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: hypotension (referred from liver clinic) hyperglycemia major surgical or invasive procedure: persantine mibi l subclavian central line insertion history of present illness: hpi: 53-yo-man w/ end stage cirrhosis was referred from clinic for hypotension. he was feeling well until 3 days ago, when he began to feel lethargic. his fatigue continued until today, when he presented to liver clinic for evaluation and had sbp 67/30, prompting referral to the ed. he denies any recent fever, chills, chest pain, palps, dyspnea, abd pain, dysuria, polyuria, polydipsia, melena, and hematochezia. he does c/o non-productive cough since this am. . in , pt appeared clinically dehydrated w/ temp 97.4, bp 83/45, hr 62, o2 sat 97% ra. cxr demonstrated rml/rll infiltrates concerning for pna. he was treated w/ levaquin 500mg iv, flagyl 500mg iv, hydrocortisone 100mg iv, and 5l iv ns. bp remained in the 80s/40s, w/ nadir 66/45 despite iv fluids. he was started on dopamine gtt through peripheral iv to maintain map>60, and micu was called for eval. . on transfer to the floor: while in the micu, pt was on dopamine gtt until and hydrocortisone 100 mg iv q 8hr from . echo revealed nl ef, r/o cardiac cause of hypotension. fena was 0.07%, thus it was felt pt likely had dehydration. the pt had glucose of 500s on admission (no prior h/o dm) and was started on insulin gtt, later titrated to glargine and ssi with input. the pts na of 119 on admission corrected after fluids. . today pt denies sob, cp, n/v. states he has had 2 bm today. no brbpr. no f/c/s. no cough. denies dizziness upon standing. past medical history: post-traumatic vertigo depression end stage liver disease secondary to alcohol cirrhosis w/ ascites onset elevated ferritin level umbilical hernia hepatic encephalopathy hepatic coma dt gi bleeding lung mass followed on lung ct chronic tob abusedisorder chronic pancreatitis social history: lives alone, no drink since , smoke ppd family history: father died of cirrhosis physical exam: on admission to micu: pe: t 97.4, hr 67, bp 95/47 in dopamine 5mcg/kg/m, rr 14, o2 sat 99% 3l/m gen: jaundiced man lying flat in bed, speaking in full sentences in nad heent: icteric, eomi w/ lateral nystagmus b, perrl, op clear w/ dry mm, jvp 8cm cv: reg s1/s2, no s3/s4/m/r pulm: crackles at bases b, no wheezes abd: +bs, soft, nt, moderately distended, no fluid wave ext: cool feet, 2+ dp b, 1+ pitting edema to ankles b neuro: a/o x 3, cn 2-12 intact, no asterixis, strength 5/5 throghout ue/le b, sensation to fine touch intact throughout except decreased over l ant tibia pertinent results: 05:52pm lactate-2.9* 05:46pm urine hours-random creat-122 sodium-12 05:46pm urine osmolal-449 05:12pm urine color-amber appear-clear sp -1.015 05:12pm urine blood-lg nitrite-neg protein-neg glucose-100 ketone-neg bilirubin-lg urobilngn-8* ph-6.5 leuk-neg 05:12pm urine rbc-* wbc-0-2 bacteria-few yeast-none epi-0-2 03:54pm glucose-517* urea n-39* creat-0.9 sodium-119* potassium-3.7 chloride-84* total co2-22 anion gap-17 03:54pm alt(sgpt)-22 ast(sgot)-30 ld(ldh)-222 alk phos-156* tot bili-21.6* dir bili-14.0* indir bil-7.6 03:54pm ck-mb-2 ctropnt-<0.01 03:54pm albumin-2.6* 03:54pm ammonia-13 03:54pm osmolal-290 03:54pm wbc-13.7*# rbc-3.68* hgb-13.3* hct-37.8* mcv-103* mch-36.2* mchc-35.2* rdw-14.0 03:54pm neuts-88* bands-0 lymphs-3* monos-7 eos-0 basos-1 atyps-1* metas-0 myelos-0 nuc rbcs-1* 03:54pm plt smr-very low plt count-28*# lplt-3+ 03:54pm pt-17.5* ptt-35.9* inr(pt)-2.1 . ecg: nsr at 66, lad (no change from prior), nl intervals, no st/t changes . cxr (): 1. new bilateral patchy opacities concerning for multifocal pneumonia/aspiration. 2. findings concerning for fluid overload. . ruq us (): 1) patent left tips. 2) occluded right tips (old). 3) no intrahepatic biliary ductal dilatation. 4) stable/large amount of ascites. 5) cirrhosis without mass lesions 6) no gallstones, no evidence of cholecystitis 7) low portal flow velocities, likely low systemic bp . chest ct (): 1. rounded atelectasis in the right lower lobe, which has increased slightly in the interval. 2. stable appearance of pancreatic cystic lesion. 3. cirrhosis and small amount of ascites in the left pericolic gutter. findings consistent with known cirrhosis. . mibi (): normal myocardial perfusion with normal wall motion and ejection fraction at lower limit of normal at 44%. of note, the visual inspection of the gated images demonstrate a normal ejection fraction. . echo : the left atrium is moderately dilated. left ventricular wall thickness, cavity size, and systolic function are normal (lvef 60-70%). the ascending aorta is mildly dilated. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. . blood cx and pend urine cx neg brief hospital course: brieflyl, this is a 53 yo m w/ h/o etoh cirrhosis on the transplant list, chronic pancreatitis with dm, anemia, admitted w/ hypotension refractory to fluids, hyperglycemia, hyponatremia, and thrombocytopenia. . #hypotension: likely due to hypovolemia and infection. initially it was felt that the most likely etiology of the pts hypotension was his cirrhosis, but possible other etiologies of acute change included distributive (septic), cardiogenic and hypovolemic. there was initial suggestion of infection with cxr findings and lactate of 2.9, but the pt was afebrile with only mild nonproductive cough and good uop. the pt had no signs of sbp, and per hepatology services the pt did not meet criteria to require paracentesis. the pt was started on levofloxacin and flagyl on in the case of pneumonia (given new cxr infiltrates). again, in the workup of his hypotension, tte on revealed good ef. a component of hypovolemia/dehydration was also suspected, supported by clinical exam and fena of 0.07%. the pt received a dose of steroids in the ed. while in the micu, pt was on dopamine gtt until and hydrocortisone 100 mg iv q 8hr from . the pts dopamine gtt was discontinued prior to transfer to the floor. the pts diuretics and nadolol were held throughout his stay. . # pna: given the pts new cough, elevated wbc, and cxr infiltrates, the pt was started on levofloxacin and flagyl iv on . the pt was discharged with levofloxacin and flagyl po to complete a 14 day course in the case of a postobstructive etiology (given the pts rll lung mass). . #rll lung mass: followed as outpt. identified on ct initially in . pet scan pending as outpt on . . #. cirrhosis/ascites: the pt has end-stage cirrhosis etoh, on transplant list but deferred pending w/u of lung mass. hepatology services followed the pt throughout his stay. the pts bilirubin was elevated throughout this admission (21 on admission, baseline 3)w/ no evidence of obstruction; but ruq us did not have good view of cbd. the pt is extremely jaundiced. alk phos, alt/ast were wnl. the pt has chronic ascites cirrhosis. una was less than 10 with u osm 577 c/w low intravascular volume. the pt was continued on rifaxamin 400 mg tid and lactulose 30 cc tid. he did not show signs of encephalopathy during his stay on the floor. . #. diabetes: no prior h/o dm but presenting glucose >500, suspect due to chronic pancreatitis. no gap metabolic acidosis or ketonuria. the pt was initiated on insulin gtt from while in the micu. was consulted and the pt was subsequently started on lantus 20 u qhs, increased to 45 uqhs prior to discharge. the pt was also placed on a tight humalog sliding scale. the pt was taught proper insulin administration by our nursing staff and was observed to self-administer insulin on the day of discharge. the pt is to have vna after discharge to ensure compliance. he will f/u with the clinicl. . #. thrombocytopenia: platelets decreased from baseline plt 70-100 ( cirrhosis) with no evidence of bleeding. he received 1 unit ffp and 3 x platelets prior to central line placement in the micu. the pts plts were in the 40s at the time of discharge. . #. anemia: iron studies c/w anemia of chronic disease. . #. hyponatremia: the pt had hyponatremia on admission of na 119 (baseline 31) likely due to cirrhosis with decreased eav. his hyponatremia resolved with ivf. medications on admission: nadolol 20 mg qd furosemide 40 mg qd spironolactone 100 mg qd rifaximin 400 mg tid lactulose 3 times qd magnesium oxide 400 mg qd mvi 1 tablet qd protonix 40 mg qd trazodone 50 mg qhs discharge medications: 1. rifaximin 200 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. lactulose 10 g/15 ml syrup sig: thirty (30) ml po tid (3 times a day). disp:*2700 ml(s)* refills:*2* 4. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 7 days. disp:*21 tablet(s)* refills:*0* 5. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* 6. magnesium oxide 400 mg tablet sig: one (1) tablet po once a day. 7. lantus 100 unit/ml solution sig: forty five (45) units subcutaneous at bedtime. disp:*1 month supply* refills:*2* 8. humalog 100 unit/ml solution sig: one (1) unit subcutaneous as directed by your insulin sliding scale. disp:*1 month supply* refills:*2* 9. one touch ultrasoft lancets misc sig: one (1) lancet miscell. as directed. disp:*150 lancets* refills:*2* 10. bd insulin syringe 1 ml 28 x syringe sig: one (1) syringe miscell. as directed. disp:*150 syringes* refills:*2* 11. one touch ultra test strip sig: one (1) strip miscell. as directed. disp:*150 test strips* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: post-obstructive pneumonia end stage cirrhosis new onset diabetes anemia of chronic disease thrombocytopenia hypotension--related to infection discharge condition: stable, blood pressure stable, blood glucose under better control discharge instructions: 1) please take all medications as prescribed. please follow up with all of your doctor's appointments 2) please follow a 2 gram sodium restricted diet (carefully monitor sodium intake) 3) check your daily weights. if you gain 3 or more pounds, please call your doctor 4) please call your doctor or return to the er if you experience chest pain, shortness of breath, or any other concerning symptoms 5) please check your fingersticks 4 times a day and keep a record of your blood sugar levels to bring to all of you doctor visits followup instructions: 1) provider: , md phone: date/time: at 11:00 am 2) dr. , clinic-- at 10 am-- (please call for location and directions) 3) dr. : monday at 9:15 am 4) provider: breathing tests phone: ,date/time: 10:10 5) provider: , .d. phone: date/time: 10:30 procedure: venous catheterization, not elsewhere classified transfusion of other serum transfusion of platelets infusion of vasopressor agent diagnoses: pneumonia, organism unspecified anemia of other chronic disease other specified disorders of pancreatic internal secretion alcoholic cirrhosis of liver unspecified septicemia hyposmolality and/or hyponatremia severe sepsis septic shock other sequelae of chronic liver disease chronic pancreatitis other and unspecified alcohol dependence, unspecified neoplasm of unspecified nature of respiratory system 

Answer: The patient is high likely exposed to