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: hemoptysis major surgical or invasive procedure: diagnostic paracentesis endoscopy history of present illness: 59 y/o m with hx of hepatitis c cirrohsis who presents to the emergency room today with hematemesis. he had been feeling well except for mild fluid overload and back pain until yesterday when he spit up about a cupful of blood. he denies abdominal pain, nausea, vomiting, cough, fevers, chills. has mild abominal pain and increased bloating. has chronic back pain as well. of note, he had recently been hospitalized at hospital and discharged a little over a week ago. he had problems with encephalopathy, increased fluid overload. he had a 3l paracentesis, but per him, no sbp. he was having fevers and chills at that time. also, while hospitalized, he was having difficulty breathing, but that improved with the paracentesis. in the ed, initial vs were t 97.2, p 79, bp 105/66, r 20, 97% on ra. patient was started on an octreotide gtt and given protonix 40 mg iv and zofran in the ed. he did not receive any blood products in the ed. on the floor, patient is in bed, comfortable except for his chronic back pain. does not complain of dizziness, light-headedness, stomach ache, nausea, vomiting. review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: # hepatitis c cirrhosis -completed four years in the copilot trial in . he was treated with interferon and ribavirin prior to that but did not have a sustained virologic response # esophageal varices -s/p banding multiple times, most recently # ascites social history: - tobacco: yes, few cigarettes daily - alcohol: used to drink when younger; no drinking in 9+ years - illicits: none family history: dad with dm, mom with copd; otherwise non-contributory physical exam: vitals: t 97.6, p 88, bp 123/62, r 15, 97% on ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: mildly distended, firm, tympanic, epigastric point tenderness, no rebound or guarding, positive bs gu: no foley ext: warm, well perfused, 2+ pulses, 1+ b edema pertinent results: labs on admission: 02:20pm pt-19.6* ptt-43.8* inr(pt)-1.8* 02:16pm ammonia-43 02:00pm glucose-104* urea n-8 creat-0.8 sodium-133 potassium-3.9 chloride-99 total co2-27 anion gap-11 02:00pm alt(sgpt)-22 ast(sgot)-53* alk phos-88 tot bili-4.1* 02:00pm lipase-32 02:00pm albumin-2.2* 02:00pm wbc-7.3 rbc-3.21* hgb-11.6* hct-34.4* mcv-107* mch-36.0* mchc-33.6 rdw-15.2 02:00pm neuts-67.4 lymphs-18.0 monos-11.3* eos-2.2 basos-1.1 02:00pm plt count-112* 10:40am urea n-9 creat-0.9 sodium-132* potassium-4.2 chloride-95* total co2-29 anion gap-12 10:40am estgfr-using this 10:40am alt(sgpt)-23 ast(sgot)-57* alk phos-90 tot bili-4.8* dir bili-1.6* indir bil-3.2 10:40am albumin-2.4* 10:40am afp-4.3 10:40am wbc-8.0 rbc-3.30* hgb-11.7* hct-36.5* mcv-111* mch-35.6* mchc-32.2 rdw-14.4 10:40am neuts-68 bands-0 lymphs-16* monos-13* eos-1 basos-1 atyps-1* metas-0 myelos-0 10:40am hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-2+ microcyt-normal polychrom-occasional target-occasional 10:40am plt smr-low plt count-102* 10:40am pt-20.0* inr(pt)-1.8* 10:40am pt-20.0* inr(pt)-1.8* . micro: 7:28 pm peritoneal fluid peritoneal. gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. fluid culture (final ): no growth. anaerobic culture (preliminary): no growth. . images: cxr impression: blunting of the posterior costophrenic sulci likely due to small pleural effusions. . abdominal ultrasound impressions: 1. cirrhotic liver, without focal liver lesion seen. 2. splenomegaly as before. new moderate ascites since . 3. patent hepatic vasculature, with normal hepatopetal flow within portal veins. . discharge labs: 06:00am blood wbc-4.6 rbc-2.89* hgb-10.5* hct-31.4* mcv-109* mch-36.3* mchc-33.5 rdw-16.4* plt ct-95* 06:00am blood pt-20.1* ptt-43.4* inr(pt)-1.9* 06:00am blood glucose-79 urean-12 creat-0.7 na-134 k-3.9 cl-103 hco3-26 angap-9 06:00am blood alt-17 ast-44* ld(ldh)-277* alkphos-70 totbili-2.9* 06:00am blood albumin-1.8* calcium-7.6* phos-3.6 mg-2.1 . iron studies: 06:36am blood caltibc-127* vitb12-1301* folate-10.2 ferritn-522* trf-98*\ . egd : unable to intubate the esophagus secondary to patient agitation and discomfort. unable to increase sedatives secondary to hypotension to 70's. responded to 1.5 l fluid bolus. patient currently stable. npo after midnight. egd tomorrow under mac anesthesia. . egd : small avm at ge junction varices at the lower third of the esophagus and gastroesophageal junction erythema, congestion, abnormal vascularity and mosaic appearance in the whole stomach compatible with portal hypertensive gastropathy otherwise normal egd to third part of the duodenum recommendations: grade i esophageal varices. not large enough to band. portal hypertensive gastropathy. please continue current management. brief hospital course: mr. is a 59 year old man with esld secondary to hepatitis c cirrhosis who presented with an episode of hemoptysis/hematemesis. he was initially admitted to the icu out of concern for ongoing bleeding. his hematocrit remained stable. . # hematemesis/hemoptysis: unclear initially if episodes of hemoptysis or hematemesis. then, patient clarified episode as hemoptysis (no vomiting, just coughed up blood gob). he has a history of varices requiring banding. hct drifted down slightly but then stable throughout hospitalization. ppi. attempted egd on , but patient hypotensive with increased sedation needed to prevent gagging. as such, procedure did not occur. on patient sedated with general anesthesia and underwent egd. no evidence of active bleed, and no varices requiring banding. patient tolerated egd well, was feeling well after procedure ended. discharged later that day. given gi was not believed to be source of hemoptysis, set-up patient with pulmonologist appointment and ct scan of the chest; this was explained to patient. there is obviously concern for malignancy in smoker, 59 y/o male, and we feel this needs a pulmonary work-up with imaging and specialist investigation. patient and pulmonologist aware of need for imaging and appointment. . # abdominal pain: resolved. no evidence of sbp. . # fatigue: likely due to anemia, hypotension, cirrhosis. monitored, keen to go home. # ascites: restarted furosemide and spironolactone. . # hepatitis c cirrhosis: continue current treatment of furosemide, nadolol, and spironolactone. . # back pain: chronic and stable. oxycodone - home regimen. . # ?copd: patient without reported history of copd but on inhalers at home. continue home medications . code: mr. was a full code during this admission. medications on admission: # fluticasone 50 mcg nasally 2 sprays daily # adviar 100-50 mcg # lasix 40 mg daily # ketoconazole cream # lactulose 30 mg tid prn # nadolol 10 mg daily # oxycodone 5 mg q6hrs prn # protonix 40 mg daily # potassium chloride 20 mg daily # spironolactone 100 mg daily # sonata 10 mg qhs prn # tylenol 1000 mg prn # tums prn discharge medications: 1. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal daily (daily). 2. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 3. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 4. nadolol 20 mg tablet sig: 0.5 tablet po daily (daily). 5. spironolactone 100 mg tablet sig: one (1) tablet po daily (daily). 6. zaleplon 10 mg capsule sig: one (1) capsule po qhs (once a day (at bedtime)) as needed for insomnia. 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for dyspepsia. 8. ketoconazole 2 % cream sig: one (1) appl topical (2 times a day). 9. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for severe pain. 10. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 11. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. 12. lactulose 10 gram/15 ml solution sig: thirty (30) ml po three times a day as needed for confusion or constipation. 13. ct scan at radiology, before . discharge disposition: home discharge diagnosis: primary diagnosis: hepatitis c cirrhosis hemoptysis esophageal varices discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: thank you for allowing us to take part in your care. you were admitted to the hospital with bleeding. there was a concern that you may have been bleeding from varices in your esophagus. you underwent an egd or endoscopy with anesthesia which used a camera to look at your esophagus and stomach. this did not show bleeding; it only showed very small varices that need to be monitored every 6 months. your blood counts remained stable while you were in the hospital. you will need to follow up with a pulmonary (lung) doctor to make sure that the blood you coughed up was not coming from your lungs. before going to the appointment with the pulmonologist on , please have a ct scan done at , at your convenience. it is important that they have the results of the ct scan when you go to the appointment with the lung doctor, so that they can take care of you. we made no changes to your medications. please continue your home medications as prescribed. followup instructions: because you coughed up blood, we would like you to have your lungs examined. please go to radiology to have a ct scan (please call the attached phone # first, to schedule an appointment for the scan). also, please go to the following important appointment at the pulmonary (lung) clinic: , at 8:30am; building, , medical specialties. dr. . . please have the ct scan done before the appointment so that its results can be used to guide your care. . previously-scheduled appointment: phone: date/time: at 11:10 md procedure: other endoscopy of small intestine percutaneous abdominal drainage diagnoses: other iatrogenic hypotension other chronic pain tobacco use disorder cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma iron deficiency anemia secondary to blood loss (chronic) portal hypertension chronic airway obstruction, not elsewhere classified other ascites esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum backache, unspecified surgical or other procedure not carried out because of contraindication angiodysplasia of stomach and duodenum without mention of hemorrhage chronic congestive splenomegaly 

Answer: The patient is high likely exposed to