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: penicillins / macrolide antibiotics / quinolones / ursodiol attending: chief complaint: hematemesis major surgical or invasive procedure: egd . tips . paracentesis history of present illness: 69 year old male with a two-year history of cirrhosis secondary to alcohol abuse. he presented to clinic at on the afternoon prior to admission, at which time he reported that he had been feeling well. he has been sober for ~ 6 months and is undergoing evaluation for liver transplant. lab values at this visit were hct 33.3, t.bili 3.3, ast 70, alt 21, inr 1.3. . later on the same afternoon, he had an episode of unquantified coffee ground emesis at home and was taken to hospital. at osh, he was found to have a hematocrit of 27.8. ng lavage was performed with dark red liquid aspirated. he had another witnessed episode of hematemesis with report of ~300 cc's of bright red blood with clots. he received octreotide gtt at 50 mcg/hour, zofran 4 mg iv x 1, 2 liters ns, 2 piv's, 2 units prbc's and was transferred directly to the micu for further care. past medical history: 1. esld with portal hypertension, ascites requiring bimonthly paracentesis 2. h/o alcohol abuse 3. ugib () s/p variceal banding at 4. h/o hyponatremia as low as 119 5. herniated discs between l3/l4 6. tobacco abuse 7. colonoscopy performed in that showed two colonic adenomas and one hyperplastic polyp social history: significant history of alcohol use, drinking from the age of 25 until recently, stopping approximately six months ago. he has no history of illicit drug use. he smoked half a pack of cigarettes per day for 20 years, but has been off them for 20 years. he never received a blood transfusion prior to . family history: his father was an alcoholic. there is no family history of liver disease that is known. physical exam: t 97.8, hr 101, bp 101/56, spo2 100% gen - cachectic , agitated heent - icteric sclera cv - tachy, regular rhythm. sm. chest - he has mild gynecomastia. lungs cta. abdomen - protuberant abdomen with an evert umbilicus. there is no evidence of any palpable liver or spleen. he has evidence of shifting dullness consistent with ascites. extrem - extremities warm and well-perfused, no edema, 2+ peripheral pulses skin - jaundiced to mid-torso. no cutaneous stigmata of chronic liver disease. pertinent results: 12:45pm pt-14.8* inr(pt)-1.3* 12:45pm plt count-146* 12:45pm macrocyt-1+ 12:45pm neuts-64.7 lymphs-25.8 monos-7.6 eos-1.5 basos-0.4 12:45pm wbc-5.7 rbc-3.39* hgb-11.0* hct-33.3* mcv-98 mch-32.5* mchc-33.1 rdw-14.1 12:45pm hcv ab-negative 12:45pm hiv ab-negative 12:45pm cea-5.7* psa-0.3 afp-3.3 12:45pm hbsag-negative hbc ab-negative hav ab-negative 12:45pm albumin-3.7 calcium-9.2 phosphate-2.6* magnesium-2.2 12:45pm alt(sgpt)-21 ast(sgot)-70* alk phos-142* tot bili-3.3* 12:45pm estgfr-using this 12:45pm urea n-12 creat-1.0 potassium-3.4 chloride-91* total co2-30 12:45pm glucose-91 11:38pm pt-18.3* ptt-38.2* inr(pt)-1.7* 11:38pm plt count-116* 11:38pm wbc-7.4 rbc-2.64* hgb-8.5* hct-24.6*# mcv-93 mch-32.3* mchc-34.7 rdw-15.8* 11:38pm ethanol-neg 11:38pm albumin-2.4* calcium-7.3* phosphate-3.6 magnesium-1.7 11:38pm ck-mb-notdone ctropnt-<0.01 11:38pm lipase-34 11:38pm alt(sgpt)-15 ast(sgot)-41* ld(ldh)-142 ck(cpk)-43 alk phos-79 amylase-58 tot bili-3.6* . egd blood in the esophagus varices at the lower third of the esophagus erythema, granularity and congestion in the whole stomach compatible with portal hypertensive gastropathy blood in the stomach blood in the duodenal bulb and second part of the duodenum no peptic or duodenal ulcers were noted. otherwise normal egd to second part of the duodenum . ruq u/s 1. limited examination secondary to patient cooperation. widely patent tips. repeat evaluation of the tips and hepatic vasculature is recommended for a complete baseline examination when the patient is more cooperative. 2. cirrhotic liver with moderate ascites. brief hospital course: 70 yo male with a known h/o esld with previously diagnosed portal hypertension and varices who presented with hematemesis. the following issues were investigated during this hospitalization: . 1) ugib: pt. presented with hematemesis x 2 in the setting of known esophageal varices. on admission, 4 units prbc's were transfused for a hct of 24.6 (down from 33.3 earlier on same day) and two units of ffp for an inr of 1.7. an egd revealed a large active bleed, however an attempt at variceal banding was unsuccessful. a tube was placed for emergent tamponade of active bleeding. on the following day a successful tips was performed by ir, and patient the remained hemodynamically stable s/p procedure. he was called out to the general medicine floor where his hct remained stable at 30 or greater and his vitals signs were not indicative of bleeding. he continued to receive a ppi and levofloxacin was continued for a total of 14 days, with 2 days remaining on discharge. a discussion was initiated regarding the tips as his procedure was complicated and interventional radiology felt that the stent was at risk for thrombosing. plavix was entertained as an option for anticoagulation, given this concern, however, a literature search revealed few convincing papers, particularly for this particular patient who was more coagulopathic than patient populations studied in those papers. the patient will need to follow up with interventional radiology within one month for evaluation of his stent for patency. . 2) cirrhosis: patient has h/o alcohol-induced cirrhosis, portal hypertension, and known varices. once stable from the variceal bleeding, he was managed with lactulose and rifaximin for encephalopathy, levofloxacin prophylaxis as mentioned above and one therapeutic paracentesis. . 3) thrombocytopenia: in the setting of liver disease. pt was monitored for signs of bleeding, and given no evidence of bleeding, he was never transfused once he arrived to the floor. his platelet count remained stable from day to day. . 5) hyponatremia: the patient was noted to have a serum sodium of 132 on the day prior to discharge. this was thought to be due to a state of hypervolemic hyponatremia in the setting of liver disease. fluid restriction to 1.5 l/day was implemented. additionally, he had one therapeutic paracentesis. given the risk of ascites, the patient was restarted on a lower dose of diuretics (at-home dose was held during most of this hospitalization), which will need to be adjusted cautiously given hyponatremia. medications on admission: 1. prilosec 2. lactulose 3. lasix 40 mg per day 4. aldactone 50 mg per day discharge medications: 1. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q2h (every 2 hours) as needed for stool output 1-2l/day. 2. rifaximin 200 mg tablet sig: two (2) tablet po tid (3 times a day). 3. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 days. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 5. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) as needed for ascites. 6. spironolactone 25 mg tablet sig: two (2) tablet po daily (daily) as needed for ascites. discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary upper gi bleed from esophageal varices . secondary cirrhosis c/b varices, encephalopathy and thrombocytopenia discharge condition: vitals signs stable, able to tolerate po discharge instructions: you were seen and evaluated for bleeding from esophageal varices (veins in your food tube). you were initially admitted to the icu where you received intensive care while your blood count was stabilized. you had a procedure performed - tips (transjugular intrahepatic portosytemic shunt) to relieve the built up pressure in your veins, which caused the bleeding. you were then transferred to the general medicine floor where you continued to improve, blood count and vital signs remained stable and now you're being discharged to a rehabilitation facility for continued therapy. * please take all of your medications as directed. * keep all of your follow-up appointments. * call your doctor or go to the er for any of the following: vomiting blood, blood in your stool or dark black, tarry stools, lightheadedness/dizziness, fainting, fevers/chills, nausea/vomiting or any other concerning symptoms. followup instructions: provider: , md phone: date/time: 10:20 you will need to be seen by the interventional radiologists who performed your tips, in one month so that it can be evaluated. please discuss this with your hepatologist, dr. so that it may be arranged. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified other endoscopy of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous abdominal drainage percutaneous abdominal drainage endoscopic excision or destruction of lesion or tissue of esophagus transfusion of packed cells transfusion of other serum injection of anesthetic into spinal canal for analgesia intra-abdominal venous shunt insertion of sengstaken tube diagnoses: thrombocytopenia, unspecified acute posthemorrhagic anemia alcoholic cirrhosis of liver acquired coagulation factor deficiency hyposmolality and/or hyponatremia portal hypertension acute respiratory failure esophageal varices in diseases classified elsewhere, with bleeding hepatic encephalopathy other and unspecified alcohol dependence, unspecified 

Answer: The patient is high likely exposed to