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: no known allergies / adverse drug reactions attending: chief complaint: melena, hematemsis major surgical or invasive procedure: 1. esophagogastroduodenoscopy with banding of one of the esophageal varices 2. blood transfusion history of present illness: mr. is a 51 year old male with history of hepatitis c, alcoholic cirrhosis, and low platelets. he presented to the ed on after episodes of hematemsis. he endorsed recent alcohol intake, on , and , after a month of being sober. he reports recent usage of ibuprofen, two pills a day of unknown dose, for worsening lower back pain. for the last several days, he reports dark, black colored stools. this morning, he had two episodes of dark red blood emesis. he reports this was alarming and large in amount. this had never happened before. he called 911. . upon arrival to ed, initial vital signs were temperature of 98.5, blood pressure 127/70, heart rate 93, respiratory rate of 18, and oxygen saturation of 99% on room air. nasogastric lavage was completed, per report with specks of bright red blood that cleared with 500 cc of normal saline. he received 1000 cc of ns, pantoprazole drip at 8 mg/hr after 40 mg iv bolus, ceftriaxone 2 grams, octreotide 25 mg bolus and drip. he also received 4 mg of zofran. rectal examination was notable for guaiac positive stool, melenatic. . upon arrival to the icu, he reports some mild abdominal pain and lower back pain. he has had no additional episodes since this morning. past medical history: - alcoholic cirrohsis: prior egd from demonstrated gastropathy and small varices - hepatitis c: followed by dr. , interferon has been discussed by deferred due to relapses of alcohol use - alcohol abuse - lower back pain - history of pancreatitis noted in chart, per patient - depression social history: lives with wife and grandson. two grown children. on disability due to back pain and depression, previously worked as groundskeeper. smoked ppd since age 16. history of significant alcohol abuse, with periods of abstenance. family history: notable for diabetes and cirrhosis in mother. father has diabetes and hypetension. sister has heart disease. physical exam: admission physical exam vs: temp: bp: 149/76 hr: 82 rr: 12 o2sat: 98% on room air gen: pleasant, comfortable, nad, slightly anxious. heent: perrl, eomi, anicteric, mmm, op without lesions, no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules resp: cta b/l with good air movement throughout cv: rr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly, no rebound tenderness ext: no c/c/e skin: no rashes/no jaundice/no splinters, + spider angiomas on shoulders/arm/back neuro: aaox3. cn ii-xii intact. 5/5 strength throughout. no sensory deficits to light touch appreciated. no asterixis. rectal: completed by gi and in ed, melena, guaiac + . discharge physical exam 8.7 111-121/69-71 65-70 18 97-98%ra bm x 3; guiaic positive general: male in no acute distress heent: anicteric. perrla. eomi. supple neck without lymphadenopathy lungs: clear to auscultation bilaterally. no crackles or wheezing noted. cardio: regular rate and rhythm. no mumurs or gallops appreciated. abd: soft, nontender and nondistended. nabs. extremities: no edema skin: no rash psych: appropriate affect and mood. neuro: cn 2-12 intact. pertinent results: egd esophagus: protruding lesions 1 cord of grade ii varice and 2 cords of grade ii varices were seen in the lower third of the esophagus. the grade ii varix at 6' o'clock with ulceration and clot indicating recent bleed was banded; 2 other varices compressed following banding. 1 band was successfully placed. stomach: mucosa: mosaic appearance of the mucosa was noted in the whole stomach. these findings are compatible with moderate portal hypertensive gastropathy. duodenum: normal duodenum. impression: varices at the lower third of the esophagus (ligation) mosaic appearance in the whole stomach compatible with moderate portal hypertensive gastropathy otherwise normal egd to third part of the duodenum 01:15pm blood wbc-7.5# rbc-3.50* hgb-12.1* hct-35.8* mcv-102* mch-34.7* mchc-33.9 rdw-14.8 plt ct-113*# 05:40am blood wbc-3.7* rbc-2.64* hgb-9.2* hct-27.1* mcv-102* mch-34.7* mchc-33.9 rdw-14.8 plt ct-63* 05:30am blood wbc-3.4* rbc-3.10* hgb-10.7* hct-31.2* mcv-101* mch-34.5* mchc-34.3 rdw-16.3* plt ct-74* 01:15pm blood pt-16.1* ptt-27.5 inr(pt)-1.4* 05:30am blood pt-14.4* ptt-29.8 inr(pt)-1.2* 01:15pm blood glucose-159* urean-24* creat-0.6 na-142 k-4.4 cl-104 hco3-27 angap-15 05:30am blood glucose-121* urean-12 creat-0.7 na-140 k-3.9 cl-104 hco3-28 angap-12 01:15pm blood alt-104* ast-122* alkphos-95 totbili-1.2 05:30am blood alt-110* ast-128* alkphos-105 totbili-0.8 05:40am blood albumin-2.9* calcium-7.8* phos-3.0 mg-1.8 05:30am blood albumin-3.2* calcium-8.3* phos-4.2 mg-1.6 01:15pm blood asa-neg ethanol-59* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 04:41pm blood lactate-2.5* brief hospital course: mr. is a 51 year old male with history of alcoholic cirrhosis, hepatitis c, and lower back pain admitted with hematemsis and melena. . 1. upper gi bleed: he was admitted to the micu where egd was performed that showed three varices at the distal esophagus. one of his varices was banded. his hematocrit stayed stable over next few days even though he continued to have guiaic positive stools. he tolerated the advance of his diet well. he was continued to pantoprazole 40 mg po bid. he received five days of ceftriaxone 1 grams iv qdaily for prophylaxis and carfate 1 gram qid x 5 days. he was given one unit of prbcs prior to discharge. he was started on nadolol 20 mg po qdaily for secondary prophylaxis of his varices. he will follow up with dr. on friday for further banding of his varices. 2. alcoholic cirrhosis, hcv: patient reports recent alcohol use. serum alcohol levels were positive. his liver enyzmes were elevated though at baseline. most recent hcv viral load from was 841,000 iu/ml. he was started on folate, multivitamin and folate for nutrition and social work was consulted for help with alcohol abuse. patient reported he will stay abstinent in front of his family. 3. thrombocytopenia: at baseline. due to esld. . 4. depression: fluoxetine was held in the icu but restarted on the floor. . 5. epigastric pain: cxr and enzymes x 1 were negative. thought to be due to banding. medications on admission: (per discharge summary from ) - fluoxetine 20 mg capsule - gabapentin 300 mg capsule po bid - omeprazole 20 mg capsule - thiamine hcl 100 mg tablet - folic acid 1 mg tablet - multivitamin 1 tablet po daily (daily). discharge medications: 1. gabapentin 300 mg capsule sig: one (1) capsule po twice a day. 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. multivitamin tablet sig: one (1) tablet po once a day. 5. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 6. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day) for 5 days: only if you get banding on by dr. . disp:*20 tablet(s)* refills:*0* 8. ciprofloxacin 500 mg tablet sig: one (1) tablet po once a day for 5 days: only if you get banding on by dr. . disp:*5 tablet(s)* refills:*0* 9. fluoxetine 20 mg capsule sig: three (3) capsule po once a day. discharge disposition: home discharge diagnosis: primary diagnosis 1. upper gastrointestinal bleed from esophageal varices 2. alcoholic/hepatitis c cirrhosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted because you were noted to have gastrointestinal bleeding. it was thought to be due to varices in your esophagus. you underwent esophagogastroduodenoscopy with banding of one of the three varices. you received one unit of blood. your blood volume remained stable over next two days and you tolerated your diet well. . you were discharged home with follow up with dr. on friday, for another esophagogastroduodenoscopy with possibility of further banding of your varices. . it is extremely important that you do not drink alcohol. . following medication changes were made to your regimen: start nadolol 20 mg by mouth once a day increase omprezole to 40 mg by mouth twice a day until you see dr. on followup instructions: department: endo suites when: friday at 11:00 am department: digestive disease center when: friday at 11:00 am with: , md building: building (/ complex) campus: east best parking: main garage department: liver center when: wednesday at 12:40 pm with: building: lm campus: west best parking: garage md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: thrombocytopenia, unspecified alcoholic cirrhosis of liver portal hypertension unspecified viral hepatitis c without hepatic coma esophageal varices in diseases classified elsewhere, with bleeding other specified disorders of stomach and duodenum chronic pancreatitis acute alcoholic intoxication in alcoholism, continuous 

Answer: The patient is high likely exposed to