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: penicillins attending: chief complaint: variceal bleeding major surgical or invasive procedure: upper gi endoscopy history of present illness: 60 yo spanish-speaking female with h/o autoimmune hepatitis, dm2, htn, who was sent for a routine egd for her cirrhosis at and was found to have grade 3 esophageal varices. during the procedure on , gastroenterologist attempted to band one of the varices however they were unable to so. in the process of attempting to band, a varix began to bleed and continued despite multiple attempts at banding above. it was then injected with ethanolamine and hemostasis was achieved. lavage was performed and the clot remained stable. she was then transferred to the icu at osh for close monitoring. there, her hct was 30. she recieved 1 unit prbc and 1 unit ffp and was started on octreotide gtt. she remained hd stable, and had a left ij placed prior to discharge. she was then transferred to for further management. past medical history: - autoimmune hepatitis- cirrhosis - dm2 - htn - gastritis social history: originally from . married. denies tobacco, etoh, or drugs. family history: no h/o liver disease. no liver cancer. no h/o autoimmune disease. physical exam: vs: 99.1 123/72 84 20 96%ra fs 157 gen: alert, spanish speaking; oriented. pleasant. appropriate heent: perrl, no scleral icterus, mmm, lij in place, site looks clean cv: rrr, soft 1/6 systolic murmur lungs: cta bilaterally abdomen: obese, nt, normal bs. liver margin palpated just below costal margin. spleen tip palpable. no fluid wave. no dullness to percussion. no evidece of caput. ext: trace pedal edema; 2+ dp pulses. no spider angiomas. no palmar erythema neuro: a/o x 3; moves all extremities pertinent results: admission labs: wbc-5.6 hgb-10.5* hct-30.7* mcv-89 mch-30.4 mchc-34.2 plt ct-74* pt-15.5* ptt-28.5 inr(pt)-1.4* glucose-208* urean-13 creat-0.6 na-137 k-4.2 cl-104 hco3-22 alt-30 ast-48* ld(ldh)-219 alkphos-100 totbili-1.7* albumin-3.5 calcium-7.6* phos-2.9 mg-1.9 . discharge labs: wbc-4.3 hgb-9.7* hct-28.0* mcv-88 mch-30.5 mchc-34.6 plt ct-93* pt-15.3* inr(pt)-1.4* glucose-142* urean-10 creat-0.7 na-137 k-3.4 cl-103 hco3-25 alt-21 ast-32 alkphos-69 totbili-1.4 calcium-8.5 phos-2.5* mg-1.7 . studies: egd: 1. 1 cords of grade ii varices were seen in the lower third of the esophagus wiht 2 bands in place. the varices were not bleeding. the varices were not traversed in case the scope would remove the approipriately placed bands. 2. there was no visible bleeding in the esophagus. 3. the stomach was not entered. . abdominal ultrasound impression: 1. coarsened liver with a nodular contour, compatible with cirrhosis. 2. patent portal vein, with directionally appropriate flow identified within the portal venous system. brief hospital course: 60 yo female with a history of autoimmune hepatitis, dm2, htn, found to have grade 3 esophageal varices with significant bleeding during a banding procedure and transferred to for further care. . 1. variceal bleeding: in the icu at , the patient was continued on an octreotide gtt. serial hcts were followed and she received 1u prbcs after which her hct remained stable. repeat endoscopy revealed 1 cord of grade ii varices in the lower third of the esophagus with 2 bands in place. the varices were not bleeding and the banded varices were not traversed so as not to disturb the recently banded varices; thus stomach was not entered. she was started on levofloxacin for sbp prophylaxis and was also started on nadolol. on she was transferred to the floor as she was hemodynamically stable without evidence of active bleeding. on her ppi was changed from iv to po and octreotide was stopped. she had no further bleeding during her hospitalization. . 2. autoimmune hepatitis: the patient normally takes azathioprine for this condition and it was held initially on presentation as she was npo. it was restarted on . her meld score on presentation was 12. her initially elevated lfts normalized by . . 3. dm2: the patient was initially placed on an insulin sliding scale. this was discontinued on when her home oral medications consisting of metformin, glipizide, and actos were started. . 4. htn: the patient remained normotensive despite being off of her home medications. on she was restarted on her home regimen of captopril-hctz. . 5. fen: after egd, the patient was advanced from npo to clears and eventually to a regular, diabetic diet. electrolytes were repleted prn. she received neutraphos in the icu for a low phosphorus. . 6. ppx: dvt prophylaxis was intially provided with pneumoboots. by the patient was up walking around the floor. . dr. was the discharging attending. medications on admission: metformin 2 gm daily glipizide 20 mg daily actos 15 mg daily captopril-hctz 50/25 mg daily atenolol 25 mg daily azathioprine 50 mg daily hyoscyamine 0.375 mg daily prilosec 20 mg daily butal/apap 325-caf discharge medications: 1. azathioprine 50 mg tablet sig: one (1) tablet po daily (daily). 2. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 3. glipizide 5 mg tablet sig: two (2) tablet po bid (2 times a day). 4. pioglitazone 15 mg tablet sig: one (1) tablet po daily (daily). 5. hyoscyamine sulfate 0.375 mg capsule, sust. release 12 hr sig: one (1) capsule, sust. release 12 hr po daily (daily). 6. atenolol 25 mg tablet sig: one (1) tablet po once a day. 7. captopril-hydrochlorothiazide 50-25 mg tablet sig: one (1) tablet po once a day. 8. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 9. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: one (1) tablet po prn. discharge disposition: home discharge diagnosis: primary diagnoses: variceal bleeding autoimmune hepatitis diabetes mellitus, type 2 hypertension discharge condition: stable, pain free, eating without difficulty, hematocrit stable. discharge instructions: you were admitted to the hospital after one of your esophageal varices began to bleed during a banding procedure. you were then transferred to hospital for further monitoring. when a repeat endoscopy was performed here your varices were no longer bleeding. you blood counts have remained stable and you have not required any additional blood other than the 1 unit that you received at hospital. dr. will call you regarding with who and when you should follow-up for a repeat endoscopy in 2 weeks. your prilosec dose was increased to 40 mg once a day. you were given the antibiotic levofloxacin during your hospitalization. because of this you should not take the antibiotic that was prescribed for your urinary tract infection before you were admitted. if you experience further vomiting, bloody or black bowel movements, pain or burning with urination, you should call your doctor or return to the hospital. followup instructions: we are working to squeeze you into dr. schedule for follow-up. as of right now, there is no appointment date, but you will be contact by dr. with an appointment date and time. if you have not heard from him in 1 week, please call his office at ( procedure: other esophagoscopy transfusion of packed cells transfusion of other serum diagnoses: urinary tract infection, site not specified unspecified essential hypertension cirrhosis of liver without mention of alcohol diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled iron deficiency anemia secondary to blood loss (chronic) other chronic hepatitis esophageal varices in diseases classified elsewhere, with bleeding 

Answer: The patient is high likely exposed to