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: cipro / doxycycline / paxil / quinine / compazine / levaquin / lithium attending: chief complaint: hematemesis major surgical or invasive procedure: upper endoscopy with esophageal varices banded history of present illness: 55 yo f with h/o cirrhosis from sarcoidosis p/w to ed hematemesis x 3 this am. . the patient is a 55 year-old woman with a history of cirrhosis sarcoid. she woke at 11pm the night prior to admission with nausea, dry heaving and occasional vomiting of a phlegm-like substance. she then moved to the living room and slept on the couch for the remainder of the night. at 8:30 am, she felt increased pressure in her stomach and began vomiting a 'cranberry sauce' substance. she vomited a total of 4 times and immediately had her husband drive her to the hospital. she has never had bloody emesis, though she has had bloody stool and black stool in the past. currently she has abdominal pain that is located in her rlq. her abdomen is more tympanic than usual, but improved from teh weekend when she noted it was even more distended. otherwise confirms chills and then feeling 'warm' but without fever. on ros denies any change in stools pattern ( dailiy lactulose), dysuria, rash, sob, cp or rash). she's had no sick contacts. on arrival in ed and hd stable. initial vs 98.9, 124, 123/74, 16, 98/ra. hct 34.7 she reported pain being , primarily in abdomen. she was given 2l ns, 1u prbc and cvl placed. gi was consulted in ed, and she was transferred to the icu for egd. upon transfer, vs afebrile, sbp 130, 90s, rr 12. she was additionally given ceftriaxone 1g, ppi and placed on an octreotide gtt. past medical history: # hepatic sarcoidosis and regenerative hyperplasia - s/p tips placed d/t gi bleeding from varices and portal gastropathy - tips re-do with angioplasty and portal vein embolectomy - severe portal hypertensive gastropathy - grade ii varices - grade 3 esophagitis # multiple sbos, most recent # idiopathic cardiomyopathy: -echo demonstrating an ef of 15-20% (no report, ?osh) and a p-mibi that confirmed an ef of 23% with no ischemic changes--> improving to ef 40-45%, mild-to-moderate global left ventricular hypokinesis -cardiac cath : no angiographically apparent flow-limiting lesions, mild mitral regurgitation, and severe systolic ventricular dysfunction with a left ventricular ejection fraction of 20%. -right heart cath: : normal right sided filling pressures. mild pulmonary artery hypertension. preserved cardiac index. # copd, followed by , pfts wnl # hx of sah s/p coiling, 2 new aneurysms seen on angio # colonic avm and diverticulum # evidence of cva/tia # hypothyroidism # anemia # s/p hysterectomy # s/p cholecystecomy # s/p appendectomy # reflex sympathetic dystrophy s/p fall, on disability, now resolved # raynauds social history: married, lives in , has 2 sons and 5 grandchildren, 36 pack-year smoking hx quit 2.5 years ago, does not drink etoh and denies former abuse, no h/o illicits or ivdu, does not work disability for rsd. family history: mi, physical exam: vs - 98.8, 92, 117/57, 12, 99/ra general: nad neck: supple, no notable jvd lungs: ctab without w/r/r heart: rrr without m/g/r abdomen: distended, active bowel sounds, tympanic to percussion, ttp in rlq without rebound or guarding extremities: wwp without lesions, 2+ dp pulses bilaterally skin: wwp without lesions neuro: a&o x 3, cn ii-xii grossly intact pertinent results: 10:30am blood wbc-7.9# rbc-3.80* hgb-11.6* hct-34.7* mcv-91 mch-30.4 mchc-33.3 rdw-16.2* plt ct-81* 10:30am blood neuts-86.0* lymphs-6.5* monos-4.3 eos-2.8 baso-0.4 10:30am blood pt-12.1 ptt-28.4 inr(pt)-1.0 10:30am blood glucose-120* urean-33* creat-1.3* na-144 k-3.9 cl-107 hco3-23 angap-18 10:30am blood alt-27 ast-23 alkphos-172* totbili-0.9 10:30am blood lipase-58 04:00am blood calcium-7.3* phos-3.0 mg-1.1* 12:33pm blood lactate-1.2 08:31pm blood hct-34.6* 12:00am blood hct-31.3* 04:00am blood wbc-4.0 rbc-3.47* hgb-10.5* hct-30.6* mcv-88 mch-30.2 mchc-34.3 rdw-16.1* plt ct-47* 09:26am blood hct-33.7* . chest port. line placement study date of 11:48 am 1. appropriate positioning of a right internal jugular central venous catheter. 2. no acute cardiopulmonary process. 3. dilated loops of small bowel, and focal gas projecting over the liver likely in duodenum. ct of abdomen if clinical concern warrants. . ecg: sinus tachycarida, changes . egd : varices at the lower third of the esophagus (ligation). old blood was seen in the lumen of the stomach. varices at the cardia. normal mucosa in the duodenum. old blood was seen. otherwise normal egd to third part of the duodenum brief hospital course: hematemsis: the patient was hemodynamically stable without hypotension and hr in the 90s on presentation. she was transfused 2 units of prbcs. diuretics were held. egd was done which showed grade ii varices in the lower third of the esophagus with past bleeding signs which were banded. she remained hemodynamically stable and hct was stable with a nadir of 30.6 which then improved to 33.7. octreotide was continued for 12 hours post-procedure as per recommendations by the liver service. she was kept on ceftriaxone for sbp prophylaxis, and an iv ppi . she was given rifaxamin and carafate as per liver recommendations. the patient had no active bleeding while in the micu and was transferred to the floor on hospital day #2. there she completed a 3 day course of ceftriaxone, transitioned to po ppi, and restarted her home diuretic regimen. follow-up endoscopy in 3 weeks was arranged prior to discharge. . abdominal pain: on hospital day #2, the patient complained of abdominal pain on the right side. this was a constant sharp, non-radiating pain, . there was no associated nausea or vomitting. she did report a decrease in her usual number of bowel movements (none for 12 hours). she had an ultrasound and a ct scan of the abdomen with po contrast to assess for small bowel obstruction or ascites. there was no ascites, but a likely early or partial sbo was demonstrated. there was no evidence of ischemia or pneumatosis. she was hemodynamically stable. given that she could not have an ng tube place because of her recent endoscopic procedure, conservative management including npo, lactulose enemas, and serial abdominal exams was undertaken. the surgery team evaluated her and agreed with this plan. on the morning of hospital day #3, the patient again began having bowel movements, and her pain resolved. clear liquids were begun and slowly advanced to a regular diet, which she tolerated well. . acute renal failure: creatinine was elevated from baseline of 1.0 to 1.3. she was given 2l ns ivf for possible prerenal etiology. diuretics were held initially. creatinine returned to baseline. outpatient diuretic regiment was restarted. . hepatic sarcoidosis: she was noted to be s/p tips x 2 with spontaneous clotting of the tips. she was continued on ursodiol and prednisone and was given benadryl for itching. lfts were stable, with baseline elevated alkaline phosphatase. lactulose was continued and titrated to 3 bms/day. no consideration was given to recanalize the tips prior severe episodes of he. . cough: the patient complained of a cough, runny nose, and sore throat on hospital day #3. cxr was negative for pneumonia. a viral syndrome was considered most likely. . hypothyroidism home dose of levothyroxine was continued. medications on admission: 1. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). 2. gabapentin 300 mg capsule sig: two (2) capsule po daily 3. levothyroxine 88 mcg tablet sig: one (1) tablet po daily 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. ursodiol 300 mg capsule po qpm 6. ursodiol 600 mg po qam 7. thiamine hcl 100 mg tablet sig: one (1) tablet po daily 8. albuterol sulfate 90 mcg/actuation inh every 6 hours as needed. 9. lactulose thirty (30) ml po daily (previously as much as tid) 10. ferrous sulfate 325 mg (65 mg iron) po bid (2 times a day). 11. omeprazole 20 mg capsule po daily (daily). 12. sucralfate 1 gram tablet qid 13. vitamin b-12 1,000 mcg/ml once a month. 14. furosemide 20 mg tablet po daily 15. spironolactone 50 mg tablet po daily discharge medications: 1. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). 2. gabapentin 300 mg capsule sig: two (2) capsule po daily (daily). 3. levothyroxine 88 mcg tablet sig: one (1) tablet po daily (daily). 4. ursodiol 300 mg capsule sig: one (1) capsule po hs (at bedtime). 5. ursodiol 300 mg capsule sig: two (2) capsule po qam (once a day (in the morning)). 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 7. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 8. zolpidem 5 mg tablet sig: 1-2 tablets po hs (at bedtime). 9. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day): do not take with your synthroid. . disp:*120 tablet(s)* refills:*2* 10. spironolactone 25 mg tablet sig: two (2) tablet po daily (daily). 11. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 12. lactulose 10 gram/15 ml solution sig: thirty (30) ml po q8h (every 8 hours) as needed. 13. 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* 14. iron (ferrous sulfate) 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 15. vitamin b-12 1,000 mcg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary: esophageal varices s/p banding cirrhosis secondary to sarcoidosis acute renal failure small bowel obstruction secondary: htn discharge condition: stable. afebrile. hct stable. discharge instructions: you were admitted with vomiting of blood. you had and egd which showed varices that were banded. you had some renal failure that improved by holding your diruetics. you had obstruction of your small bowel which improved. you are tolerating a regular diet. we have restarted all of your medications without any changes. you completed a course of antibiotics for prophylaxis in setting of gi bleeding. please return to the ed if you have any black or maroon stools, vomiting blood, lightheadedness, fever or chills, or anything else that is of concern to you. followup instructions: please follow-up. provider: , md phone: date/time: 10:30 . for egd: they will send you a preparation packet. provider: (st-3) gi rooms date/time: 8:30 provider: , md phone: date/time: 8:30 provider: (st-3) gi rooms date/time: 9:30 provider: , md phone: date/time: 9:30 procedure: venous catheterization, not elsewhere classified endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: thrombocytopenia, unspecified anemia, unspecified cirrhosis of liver without mention of alcohol acute kidney failure, unspecified unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified sarcoidosis esophageal varices in diseases classified elsewhere, with bleeding unspecified intestinal obstruction 

Answer: The patient is high likely exposed to