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: no known allergies / adverse drug reactions attending: chief complaint: transfer from osh for bleeding s/p liver bx of suspected hcc. major surgical or invasive procedure: none. history of present illness: 69 yo m with alcoholic cirrhosis transferred from osh s/p liver biopsy on c/b bleeding and hypotension. on pt became hypotensive to the 50s (sbp) during a ct-guided liver bx of a r liver lobe lesion discovered earlier on ct. bx was completed and tract was embolized with gelfoam pledgets. f/u ct scan revealed blood adjacent to liver and in pericolic gutter. repeat angiogram was done by ir without intervention. pt received a total of 3 u. prbcs and 2 platelets with appropriate hct correction from 24 to 30 and improvement in vital signs. patient was transfered to icu at and received 3 additional u. of prbcs and 3 of platelets. pt developed intermittent encephalopathy and was treated with rifaximin and continued tx with lactulose. pt was started on doxycycline for sbp prophylaxis - he remained afebrile throughout. nadalol was held hypotension. creatinine increased from ~1.5 baseline to 4.1 and on discharge with decreased uop (15/20ml/hr). o2 requirements increased over course of stay likely fluid overload and arf - at time of discharge, pt was on 4 l o2 nc (sat 95%). pt's tolerated regular diabetic diet with daily bms at mount hospital. on presentation to sicu; patient c/o fatigue, 5 lb weight loss, decreased urine, temperature intolerance to cold and decreased appetite over past week, cough productive of "cloudy sputum", midline abdominal pain, back pain, intermitent vomiting x 1 week, diarrhea. patient denies sob, vision changes, doe, hemopysis, chestpain, dysuria, hematuria, hematchezia, joint pain, ha, easy bruising or bleeding or parasthesias. past medical history: etoh cirrhosis, diabetes, htn, pulmonary htn, chronic gastropathy, hx of esophageal varices, lower back pain. past surgical history: basal cell excisions from b/l arms and ears, b/l cataract surgery. ct guided needle biopsy r lobe liver mass. no hx of intra-abdominal surgeries. social history: h/o alcohol abuse. abstinent for 20 years. denies smoking. family history: noncontributory. physical exam: on admission: t: 98.2 p: 75 bp: 104/51 rr: 19 o2sat: 95% on 4l nc afebrile for >48 hours general: awake, alert, nad, on 4l nc heent: ncat, eomi, no scleral icterus, r central line in place heart: rrr, nmrg lungs: right lung base decreased breath sounds, l base inspirtatory crackles, normal excursion, no respiratory distress back: no cvat abdomen: nonfocal diffuse tenderness, mild-moderate abdominal distention with tympany, no rebound/guarding. postitive bowel sounds. no splenomegaly neuro: strength intact/symmetric, sensation intact/symmetric extremities: wwp, no edema, no tenderness pyschiatric: normal judgment/insight, normal memory, normal mood/affect pertinent results: liver biopsy: poorly-differentiated carcinoma with lymphovascular invasion; hepatic cirrhosis. the findings would be consistent with a metastatic carcinoma of gastrointestinal, pancreaticobiliary or urothelial origin, or a primary cholangiocarcinoma. 02:00pm blood wbc-9.0 rbc-2.79* hgb-9.6* hct-26.1* mcv-94 mch-34.3* mchc-36.7* rdw-18.7* plt ct-61* 10:03pm blood wbc-7.6 rbc-3.11* hgb-10.7* hct-29.7* mcv-96 mch-34.4* mchc-36.0* rdw-17.3* plt ct-53* 01:49am blood wbc-7.6 rbc-3.21* hgb-10.6* hct-30.7* mcv-96 mch-33.1* mchc-34.6 rdw-17.3* plt ct-61* 09:51am blood wbc-8.3 rbc-3.19* hgb-10.9* hct-30.7* mcv-97 mch-34.1* mchc-35.3* rdw-17.4* plt ct-58* 10:18pm blood wbc-7.4 rbc-3.03* hgb-10.6* hct-29.2* mcv-97 mch-34.9* mchc-36.2* rdw-19.0* plt ct-43* 02:32am blood wbc-7.0 rbc-3.08* hgb-10.6* hct-29.6* mcv-96 mch-34.3* mchc-35.7* rdw-18.9* plt ct-57* 12:34pm blood wbc-9.7 rbc-3.39* hgb-11.9* hct-32.8* mcv-97 mch-35.0* mchc-36.1* rdw-19.2* plt ct-68* 02:13am blood wbc-6.9 rbc-3.25* hgb-11.2* hct-30.9* mcv-95 mch-34.4* mchc-36.3* rdw-19.5* plt ct-59* 12:23pm blood wbc-6.6 rbc-3.31* hgb-11.4* hct-32.0* mcv-97 mch-34.5* mchc-35.6* rdw-18.3* plt ct-63* 02:00am blood wbc-10.9# rbc-3.73* hgb-12.8* hct-36.2* mcv-97 mch-34.2* mchc-35.2* rdw-19.2* plt ct-65* 07:54pm blood wbc-9.7 rbc-3.74* hgb-12.7* hct-37.1* mcv-99* mch-34.0* mchc-34.3 rdw-19.5* plt ct-55* 01:31am blood wbc-10.2 rbc-3.88* hgb-13.3* hct-38.4* mcv-99* mch-34.2* mchc-34.6 rdw-19.2* plt ct-57* 02:00pm blood pt-16.9* ptt-32.5 inr(pt)-1.5* 10:03pm blood pt-17.6* ptt-34.0 inr(pt)-1.6* 01:49am blood pt-17.4* ptt-31.7 inr(pt)-1.6* 09:51am blood pt-17.6* ptt-31.1 inr(pt)-1.6* 10:18pm blood pt-18.2* ptt-29.7 inr(pt)-1.6* 02:32am blood pt-18.2* ptt-31.8 inr(pt)-1.6* 12:34pm blood pt-17.9* ptt-31.4 inr(pt)-1.6* 02:13am blood pt-18.0* ptt-29.5 inr(pt)-1.6* 12:23pm blood pt-18.7* ptt-31.6 inr(pt)-1.7* 02:00am blood pt-19.1* ptt-34.1 inr(pt)-1.7* 07:54pm blood pt-18.5* ptt-32.3 inr(pt)-1.7* 01:31am blood pt-20.2* ptt-37.4* inr(pt)-1.8* 10:03pm blood fibrino-273 01:49am blood fibrino-258 09:51am blood fibrino-319 10:18pm blood fibrino-312 12:34pm blood fibrino-319 02:13am blood fibrino-292 12:23pm blood fibrino-277 02:00am blood fibrino-235 02:00pm blood glucose-145* urean-112* creat-4.7* na-133 k-4.5 cl-98 hco3-17* angap-23* 01:49am blood glucose-127* urean-120* creat-5.1* na-134 k-4.2 cl-99 hco3-16* angap-23* 02:32am blood glucose-121* urean-136* creat-5.9* na-133 k-4.6 cl-98 hco3-15* angap-25* 12:34pm blood glucose-136* urean-141* creat-6.2* na-131* k-4.5 cl-95* hco3-14* angap-27* 02:13am blood glucose-142* urean-99* creat-4.3*# na-133 k-3.7 cl-93* hco3-20* angap-24* 12:23pm blood glucose-157* urean-75* creat-3.4* na-130* k-3.7 cl-92* hco3-22 angap-20 06:02pm blood glucose-180* urean-79* creat-3.0* na-132* k-3.9 cl-95* hco3-22 angap-19 02:00am blood glucose-173* urean-67* creat-2.7* na-132* k-3.7 cl-94* hco3-24 angap-18 01:39pm blood glucose-222* urean-49* creat-2.1* na-132* k-4.0 cl-93* hco3-23 angap-20 07:54pm blood glucose-204* urean-46* creat-2.1* na-131* k-3.8 cl-91* hco3-23 angap-21* 01:31am blood glucose-227* urean-40* creat-1.8* na-131* k-3.8 cl-90* hco3-25 angap-20 03:55pm blood glucose-205* urean-31* creat-1.5* na-132* k-3.7 cl-93* hco3-26 angap-17 02:00pm blood alt-319* ast-344* ld(ldh)-301* alkphos-166* amylase-36 totbili-10.0* 01:49am blood alt-278* ast-262* alkphos-156* totbili-12.3* 02:32am blood alt-223* ast-173* ld(ldh)-284* alkphos-152* totbili-15.2* dirbili-11.2* indbili-4.0 02:13am blood alt-177* ast-135* alkphos-157* totbili-17.9* 02:00am blood alt-150* ast-140* alkphos-169* totbili-21.1* 07:54pm blood alt-140* ast-150* alkphos-200* totbili-24.9* 01:31am blood alt-136* ast-153* alkphos-211* totbili-25.3* liver us: no detectable flow within the main, right or left portal vein, which may indicate occlusive thrombosis or extremely slow flow. ct abdomen: 1. portal vein thrombosis from the confluence with the superior mesenteric vein extending to the proximal bilateral intrahepatic branches. 2. the large heterogeneously-enhancing lesion in the right lobe of the liver is most consistent with atypical hepatocellular carcinoma or metastatic disease and less likely hypoperfusion. 3. sequelae of portal venous hypertension including splenomegaly, moderate ascites, and anasarca. 4. right middle lobe infectious or inflammatory process. brief hospital course: on , the patient was admitted to the sicu on the hepatobiliary surgery service after a liver biopsy complicated by hemorrhage and acute renal failure. he was transfused 2u prbc and hct stabilized. on , he was also transufsed 1pk platelets. he did not require additional transfusions. his diet was advanced to regular. he became oliguric which did not improve with furosemide. on , a hemodialysis line was placed and he was started on cvvh for fluid overload. on , he developed atrial fibrillation with rvr requiring amiodarone gtt. all of the above was in the setting of worsening liver failure. his tbili on presentation was 10.0 and continued to climb (it was 25.3 on , the last day it was checked). to workup the cause of his worsening liver failure, a ultrasound was performed on assessing the portal vasculature and consistent with no flow in the portal vein. a ct scan on suggested the cause of the portal venous obstruction was malignancy, likely metastatic in origin. on , pathology results from from the liver biopsy were consistent with undifferentiated malignancy and discussed with the patient and his family (official pathology final report from pending at time of this discharge summary). mr. , after discussion with his family and the palliative care team at , decided upon dnr/dni status and a slow de-escalation of care. cvvh was discontinued on and he was transferred to the floor on . he was officially made "comfort measures only" on . he expired at 9:01 pm on . medications on admission: - humalong ss - lantus 46 u. qhs - prilosec otc qd - spironolactone po bid - lactulose 10 g po bid - nadolol 40 mg po qd - lasix 40 mg po qam and 20 mg po qpm - simvastatin 10 mg po qhs discharge disposition: expired discharge diagnosis: liver failure secondary to malignancy discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis arterial catheterization pulmonary artery wedge monitoring diagnoses: malignant neoplasm of liver, secondary urinary tract infection, site not specified acute and subacute necrosis of liver alcoholic cirrhosis of liver acute kidney failure, unspecified other and unspecified alcohol dependence, in remission portal hypertension hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation other chronic pulmonary heart diseases chronic kidney disease, unspecified streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] malignant neoplasm of liver, primary do not resuscitate status esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum lumbago other malignant neoplasm without specification of site other specified disorders resulting from impaired renal function barrett's esophagus acute pancreatitis angiodysplasia of stomach and duodenum without mention of hemorrhage secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes mixed acid-base balance disorder 

Answer: The patient is high likely exposed to