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: 59 year old man with primary sclerosing cholangitis, cirrhosis, end stage liver disease, known history of esophageal varices. he is currently awaiting liver transplant. he was recently admitted to for diarrhea and failure to thrive and was discharged to rehabilitation on . on , he had nausea and abdominal pain while at rehabilitation and subsequently had two episodes of coffee ground emesis. he was transferred to the emergency room where gastric lavage showed coffee grounds with bright red blood that did not clear after 500 cc of lavage. he received two units of fresh frozen plasma, 10 mg of vitamin k subcutaneously and was started on osteotribe drip. the hepatology service was consulted for emergent esophagogastroduodenoscopy. past medical history: 1.) end stage liver disease. the patient also has hepatitis c cirrhosis but has undetectable viral load. he has history of hepatic encephalopathy and has known esophageal varices. 2.) primary sclerosing cholangitis, diagnosed in . 3.) ulcerative colitis, chronic, active per flexible sigmoidoscopy on . 4.) history of duodenal ulcer. 5.) history of e. coli sepsis in . 6.) childhood asthma. 7.) anemia. 8.) status post cholecystectomy for benign gallbladder polyp. 9.) failure to thrive with multiple admissions for diarrhea. 10.) restrictive lung disease of unclear etiology. medication on admission: natalol 20 mg q. day. lasix 40 mg q. day. protonic 40 mg q. day. mesalamine 1,000 mg three times a day. zoloft 50 mg q. day. spironolactone 300 mg q. day. ursodiol 900 mg q. day. vitamin d 400 units q. day. tums 1.25 grams three times a day. lactulose 30 cc twice a day to be titrated to four loose bowel movements per day. he also received tube feeds, to deliver 2.0 full strength 70 cc an hour times 12 hours q. day. allergies: no known drug allergies. social history: he lives in with his sister. tobacco history. he quit alcohol six months ago. he is disabled. physical examination: on , temperature was 97.3; blood pressure 103/61; pulse 87; oxygen saturation 92% on room air. in general: cachectic, chronically ill appearing man in no apparent distress. chest: clear to auscultation bilaterally with decreased breath sounds at the bases. cardiovascular: regular rate and rhythm, 2/6 systolic murmur at the precordium. abdomen: soft, moderately distended, nontender to palpation. extremities: no edema or erythema. neurologic: grossly intact. no asterixis. skin noted to be icteric. laboratory data: on , white blood count was 4.0; hematocrit of 29.7; hematocrit stable at this level from to . on admission, white blood count was 9.2; hematocrit was 30.5; neutrophils 77%, bands 4%, lymphocytes 7%, monocytes 8%. on , neutrophils were 73%, bands 0%, lymphocytes 12.7%, monophils 8.6%, eosinophils 5.0%. platelets were 102 on . pt/ptt 14.9/36.3. inr of 1.5. on admission, inr was 2.3. platelets were 166. urinalysis on was without evidence of infection. ascites fluid on revealed white blood count of 35, rbc of 590, polys 15, lymphs 19, monocytes 12; macrophages 54. on , sodium was 138; potassium of 3.7; chloride of 107; c02 of 25; bun 9; creatinine 0.5. on on admission sodium was 132; potassium was 5.9; chloride of 103; c02 of 22; bun 33; creatinine 0.7; glucose 108. on total bilirubin was 2.9 (stable at this level during this admission); alkaline phosphatase of 236; alt 88; ast 103. lipase was 79 on . on albumin was 2.4; calcium 7.6; phosphate 3.0; magnesium 1.8. external jugular vein catheter tip was pulled on and had greater than 15 colonies of coagulase negative staphylococcus which was sensitive to vancomycin. peritoneal fluid of does not show any polymorphonuclear leukocytes or organism. fluid culture on revealed no growth to date, that is . imaging studies: chest x-ray on revealed no evidence for infection or pneumonia. hospital course: this is a 59 year old man with cirrhosis and a history of esophageal varices. he presents to the hospital with coffee ground emesis. issues: 1.) coffee ground emesis. two large bore intravenous were placed and the patient received two units of ffp as well as ten units of subcutaneous vitamin k on his arrival to the hospital. he was transfused with two units of packed red blood cells on and also on . he received esophagogastroduodenoscopy on which demonstrated grade iii varices in the lower and middle third of the esophagus with stigmata of recent bleeding. there was snake skin appearance of the mucosa, consistent with no bleeding, and are compatible with portal hypertensive gastropathy. he had five 2 cc sodium morrhuate injections applied for hemostasis with success in the lower third of the esophagus. as earlier mentioned, he was started on five days of octreotide intravenous, starting on . he did not bump his hematocrit status post transfusion of two units of prbc's. on and , because his hematocrit did not improve after two units of packed red blood cells transfusion, he received a second esophagogastroduodenoscopy, performed on . this showed grade iii varices seen, starting at 25 cms from the incisors and the whole esophagus. there was stigmata of recent bleeding. 2.) poor nutrition. the patient is receiving maximum nutrition possible, with both spontaneously consumed oral foods as well as nasogastric tube feedings at night, in order to strengthen him up in anticipation of a renal transplant in the future. the original plan was to place a nasogastric tube with radiology guidance on or . however, given the recent esophagogastroduodenoscopy, the procedure was deferred until when it was performed without difficulty. 3.) for patient's history of malnutrition, he should continue on tube feeds at night. our current recommendation is deliver tube feeds 55 cc a day times 12 weeks from 7 p.m. until 7 a.m. 4.) ascites. the patient had diagnostic paracentesis performed that did not show evidence or suggestion of infection. 5.) for poor nutrition, the patient has nasogastric tube placed on . prior to that, he had been tolerating some p.o. food without difficulty. he will continue on deliver at 55 cc an hour times 12 hours per day at the rehabilitation center. the rehabilitation center may also substitute an equivalent tube feed. discharge diagnoses: liver cirrhosis. esophageal varices, status post esophagogastroduodenoscopy and banding times two. transfusion of four units total prbc on and . nasal jejunal tube placement on . discharge medications: spironolactone 400 mg q. day. vancomycin one gram intravenous q. 12 hours, last dosed on afternoon. the vancomycin had been started because one of four blood cultures was positive for methicillin resistant staph aureus around the time that we would start rounding. lasix 40 mg q. day. natalol 20 mg q. day. ursodiol 300 mg p.o. three times a day. mesalamine 1,000 mg p.o. three times a day. circuline 50 mg p.o. q. day. lactulose 30 cc p.o. three times a day, titrated to three to four bowel movements per day. protonic 40 mg p.o. twice a day. calcium carbonate 500 mg p.o. q. day. vitamin d 400 units q. day. the patient is discharged to rehabilitation center. the patient will follow-up in the liver clinic. dr., 12-adh dictated by: medquist36 procedure: enteral infusion of concentrated nutritional substances thoracentesis endoscopic excision or destruction of lesion or tissue of esophagus endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: anemia in chronic kidney disease cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma acquired coagulation factor deficiency unspecified protein-calorie malnutrition portal hypertension esophageal varices in diseases classified elsewhere, with bleeding cholangitis 

Answer: The patient is high likely exposed to