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: hematemesis/upper gi bleed major surgical or invasive procedure: esophagogastroduodenoscopy with banding of esophageal varices. history of present illness: mr. is a 53 y.o. caucasian man with h/o cirrhosis, etoh abuse presents with hematemesis. this started on thursday evening with one episode of hematemesis. prior to that he was in his usoh. of note, pt had half bottle of vodka on thursday prior to this episode. he suffered another episode early morning on friday which with he felt dizzy and went to ed in . he did not have any further episodes of bleeding. his initial hct was 27.2 which is down from baseline in low to mid 30s. he was tachycardic to 120s but normotensive. he was started on protonix iv, octreotide gtt, transfused 2u prbc, 2u plt, 2u ffp, 10mg vit k sc over his stay there. there was no significant increase in hct as it stayed around 26-27. an egd demonstrated on esophageal varix that was not actively bleeding and n intervention was performed. pt denies any abd pain at any time. currently denies n/v. denies recent melena at home. denies f/c. denies increasing edema. past medical history: 1) end stage liver disease from alcoholic cirrhosis with portal htn, h/o esophageal varices. 2) peptic ulcer disease 3) alcohol abuse 4) hypercholesterolemia 5) asthma 6) s/p appy 7) sarcoidosis--pulmonary social history: h/o etoh abuse: sober for period of 15 months until 8 months ago and then drinking again about halfpint vodka every few days. smoker: quit in , few cigs a day prior to that. married, lives with wife. family history: n/c physical exam: vital signs: t 99.2---p 66--- bp 124/65---rr 14--- o2 sat. 96% ra gen: well appearing, in nad, jaundiced heent: ncat, perrl, sclera icteric. op clear with dry mm neck: supple, no jvd or hjr lungs: cta b/l cv: rrr, nml s1s2, no m/r/g abd: soft, nt, nd, nabs, + splenomegaly, no hepatomegaly. ext: no edema, warm and well perfused. neuro: a&ox3, no asterixis skin: mult spider angiomata over chest, palmar erythema pertinent results: admission laboratories wbc-2.5* rbc-3.17* hgb-9.8* hct-28.9* mcv-91 mch-30.8 mchc-33.8 rdw-17.8* plt ct-49*# pt-15.3* ptt-31.6 inr(pt)-1.5 fibrino-242 glucose-109* urean-13 creat-0.7 na-143 k-2.9* cl-107 hco3-24 angap-15 albumin-3.5 calcium-8.3* phos-2.1* mg-1.2* alt-21 ast-77* ld(ldh)-217 ck(cpk)-45 alkphos-224* amylase-31 totbili-5.8* lipase-32 . after 1st unit of blood: 08:10am hct-27.1* . hepatitis work up: afp - 3.4 caltibc - 303 ferritin - 68 trf - 233 hbsag (-) hbsab (+) hbcab (-) hav ab (+) igm hbc (-) igm hav(-) hcv ab (-) autoantibodies ama (-) titer (+) 1:40 pattern-speckled sm antibody (-) sm/rnp antibody (-) anti smooth muscle antibody (+) 1:20 igg - 1753 iga - 686 igm - 181 . egd results: impression: erythema, congestion and friability in the stomach body and fundus compatible with severe portal gastropathy gastric varices evidence of prior esophageal banding. varices at the lower third of the esophagus, four bands were successfully placed in the lower third of the esophagus. polyp in the pylorus . imaging: cxr: prominence of the hilar structures bilaterally, could be related to fluid overload or lymph nodes. recommend pa and lateral views and if old films could be obtained for comparison, this would be most useful. radiopaque density projecting over right rib, one probably a bone island or granuloma. localization not possible on a single view. ct scan could be helpful. . abdomen u.s.; duplex dopp abd/pel 1) portal veins, hepatic veins, and hepatic arteries are patent with appropriate flow and doppler waveforms. 2) coarsened, nodular liver likely consistent with the history of cirrhosis; no focal lesions seen. 3) splenomegaly. 4) small right pleural effusion . ekg: sinus tach without acute st-t changes. brief hospital course: 1) gi bleed: sources of bleeding included peptic ulcers and varices, both of which may have been exacerbated by his recent etoh use. underwent egd and had 4 bands placed in the distal esophagus for esophageal varices. during his stay the patient received a total of 5 u prbc, 6 units plt, 2 u ffp. he was kept on an octreotide gtt for 5 days and was continued protonix 40 mg po bid throughout his hospitalization. he was kept on sbp prophylaxis with levofloxacin during his hospitalization. at discharge patient had not had any bleeding in 1 week, bm's returned to . will follow up for upper gi endoscopy in 1 week and f/u gi appt in 2 weeks. discharged on 40 mg protonix daily. . 2) cirrhosis/portal hypertension: likely secondary to etoh. abdominal u/s showed no evidence of portal/hepatic thrombosis or ascites. hepatitis workup negative except for mildly positive and mildly positive anti smooth muscle antibody and evidence of past hep a immunization or infection, and hep b immunization. (see results section for complete list of labs). patient was discharged on nadolol and previous diuretics were not restarted. . 3) etoh abuse: patient had an addictions consult during his hospitalization and was kept on a ciwa scale. pt was given thiamine and folate. . 6) f/e/n: patient was slowly advanced to a house diet. electolytes were monitored and maintained k>4 and mg>2. at discharge patient was tolerating full diet without difficulty. . 7) for prophylaxis patient was given pneumoboots and kept on a ppi. medications on admission: nadolol, lasix qod, aldactone qod, mvi, albuterol mdi prn, protonix 40mg qd. discharge medications: 1. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 days. disp:*2 tablet(s)* refills:*0* 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*1 mdi* refills:*0* 5. nadolol 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. lactulose 10 g/15 ml syrup sig: thirty (30) ml po tid (3 times a day): titrate to bowel movements per day. disp:* ml(s)* refills:*2* 7. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. multivitamin capsule sig: one (1) cap po daily (daily). discharge disposition: home discharge diagnosis: primary: upper gastrointestinal bleed secondary: alcoholic cirrhosis esophageal varices thrombocytopenia asthma discharge condition: good. hematocrit stable, ambulatory. discharge instructions: please follow-up if you begin vomiting blood/coffee grounds, if you develop rectal bleeding, shortness of breath, chest pain, nausea/vomiting, or other symptoms that concern you. please take all medications as prescribed you are encouraged not to drink alcohol. followup instructions: 1) hepatology provider: , md where: lm phone: date/time: 1:45 2) upper endoscopy provider: , md where: building (/ complex) endoscopy suite phone: date/time: 2:00 provider: suite gi rooms where: gi rooms date/time: 2:00 - please do not eat anything after midnight prior to the procedure 3) primary care: please call dr. () to schedule an appointment to be seen within 1-2 weeks following discharge. procedure: endoscopic excision or destruction of lesion or tissue of esophagus transfusion of packed cells transfusion of platelets diagnoses: thrombocytopenia, unspecified pure hypercholesterolemia alcoholic cirrhosis of liver portal hypertension asthma, unspecified type, unspecified sarcoidosis alcohol abuse, unspecified esophageal varices in diseases classified elsewhere, with bleeding 

Answer: The patient is high likely exposed to