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: confusion major surgical or invasive procedure: paracentesis l ij cordis intubation egd history of present illness: ms. is a 61 year old female with a h/o hep c cirrhosis c/b varices, ascites and liver lesion concerning for hcc who was admitted on with worsening encephalopathy. per nursing notes, the pt was noted to be 'sluggish and irritable', as well as nonverbal at times and had seemed more encephalopathic for the past 24 hrs. her vs were bp 90/60-112/50, hr 80-100, rr 16 and 100% on ra. rectal temp was noted to be 94.0. she was incontinent of stool x 5 and per her son, was noted to be picking her own feces up with her hands an putting it to her mouth. she received 2 u ffp at her facility in anticipation of paracentesis, but she was transferred to as mental status declined before being tapped. she was directly admitted to the floor. past medical history: . past medical history: # hcv cirrhosis: s/p multiple treatment regimens, estimated has had hep c for ~30 years, acquired during iv drug use. last vl >580k (, genotype 1) - grade 2 esophageal varicies + portal hypertensive gastropathy () - ascites - hepatic encephalopathy - afp 140, hepatic lesions concerning for hepatoma # psoriasis # s/p tah for uterine ca # diverticulosis social history: quit smoking 8 years ago (40 pack year history). former ivdu at age 27. no etoh. used occasional amphetamines from - while she was in a graduate program for literature at the mfa. lives alone. she lives in assisted housing currently in , ma. divorced in 3 yrs ago, separated 4 years. 10 years married. had one son from a prior relationship. family history: mother and sister died of uterine ca. father with tuberculosis and lung disease died in 60s of etohism and lung disease. physical exam: vs: t: 96.6 bp: 102/43 hr: 82 rr 11 o2 98% ra i/o: 1710/1150 24 hrs 1650/810 in last 17 hours gen: chronically ill appearing, jaundiced with fetor hepaticus heent: icteric sclera, mmm cv: rrr,nl s1 s2, no m/r/g pulm: ctab abd: distended but soft, hypoactive bs, nt ext: no le edema (pt wearing pneumoboots) neuro: awake, alert, eating with no asterixis pertinent results: 02:53pm blood wbc-9.3 rbc-2.29* hgb-7.5* hct-21.2* mcv-93 mch-32.6* mchc-35.2* rdw-16.9* plt ct-38* 11:16am blood wbc-14.4* rbc-3.37*# hgb-10.5*# hct-30.0*# mcv-89 mch-31.2 mchc-35.2* rdw-16.6* plt ct-44* brief hospital course: on arrival to the floor, she was somnolent and and minimally responsive to sternal rub. she received one lactulose enema pr x 1. while receiving ffp, she was found to be hypothermic to 90 rectally & orally & 91 axillary. her other vitals at that time were stable (bp 90s/50s, hr 80s, satting > 95% on room air). she was alert but not oriented (same as earlier in the day). she was transferred to the micu with concern for early sepsis. she received vancomycin, zosyn and one dose of albumin. . in the icu she was initially continued on vancomycin and zosyn. she had a diagnostic paracentesis that was negative for sbp and cxr negative for pna. two c.diff toxin assays have been negative. urine culture grew out e.coli today and her vancomycin was dc'd today. she has been continued on lactulose and rifaximin and ms has improved. she was also found to have arf with cr of 1.5 at admission, up from 1 on (had been 1.8 on ). she has been treated with albumin for this. she also had a a transient episode of afib with rate to the 140s this morning. she was given diltiazem, with brief drop in her pressures to the 60s systolic. she is currently hemodynamically stable with a nsr. she was also found to have acute renal failure and has been treated with albumin. . she was transferred back to the floor where she completed a 14 day course of antibiotics for her uti. she was continued on lactulose and rifaximin for her hcv cirrosis and continued to mentate well with minimal to no evidence encephalopathy. she underwent bedside therapeutic paracentesis on for tense ascites, -2.5l. no evidence of sbp. she was seen by psychiatry for her depression and was started on citalopram and methlylphenidate per their recommendations. pt's diuretics were held on the floor due to progressively worsening hyponatremia with a nadir of 113, she was asymptomatic. her hyponatremia was believed to be a mixed picture of pre-renal and cirrhotic physiology. her renal failure continued to worsen with a peak creatinine of 2.8, minimally responsive to fluids, treated with albumin, midodrine and octreotide. she also continued to have low temperatures, with a nadir of 92 on the floor, at which point she was pan cultured, with no growth, treated with bair hugger. temps averaged 95f. on evening of she became hypotensive to sbp 70s, she was having guaiac positive brown stool with some visible clots and an acute hct from from 23 to 17 in the setting of receiving 1 unit prbcs. her inr went up acutely from 3 to >5 and her bp continued to drop into 50s-60s. she was transfered to the micu with hypotension, melena and hematemesis. she was intubated for increasing somnolence, hematemesis, and airway protection. she underwent a cordis placement, immediate transfusion with several units of prbc, ffp and saline due to hypotension. egd showed bleeding varices which was cauterized. unfortunately, she rebleed within several hours. she was more acidotic, on pressors, hypothermic and continued hematemesis and melena. per family meeting she was made cmo and expired shortly thereafter. . # hepatitis c cirrhosis: has been complicated by encephalopathy, varices, ascites hcc. patient is currently on the list. continued lactulose & rifaximin, held diuretics d/t hyponatremia wich worsened today and arf. as noted above progressive decline with gib. . # arf: pt's creatinine has been fluctuating in the recent past. had responded to albumin and transfusion in the past. baseline mostly between 1- 1.3. did have one value of 1.8 at previous admission, but was 1 at discharge. worsening decline with gib as noted above, severe metabolic acidosis in micu, ? atn from hypotension. no hemofiltration initiated. . # psych: pt with depressive presentation. appreciate psych recs. now on ritalin low dose, tolerated first dose well. increased somnolence with worsening clinical picture, encephalopathic and obtundation with gib in micu. . # atrial fibrillation: had episode of atrial fibrillation in micu and has no previous history of afib, but h/o atrial tachycardia for which she is on bb as outpt. could be d/t recent infection, dehydration. bb was held in the setting of infection, which could also be contributing. pt did get hypotensive after administration of 10 mg iv diltiazem. all nodal agents held due to gib. no episodes of af in micu. . # anemia and thrombocytopenia: has h/o gastropathy seen on egd in and occasionally transfused. her hct is at baseline, plt count slightly lower than baseline. exsanguination as above due to coagulopathy and liver failure. other medical issues which are not active any more: . # hypothermia: improved. thought to be early sepsis, d/t e.coli uti now on cefriaxone. diagnostic para negative for sbp, two c.diff toxin assays negative, cxr negative for infiltrate and blood culture with ngtd. pt currently hemodynamically stable and no longer hypothermic. completed total of 7 days for complicated uti. hypothermic in micu. . # encephalopathy: this has improved and patient is alert and awake today. no asterixis on exam. could have been precipitated by infection and possibly d/t missing a dose of lactulose at rehab. treated infection as possible source, worsening liver disease and active gib. . # hyponatremia: pt's hyponatremia improved since last admission but worsened again last night. at that time diuretics were stopped due to ongoing hyponatremia. currently sodium back at baseline . . # communication: with patient & her family. hcp is ex-husband, . home , cell . okay to communicate any updates to patient's son as well per hcp. (. if unable to reach son, can contact his girlfriend (. . dispo: death as noted above from gib medications on admission: lactulose 300 ml pr prn daily bisacodyl suppository pr daily fleet enema prn simethicone 80 mg four times daily atrovent mdi q puffs q6h albuterol 1-2 puffs q6h omeprazole 20 mg daily rifaximin 800 mg po tid ciprofloxacin 250 mg po daily lopressor 12.5 mg ursodiol 300 mg sarna lotion lactulose 30 ml po q4h daily calcium carbonate 500 mg four times daily discharge medications: none discharge disposition: expired discharge diagnosis: death discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube percutaneous abdominal drainage endoscopic excision or destruction of lesion or tissue of esophagus transfusion of packed cells transfusion of other serum diagnoses: acidosis thrombocytopenia, unspecified urinary tract infection, site not specified cirrhosis of liver without mention of alcohol acute kidney failure, unspecified hepatorenal syndrome unspecified septicemia unspecified protein-calorie malnutrition hyposmolality and/or hyponatremia severe sepsis atrial fibrillation dysthymic disorder other specified cardiac dysrhythmias other shock without mention of trauma alkalosis other sequelae of chronic liver disease other ascites malignant neoplasm of liver, primary esophageal varices in diseases classified elsewhere, with bleeding other specified disorders of stomach and duodenum other and unspecified coagulation defects viral hepatitis b with hepatic coma, acute or unspecified, without mention of hepatitis delta anemia in neoplastic disease unspecified episodic mood disorder hypoglycemia, unspecified other general symptoms 

Answer: The patient is high likely exposed to