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: this is a 49 year old male with a past medical history of hepatitis c and alcoholic hepatitis and cirrhosis which is complicated by three to four months of ascites and spontaneous bacterial peritonitis. he had extensive ascites and a history of a gastrointestinal bleed. no history of encephalopathy; no history of hypertension; diabetes mellitus; asthma or epilepsy. he was admitted for an elective tipss procedure for the indication of his refractory ascites which was requiring paracentesis every five days. prior to the procedure a routine ekg showed normal sinus rhythm with decreased voltage. a chest x-ray showed question of interstitial lung disease with reticular shadowing. an echocardiogram showed mild pulmonary artery hypertension but normal systolic function with an ejection fraction greater than 55%. past medical history: 1. cirrhosis secondary to hepatitis c and alcohol. 2. spontaneous bacterial peritonitis. 3. history of upper gastrointestinal bleed. 4. hypertension. 5. chronic obstructive pulmonary disease. allergies: codeine. medications: 1. aldactone 50 mg p.o. q. day. 2. lasix 120 mg twice a day. 3. inderal 10 mg twice a day. 4. imdur 30 mg q. day. 5. lactulose. 6. protonix. social history: the patient lives with his mother. has a history of tobacco and extensive alcohol use. physical examination: temperature 98.5 f.; blood pressure 94/66; respiratory rate 20; pulse 86; oxygen saturation 91% on room air. the patient in general is in no acute distress. he is alert and oriented times three. his head, eyes, ears, nose and throat are remarkable for the absence of icterus. his neck is supple without bruits. his chest is clear bilaterally without crackles or wheezes. his heart has a regular rate and rhythm with no murmurs, rubs or gallops. his abdomen is soft and nontender, with extensive ascites to percussion. his extremities have no edema. neurologically, he has no flap. laboratory: white blood cell count 10.9; hematocrit 47.3, platelets 116. sodium 129, potassium 4.2, chloride 97; bicarbonate 28, bun 19, creatinine 1.1, glucose 96. alt 37, ast 66, alkaline phosphatase 120, total bilirubin 1.0, direct bilirubin 0.4, albumin 2.3. alpha fetoprotein 1.7. hiv serology is negative. ekg as noted above. echocardiogram as noted above. chest x-ray as noted above. hospital course: the patient was admitted for elective tipss procedure for his refractory ascites. prior to admission he was noted to have a question of interstitial lung disease on routine chest x-ray. an echocardiogram showed mild pulmonary hypertension and normal systolic function. he underwent the procedure on . the procedure was complicated by desaturation of his oxygen levels to 89% and drop in his blood pressure to the 80s. his heart rate was also in the 150s. he became agitated and his oxygen saturation dropped further. he was given adenosine without effect. his endotracheal tube was suctioned with copious white clear secretions and improved compliance. he was then given esmolol which, as his heart rate was elevated, with a decrease in his heart rate to 116 and the blood pressure in the 120s. extubation was then attempted, however, the patient did not tolerate extubation and he was quickly re-intubated. his blood pressure again dropped to 80 systolic and a stat chest x-ray showed that he was in congestive heart failure. he was given lasix, midazolam, and transferred to the post anesthesia care unit where he became unstable. he was started on levophed which initially had good effect with elevation in his blood pressure to 130s and heart rate to 100. his oxygen saturation remained in the 90s. at that point, the medical intensive care unit service was consulted. an emergent echocardiogram revealed extensive left ventricular dysfunction and an ejection fraction of less than 20% with global hypokinesis, right ventricular dilatation and dysfunction. the patient was continued on levophed. a swan-ganz catheter was passed which revealed a pulmonary wedge pressure of 30 and a systemic vascular resistance of 1,016 and a cardiac output of 4.8 with an index of 2.58. the patient was started empirically on broad-spectrum antibiotics. his ascitic fluid which had been removed prior to the tipss procedure was not indicative of sbp. cardiac enzymes indicated that the patient did not have a myocardial infarction. the patient was started on dobutamine in addition to levophed for inotropic support. during his hospital course, the patient remained hypoxic and hypotensive. the source for his heart failure remained unclear. it was felt that most likely he had an underlying cardiomyopathy that was exacerbated and/or revealed by the hemodynamic changes from the tipss procedure. repeated blood cultures and ascites cultures were negative. the patient was continued on pressors and broad-spectrum antibiotics and remained intubated. he did develop low-grade dic as indicated by his hematology labs. repeated attempts to wean off his pressor support were unsuccessful. ultimately, given the patient's extensive underlying disease and poor overall prognosis, after extensive discussion between the medical team and the patient's family, the family elected to withdraw care. care was withdrawn on , after meeting with the family and answering all their questions. the patient expired on , of cardiac failure and hepatic failure following tipss for refractory ascites from alcoholic and viral hepatitis. diagnoses at death: 1. congestive heart failure. 2. hepatic failure. 3. status post tipss. 4. dic. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube percutaneous abdominal drainage closed [endoscopic] biopsy of bronchus injection of anesthetic into spinal canal for analgesia intra-abdominal venous shunt venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube percutaneous abdominal drainage closed [endoscopic] biopsy of bronchus injection of anesthetic into spinal canal for analgesia intra-abdominal venous shunt diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified alcoholic cirrhosis of liver chronic airway obstruction, not elsewhere classified hematoma complicating a procedure acute respiratory failure acute alcoholic hepatitis shock, unspecified 

Answer: The patient is high likely exposed to