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: mr. is a 45-year-old male who is status post banding x 5 of his esophageal varices, which occurred on . prior to the hospital admission, the patient had a history of "liver disease" in , but denied any history of cirrhosis, denied any episodes of jaundice. he initially presented to an outside hospital with complaint of right-sided pain and jaundice, and several days of black/tarry stools. at the outside hospital's emergency department, his nasogastric lavage showed bright red blood. the patient was hemodynamically stable. the patient was then transferred to medical intensive care unit with a diagnosis of upper gastrointestinal bleed. he then underwent an esophagogastroduodenoscopy, which showed esophageal varices and evidence of a recent bleed. these esophageal varices were banded x 5. intravenous octreotide was started. the patient's hematocrit was serially checked, and transfusions were given as needed. in addition, for his history of liver disease (severe ethanol abuse, approximately 750 cc of whiskey every day), pentoxifylline was started for his alcohol hepatitis. in addition, on , the patient's white blood count began increasing, so a paracentesis was done to rule out sbp. levofloxacin was then started for sbp prophylaxis. the patient was hemodynamically stable, and remained on the octreotide drip, and the patient was subsequently transferred to the floor from the medical intensive care unit. on arrival to the floor, the patient was afebrile, blood pressure was 92 to 127/43 to 74, heart rate between 80 to 104, respirations between 15 and 24, and oxygen saturation between 96 and 98% on 2 liters nasal cannula. physical examination: in general, this was an obviously jaundiced male, who communicated meaningfully. head, eyes, ears, nose and throat: oropharynx was pink, mucous membranes moist. cardiovascular: regular rate and rhythm, i-ii/vi systolic ejection murmur at the left upper sternal border. chest: bilaterally clear to auscultation, left side with slightly decreased breath sounds, no crackles, no wheezing. abdomen: distended, positive normal bowel sounds, positive ascites, nontender. extremities: 4+ pitting edema. skin: obvious jaundice, numerous spider angiomas all over the face, no rhinophyma. family history: noncontributory. social history: the patient has a history of chronic ethanol abuse for 20 years. he drinks approximately 750 cc (one fifth) of whiskey a day. he lives alone. he denies any intravenous drug use. he has smoked approximately one-half to one pack per day for 25 years. the patient is divorced, and currently lives alone. he has one son, who lives in , and has two sisters. one of his sisters ) is involved in his medical care. his other sister, , is estranged from the patient, and is not to be given any medical information about mr. . medications: on transfer from the medical intensive care unit, include: 1. lactulose 30 ml every six hours as needed 2. protonix 40 mg by mouth every 12 hours 3. multivitamin by mouth once daily 4. folate 1 mg by mouth once daily 5. thiamine 200 mg by mouth once daily 6. levofloxacin 500 mg by mouth every 24 hours 7. pentoxifylline 400 mg by mouth three times a day 8. ursodiol 300 mg by mouth three times a day 9. ativan 2 mg intravenously every four hours as needed ciwa scale greater than 10 10. morphine 1 to 2 mg intravenously every four hours as needed for pain 11. vitamin k 10 mg subcutaneously once daily for three days 12. octreotide 50 mcg/hour drip 13. albuterol/ipratropium one to two puffs every six hours as needed 14. tylenol 325 to 650 mg by mouth as needed laboratory data: on transfer, white blood count 15, hemoglobin 10.4, hematocrit 31.5, platelets 140. pt 16, ptt 39, inr 1.9. sodium 137, potassium 3.6, chloride 106, bicarbonate 23, bun 11, creatinine 0.8, glucose 136. calcium 7.9, phosphorus 1.9, magnesium 1.7, albumin 2.2, alt 32, ast 123, alkaline phosphatase 389, total bilirubin 29.8, total iron binding capacity 164, haptoglobin 80, ferritin 212. hepatology panels were drawn, which revealed negative hepatitis b, negative hepatitis c. impression: mr. is a 45-year-old male with a new diagnosis of liver failure, alcoholic hepatitis, and esophageal variceal bleed, status post banding, who is hemodynamically stable, and able to be transferred to the floor. hospital course by system: 1. gastrointestinal: a. esophageal varices: the patient, after the initial esophageal varices banding x 5, which occurred on , the patient's hematocrit was checked serially every 12 hours, and it remained stable within a 31 to 34% range. the patient did not require any additional transfusions while on the floor. the patient then had a follow-up esophagogastroduodenoscopy on , which showed that the patient did not need any more variceal banding, and that the original procedures were intact. there was no evidence of any new bleeding. the octreotide drip that was initiated in the medical intensive care unit was continued on the floor for 36 hours. after the octreotide drip was discontinued, the patient was started on nadolol 20 mg by mouth once daily. in addition, the patient's protonix was continued twice a day. regarding the patient's esophageal varices banding, the patient needs to have another follow-up esophagogastroduodenoscopy in two weeks with dr. . the exact day and time and location will be given to the patient, and will be dictated as a stat discharge summary addendum. b. alcoholic hepatitis: the patient's ast/alt had been elevated, but trended downward during his floor admission. the patient was started on pentoxifylline and ursodiol. these medications are to be continued as an outpatient. of note, the patient's jaundice has not changed during the admission, and the patient's bilirubin has increased from 30 to 34 during the course of his hospital admission. the patient did not show any signs of encephalopathy. 2. hematology: the patient's hematocrit was checked every 12 hours and the patient was transfused as needed while in the medical intensive care unit. the patient did not require any transfusions while on the floor. 3. infectious disease: the patient has a good deal of ascites in his abdomen. due to a question of infection, the patient had a paracentesis done in order to investigate for spontaneous bacterial peritonitis. the peritoneal fluid was noted to have no leukocytes, and no micro-organisms were seen. the fluid culture from the peritoneal fluid showed no growth. the patient was placed on levofloxacin 500 mg by mouth every 24 hours for sbp prophylaxis. 4. prophylaxis: the patient was started on protonix at 40 mg by mouth every 12 hours for an upper gastrointestinal bleed. 5. pulmonary: the patient does not have a known history of asthma, but does have a significant past medical history for smoking. the patient was placed on albuterol/ipratropium nebulizers every four to six hours as needed. however, this patient did not have any respiratory complaints or complications during this admission. a chest x-ray pa and lateral was done and showed low lung volumes, and slight left ventricular prominence, but no evidence for congestive heart failure. the lungs were clear, and there were no pleural effusions. there was no pneumonia. 6. fluids, electrolytes and nutrition: the patient's electrolytes (calcium, magnesium, potassium) were repleted as needed. the patient was placed initially on sips, then clears, then started on a low residue diet. the patient has tolerated the low residue diet quite well. in addition, a nutrition consult was obtained, and the patient was educated about his diet. 7. mobility: the patient had a great deal of edema, and difficulty moving after a prolonged stay in the medical intensive care unit as well as on the floor. physical therapy consult was placed. the physical therapy consult felt that the patient presented with improved mobility and endurance, was able to ambulate without assistance, did not have loss of balance, and was able to negotiate three flights of stairs with the rail and with some assistance. physical therapy consult felt that the patient is safe to return home alone if support is provided for his stairs at home. they have also recommended that the patient receive home physical therapy services, and that he ambulate three times a day ad lib, and be provided support with stairs if the patient is discharged to home alone. the primary medical team is amenable with this, and supports this assessment, and will arrange for home physical therapy services. 8. psychiatry/ethanol abuse: the medical condition, and the seriousness of his upper gastrointestinal bleed and esophageal varices, was discussed numerous times with the patient. the patient initially was not amenable to any sort of alcohol rehabilitation or ethanol counseling. the patient felt that he would be better off at home, and refused any sort of treatment or services. at this point in time, we will provide him with the name and phone number of alcohol rehabilitation centers that he can call. in addition, we will continue to provide information for him and have resources for him if he should wish to obtain ethanol rehabilitation. the patient is to be discharged home with services. discharge condition: good discharge diagnosis: 1. alcoholic liver disease, acute alcoholic hepatitis 2. esophageal varices, status post banding x 5 3. upper gastrointestinal bleed secondary to esophageal varices bleeding 4. ascites 5. malnutrition 6. jaundice 7. alcoholic cirrhosis 8. ethanol abuse discharge medications: 1. levofloxacin 500 mg by mouth every 24 hours 2. nadolol 20 mg by mouth every 24 hours 3. pentoxifylline 400 mg by mouth three times a day 4. ursodiol 300 mg by mouth three times a day 5. lactulose 30 ml by mouth every six hours as needed, titrate to three to four soft stools per day 6. protonix 40 mg by mouth twice a day 7. multivitamin one tablet by mouth once daily 8. folate 1 mg by mouth once daily 9. thiamine 100 mg by mouth once daily 10. combivent one to two puffs every six hours as needed follow-up appointments: follow up esophagogastroduodenoscopy in two weeks with dr. , phone number . the exact date and time will be given to the patient, as well as dictated in a stat discharge summary addendum. the patient is not to drink or eat anything after 10 p.m. on the night preceding the esophagogastroduodenoscopy. this preparatory schedule will be discussed with the patient as well. discharge diet: low residue discharge services: 1. vna 2. home physical therapy , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine other endoscopy of small intestine percutaneous abdominal drainage endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: alcoholic cirrhosis of liver unspecified protein-calorie malnutrition esophageal varices in diseases classified elsewhere, with bleeding other and unspecified alcohol dependence, unspecified acute alcoholic hepatitis 

Answer: The patient is high likely exposed to