. dm: he was managed with humalog sliding scale while in house transitional issues: - should complete 7 day course of ciprofloxacin, 5 days of sucralfate, and increase ppi to 40mg po bid - scheduled for repeat egd and hepatology f/u in weeks medications on admission: - furosemide 40mg daily - glyburide 5mg - nadolol 10mg daily - omeprazole 20mg daily - rifaximin 550mg - spironolactone 100mg alternating with 200mg daily - sucralfate 10ml qid (hasn't been taking) discharge medications: 1. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 2. glyburide 5 mg tablet sig: one (1) tablet po twice a day. 3. nadolol 20 mg tablet sig: 0.5 tablet po daily (daily). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 5. rifaximin 550 mg tablet sig: one (1) tablet po bid (2 times a day). 6. sucralfate 100 mg/ml suspension sig: ten (10) ml po four times a day for 4 days. disp:*160 ml* refills:*0* 7. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 8. spironolactone 100 mg tablet sig: 1-2 tablets po once a day: alternate 100mg and 200mg daily (as you were prior to hospitalization). discharge disposition: home discharge diagnosis: primary diagnosis: upper gi bleed grade ii esophageal varices esophageal ulcer secondary diagnosis: hepatitis c cirrhosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you at . you were admitted due to blood in your stool and vomit. you were initially admitted to the medical icu and required a transfusion of 2 units of blood. you underwent an egd which showed some esophageal varices and an ulcer in your esophagus, but no active bleeding. your blood count subsequently remained stable. you have another egd scheduled with dr. in several weeks. changes to your medications: change omeprazole to pantoprazole 40mg by mouth twice daily add ciprofloxacin for the next 5 days add sucralfate for the next 4 days followup instructions: you have the following appointments scheduled: department: liver center when: wednesday at 11:20 am with: , md building: lm bldg () campus: west best parking: garage department: endo suites when: tuesday at 10:30 am department: digestive disease center when: tuesday at 10:30 am with: , md building: building (/ complex) campus: east best parking: main garage md procedure: other endoscopy of small intestine diagnoses: cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled portal hypertension coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status personal history of tobacco use other specified cardiac dysrhythmias esophageal varices in diseases classified elsewhere, with bleeding accidents occurring in residential institution other drugs and medicinal substances causing adverse effects in therapeutic use alcohol abuse, in remission unspecified drug dependence, in remission 

Answer: The patient is high likely exposed to