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: gi bleeding major surgical or invasive procedure: egd with banding paracentesis x2 history of present illness: 40yo woman with history of etoh abuse presented to the ed with hematemesis. she has a history of etoh abuse, and reportedly went on a binge recently. in that setting, she had about 400cc in hematemesis. she presented to an osh where her hct was 12. she received 2 units prbc and 2u ffp there. she was then transferred here to . no further episodes of hematemesis here. . in the ed, she was hemodynamically stable. initial vitals were: 101.1, 106, 132/66, 19, 99% ra. she was found to have a hct of 17.6. her labs were otherwise notable for platelets of 45 and inr of 1.4. her chemistry was otherwise normal with normal renal function and an anion gap of 11. she had a mild transaminitis with ast/alt ratio of > 2:1. while in the ed, she had two lg bore peripheral iv's placed and was transfused in total 2 units of prbc as well as platelets. she was started on protonix and octreotide drips. got 1l banana bag, followed by > 1l ns. . of note, she has a history of etoh abuse. no documented history of cirrhosis or esophageal varices. on interview, she confirms the above history of etoh binge with resultant episode of hematemesis. otherwise, she reports mild subjective fever, abdominal fullness, and tenderness. otherwise, ros negative. no cp, sob, cough, dysuria, meningeal symptoms, or any other focal complaints. she does report that she has been feeling increasingly depressed resulting in her most recent etoh binge. . past medical history: 1. etoh abuse 2. cocaine abuse 3. depression social history: pt married, in long-standing abusive marriage and had recently gotten a restraining order on husband (3 months ago), but rescinded it this past w/e to join him on where they were drinking/using drugs. pt lives in with 15yo daughter. pt has not worked inmany years. pt is one of 5 siblings who live in the area. both parents still living although father has not been involved in many years and has hx of etoh abuse. currently, pt. adamant about stopping etoh. she states she has long history of drinking, mostly weekend binge drinking of 2 pints/day on weekends. interested in rehab from home but cannot pay insurance family history: etoh abuse in father physical exam: vs: 100.4, 92, 114/71, 20, 100% on 2l nc . gen a/o, nad heent anicteric, mmm neck supple, no meningeal signs, no jvd cv rrr, no m/r/g resp cta bilaterally abd mildly distended, soft, mild diffuse tenderness; no peritoneal signs extr warm, well perfused; no c/c/e neuro + mild asterixis pertinent results: 10:55pm pt-15.8* ptt-30.2 inr(pt)-1.4* 10:55pm plt smr-very low plt count-45* 10:55pm neuts-80.7* bands-0 lymphs-13.5* monos-5.3 eos-0.1 basos-0.4 10:55pm wbc-9.9 rbc-1.98* hgb-6.0* hct-17.6* mcv-89 mch-30.4 mchc-34.3 rdw-18.3* 10:55pm albumin-3.2* 10:55pm lipase-31 10:55pm alt(sgpt)-19 ast(sgot)-73* ld(ldh)-169 alk phos-262* amylase-37 tot bili-1.6* 10:55pm glucose-99 urea n-17 creat-0.5 sodium-141 potassium-3.7 chloride-104 total co2-26 anion gap-15 chest (pa & lat) 3:42 pm there is patchy opacity in the right cardiophrenic region, similar to that seen on the portable film from earlier the same day. this most likely lies in the anterior segment of the right lower lobe. there is a small-to-moderate right and small left pleural effusion. both the patchy opacity and the right effusion are new compared with . impression: 1. bilateral right greater than left effusions. 2. patchy opacity, right base, suggestive of a pneumonic infiltrate. abdomen u.s. (complete study) 8:06 am there are no prior studies for comparison. the liver is intensely echogenic and heterogeneous compatible with fatty infiltration. no discrete masses are identified. there is massive ascites, and an appropriate spot was marked in the right lower quadrant for paracentesis by the clinical team. liver doppler shows fully patent portal veins with forward flow and normal respiratory variations. there is evidence of portal hypertension as manifested by a patent umbilical vein. the hepatic veins, inferior vena cava, and hepatic arteries are all fully patent. the pancreas and retroperitoneum are not well seen and the splenic and superior mesenteric veins are also not well visualized. there is a small gallstone in the neck of the gallbladder, but no signs of acute cholecystitis. there is no bile duct dilatation. the right kidney measures 9.3 cm in length and the left kidney 11.5 cm. both kidneys are normal in appearance. the spleen is upper normal in size at 12.3 cm. conclusion: fatty heterogeneous liver with signs of portal hypertension including a patent umbilical vein. the degree of heterogeneity in the liver makes exclusion of small lesions difficult and consideration of further imaging with mri is recommended. massive ascites with the spot marked in the right lower quadrant for paracentesis by the clinical team. gallstone. brief hospital course: in icu, had elective intubation for egd which showed grade iii varices which were banded. she also had nl. portal flow and ruq u/s with fatty liver and e/o portal hypertension including patent umbilical vein and massive ascites. extubated without event. had 4l paracentesis, no e/o sbp. on cipro ppx for 5 days given recent bleed. was also on ciwa scale with little diazepam requirements. further management on the floor: # gi bleed- s/p banding of variceal ulcer twice, 4u prbcs; egd showed stage iii varices. hct stable since admit. hepatology following. had egd with banding and no repeat bleeding. did have some post procedure pain, but improved with pain meds and sucralfate. will need follow up with gi for repeat egd and then with dr. . discharged on ppi , sucralfate qid. propranolol . # cirrhosis- etoh abuse w/lft's elevated and ast/alt>. alk phos, tbili, transaminases trending down. likely had alcoholic hepatitis that is improving. patient as tested for hep c negative, hep b s-ab positive, other hepb serologies negative. was also started on diuretics of lasix 40 mg, sprinolactone 100mg per hepatology recommendations. need staging bx. as outpt. should be maintained on low salt diet as an outpatient. . # h/o etoh abuse currently with no signs and symptoms of withdrawal. was on ciwa but had minimal diazepam requirment. patient has been accepted at ad care treatment center. . # fever- positive ua with >100,000 e coli, treated with ceftriaxone for 3 days, asymptomatic now and afebrile for several days prior to discharge. . # thrombocytopenia: stable. likely chronic liver dz. medications on admission: none discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po every twelve (12) hours. disp:*14 tablet, delayed release (e.c.)(s)* refills:*0* 2. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*14 caps* refills:*0* 3. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*14 tablet(s)* refills:*0* 4. spironolactone 100 mg tablet sig: one (1) tablet po daily (daily). disp:*14 tablet(s)* refills:*0* 5. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime) as needed for insomnia. disp:*14 tablet(s)* refills:*0* 6. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day). disp:*56 tablet(s)* refills:*2* 7. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed. 8. tylenol 325 mg tablet sig: one (1) tablet po every 4-6 hours: no more than 2 grams/day (6 tablets). 9. propranolol 10 mg tablet sig: one (1) tablet po twice a day: hold for dizziness or light headedness. disp:*30 tablet(s)* refills:*2* discharge disposition: extended care facility: hospital - discharge diagnosis: grade iii esophageal varices blood loss anemia etoh abuse etoh cirrhosis depression discharge condition: good, tolerating pos, ambulating without assistance, satting >95% on room air discharge instructions: as you know you were admitted with a bleed from large veins in the esophagus, called varices. these veins are large and prone to bleeding because of your liver disease, called cirrhosis, which is from alcohol use. we strongly advise you to remain abstinent from all alcohol. you should limit your salt and fluid intake as you have been instructed by nutritional services here. you need to take all medications exactly as prescribed, especially spironolactone (for fluid, a diuretic), lasix (for fluid, a diuretic), pantoprazole (to prevent acide in the stomach), and propranolol (to keep bp low and prevent bleeding in your esophagus). these medicines are very important to prevent reaccumulation of your ascites, infection, and rebleeding. follow up as below. .......... diet: you should only have clear liquids for 6 hours after egd today and then soft foods for the next 24 hours (as you had bands placed today and you have to eat soft foods to allow them to heal). followup instructions: make an appointment to follow up with your primary care provider's office within 1 week. you will also need a follow up egd as below. it is essential that you attend this appointment provider: west,room two gi rooms date/time: 9:30 provider: , md phone: date/time: 9:30 procedure: other endoscopy of small intestine endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: thrombocytopenia, unspecified urinary tract infection, site not specified alcoholic cirrhosis of liver iron deficiency anemia secondary to blood loss (chronic) portal hypertension esophageal varices in diseases classified elsewhere, with bleeding dehydration other and unspecified alcohol dependence, continuous alcohol withdrawal 

Answer: The patient is high likely exposed to