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: patient recorded as having no known allergies to drugs attending: chief complaint: shock, respiratory failure, gi bleeding major surgical or invasive procedure: egd history of present illness: ms. is a 51 y/o woman with pmh notable for alcohol abuse with cirrhosis transferred to with shock, respiratory failure, and gi bleeding. history is sparse and patient now intubated so full history not able to be obtained. per discussion with patient's father, the patient was her usual self when speaking on the phone last night at about 7 or 8 pm. she planned to spend today with her father and when she did not show up, he called her without answer. he then went to her house at about 11 am at which point he found her unresponsive. he called ems and she was taken to ed. . at , the patient was noted to be unresponsive. temperature registered at 87.9 rectally. the ed staff found her to have agonal respirations so she was intubated with etomidate and succinylcholine. she also had an ng tube placed with return of dark blood. femoral cvl was placed for iv access. she was treated with iv narcan, thiamine, and iv normal saline. she received 2 u prbcs; due to persistent hypotension, she was placed on a levophed gtt. she reportedly received vitamin k there (not documented) and 1 u ffp (not documented) as well as was started on an octreotide gtt (not documented). . on arrival to the micu, the patient is intubated. she opens eyes to voice and responds to simple commands. further history is not able to be obtained. past medical history: alcohol abuse * cirrhosis, presumed alcohol abuse social history: drinks per her report 1 glass of wine per day, last use 2 days pta. reports never drinking more than that. lives with her 14 yo daughter. tobacco or smoking. no h/o stds. on disability for liver disease family history: no history of liver disease physical exam: t: 91.8 rectal bp: 118/70 hr: 98 rr: 27 o2 100% on a/c 400x16, peep 5, fio2 100% gen: intubated, opens eyes to voice, cachetic with tense ascites heent: + scleral edema, slight scleral icterus, pupils reactive bilaterally, lips dry neck: no jvp elevation, no lymphadenopathy cv: tachy but regular, no appreciable murmur, strong pmi lungs: grossly clear anteriorly with crackles at bilateral bases abd: tense ascites with multiple spider angiomas; umbilical hernia more reducible on left > right, midline supraumbilical hernia which is reducible. hypoactive bowel sounds. + fluid wave. no grimace to palpation. ext: cool, 1+ dp pulses bilaterally, 1+ pitting edema bilaterally skin: scattered ecchymoses neuro: perrl, + oculocephalic reflex, face symmetric, follows commands such as 'squeeze fingers' and 'wiggle toes' bilaterally, reflexes 1+ at biceps and patellae pertinent results: ========= labs ========= 06:00pm fibrinoge-123* 06:00pm pt-25.0* ptt-58.0* inr(pt)-2.5* 06:00pm plt count-230 06:00pm wbc-20.0* rbc-2.50* hgb-8.8* hct-26.4* mcv-105* mch-35.3* mchc-33.5 rdw-25.8* 06:00pm asa-neg ethanol-229* acetmnphn-8.1 bnzodzpn-neg barbitrt-neg tricyclic-neg 06:00pm lithium-0.2* 06:00pm ammonia-79* 06:00pm albumin-2.2* calcium-7.1* phosphate-5.8* magnesium-2.2 06:00pm alt(sgpt)-55* ast(sgot)-243* ld(ldh)-545* ck(cpk)-404* alk phos-141* tot bili-3.8* 06:00pm estgfr-using this 06:00pm glucose-180* urea n-29* creat-1.3* sodium-132* potassium-5.7* chloride-100 total co2-10* anion gap-28* 06:23pm glucose-157* lactate-12.4* na+-133* k+-5.8* cl--104 tco2-9* 08:38pm urine granular-0-2 08:38pm urine rbc-21-50* wbc-* bacteria-mod yeast-none epi-0-2 trans epi-0-2 08:38pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-sm urobilngn-1 ph-6.5 leuk-sm 08:38pm urine color-amber appear-hazy sp -1.015 08:38pm urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 08:38pm urine hours-random 08:39pm pt-21.5* ptt-53.5* inr(pt)-2.0* 08:39pm plt smr-normal plt count-221 08:39pm hypochrom-1+ anisocyt-2+ poikilocy-2+ macrocyt-2+ microcyt-2+ polychrom-occasional spherocyt-1+ target-1+ schistocy-1+ burr-2+ pappenhei-1+ 08:39pm neuts-89* bands-1 lymphs-4* monos-5 eos-0 basos-0 atyps-0 metas-1* myelos-0 08:39pm wbc-21.8* rbc-2.63* hgb-9.3* hct-27.6* mcv-105* mch-35.4* mchc-33.7 rdw-24.8* 08:39pm haptoglob-less than 08:39pm calcium-6.9* phosphate-5.3* magnesium-2.1 08:39pm ck-mb-24* ctropnt-0.05* 08:39pm lipase-11 08:39pm dir bili-2.6* 08:39pm glucose-152* urea n-27* creat-1.2* sodium-132* potassium-5.6* chloride-101 total co2-10* anion gap-27* 10:57pm type-art temp-33.4 rates-24/ tidal vol-500 o2-50 po2-100 pco2-20* ph-7.27* total co2-10* base xs--15 intubated-intubated vent-controlled 10:57pm lactate-12.0* 09:52pm lactate-13.2* 09:25pm ascites tot prot-1.1 glucose-189 albumin-less than 09:25pm ascites wbc-25* rbc-185* polys-4* lymphs-17* monos-77* mesotheli-2* brief hospital course: a/p: this is a 51 y/o woman with alcohol abuse and presumed alcoholic cirrhosis admitted with altered mental status, shock, and upper gi bleeding. . # shock: unclear etiology but most concerning for hypovolemic (due to blood loss) versus septic/infectious. patient has obvious gi blood loss with hct down to 21 on arrival at osh. hct here 26.4 (after 2 u prbcs at other hospital). receved a total of 4 u prbc in the icu. has clot in gastric fundus on egd but no apparent varices. for infection, patient has leukocytosis with bandemia. potential sources include abdomen (peritoneal fluid not indicative of sbp), ? stool (c diff given bandemia), and uti (wbcs on urinalysis). ? other ingestion (given lithium level 0.2 and tylenol in serum tox) but unclear how related. patient was treated with ciprofloxacin and ceftriaxone for a positive urine cx. . # upper gi bleeding: egd on arrival to the micu demonstrated large blood clot in the gastric fundus but no esophageal varices (difficult to discern due to hypotension). patient was on octreotide gtt that was d/cd and transferred to the hepat-renal service after hct was stable for 3 days. on the medical floor, hct remained stable and patient had no further episodes of gi bleed. ppi was transitioned to po formulation and patient's diet was advanced as tolerated. . # respiratory failure: intubated due to agonal respirations at osh. extubated in icu, and had no further respiratory distress on the medical floor. . # altered mental status: patient intermittently alert on arrival to micu and following commands. likely that unresponsiveness earlier related to hypotension, blood loss, ? infection. on the medical floor, patient had appropriate and clear mental status. . # acute renal failure: likely related to hypotension, volume depletion. continue to trend. improved with conservative treatment. . # coagulopathy: likely related to underlying liver disease (though platelets normal). inr 2.5 earlier down to 2.0 on arrival to micu. . # alcohol abuse with cirrhosis: patient arrived with tense ascites and is now s/p large volume tap (8 l removed). her alcohol level on arrival to was 229 at 1800 pm (patient's family not aware she continued to drink per their report). also, the patient had tylenol in her serum tox (? ingestion time but could have been up to 24 hours prior). . # code: full, confirmed with daughter . # comm: with patient and family. daughter . daughter . medications on admission: propanolol 10 mg qd kcl 20 meq x2 protonix 40 mg x2 folic acid 1 mg qd furosemide 40 mg x2 (unclear if this means or 80 mg) spirinolactone 100 mg x2 vitamin b qd multivatin qd discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day). disp:*2700 ml(s)* refills:*2* 6. furosemide 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. spironolactone 100 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. miconazole nitrate 200-2 mg-% (9 g) combo pack sig: one (1) combo pack vaginal hs (at bedtime) for 1 days. disp:*1 combo pack(s)* refills:*0* 9. ursodiol 300 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 10. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day). disp:*1 tube* refills:*2* 11. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. outpatient lab work please have cbc checked on . have results faxed to your hepatologist and gastroenterologist. discharge disposition: home discharge diagnosis: primary diagnosis etoh cirrhosis grade i varices gastric ulcer alcohol abuse discharge condition: hemodynamically stable. discharge instructions: you were admitted with an upper gi bleed and unresponsiveness. this was thought to be due to a bleeding ulcer. you had an endoscopy which did not show active bleeding and your blood counts have been stable. nutrition evaluated you and recommended drinking a nutritional supplement such as ensure or boost 3 times a day. you were also evaluated by social work. you had 2 abdominal paracenteses done, that showed no infection in your abdomen. please take all medications as directed. please follow-up with all outpatient appointments. please return to the ed if you experience any fever, chest pain, black or bloody stools, difficulty breathing, abdominal pain, confusion or any other concerning issues. followup instructions: please follow-up with a hepatologist in 1 week. the clinic number is . you can ask to make an appointment with dr. (who saw you during your hospitalization), or with any hepatologist who will be available in one week. you will need to have your hematocrit checked at that time. please follow-up with dr. in weeks. call for an appointment . procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine other endoscopy of small intestine enteral infusion of concentrated nutritional substances percutaneous abdominal drainage percutaneous abdominal drainage arterial catheterization transfusion of packed cells transfusion of other serum manual reduction of hernia diagnoses: acidosis hyperpotassemia urinary tract infection, site not specified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site acute posthemorrhagic anemia chronic hepatitis c with hepatic coma alcoholic cirrhosis of liver acute kidney failure, unspecified unspecified protein-calorie malnutrition hyposmolality and/or hyponatremia alcohol abuse, unspecified acute respiratory failure pneumonitis due to inhalation of food or vomitus other ascites esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum other and unspecified coagulation defects volume depletion, unspecified ventral, unspecified, hernia without mention of obstruction or gangrene acute duodenal ulcer with hemorrhage, without mention of obstruction shock, unspecified 

Answer: The patient is high likely exposed to