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 / adhesive tape attending: chief complaint: gi bleed major surgical or invasive procedure: none history of present illness: 55 year old male with hcv cirrhosis s/p liver complicated by ascites/ encephalopathy/ varices (3 cords grade i varices)/ portal hypertensive gastropathy/chronic portal and splenic venous thrombosis, recently discharged from with a gi bleed who presented on with an hct of 21.7, dizziness and hypotension. . pt has had a complicated history of recurrent gi bleeding with no clear source being found after an extensive work up that included: : gi bleeding study : sigmoidoscopy : gi bleeding study : colonoscopy and egd : angiogram, no intervention : exploratory laparotomy, intraoperative endoscopy. . pt was most recently admitted to from to with continued gi bleeding. tagged rbc scan was negative. the result of that admission was to manage his chronic gi bleeding as an outpatient. he was undergoing twice weekly hct checks, his hct was 30.9 four days prior to admission, and 21.9 on . he also had some associated lightheadedness at home. over the weekend he had been having melanotic stools per day, that were streaked with bright red blood. he was having his chronic abdominal pain, but no changes from his baseline. after getting his hct checked, he was referred to the er for further evaluation. . in the ed, initial bp-82/52. patient was given 3l ns, 2 units of prbc's. given his hypotension he was admitted to the icu for further monitoring. . follow up hct in the icu 20.7 after 2u , 2 additional units were given. tagged red cell scan was negative. am hct was 27.8. he had 1 episode of melena on the morning of transfer. on transfer patient is resting comfortably. he's quite worried about where he might be bleeding from, but has no other complaints. . review of systems: (+) per hpi (-) denies fever, chills. denies headache. denies cough, shortness of breath. denies chest pain. denies nausea, vomiting. denies dysuria, frequency, or urgency. past medical history: pmh: - hepatitis c s/p liver tx , s/p revision ; complicated with rejection and steroid use since to present; also complicated with hep c recurrence and restarted peg interferon . hep c possibly contracted from tattoo - chronic pancreatitis - history of peripancreatic abscess - diabetes: steroid induced, managed at clinic, recent hba1c 5.1% - itp - svt last episode approximately , medically managed at this time (atenolol) - secondary hyperparathyroidism due to ckd managed by dr. at - depression/anxiety - primary hypogonadism - thoracic compression fractures () - h/o post hypoxic encephalopathy () - neutropenia and infections including c. diff x3, streptococcal septicemia, anal fistula s/p fistulectomy() - left sided hydronephrosis due to obstruction from splenomegaly, s/p left ureteral stent placement () - chronic pain especially rectal pain . psh: - cholecystectomy - appendectomy - splenectomy, distal pancreatectomy, c/w fistula, s/p stent and then removal - bilateral inguinal hernia s/p hernia repair which has failed - umbilical hernia repair () - tonsillectomy social history: pt was recently at rehab and was discharged home on . he lives with mother in . he has a sister who is a nurse and is very involved in his care. patient sates he smoked in high school socially (only in parties), but quit since then. denies any current or past alcohol intake. denies recreational drug use. family history: mother has dm2 and htn. uncle with cancer in his 80s (unknown site). denies any family history of mi, sudden cardiac death, stroke and lung diseases has dm2. physical exam: on admission: vitals: afebrile bp: 102/58 p: 56 r: 18 o2: 99% on ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: admission labs: 09:50am blood wbc-7.4 rbc-2.06*# hgb-7.1*# hct-21.9*# mcv-106* mch-34.7* mchc-32.6 rdw-23.0* plt ct-224 09:50am blood neuts-66 bands-0 lymphs-18 monos-7 eos-8* baso-0 atyps-0 metas-1* myelos-0 09:50am blood plt smr-normal plt ct-224 09:50am blood urean-40* creat-1.1 na-139 k-5.4* cl-111* hco3-19* angap-14 09:50am blood alt-26 ast-41* alkphos-211* totbili-1.1 09:50am blood albumin-2.6* calcium-8.5 phos-3.9 mg-2.3 09:50am blood tacrofk-3.1* . discharge labs: . micro: none . studies: bleeding study (): no evidence for lower gi bleed. . portable cxr (): small bilateral pleural effusions with associated atelectasis. . egd: . colonoscopy: brief hospital course: 55 y/o m with a h/o hcv cirrhosis, s/p liver complicated by recurrence of hcv cirrhosis and ascites/ encephalopathy/ varices (3 cords grade i varices)/ portal hypertensive gastropathy/chronic portal and splenic venous thrombosis, who presents with recurrence of gi bleed. . # gi bleed: pt has a h/o gi bleeds of unknown etiology despite numerous studies including egds, colonoscopies, bleeding studies, and an intraoperative endoscopy. he was recently admitted from , w/o identifying the bleeding source. he was discharged with a plan to have twice weekly outpatient cbcs with transfusions as needed. however, he continued to have numerous large bloody stools and a large drop in hct, so he was again admitted to the hospital. a repeat tagged rbc scan failed to show the source of the bleed. he was then challenged with heparin, however he did not bleed and so he was reversed with protamine. he then had a large melanotic stool, so he was taken to angio and challenged with intra-artrial heparin to the sma and . again, no source of bleeding was found. colonoscopy and egd were performed with no bleeding source identified. he was started on amicar. he remained hemodynamically stable and was transferred to the floor. on the floor, patient continued to have intermittent episodes of bleeding requiring transfusions. he underwent red blood cell scan which showed possible delayed bleed around hepatic flexure. he subsequently underwent colonoscopy which was essentially negative, showing one non bleeding diverticulum. he had a brief trial of octreotide, which was d/c-ed after one day secondary to cramping. he was finally started on a trial of estrogen therapy. underwent a capsule study which was also negative. as of he had required 17 units of during this hospitalization. during this time he was also treated for a complicated uti with a course of cipro. pain and palliative care were consulted. family meeting was held with patient's three sisters, pain and palliative care, outpatient hepatologist, attending on service, housestaff and social work. mr. expressed that he nolonger wished to be intubated or recussitated and dnr/dni status was initiated. on , patient developed shortness of breath, chest discomfort and continued to complain of abdominal discomfort. throughout the day, multiple discussions were held in the presence of the family and the patient. mr. , stated that he nolonger wanted any blood products. he also complained of discomfort with taking in of medications. comfort measures was initiated and patient was placed on a morphine drip titrated to comfort. family support was provided. mr. passed on , with family present at his bedside. medications on admission: alendronate - 70 mg weekly atenolol - 50 mg once a day ergocalciferol (vitamin d2) - 50,000 unit weekly lamivudine - 100 mg once a day latanoprost - 0.005 % drops - 1 drops(s) in each eye hs lipase-protease-amylase - 20,000 unit-,500 unit-,000 unit capsule, delayed release(e.c.) - 2 capsule(s) by mouth three times a day with meals omeprazole - 40 mg twice a day sertraline - 50 mg - 1.5 tablet(s) by mouth once a day sulfamethoxazole-trimethoprim - 800 mg-160 mg tablet - 1 tablet(s) by mouth twice a day tacrolimus - 0.5 mg capsule - 1 capsule(s) by mouth twice a day trazodone - 50 mg hs ursodiol - 300 mg twice a day calcium citrate-vitamin d3 - 315 mg-200 - 1 tablet twice a day fludrocortisone 0.1mg daily folic acid 1mg daily lactulose 30ml daily rifaximin 400mg tid lasix 20mg daily spironolactone 25mg daily multivitamin 1 tablet daily thiamine 100mg daily discharge medications: pt expired discharge disposition: expired discharge diagnosis: pt expired discharge condition: pt expired discharge instructions: pt expired followup instructions: pt expired procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage injection or infusion of other therapeutic or prophylactic substance colonoscopy colonoscopy arteriography of other intra-abdominal arteries injection of anticoagulant diagnoses: cellulitis and abscess of trunk urinary tract infection, site not specified adrenal cortical steroids causing adverse effects in therapeutic use cirrhosis of liver without mention of alcohol chronic hepatitis c with hepatic coma portal hypertension hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified pulmonary collapse dysthymic disorder other specified cardiac dysrhythmias hypotension, unspecified blood in stool secondary hyperparathyroidism (of renal origin) other ascites hemorrhage of gastrointestinal tract, unspecified complications of transplanted liver esophageal varices in diseases classified elsewhere, without mention of bleeding surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other specified disorders of stomach and duodenum chronic pancreatitis diverticulosis of colon (without mention of hemorrhage) immune thrombocytopenic purpura cyst and pseudocyst of pancreas benign neoplasm of stomach secondary diabetes mellitus without mention of complication, not stated as uncontrolled, or unspecified inguinal hernia, without mention of obstruction or gangrene, bilateral, recurrent 

Answer: The patient is high likely exposed to