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: history of present illness: the patient is a 35-year-old gentleman with a history of hepatitis c and cirrhosis, human immunodeficiency virus, and recent admission for pancreatitis (from to ) who presented to the emergency department with bright red blood per rectum that filled the toilet. the patient felt nauseated and had hematemesis times two. he finished and noticed dizziness. he had positive shortness of breath. no lightheadedness. he had two more bowel movements later in the day; also with bright red blood per rectum. the patient denied any palpitations. no chest pain. the patient noted some right lower quadrant abdominal pain which is chronic but worsened over the past week. he denied any melena. he also noted some dizziness and diaphoresis with decreasing weight two days ago. he had a cough with some yellow sputum for the past week. he had some subjective fevers with sweating at night. he denied any previous episodes of hematemesis. he complained of some gynecomastia and some increased nipple pain. in the emergency department, he had no nasogastric lavage (per gastroenterology). he was started on proton pump inhibitors intravenously with an octreotide drip. past medical history: 1. human immunodeficiency virus diagnosed 15 years ago; his last viral load was 4000 with a cd4 count of 375. he has been off of retroviral therapy. 2. hepatitis c (viral load of 969,000 in ). 3. grade iii esophageal varices in the lower one third of the esophagus. 4. portal gastropathy. 5. cirrhosis (treated with interferon gamma). 6. depression. 7. chronic constipation. 8. type 2 diabetes mellitus. medications on admission: 1. nystatin swish-and-swallow. 2. paxil 30 mg by mouth once per day. 3. aldactone 25 mg by mouth once per day. 4. psyllium. 5. peri-colace 100 mg by mouth twice per day. 6. insulin sliding-scale. 7. glyburide 10 mg by mouth in the morning. allergies: no known drug allergies. family history: the patient's father died of a myocardial infarction at the age of 42. the patient's mother with diabetes mellitus. social history: the patient lives with his wife. history of heroin abuse, but he quit three years ago. some tobacco; one pack per day. physical examination on presentation: the patient's vital signs in the emergency department revealed his temperature was 98.2 degrees fahrenheit, his blood pressure was 121/85, his heart rate was 83, his respiratory rate was 16, and his oxygen saturation was 96% on room air. in general, the patient was pleasant and in no apparent distress. head, eyes, ears, nose, and throat examination revealed pupils were equal, round, and reactive to light. extraocular muscles were intact. he had a small ulcer on his right tongue. no thrush. the mucous membranes were dry. he had mild icterus. pulmonary examination revealed the patient's lungs were clear to auscultation bilaterally. no wheezes or rhonchi. abdominal examination revealed mild tenderness in the right lower quadrant and left upper quadrant. the abdomen was nondistended with active bowel sounds. extremity examination revealed the patient had no clubbing, cyanosis, or edema. the patient had 1+ dorsalis pedis pulses bilaterally. neurologic examination revealed the patient was alert and oriented times three. cranial nerves ii through xii were intact to testing. the patient's gait was normal. pertinent laboratory values on presentation: laboratories on admission revealed the patient's sodium was 135, potassium was 5, chloride was 103, bicarbonate was 23, blood urea nitrogen was 10, creatinine was 0.8, and blood glucose was 138. his alt was 84, his ast was 181, his alkaline phosphatase was 148, his lipase was 160, his amylase was 159, and his total bilirubin was 1.7. white blood cell count was 6.1, his hematocrit was 39.9, and his platelets were 82. pertinent radiology/imaging: electrocardiogram revealed a sinus rhythm at 74 beats per minute, normal axis, normal intervals, and normal r wave progression. no q waves. no st elevations or st depressions. concise summary of hospital course by issue/system: 1. upper gastrointestinal bleed issues: the patient was stabilized in the emergency department and typed and crossed for blood. the patient was taken for an endoscopy which showed grade iii esophageal varices with a stigmata of recent bleeding and some varices which were banded. the patient had serial hematocrit checks which remained stable. the patient had no further episodes of gastrointestinal bleeding. the patient was transferred to the intensive care unit for close monitoring. the patient remained stable in terms of his gastrointestinal bleeding. the patient was started on sucralfate. the patient was then started on nadolol for prophylaxis to prevent any further bleeding. 2. abdominal pain issues: the patient was recently discharged for pancreatitis. the patient had evidence of increased amylase and lipase levels on admission. the patient had an right upper quadrant ultrasound which showed a small heterogenous liver without ductal dilatation. no gallbladder pathology. the vessels were patent. trace fluid in the pouch. the patient also had a kub which showed a few slightly dilated loops of small bowel with some air/fluid levels. the kub did not show any gastric dilatation. the patient was urgently kept nothing by mouth and then having a bowel movement his diet was slowly advanced as tolerated. the patient was tolerating a normal diet by the day of discharge. 3. hepatitis c cirrhosis issues: the patient had failed ribavirin and interferon. he is followed as an outpatient by infectious disease. he had an ultrasound while in the hospital which again showed a small heterogenous liver. 4. human immunodeficiency virus issues: the patient is off highly active antiretroviral therapy secondary to liver disease. it was felt that his increased amylase and lipase may have been secondary to his human immunodeficiency virus disease. the patient did show any clinical symptoms of pancreatitis, and his amylase and lipase continued to improve throughout his hospitalization. 5. diabetes mellitus issues: the patient was on glyburide and an insulin sliding-scale. the patient's blood sugars were well controlled while in the hospital. 6. depression issues: the patient was continued on paxil after he began tolerating oral intake. condition at discharge: condition on discharge was stable. discharge status: discharge status was to home. discharge diagnoses: 1. gastrointestinal bleed. 2. anemia (secondary to blood loss). 3. cirrhosis. 4. human immunodeficiency virus. medications on discharge: 1. lactulose 30 cc by mouth three times per day. 2. paroxetine 20-mg tablets 1.5 tablets by mouth once per day. 3. glyburide 10 mg by mouth in the morning. 4. nadolol 40 mg by mouth once per day. 5. pantoprazole 40 mg by mouth q.12h. 6. sucralfate 1 g by mouth four times per day. discharge instructions/followup: 1. the patient was instructed to take all medications as prescribed. 2. the patient was scheduled an appointment with dr. at at at 12 in the afternoon. 3. the patient was also scheduled for an endoscopy on at 8 in the morning to re-evaluate his varices for possible banding. 4. the patient was instructed not to eat after midnight on . 5. the patient was also advised that if he saw any blood or black or tarry stools or if he developed any further abdominal pain that he was to contact his primary care physician (dr. ) at (telephone number ) or return to the emergency department. , m.d. dictated by: medquist36 procedure: endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: thrombocytopenia, unspecified cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified human immunodeficiency virus [hiv] disease esophageal varices in diseases classified elsewhere, with bleeding opioid abuse, unspecified epistaxis 

Answer: The patient is high likely exposed to