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: beta-blockers (beta-adrenergic blocking agts) / tetanus / tuberculin,purif.prot.deriv. / metoprolol attending: chief complaint: hematemesis major surgical or invasive procedure: none history of present illness: 59m c pmh of etoh cirrhosis, gastric varices, cva, left hemiplegia, with recent admission from for upper gi bleed and varices requiring banding and several units prbcs who now presents after vomiting 100cc of bright red blood around 7pm today at his nursing home. he denies brbpr or dark stool. denies fevers, cough, sob, chest pain. he does complain of mild abdominal pain in the setting of vomiting. . in the ed, initial vs were: t 98.3 p 94 152/72 20 89% 4l nasal cannula. he triggered for tachycardia to 130's after 1 l ivf: 112/70, 115, 19, 96% ra. ekg showed sinus tach. he had no additional vomiting. rectal showed guiaic positive, light brown stool. he was started on an octreotide bolus and gtt and protonix bolus and gtt. he then had a 300 cc melanotic stool and he was given 1 unit prbc. gi/ liver was notified and he was intubated in the icu with plan for scope in icu. . vitals on transfer to the icu were bp: 103/63, p 118, rr: 18, o2 96% ra. past medical history: - etoh abuse - etoh cirrhosis - variceal bleeds - erosive esophagitis and gastic varicies - cva and left hemiplegia - iddm - schizophrenia - anemia - hypothyroidism - obesity - htn - hl - migranes - copd social history: patient lives in a nursing home. he denies recent alcohol use and says it was "in the past", he denies smoking or other drugs. he is originally from and has children in . he has a sister in . he does not have a hcp. family history: non-contributory. physical exam: admission exam: general: intubated, sedated, obese heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: tachycardic, regular rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: perrl, unable to fully assess as intubated, sedated. discharge exam: vs: t98 p 70-90s bp 110-130/50-70 r 20 o2 sat 99-100%ra general: well appearing male who appears stated age. comfortable, appropriate and in good humor. diffusely jaundiced. heent: sclera mildly icteric. perrl, eomi. neck: supple, jvp difficult to appreciate given habitus cardiac: rrr, s1 s2 without murmurs, rubs or gallops. no s3 or s4 appreciated. lungs: ctab, no crackles, wheezes or rhonchi. abdomen: distended but soft, nontender to palpation in epigastric region. extremities: warm and well perfused, no clubbing or cyanosis. minimal bilaterally. pertinent results: admission labs 09:00pm glucose-225* urea n-11 creat-0.7 sodium-135 potassium-4.7 chloride-102 total co2-25 anion gap-13 09:00pm estgfr-using this 09:00pm alt(sgpt)-33 ast(sgot)-28 alk phos-123 tot bili-0.5 09:00pm calcium-9.1 phosphate-2.8 magnesium-1.8 09:00pm wbc-6.5 rbc-4.10* hgb-12.2* hct-34.0* mcv-83# mch-29.8 mchc-35.9* rdw-14.1 09:00pm neuts-83.3* lymphs-11.1* monos-4.5 eos-0.8 basos-0.3 09:00pm plt count-130* 09:00pm pt-13.7* ptt-31.3 inr(pt)-1.3* . discharge labs: 06:55am blood wbc-1.9* rbc-3.39* hgb-10.4* hct-29.2* mcv-86 mch-30.8 mchc-35.7* rdw-15.0 plt ct-119* 06:55am blood pt-13.5* inr(pt)-1.3* 06:55am blood glucose-179* urean-11 creat-0.7 na-138 k-3.9 cl-104 hco3-26 angap-12 06:55am blood alt-33 ast-28 alkphos-107 totbili-0.3 06:55am blood calcium-8.2* phos-3.1 mg-2.1 . egd report: esophagus: protruding lesions 4 cords of grade iii varices were seen in the lower third of the esophagus. the varices were bleeding. 4 bands were successfully placed. stomach: contents: red blood was seen in the stomach body and fundus. other no evidence of gastric varices, ulcers or masses duodenum: contents: clotted blood was seen in the first part of the duodenum. protruding lesions a single sessile 4 mm non-bleeding polyp of benign appearance was found in the second part of the duodenum. . impression: varices at the lower third of the esophagus (ligation) blood in the stomach body and fundus no evidence of gastric varices, ulcers or masses blood in the first part of the duodenum polyp in the second part of the duodenum otherwise normal egd to third part of the duodenum us impression: 1. echogenic liver, denoting hepatic steatosis. more advanced disease such as cirrhosis or fibrosis cannot be excluded with this technique. 2. normal gallbladder. 3. patent portal and hepatic venous flow, demonstrating appropriate direction and waveforms. brief hospital course: 59m c pmh of etoh cirrhosis, gastric varices, cva, left hemiplegia, with recent admission from for upper gi bleed and varices requiring banding and several units prbcs who presented with hematemesis. . active issues: #. hematemesis: presented with hematemesis from a variceal bleed. he underwent egd with banding . he was initially treated with octreotide and pantoprazole gtt as well as ceftriaxone. he was later switched to po pantoprazole and the octreotide drip and ceftriaxone were stopped after five days. his hematocrit remained stable after the egd. he was not treated with nadolol because of intolerance from his reactive airway disease (documented allergy). because of this he will likely need repeat banding soon, though dr. , his hepatologist, will determine best timing for repeat banding to balance risk of variceal bleed vs band ulcerations. . # alcoholic cirrhosis: patient with meld score 9 on admission. not currently a transplant candidate. he did not have signs of encephalopathy or ascites during this admission. his lactulose was continued. his diuretics were initially held then restarted. his folate, thiamine, b12 were continued. . chronic issues: #. copd: continued advair, albuterol . #. iddm: treated with glargine and hiss. . #. schizophrenia: stable - continued home risperidone . #. hypothyroidism: stable - continued home levothyroxine. . transitional issues: #repeat banding: may need to see dr. in the next 1-2 weeks for repeat banding. . #follow up cbc: please check a cbc within one week to confirm stable hematocrit. also had some leukopenia while admitted, near recent baseline of 1.4-1.6. medications on admission: - albuterol sulfate - fluticasone-salmeterol 250 mcg-50 mcg twice a day - folic acid 1 mg po daily - furosemide 40 mg po daily - hydrocodone-acetaminophen 5 mg-500 mg po bid - insulin glargine - insulin lispro 20 units with breakfast and lunch 40 units with dinner - lactulose 30 ml by mouth three times a day - latanoprost 0.005 % drops - 1 drop left eye at bedtime - levothyroxine 225 mcg by mouth once a day - pantoprazole - 40 mg by mouth daily - potassium chloride 20 meq by mouth once a day - risperidone 3 mg tablet by mouth once a day - spironolactone 50 mg by mouth once a day - sucralfate 30 cc by mouth - cyanocobalamin (vitamin b-12) 100 mcg by mouth once a day - ferrous sulfate 325 mg by mouth twice a day - thiamine hcl 100 mg by mouth once a day discharge medications: 1. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 2. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation every six (6) hours as needed for shortness of breath or wheezing. 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 5. vicodin 5-500 mg tablet sig: one (1) tablet po every twelve (12) hours as needed for pain. 6. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day. 7. risperidone 1 mg tablet sig: three (3) tablet po daily (daily). 8. levothyroxine 75 mcg tablet sig: three (3) tablet po daily (daily). 9. latanoprost 0.005 % drops sig: one (1) drop ophthalmic at bedtime. 10. cyanocobalamin (vitamin b-12) 100 mcg tablet sig: one (1) tablet po once a day. 11. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. 12. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day): titrate to bms daily. 13. spironolactone 50 mg tablet sig: one (1) tablet po once a day. 14. sucralfate 1 gram tablet sig: one (1) tablet po four times a day for 30 days. 15. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 16. insulin glargine 100 unit/ml solution sig: twenty (20) units subcutaneous qam. 17. insulin lispro 100 unit/ml solution sig: one (1) injection subcutaneous four times a day: as per sliding scale. discharge disposition: extended care facility: extended care center - discharge diagnosis: variceal bleeding cirrhosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , thank you for coming to the medical center. you were in the hospital because you were bleeding from your gi tract. we did a procedure called an egd with banding to stop the bleeding. we are happy that you have not had more bleeding. you should continue to take the medicine pantoprazole indefinitely. you should also continue to take sucralfate for 4 weeks. you will need to follow up with dr. as directed. medication changes summary: please take sucralfate 1 gram four times a day for four weeks. followup instructions: you may need a repeat endoscopy in the next two weeks. someone from the liver center will contact you in the next few days to schedule these appointments. if you do not hear from them by thursday, please call the liver center at . these are your currently scheduled appointments but you may need earlier appointments so you should speak with the liver center to confirm. department: endoscopy suite when: thursday at 10:00 am with: , md building: building (/ complex) campus: east best parking: main garage department: liver center when: tuesday at 1:20 pm with: , md building: lm bldg () campus: west best parking: garage md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube laryngoscopy and other tracheoscopy endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver other and unspecified alcohol dependence, in remission unspecified acquired hypothyroidism unspecified schizophrenia, unspecified other and unspecified hyperlipidemia long-term (current) use of insulin late effects of cerebrovascular disease, hemiplegia affecting unspecified side obesity, unspecified chronic obstructive asthma, unspecified esophageal varices in diseases classified elsewhere, with bleeding migraine, unspecified, without mention of intractable migraine without mention of status migrainosus benign neoplasm of duodenum, jejunum, and ileum 

Answer: The patient is high likely exposed to