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: sulfa (sulfonamides) / erythromycin base attending: chief complaint: gib major surgical or invasive procedure: egd history of present illness: ms. is a 52 yo woman with h/o alcoholic cirrhosis, known varices, who initially presented to hospital with complaints of "vomiting up blood" starting at 4am. per the patient, she awoke and started vomiting. she reported vomitus "dark brown" in color, no coffee-grounds, no bright red blood. of note, she admited to drinking one pint of vodka with cranberry juice the evening pta. otherwise, she denied recent illness, lightheadedness/dizziness, brbpr, and melena. she has had esophageal variceal bleeding in the past, presenting at that time with bright red blood vomitus, different than this time. per ems report, her vomitus did not appear to have bright red blood or blood clots, but was dark red in "hue". she was avss on initial ems evaluation and was brought to hospital. her initial vitals upon arrival at were t 99.3, bp 125/71, hr 84, rr 16, and o2 96% ra. octreotide and protonix drips were started. she was also given a banana bag, zofran, and compazine. labs were notable for a hct drop (30 to 25 in 3 hour period) platelets 16, inr 1.4, ast 95, alt 26, alk phos 136, t bili 5.3. etoh level was 388. during the osh course, bp dropped to a low of 76/43, which was responsive to ivf and rbc transfusion. she received a total of units rbc's and 1 bag of platelets, and was transferred to for possible tips procedure. upon arrival to , she continued to complain of nausea and vomiting. she was also complaining of the "shakes" and felt "like i'm starting to go into withdrawal." past medical history: etoh cirrhosis with portal hypertension, grade 3 esophageal varices, gastric varices, thrombocytopenia etoh abuse. denies history of seizures or hallucinations. upper gi variceal bleeding s/p multiple sclerotherapy and banding procedures. boerrhave's syndrome/- tear esophagitis and duodenitis h/o cervical and uterine ca s/p tah/bso chronic renal insufficiency social history: left her husband 2 years ago but sees him every day. 3 children, 2 daughters live nearby and 1 son in college. drinks approximately 1 pint of vodka per day. no tobacco or illicit drug use. family history: mother died at 62 of chf. ?liver disease. father died at 63 of lymphoma. ?liver disease. 1 brother and 2 sisters all healthy. physical exam: admission physical exam: vitals: 100.3, 120/60, 94, 21, 100%ra gen: a+ox3, nad, pleasant heent: bruise on right face. op clear, mmm. neck: no jvd cv: rrr, ii/vi sytolic ejection murmur at upper sternal border pulm: crackles and dull at left base which was her dependent side. otherwise clear; no wheezes or rhonchi. abd: soft, distended, non-tender. +bs. ext: trace pedal edema. no asterixis. pertinent results: admission labs: 01:38pm blood wbc-4.0 rbc-3.27* hgb-10.5* hct-29.6* mcv-91 mch-32.1* mchc-35.4* rdw-17.9* plt ct-19*# 01:38pm blood neuts-85.7* lymphs-5.9* monos-4.1 eos-4.1* baso-0.2 01:38pm blood pt-17.1* ptt-32.8 inr(pt)-1.5* 01:38pm blood glucose-144* urean-32* creat-1.2* na-140 k-4.1 cl-102 hco3-24 angap-18 01:38pm blood alt-25 ast-91* ld(ldh)-234 alkphos-115 totbili-7.0* 01:38pm blood albumin-3.5 calcium-7.2* phos-3.4 mg-1.3* 03:00am blood fibrino-208 10:53pm blood ret aut-1.5 03:00am blood ret man-1.2 04:30am blood vitb12-* folate-greater th hapto-<20* microbiology: , blood cultures: negative urine cultures: negative imaging: cxr: minor right lower lobe atelectasis and/or scarring, but no findings suggestive of aspiration. cxr: in comparison with study of , there is increased opacification at the right base with silhouetting of the hemidiaphragm, consistent with right lower lobe pneumonia. the left lung is essentially clear. ruq us 1. no evidence of focal hepatic lesion. 2. moderate ascites. 3. continued evidence of portal hypertension with upper abdominal varices and splenomegaly. however, portal venous flow remains hepatopetal. 4. gallbladder sludge. egd: varices at the lower third of the esophagus grade 3 esophagitis in the lower third of the esophagus and middle third of the esophagus compatible with reflux esophagitis (cytology) ulcer in the lower third of the esophagus. granularity, mosaic appearance and friability in the whole stomach compatible with portal hypertensive gastropathy otherwise normal egd to third part of the duodenum recommendations: 1) proton pump inhibitor twice daily 2) sucralfate 1g qid 3) follow brushings 4) repeat egd in 6 weeks to ensure healing and to band varix brief hospital course: ms. has a history of alcoholic cirrhosis with known varices and was admitted with an upper gi bleed. although she had persistent vomiting on admission, it was no longer blood-tinged but was rather tan-colored mucous. she was continued initially on the protonix and octreotide drips. hematocrit stabilized after transfusing one unit of rbc's and 2 bags of platelets. she was maintained on lasix, aldactone, and nadolol. the gi service was consulted and followed her throughout her admission. an upper endosocpy was performed on and showed varices at the lower third of the esophagus as well as grade 3 esophagitis in the lower third of the esophagus and middle third of the esophagus compatible with reflux esophagitis. esophageal brushings were collected; they were pending at the time of discharge and have since come back negative for malignant cells. in addition, there was a ulcer in the lower third of the esophagus. granularity, mosaic appearance and friability in the whole stomach compatible with portal hypertensive gastropathy. she was transitioned to a protonix 40 mg po bid and sulcralfate 1g qid. it was recommended that she obtain a repeat egd in 6 weeks for follow-up and to band the varices. for concerns for alcohol withdrawal, she was maintained on a ciwa scale and was treated with thiamine and folate. medications on admission: aldactone 50mg po bid bactroban applied topically humibid/mucinex 600mg po bid lasix 40mg po daily levaquin 250mg po daily ?ongoing or x 7 days - unclear per pt magnesium 400mg po q8hr nadolol 20mg po daily oxycodone 5mg po q6hr prn potassium 20meq po tid prilosec 40mg daily multivit 1tab po daily discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. hexavitamin tablet sig: one (1) cap po daily (daily). 3. 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* 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 5. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. magnesium oxide 400 mg tablet sig: one (1) tablet po tid (3 times a day). 7. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. spironolactone 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 9. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnoses: cirrhosis esophageal varices and ulcer with upper gi bleeding thrombocytopenia discharge condition: stable-- with some abdominal distension; no evidence of active ongoing bleeding; hemodynamically stable. discharge instructions: please call your doctor if you develop a fever or shortness of breath. if you cannot reach your doctor, you should go to the emergency department. please follow the medication list that you are given very closely. some changes have been made to your medication dosages and to how often you need to take them. some are to help your fluid levels in your body so that you do not accumulate too much fluid in your belly. some are to help the ulcer in your esophagus heal. followup instructions: you have an appointment with dr. in the liver department on monday, at 1:45 pm. their phone number is (, and the office is located on the , , of the on the of hospital. you will need a repeat egd in about six weeks to see how your esophagus is healing. you should talk to dr. about this at your appointment in . md procedure: other endoscopy of small intestine transfusion of packed cells transfusion of platelets diagnoses: acute posthemorrhagic anemia alcoholic cirrhosis of liver acute kidney failure, unspecified portal hypertension personal history of malignant neoplasm of other parts of uterus pneumonitis due to inhalation of food or vomitus other ascites esophageal varices in diseases classified elsewhere, with bleeding ulcerative colitis, unspecified other specified disorders of stomach and duodenum acute alcoholic hepatitis alcohol withdrawal other esophagitis 

Answer: The patient is high likely exposed to