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: history of present illness: the patient is a 44 year old man with a history of chronic polysubstance abuse, hepatitis b and c, history of barrett's esophagus, esophageal varices grade ii, who presents to the emergency department with nausea, vomiting and hematemesis multiple times that have been occurring over the past few days that he reports occurred after a six day binge drinking episode in the context of stopping his protonix for the past one week. the patient was admitted to the medical intensive care unit. hematocrit was monitored, but no blood transfusions were required and blood pressure was stabilized. past medical history: 1. hepatitis a, hepatitis b, cirrhosis. 2. portal hypertension. 3. grade ii esophageal varices. 4. history of h. pylori. 5. history of upper gastrointestinal bleed. 6. barrett's esophagus. 7. status post splenectomy after unclear cause of rupture. 8. history of suicidal ideation as well as homicidal ideation, multiple attempts at suicide. 9. history of depression. 10. history of chronic heavy alcohol use since age eight. 11. history of seizures during withdrawal in his early teens. 12. questionable history of psychiatric diagnosis that the patient is unable to report or remember the name of. medications on admission: protonix. social history: the patient is homeless. occasionally, the patient has lived with his girlfriend who has a restraining order against him. the patient frequently uses nasal heroin, intravenous cocaine, heavy use of alcohol daily and has been a long-standing smoker. family history: noncontributory and not obtainable at this time. physical examination: on admission, the patient was afebrile, blood pressure 104/68, pulse 95, respiratory rate 10, oxygen saturation 98% in room air. he is a middle age man lying in bed with no apparent distress. head, eyes, ears, nose and throat - anicteric pupils. mucous membranes are moist. the oropharynx is clear. the neck was supple with no lymphadenopathy or elevation in jugular venous pressure or jugular venous distention. cardiovascular is regular rate, normal s1 and s2, no murmurs, rubs or gallops. the lungs were clear to auscultation bilaterally. the abdomen was soft, nontender, nondistended, no fluid wave and no caput medusa. the patient did have hepatomegaly notable to 14 centimeters in the midclavicular line. extremities were warm with no cyanosis, clubbing or edema. he did have palmar erythema. neurologically, cranial nerves ii through xii are intact. strength was normal throughout. the patient had slow speech, flat affect, and little to no antegrade memory. skin had no jaundice or plethora, faint blanching erythema across the neck and sternum with some spider angiomata. laboratory data: on admission, hematocrit was 42.8, normal electrolytes, normal white blood cell count, 6% eosinophils, differential significant for lymphocytosis. ck was 872, alt 72, ast 143; amylase, lipase, alkaline phosphatase, total bilirubin and albumin all within normal limits. chest x-ray revealed no acute cardiopulmonary process. impression: the patient is a 44 year old man with upper gastrointestinal bleed, unclear cause. he underwent an esophagogastroduodenoscopy which revealed grade ii esophageal varices, small hiatal hernia, barrett's esophagus that could not be biopsied, varices at gastroesophageal junction, vague appearance in the stomach, body and fundus compatible with portal hypertension and gastropathy, no blood in the stomach. there was an ulcer in the proximal stomach body that was thought to be the likely cause of the patient's hematemesis and melena. it was 1.0 centimeter in diameter. the patient also had erythema and friability in the duodenal bulb and the second portion of the duodenum compatible with duodenitis. there was green bile and no blood seen in the duodenal lumen. there were no duodenal ulcers visualized. hospital course: the patient was monitored in the medical intensive care unit for 24 more hours. he was put on withdrawal precautions per ciwa scale with ativan requiring 20 to 25 mg for the first day, throughout which time the patient remained alert and interactive. hematocrit was monitored. hematocrit fell to 37.0, however, no transfusions were required. the patient was transferred out to medical floor when his hematocrit seemed to be more stable. he reported that he hated his life and he wanted to change his life. he was motivated to quit drinking and substance abuse. he denied any current suicidal ideation or homicidal ideation but reports that he has frequent memory loss. he has no home and cannot live with his girlfriend due to her substance abuse and current restraining order. the rn noted that the patient was frequently complaining of auditory hallucinations and psychiatry consultation was called. the plan at that time was to monitor his hematocrit and guaiac all stools and continue his protonix twice a day for his upper gastrointestinal bleed. for his alcohol dependence abuse and polysubstance use, it was thought that the patient may qualify for inpatient detoxification or rehabilitation. consultation and addiction consultation was called. the patient was motivated to quit and was covered with precautions on ativan per ciwa scale. he was given multivitamin, folate, b1 and b6 daily. cirrhosis, portal hypertension, hepatitis c virus and alcoholic hepatitis - over three days of admission, liver function tests were worsening and then improving slightly. these were continued to be monitored. it was thought to be either secondary to alcohol discontinuation or medication effect. the patient's medications were reviewed and none were known to be etiology of hepatitis. the patient's discriminate factor was less than 32. there was no indication for pentoxifylline for alcoholic hepatitis. the patient had no current medical management of his cirrhosis or hepatitis and it was considered to use nadolol, however, the patient's blood pressure was low and it was determined that it would be best to follow his liver function tests and have his primary care physician and send the patient to hepatology clinic at that time. depression, anxiety and question of suicidal ideation - it was felt that with this recurrent exacerbation, there was no current regimen given to him except ativan and the rest seemed to be pending discussion with psychiatry. auditory hallucinations - the patient had psychiatry consultation to determine if the patient qualified for inpatient admission. during consultation, the patient had multiple code purples and was trying to leave, was not speaking sensibly and it was revealed that he could not make decisions for himself at this time. he was given a security sitter and monitored carefully upon pending psychiatric evaluation and determination of whether or not he required inpatient psychiatric management. the patient was monitored with prophylaxis with proton pump inhibitor and bowel regimen and ciwa. communication was with the patient's brother, although his number was not known and he could not be further contact. was pursued in full throughout hospitalization. at the end of this dictation, the disposition was presumed to be either to an inpatient psychiatric unit or possibly to an inpatient detoxification center and very lastly if not approved for any of those things, we would discuss with social work the patient's insurance and financial needs and send him to a shelter or to live with a friend if found. the remainder of dictation will be done by remaining intern. , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine diagnoses: chronic hepatitis c without mention of hepatic coma alcoholic cirrhosis of liver portal hypertension opioid type dependence, continuous chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction drug-induced delirium chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta cocaine dependence, continuous other and unspecified alcohol dependence, continuous 

Answer: The patient is high likely exposed to