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: acute renal failure major surgical or invasive procedure: diagnostic and therapeutic paracentesis history of present illness: patient is a 62-year-old man with history of hepatitis c/etoh cirrhosis (meld 30) who presents from liver clinic for evaluation of elevated creatinine. patient was in his usual state of health after recent discharge one week prior. he had an appointment in urology clinic with dr. the day prior to admission for asymptomatic bacteriuria. after that office visit, he had labs drawn which showed a creatinine of 2.1 (up from previous 0.9). labs were also notable for bicarb of 15 with ag 13, white count of 13.4 (up from 8.6), with plts and hct at baseline. urine culture from that appointment is pending. upon reviewing the labs today with patient in liver clinic, dr. admitted him directly for work-up of acute kidney injury. . of note, patient had been recently admitted for worsening abdominal distention, malaise, and guaiac positive stools. he underwent diagnostic paracentesis that was negative for sbp. showed no portal vein thrombosis. at time of discharge he was restarted on spironolactone 50mg and lasix 20mg, which he has been taking up until today. the guiaic positive brown stool was thought to be secondary to portal hypertensive gastropathy. his hematocrit remained stable. . review of systems: patient currently without pain or discomfort. denies confusion. denies shortness of breath or respiratory complaints. denies diarrhea or urinary symptoms. . past medical history: hcv and etoh cirrhosis: on tranplant list; denies any history of sbp, encephalopathy or gi bleed s/p bilataral cea for carotid stenosis social history: lives on with his wife , works for ocean spray as fork lift operator and has his own roofing company. tobacco: quit 8 years ago, prior smoked for 40 years etoh: none for past 21 years ivdu: none currently family history: n/c physical exam: vitals: t 95.3, bp 118/63, hr 57, rr 18, sat 100%ra general: well-appearing middle-aged man, no distress heent: +scleral icterus neck: supple chest: rrr, normal s1/s2 lungs: clear anterior fields abdomen: slightly distended, non-tender, no significant ascites extremities: no rashes, no edema, warm and well-perfused pertinent results: 11:35am wbc-13.4*# rbc-3.40* hgb-11.9* hct-36.5* mcv-107* mch-35.0* mchc-32.6 rdw-18.0* 11:35am plt count-121* 11:35am urea n-70* creat-2.1*# sodium-140 potassium-3.8 chloride-112* total co2-15* anion gap-17 11:35am alt(sgpt)-143* ast(sgot)-219* alk phos-300* tot bili-22.8* 11:35am calcium-8.6 phosphate-4.2 magnesium-2.6 lactate:1.2 06:41am blood wbc-5.1 rbc-4.09*# hgb-11.2* hct-34.0* mcv-83# mch-27.4# mchc-33.0 rdw-15.6* plt ct-348# 06:41am blood glucose-104* urean-16 creat-1.2 na-140 k-4.1 cl-102 hco3-31 angap-11 07:05am blood alt-91* ast-142* ld(ldh)-188 alkphos-182* totbili-23.0* renal : the right kidney measures 10.6 cm and the left kidney measures 10.9 cm. there is no evidence of stone or hydronephrosis. a 10 x 9 x 7 mm simple cyst is present within the upper pole of the left kidney. therapeutic paracentesis: successful aspiration of 3.0 liters of straw-colored fluid from the right lower quadrant. a portion of this fluid was sent to the laboratory for gram stain culture and chemistries. brief hospital course: assessment/plan: a very nice 62-year-old man with hcv/etoh cirrhosis (meld 30) who presents from clinic with acute kidney injury after recently starting diuretics. . # acute kidney injury: most consistent with prerenal azotemia. other considerations for acute kidney injury in this man with underlying cirrhosis were infectious sources, which were evaluated with cxr, blood/urine cultures, and diagnostic paracentesis, all of which were unrevealing. renal without evidence of obstructing stone or mass. pt's creatinine improved with fluids. . # guaiac positive brown stool: pt passed guaiac positive brown stool. had recent egd on with grade i varices and portal hypertensive gastropathy. therefore not on nadolol. also had recent colonoscopy at osh only notable for polyps. pt was hemodynamically stable. # cirrhosis: patient has end-stage liver disease. he is active on the transplant list. this is complicated by abdominal ascites and hepatic encephalopathy. he was continued on rifaximin/lactulose. spironolactone will be restarted day after discharge. he had therapeutic tap with removal of 3 liters of ascitic fluid. he recevied albumin 50 grams post tap. . # hypertension: blood pressure was low; his atenolol dose was decreased by half. he may need to discontinue this medication if blood pressures remain low. # anemia/thrombocytopenia: stable and at recent baseline. medications on admission: 1. lactulose 10 gram/15 ml syrup sig: ten (10) ml po tid. 2. atenolol 25 mg tablet sig: one (1) tablet po once a day. 3. rifaximin 200 mg tablet sig: one (1) tablet po tid. 4. spironolactone 25 mg tablet sig: two (2) tablet po daily. 5. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). discharge medications: 1. lactulose 10 gram/15 ml syrup sig: fifteen (15) ml po qid (4 times a day). 2. atenolol 25 mg tablet sig: 0.5 tablet po daily (daily). tablet(s) 3. rifaximin 200 mg tablet sig: one (1) tablet po three times a day. 4. outpatient lab work please draw chem -10 on monday and fax results to , attention: 5. spironolactone 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: acute renal failure secondary: alcoholic cirrhosis hypertension anemia thrombocytopenia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital with kidney injury. this was secondary to being too dehydrated from the diuretic medication. we gave you some fluid back and your kidney function improved. we will restart the diuretics at a lower dose to remove fluid from your abdomen but not affect your kidneys. this is a delicate balance and may require further adjustment. please limit your fluid intake to no more than 2 liters a day. during your hospitalization, 3 liters of fluid were removed from your abdomen which reduced the swelling. changes to your medication include: stop furosemide start spironolactone (aldactone) 50mg tomorrow () and take 1 tab daily decrease atenolol to 12.5mg daily from 25mg daily ( of your prior dose as your blood pressure was lower) follow up with your regularly scheduled appointments. followup instructions: provider: phone: date/time: 3:00 provider: , md phone: date/time: 11:00 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube insertion of endotracheal tube percutaneous abdominal drainage arterial catheterization insertion of other (naso-)gastric tube endoscopic excision or destruction of lesion or tissue of esophagus endoscopic excision or destruction of lesion or tissue of esophagus transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: acidosis alcoholic cirrhosis of liver acute kidney failure, unspecified unspecified septicemia severe sepsis personal history of tobacco use acute respiratory failure pneumonitis due to inhalation of food or vomitus septic shock other sequelae of chronic liver disease other ascites awaiting organ transplant status hyperosmolality and/or hypernatremia other specified disorders of stomach and duodenum gastroesophageal laceration-hemorrhage syndrome hemorrhage of rectum and anus esophageal varices without mention of bleeding alcohol abuse, in remission cocaine abuse, in remission unspecified viral hepatitis c with hepatic coma 

Answer: The patient is high likely exposed to