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 / erythromycin base / advil allergy sinus / codeine / tetracycline attending: chief complaint: melena, hematemesis major surgical or invasive procedure: egd blood transfusion history of present illness: 54 yo f w/ h/o etoh abuse (seizure per report in setting of etoh withdrawal), duodenotis/gastritis, anxiety p/w emesis and melena x 1 day. . pt reports drinking 1pint of vodka daily over the weekend (usually drinks 5 drinks of vodka daily). monday morning she developed nausea and abdominal pain. she had an episode of melena. she reports trying to hydrate w/ po fluids, but then developing emesis that looked "black." while walking to the kitchen she had an episode of syncope, where she felt diaphoretic and lightheaded, then "blacked out" and woke up on the ground. of note, she recently was admitted for hematemesis and melena, s/p egd that showed duodonitis/gastritis, no varices. . on presentation to the ed: vs were: hr 133, bp 117/81, rr 22, 100% ra. she was orthostatic by symptoms. on exam she had diffuse abdominal tenderness. she was ng lavage with dark red blood that cleared w 500 cc lavage. she had abd ct that did not show free air and ecg notable for sinus tach. labs notable for hct 36, lactate 7.8, wbc 12, inr 1.1, ast 50s (otherwise lfts wnl). received 3l ns, 1mg iv lorazepam, 80mg iv pantoprazole and started on pantoprazole drip. she has 2 pivs (16/18) and is t&c for 2 units. her hr improved to 90s-100s. past medical history: - gastritis - duodenitis - alcohol abuse - gerd - internal and external hemorrhoids - chronic back pain/chronic neck pain/chronic ankle pain - pancreatic cystic lesion - asthma - osteopenia - history of perirectal abscess - anxiety - vitamin d deficiency - s/p partial colectomy and appendectomy social history: lives off social security. she is currently "in between apartments" so she is staying at friends' . her mother and six siblings live in the area. patient smokes ppd, has since the age of 12. she states that she drinks "socially," (ie about 3 drinks/day a few times per week) but prior notes state she has been drinking approximately 1 pint of vodka every other day. has thought about cutting down and does get annoyed when people ask about her drinking. denies illicit drug use. family history: significant for diabetes on both sides of the family. also, breast cancer in her female cousins on her mother's side of the family but no immediate relatives. she also has an uncle on her dad's side with pancreatic cancer. father and uncle died of mis in their 60s. physical exam: discharge physical exam: physical exam: vitals: t: 97.9 bp: 109/72 p: 81 r: 13-24 o2: 100% ra general: alert, oriented, no acute distress heent: sclera anicteric, dry mm, oropharynx clear neck: supple, jvp not elevated, no lad cv: tachy, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, ttp diffusely, non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 02:16am blood wbc-5.7 rbc-3.40* hgb-9.7* hct-30.7* mcv-90 mch-28.7 mchc-31.7 rdw-16.0* plt ct-83* 09:10am blood wbc-12.0*# rbc-4.16* hgb-11.3* hct-36.0 mcv-87 mch-27.1 mchc-31.3 rdw-16.5* plt ct-150# 09:10am blood neuts-75* bands-2 lymphs-16* monos-4 eos-2 baso-0 atyps-0 metas-1* myelos-0 02:16am blood plt ct-83* 09:10am blood pt-12.8 ptt-21.1* inr(pt)-1.1 02:16am blood glucose-88 urean-7 creat-0.5 na-136 k-4.0 cl-104 hco3-19* angap-17 02:16am blood alt-18 ast-54* ld(ldh)-311* alkphos-54 totbili-0.5 02:16am blood calcium-8.0* phos-3.5 mg-1.2* 09:10am blood albumin-5.4* 02:16am blood hapto-106 11:25am blood ethanol-97* 02:04pm blood lactate-3.0* 11:26am blood lactate-4.4* 09:20am blood lactate-7.8* k-3.7 ct abd/pel impression: 1. stomach is partially collapsed and poorly evaluated; however, there are foci of hyperdensity which may represent ingested content, but hemorrhage is not excluded. 2. stable appearance of previously documented pancreatic cystic lesion. hepatic steatosis. 3. no evidence of perforation. no free fluid or free air. egd: tear of the mucosa in the gastroesophageal junction - healing mw tear erythema, granularity, friability and congestion in the whole stomach compatible with gastritis erythema and congestion in the duodenal bulb compatible with duodenitis otherwise normal egd to third part of the duodenum brief hospital course: 54 yo f w/ h/o etoh abuse, duodenotis/gastritis, anxiety presents with emesis and melena x 1 day. . # upper gib: pt placed on a ppi drip. hct was 23 s/p 2 u prbc. gi was consulted and they performed an egd on which showed: "tear of the mucosa in the gastroesophageal junction - healing mw tear. erythema, granularity, friability and congestion in the whole stomach compatible with gastritis. erythema and congestion in the duodenal bulb compatible with duodenitis. otherwise normal egd to third part of the duodenum." her pm stabilized in the low 30s and she was hemodynamically stable. her ppi was changed to po. . # etoh withdrawal: given history of seizure, she was placed on a q2 ciwa scale and she was given folate/thiamine. social work was consulted. . # elevated lactate: no leukocytosis or fevers. etiology likely due to dehydration w/ volume loss. lactate down trending w/ ivfs and she remained hemodynamically stable. . # asthma: continue albuterol . # anxiety: continue venlafaxine medications on admission: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation every 4-6 hours as needed for wheeze. 2. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal daily (daily). 3. gabapentin 400 mg capsule sig: one (1) capsule po bid (2 times a day). 4. venlafaxine 75 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po daily (daily). 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. vitamin d-3 2,000 unit tablet sig: one (1) tablet po once a day. 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po bid (2 times a day). 8. calcium 500 500 mg calcium (1,250 mg) tablet sig: three (3) tablet po once a day. 9. mirtazapine 15 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. discharge medications: 1. gabapentin 400 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. venlafaxine 75 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po daily (daily). disp:*30 capsule, ext release 24 hr(s)* refills:*2* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: one (1) inhalation every 4-6 hours as needed for shortness of breath or wheezing. disp:*1 inhaler* refills:*0* 7. mirtazapine 15 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. disp:*30 tablet(s)* refills:*0* 8. fluticasone 50 mcg/actuation spray, suspension sig: nasal once a day. disp:*1 bottle* refills:*2* 9. vitamin d-3 2,000 unit tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. calcium 500 500 mg calcium (1,250 mg) tablet sig: three (3) tablet po once a day. disp:*90 tablet(s)* refills:*2* 11. multivitamin tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: tear gastritis duodenitis melena hematemesis thrombocytopenia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you came into the hospital because of bleeding from your stomach. the tests that we did (incluidng the egd, which is a camera that takes video pictures of your esophagus, stomach, and small intestine) show that you had a tear in the lining of your stomach and esophagus that caused you to bleed. this tear formed because your were vomiting. this is why you vomited blood and why you passed blood in your stool. the egd also showed that you have serious inflammation of your stomach and upper part of the intestine. this is caused by alcohol use and it is strongly recommedned that you stop using alcohol. you have also been prescribed medications to help control the inflammation and you should take these as directed. followup instructions: please see dr. who works with your primary care physician, . , at the scheduled time next week. you should also go on monday to the clinic to get your blood drawn. you need to get a test of your blood called a cbc, which will evaluate the number of cells in your blood. we would like to make sure the platelets in your blood are of normal number. it is also recommended that you seek assistance to stop drinking alcohol. department: with: , md when: thursday at 9:10 am with: post clinic building: sc clinical ctr campus: east best parking: garage this appointment is with a hospital based physician as part of your transition from the hospital back to your primary care provider . . after this visit you will be seen by dr. . procedure: other endoscopy of small intestine diagnoses: acidosis thrombocytopenia, unspecified tobacco use disorder asthma, unspecified type, unspecified anxiety state, unspecified dehydration alcohol abuse, continuous gastroesophageal laceration-hemorrhage syndrome duodenitis, with hemorrhage alcoholic gastritis, with hemorrhage 

Answer: The patient is high likely exposed to