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: variceal bleed major surgical or invasive procedure: egd with variceal banding and injection intubation history of present illness: 46m with etoh cirrhosis complicated by portal hypertension and prior esophageal variceal bleeding transferred from ed after presenting with massive hematemesis starting 2 hours prior to arrival. mother called ems. describes amount of blood as "a lot." in the ambulance on the way to had 300-400 cc hematemesis. tachycardic to 140s but normotensive and mentating appropriately. hct 21.1 plts 115 inr 1.3. given 2u prbc, ceftriaxone 1 g iv, started on protonix/octreotide gtt. to . in ed initial v/s 132 118/65 10 100%nrb. hct 24.0 plts 113 inr 1.7. given 4u prbc, 1l ns. remained normotensive. had 600 cc additional hematemesis in the ed. vital signs prior to transfer 123 123/79 17 100%ra. upon arrival in the icu, had another episode of ~500 cc bright red emesis. feels lightheaded and mild shortness of breath, and complains of luq pain and nausea. no fever, chills, syncope, chest pain, cough, hematochezia, or melena. past medical history: -etoh hepatitis/cirrhosis, portal hypertension, esophageal varices. no history of hep ancephalopathy, no hx of sbp. -subacute pancreatitis -hypertension -appendectomy -repeated surgeries for facial trauma -unknown surgery on bilateral shoulders social history: heavy etoh abuse, with binge drinking episodes. previously drank a six-pack daily, with whiskey. reports last etoh intake 1 week ago. smokes 1 pack/week. denies ivdu. family history: cad, father deceased at 64, grandfather deceased at 61, both from mi physical exam: on admission: v/s: t 98.7 hr 120 bp 130/84 rr 15 o2sat 100%2l gen: awake, alert, conversing appropriately heent: anicteric, pale conjunctiva, dried blood around the mouth neck: no jvd cv: reg tachy no m/r/g pulm: ctab abd: soft nondistended mildly tender to deep palp luq no rebound, guarding +bs ext: warm, dry +pp . pertinent results: 01:55pm blood wbc-5.4 rbc-3.09* hgb-7.7* hct-24.0* mcv-78*# mch-25.0* mchc-32.2 rdw-17.8* plt ct-113*# 03:59pm blood wbc-4.3 rbc-3.26* hgb-9.3* hct-27.3* mcv-84 mch-28.6# mchc-34.1 rdw-17.5* plt ct-68* 06:48pm blood wbc-5.4 rbc-3.06* hgb-8.6* hct-25.6* mcv-84 mch-28.0 mchc-33.4 rdw-17.1* plt ct-90* 04:13am blood wbc-6.0 rbc-3.32* hgb-9.7* hct-27.4* mcv-83 mch-29.0 mchc-35.2* rdw-17.4* plt ct-60* 11:44am blood wbc-6.0 rbc-3.32* hgb-9.4* hct-27.8* mcv-84 mch-28.4 mchc-33.9 rdw-17.3* plt ct-68* 07:00am blood wbc-3.5* rbc-3.25* hgb-9.2* hct-27.5* mcv-85 mch-28.5 mchc-33.6 rdw-18.6* plt ct-80* . 01:55pm blood pt-18.4* ptt-30.9 inr(pt)-1.7* 01:55pm blood plt smr-low plt ct-113*# 03:59pm blood pt-18.7* ptt-32.2 inr(pt)-1.7* 03:59pm blood plt ct-68* 07:00am blood pt-16.9* ptt-32.4 inr(pt)-1.5* 07:00am blood plt ct-80* . 01:55pm blood glucose-152* urean-16 creat-0.7 na-145 k-4.9 cl-110* hco3-22 angap-18 03:59pm blood glucose-197* urean-17 creat-0.8 na-146* k-5.0 cl-112* hco3-22 angap-17 04:40am blood glucose-101* urean-7 creat-0.6 na-137 k-3.3 cl-104 hco3-25 angap-11 07:00am blood glucose-89 urean-9 creat-0.6 na-141 k-3.1* cl-108 hco3-26 angap-10 . 01:55pm blood calcium-8.2* phos-3.6 mg-1.6 03:59pm blood albumin-3.2* calcium-7.4* phos-3.2 mg-1.5* 04:40am blood calcium-7.9* phos-2.3* mg-1.8 07:00am blood albumin-2.6* calcium-8.1* phos-3.3 mg-1.8 . 03:44pm blood type-art po2-132* pco2-41 ph-7.42 caltco2-28 base xs-2 intubat-intubated 04:40am blood type-art temp-36.9 po2-104 pco2-42 ph-7.46* caltco2-31* base xs-5 . 01:31pm blood glucose-103 lactate-1.5 na-141 k-3.7 cl-109 03:44pm blood glucose-103 lactate-1.6 na-141 k-3.6 cl-109 . 03:59pm urine bnzodzp-neg barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-neg . labs on discharge . 05:34am blood wbc-3.8* rbc-3.22* hgb-9.2* hct-27.2* mcv-85 mch-28.5 mchc-33.7 rdw-20.1* plt ct-75* 05:34am blood pt-18.5* ptt-34.6 inr(pt)-1.7* 05:34am blood glucose-94 urean-9 creat-0.6 na-139 k-3.7 cl-108 hco3-24 angap-11 05:34am blood alt-34 ast-51* ld(ldh)-172 alkphos-157* totbili-2.2* 05:34am blood albumin-3.0* calcium-8.1* phos-4.1 mg-1.9 . imaging . chest x-ray () findings: in comparison with the study of , the hemidiaphragms are quite sharply seen. there may still be some pleural effusion, which is hidden behind the apex of the hemidiaphragm on this upright view. mild atelectatic changes are seen at the left base, but no evidence of vascular congestion or acute pneumonia. . microbiology . urine cx x 2 = no growth blood cx x 6 = pending at time of discharge . brief hospital course: 46 yo m with a pmh of alcohol abuse, alcoholic cirrhosis admitted to the micu for massive hemetemisis from known severe esophageal varices s/p banding and injection, received large amounts of prbc, platelet, and ffp transfusions as well as a tips procedure, who is currently hemodynamically stable. . #esophageal variceal bleed - egd showed 3 cords of grade ii varices in the mid- and lower esophagus, one of which had an ulcerated area consistent with recent rupture. two were treated with banding and one with sodium morrhuate injection. given 11u prbc, 4u ffp, 2 bags platelets (last prbc transfusion was on ). underwent tips on . treated with octreotide/protonix gtt and ceftriaxone for sbp prophylaxis. carafate and nadolol started . his hct stabilized at 25-28 for the remainder of the admission. . # fever: spiked fevers prior to leaving the micu on to 101.6. he was pan-cultured and concern was for aspiration pneumonia vs. mediastinitis s/p egd. he had been covered by ceftriaxone and spiked through it, so he was switched to vanc and unasyn. he had a temp to 100.5 the following night, so we pan cultured and broadened to vanc and zosyn. his bump in lfts was likely due to the recent tips. he was initiated on vanc and zosyn for an 8 day course (last day = ) to be administered with the assistance of vna. . # confusion: resolved upon transfer from the unit. possibly due to encephalopathy in the setting of the bleed vs. infection. on lactulose and antibiotics. . #. etoh cirrhosis: extensive etoh abuse. pt admitted to recent alcohol use prior to admission. he stated that he needs help and wants to get sober. social work is getting him help for placement. openly remoresful and actively seeking help. he will be discharged with information about local detox options close to home. . medications on admission: 1. lactulose 30 ml po tid as needed for constipation. 2. nadolol 20 mg daily 3. omeprazole 40 mg twice a day 4. sucralfate 1000 mg four times a day. 5. folic acid 1 mg daily 6. multivitamin daily 7. thiamine 100 mg daily discharge medications: 1. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). 2. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). 3. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 7. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 8. vancomycin in d5w 1 gram/200 ml piggyback sig: one (1) gram intravenous q 12h (every 12 hours) for 4 days: last day = . disp:*7 grams* refills:*0* 9. piperacillin-tazobactam 4.5 gram recon soln sig: 4.5 grams intravenous every eight (8) hours for 4 days: last day = . disp:*18 grams* refills:*0* discharge disposition: home with service facility: home therapies discharge diagnosis: primary diagnoses: variceal bleed pneumonia secondary diagnosis: alcohol cirrhosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to for a large bleed from your stomach. when you arrived, a breathing tube was placed to help you breath and to protect against blood getting into your lungs. you had a procedure done with a camera looking into your stomach to find the veins that were bleeding and elastics were placed on them to stop the bleed. you were given blood to help stabilize your blood level. . you were given antibiotics to protect against infection. before leaving the icu you had a temperature while on antibiotics, so we gave you different antibiotics. you were treated for a pneumonia. . your blood counts were stable and you no longer had fevers. you were actively seeking help to enter relapse prevention program and we were happy to have social work meet with you to help set that up. you were in good condition upon discharge. you must make the appointment to go to outpatient rehab. you are in danger of becoming very sick or dying if you continue to drink alcohol. . in summary, we made the following changes to your medications: we added vancomycin 100mg iv twice a day for 8 days total (end ) we added zosyn 4.5g iv every 8 hours for 8 days total (end ) followup instructions: provider: office will call you for an office visit and an abdominal ultrasoun appointment. the endoscopy procedure that is scheduled for the end of is not needed you have an appointment with your pcp at 3:30pm. the phone number is . you can get your disability forms filled out there. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified insertion of endotracheal tube injection or infusion of other therapeutic or prophylactic substance arterial catheterization endoscopic excision or destruction of lesion or tissue of esophagus injection of anesthetic into spinal canal for analgesia intra-abdominal venous shunt phlebography of the portal venous system using contrast material diagnoses: other iatrogenic hypotension unspecified essential hypertension acute posthemorrhagic anemia alcoholic cirrhosis of liver acquired coagulation factor deficiency portal hypertension pneumonitis due to inhalation of food or vomitus esophageal varices in diseases classified elsewhere, with bleeding encephalopathy, unspecified varices of other sites other specified disorders of stomach and duodenum acute pancreatitis other and unspecified alcohol dependence, continuous acute alcoholic hepatitis 

Answer: The patient is high likely exposed to