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: aspirin attending: chief complaint: shortness of breath major surgical or invasive procedure: endogastric duodenography s/p placement of 3 bands thoracotomy, pleurodesis x2 and chest tube placement history of present illness: 69 y.o spanish speaking male with hx of etoh cirrhosis transfered from osh with initial compaint of sob and found to be bradycardic with hr in 40's. found to have first degree heart block and required placement of demand pacemaker (dddr 5370) placed on . chest ct showed r sided pleural effusion with compression of r lung which was recurrent according to medical records. pt has been admitted mult times in the past for thorocentesis. chest tube was placed and 3 liters removed and continued to drain throughout admission at osh. cytology showed no malignant cells, no bacteria seen. d/c'd at osh due to pain and constant drainage of fluid liver failure. cxr after chest tube removal showed reaccumulation of smaller amounts of fluid. also found to have r middle lobe infiltrate and started on levoquin for ? hospital acquired pna. pt transfered to for evaluation for tips procedure. pt denies fever/chills, denies n/v/d. no change in color of bm's, denies melena. + cough, report hx of hemoptysis 2-3 times per day. no change in appetite but + loss of 30 lbs over past 2 months fluid loss. pt does complain of r sided chect pain with inspiration which has not changed since chect tube placed. pain radiates across abdomen. unchanged for over one week. treated with percocet at osh. past medical history: liver failure- hx of encephalopathy, no bx seen in records dm type 2- non insulin dependent chf elevated psa pancreatitis postive ppd alcoholic cardiomyopathy social history: no tob, hx of alcoholism, has been sober for 4 years no ivda lives at home with wife, son and in-law. family history: hx of diabetes htn in mother father with asthma physical exam: vitals: t: 98.3, hr: 71, o2sat: 94% ra, bp: 120/70, rr:20 gen: pleasant, lying comfortably in bed with hob at 20 degrees. nad. heent: pupils equal, mildly injected sclerae, anicteric, mmm, poor dentition, upper dentures, op clear, carotids 2+ no bruits, no lad. cv: rrr with occ extra beat, ii/vi sem at lsb. resp: mild tachypnea, abd breathing, no use of accessory muscles, no audible wheezing, speaking in full sentences, ambulating well. r side with bronchial breath sounds at apex and decreased bs at bases. no rales or wheezing. l side clear. abd: mild distention, soft, +bs, mild tenderness at luq. unable to appreciate liver edge. no palpable spleen. ext: warm, well perfused. 2+ radial pulses, 2+ pedal pulses. no pedal edema. skin: no jaundice, well healed scar over r lat hemithorax. neuro: no focal deficits, alert and oriented x3. pertinent results: 08:00pm glucose-95 urea n-27* creat-1.4* sodium-134 potassium-4.6 chloride-101 total co2-24 anion gap-14 08:00pm lipase-37 08:00pm albumin-3.5 calcium-9.9 phosphate-3.7 magnesium-1.6 08:00pm wbc-6.1 rbc-4.20* hgb-13.1* hct-38.7* mcv-92 mch-31.3 mchc-33.9 rdw-14.3 08:00pm plt count-175 08:00pm pt-15.3* ptt-32.7 inr(pt)-1.5 brief hospital course: brief summary: 69 y.o male with hx of etoh cirrhosis, chf, and dm presents from osh with 6 weeks hx of recurrent r sided pleural effusion and for possible tips placement. however, thoracentesis on with pleural fluid consistent with exudates. thorascopy on for further evaluation but work up so far negative for malignancy or infection. had pleuradesis on . slightly hypoxic on and cxr with increased right pleural effusion, and had an episode of coffee ground emesis () associated with hypotension and dizziness- sent to micu. egd showed varices and were banded. repeated pleurosdesis on and stable post procedure with significant improvement in o2 requirement and no evidence of shortness of breath. micu course: pt transferred to micu s/p hypotensive episode. pt stablized bps before endoscope. gi scope demonstrated stage 3 esophageal varices in the lower third of the esophagus, three bands were placed. scope also revealed several small nonbleeding ulcers in stomach, as well as portal hypertensive gastropathy. pt remained stable during and after procedure. on unit day #3, pt underwent second pleurodesis due to continued large amount of drainage from right sided chest tube. procedure was tolerated well except for a fever that night likely associated with the inflammation of the pleurodesis itself. pt transferred back to floor for continued management. post micu course, by problem: 1) r sided pleural effusion: cytology from osh shows no malignant cells, few poly and no bacteria. pt has hx of +ppd, afb and adenosine deaminase on cytology were negative so the effusion was ruled out for tuberculous origin. pt began to reaccumulate fluid with removal of chest tube. he had stable loculated effusion on chest xray. as he was not short of breath, and was ambulating and saturating well, he did not require further pleurodesis and was managed medically. he did continue have occasional low grade temperatures but these were felt to be related to the inflammation of the pleurodesis. 2) etoh cirrhosis: pt does demonstrate significant liver failure with elevated inr and alb of 2.9. u/s of liver showed normal portal flow. he was not felt to be a candidate for tips procedure. his diuretics were restarted after the resolution of his hypotension. 3) cv: hx of recent pacer placement. the patient had an echo showing ef 50% and ?diastolic dysfunction. he was continued on his cardiac medication regimen and there were no cardiac related active issues. 5) positive ppd: discussed with pcp. symptoms, fluid at osh neg for afb. neg on . 6) diabetes-he was followed by for the management of diabetes and did well on a regimen of repaglinide. medications on admission: protonix 40 qd corgard 10 qd lasix 20 po qd glucatrol 2.5 mg po qd cardura 2 qhs aldactone 50 qd levaquin 500 po qd combivent, flovent percocet prn discharge medications: 1. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours). disp:*1 1* refills:*2* 2. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 1* refills:*2* discharge disposition: home with service facility: home health discharge diagnosis: upper gastrointestinal bleed grade ii esophageal varices in lower third of esophagus alcoholic cirrhosis alcoholic cardiomyopathy with ef > 55% first degree av block s/p pacemaker placement recurrent right pleural effusions, s/p pleurodesis and chest tube placement discharge condition: good discharge instructions: favor de continuar sus medicamentos con algunos cambios. para el diabetes tiene que tomar un nuevo medicamento que se llama prandin. if you have shortness of breath, fever greater than 100.4, shaking chills, palpitations, vomit blood or have black stool, call your doctor immediately or go to the emergency room. followup instructions: 1) please make an appointment to see your primary care physician 1 to 2 weeks to follow up. call ( to make appointment. 2) you need to return to the hepatology clinic in 1 week for a repeat endoscopy. call to make an appointment. 3) you need to return to see your pulmonary specialist in 1 week for follow up. call to make an appointment. procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified thoracentesis other pleural biopsy endoscopic excision or destruction of lesion or tissue of esophagus transpleural thoracoscopy injection into thoracic cavity injection into thoracic cavity transfusion of packed cells transfusion of other serum diagnoses: acidosis congestive heart failure, unspecified alcoholic cirrhosis of liver acute kidney failure, unspecified acquired coagulation factor deficiency pulmonary collapse esophageal varices in diseases classified elsewhere, with bleeding alcoholic cardiomyopathy 

Answer: The patient is high likely exposed to