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: amoxicillin / adhesive bandage / dicloxacillin attending: chief complaint: ams, aspiration major surgical or invasive procedure: mechanical intubation history of present illness: 41m h/o esld hcv and etoh on list, esophageal varices, osa, phtn, recurrent hepatic encephalopathy requiring intubation transferred from osh intubated after aspiration event at home. . according to his mother, the day prior to admission he reported not feeling well, although unclear specific complaints. gi was contact and had scheduled him for a paracentesis today. overnight while he was sleeping with cpap, which his mother monitors on a baby monitor, he vomited into his cpap mask and likely aspirated. he could not be aroused. ems was called and brought him to osh where he was unresponsive and therefore intubated (on intubation 'bits of corn' were noted around vocal cords). ogt placed with return of clear/pink fluid but no blood or coffee grounds. transferred to for further care. . in the ed, he was hemodynamically stable (vitals 97.1, 104, 106/71, 12, 100%). labs notable for wbc 8.2, cre 1.3 (increased from 0.9), lfts stable from prior, u/a negative, ammonia 383, lactate 2.1. blood cultures were sent and levo given for aspiration. abg not obtained. piv for access. ct head negative. ct abd/pelvis unchanged with large simple ascites. admit icu. past medical history: -esld secondary to alcohol and hepatitis c on list -grade 2 esophageal varices s/p banding (last ) -portal hypertension with recurrent ascites -h/o sbp -recurrent severe hepatic encephalopathy requiring intubation -osa on cpap -pulmonary hypertension -hypothyroidism -anxiety disorder -h/o etoh and ivdu -osteoporosis -peripheral edema social history: lives with his mother who is his hcp. pt quit smoking , was smoking 1/3ppd. quit drinking etoh 11 years ago. prior remote hx of ivd as teen. denies current drug use. family history: mother has diabetes and hypertension. father has rheumatic heart disease. physical exam: general appearance: no acute distress, chronically ill eyes / conjunctiva: perrl, scleral icterus head, ears, nose, throat: normocephalic, ngt in place lymphatic: cervical wnl cardiovascular: (s1: normal), (s2: normal), no(t) s3, no(t) s4, no(t) rub, (murmur: no(t) systolic, no(t) diastolic) peripheral vascular: (right radial pulse: not assessed), (left radial pulse: not assessed), (right dp pulse: not assessed), (left dp pulse: not assessed) respiratory / chest: (expansion: symmetric), (breath sounds: rhonchorous: bilateral) abdominal: soft, non-tender, distended extremities: right: 1+, left: 1+, no(t) cyanosis, no(t) clubbing skin: warm, no(t) rash: , jaundice neurologic: no(t) attentive, no(t) follows simple commands, responds to: not assessed, movement: not assessed, sedated, tone: not assessed pertinent results: 06:42pm urine hours-random urea n-773 creat-237 sodium-less than 06:42pm urine color-amber appear-hazy sp -1.027 06:42pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirubin-sm urobilngn-neg ph-6.5 leuk-tr 06:42pm urine rbc->50 wbc-* bacteria-occ yeast-none epi-0 06:42pm urine mucous-occ 06:42pm urine eos-negative 04:51pm glucose-100 urea n-22* creat-1.0 sodium-138 potassium-4.1 chloride-109* total co2-21* anion gap-12 04:51pm alt(sgpt)-40 ast(sgot)-91* alk phos-162* tot bili-5.1* 04:51pm calcium-8.1* phosphate-3.5 magnesium-2.2 04:51pm wbc-8.9 rbc-2.61* hgb-8.6* hct-26.2* mcv-100* mch-32.9* mchc-32.8 rdw-19.2* 04:51pm plt count-86* 04:51pm pt-21.3* ptt-44.6* inr(pt)-2.0* 04:07pm type-art po2-169* pco2-29* ph-7.50* total co2-23 base xs-0 04:07pm lactate-2.0 08:15am ammonia-383* 07:57am lactate-2.1* 07:35am glucose-161* urea n-22* creat-1.3* sodium-138 potassium-3.7 chloride-108 total co2-25 anion gap-9 07:35am alt(sgpt)-45* ast(sgot)-89* alk phos-193* tot bili-4.9* 07:35am albumin-3.0* calcium-8.4 phosphate-4.7*# magnesium-2.3 07:35am urine hours-random 07:35am urine gr hold-hold 07:35am wbc-8.2 rbc-2.93* hgb-9.5* hct-29.5* mcv-101* mch-32.4* mchc-32.2 rdw-19.4* 07:35am neuts-81.4* lymphs-10.5* monos-7.0 eos-1.0 basos-0.1 07:35am plt count-119* 07:35am pt-20.1* ptt-44.0* inr(pt)-1.9* 07:35am urine color-amber appear-clear sp -1.024 07:35am urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-sm urobilngn-neg ph-6.5 leuk-neg brief hospital course: 41 yo male with esld with cirrhosis, pulm htn, found unresponsive at home, intubated at for airway protection, requiring icu admission for encephalopathic unresponsiveness. . # respiratory failure: likely secondary to aspiration. ? chemical pneumonitis. ams (see below) may have contributed as well as long history of hepatic encephalopathy requiring intubation. no evidence of infection. ct head negative. no antibiotics given. ng tube initially required but removed early in course as patient's encephalopathy improved. . # ams: patient has multiple episodes of unresponsiveness requiring intubation in the past two months due to hepatic encephalopathy significantly improved. appears exquistely sensitive to missed doses of lactulose. lactulose was aggressively administered throughout hospitalization. tox screen was negative. ct head negative. - lactulose per ng tube for stool output >1l per day - tox screen negative . . # esld: due to etoh/hepc with recurrent severe hepatic encephalopathy requiring intubation. known ascites requiring frequent and varices requiring banding, followed by dr. , on list although unclear how pulmonary htn may affect listing. echo revealed hyperdynamic lv systolic function. normal rv systolic function. no pathologic valvular abnormality seen. echo cannot accurately assess volume status. lactulose was aggressively adminsitered. paracentesis draining 9l was done on . nadolol and rifaximin were given. . # anemia: known grade ii varices s/p banding without evidence active bleeding and stable hct. chronically g+ stool. maintained 2 large bore piv's, active type and screen. initially on octreotide gtt. pt. stable over end of hospitalization. . # thrombocytopenia: liver disease. platelets within baseline. . # hypothyroidism: continue levothyroxine 88mcg daily. . # pulmonary htn: continued iloprost inhalation 6x/day. . # osa: cpap once extubated. . #code: remained full medications on admission: levothyroxine sodium 88 mcg po daily omeprazole 20 mg po daily ciprofloxacin hcl 250 mg po q24h rifaximin 200 mg po tid furosemide 20 mg po daily iloprost *nf* 2.5 mcg inhalation nine times a day. pulm htn lactulose 45 ml po qid spironolactone 50 mg po bid calcium + d 500mg tid magnesium 140mg daily nadolol 20mg po daily discharge medications: 1. levothyroxine 88 mcg tablet sig: one (1) tablet po daily (daily). 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 3. rifaximin 200 mg tablet sig: two (2) tablet po tid (3 times a day). :*180 tablet(s)* refills:*2* 4. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). 5. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 6. ciprofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours). 7. spironolactone 50 mg tablet sig: one (1) tablet po once a day. 8. lactulose 10 gram/15 ml solution sig: sixty (60) ml po every six (6) hours. :*5000 ml(s)* refills:*2* 9. iloprost 10 mcg/ml solution for nebulization sig: 2.5 mcg inhalation 9 times/day (): inhalation. 10. magnesium oxide 140 mg capsule sig: one (1) capsule po daily (daily). 11. caltrate-600 plus vitamin d3 600-400 mg-unit tablet sig: one (1) tablet po three times a day. :*90 tablet(s)* refills:*2* discharge disposition: home with service facility: vna of southeastern mass. discharge diagnosis: hepatic encephalopathy hcv and etoh cirrhosis pulmonary htn obstructive sleep apnea discharge condition: stable, mentating at baseline discharge instructions: you were admitted with altered mental status (encephalopathy) from your liver disease. you were initially iin a coma, requiring intubatation in the intensive care unit, however, your mental status quickly improved with lactulose administration. as you know, it is critical for you to take your lactulose, rifaximin and other medications exactly on time as scheduled. you were fitted with a need cpap mask during this hospitalization. please use this mask every single night while sleeping. please follow up with your doctors as listed below. seek immediate medical care if you develop confusion, changes in your mental status, cough, shortness of breath, or any other concerning symptoms. followup instructions: at 8:00 am with dr. bld, 8th fl, neurology. provider: clinic phone: date/time: 9:20 provider: function lab phone: date/time: 8:55 provider: ,interpret w/lab no check-in intepretation billing date/time: 9:15 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours percutaneous abdominal drainage right heart cardiac catheterization diagnoses: obstructive sleep apnea (adult)(pediatric) chronic hepatitis c with hepatic coma alcoholic cirrhosis of liver portal hypertension unspecified acquired hypothyroidism other chronic pulmonary heart diseases pneumonitis due to inhalation of food or vomitus osteoporosis, unspecified 

Answer: The patient is high likely exposed to