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 major surgical or invasive procedure: tips history of present illness: 45f with alcoholic cirrhosis and known varices presented to hospital on with hematemesis and maroon stools. an initial egd showed no bleeding. on the second day of admission she spiked a temp to 102 and was eventually treated with unasyn for a gpc uti. on she re-bled and became hypotensive transiently (briefly on phenylephrine gtt), and was transfused; a tagged rbc scan was negative. on she had large volume hematemesis, with a hct dropping from high 20's to 19 and had a repeat egd that showed fundic varices that had clot but no active bleed. octreotide drip was begun, and she was then transferred () to for tips that was performed without incident. she has since been stable from a hemodynamic and hematalogic standpoint. at the time of interview, she denied any f/c, lh, chest pain, dyspnea, cough, sputum, hemoptysis, abd pain, n/v/d, further hematemesis. she had one episode of diarrhea on , and the c. diff was negative. past medical history: -alcoholic cirrhosis with varices -ongoing alcholol abuse -ulcerative esophagitis -hypothyroidism . psh: -cervical cone bx social history: she's married, has no children, 3 cats she works at the post office. no tobacco, (+) etoh (? liter wine qday). family history: there's a heavy etoh abuse hx in the family physical exam: pe: t 100.7/100.5, bp 108/49, hr 76, rr 18, spo2 96% 3l gen- pleasant f, looks age, function's fair, non-tox, nad heent- mild icterus, op clear with mmm neck- no jvd cv- rrr, s1s2, no m/r/g pul- moves air well, no w/r/r abd- soft, nt, min distension, nabs, no hsm extrm- no cyanosis/edema, warm/dry nails- no clubbing, no pitting/color changes/indentations neuro- a&ox3, no focal cn/motor deficits, minimal asterixis pertinent results: 11:47pm osmolal-284 11:21pm glucose-127* urea n-21* creat-0.6 sodium-127* potassium-5.4* chloride-105 total co2-16* anion gap-11 11:21pm alt(sgpt)-24 ast(sgot)-97* alk phos-98 amylase-77 tot bili-5.5* 11:21pm lipase-93* 11:21pm albumin-1.9* calcium-7.3* phosphate-3.9 magnesium-2.0 11:21pm wbc-24.2* rbc-2.52* hgb-8.3* hct-23.3* mcv-93 mch-32.9* mchc-35.6* rdw-22.9* 11:21pm neuts-86.0* lymphs-8.1* monos-4.7 eos-0.8 basos-0.4 11:21pm anisocyt-3+ poikilocy-1+ macrocyt-2+ microcyt-1+ 11:21pm plt count-334 11:21pm pt-19.0* ptt-40.2* inr(pt)-1.8* abdomen u.s. (complete study) port 8:48 am medical condition: 45 year old woman with etoh cirrhosis, portal hypertension, upper gi bleed at osh, transferred for possible tips reason for this examination: evaluate for ascites amenable to tap and please evaluate liver flow with dopplers prior to tips findings: liver appears very heterogeneous, with coarsened echotexture and nodular appearance consistent with cirrhosis. study is limited in evaluation for parenchymal liver lesions by abdominal gas and patient respiratory movement. portal vein is identified with bidirectional low velocity flow, although predominantly hepatopetal. a moderate amount of perihepatic ascites is seen, with more ascites in the lower abdomen and pelvis. no stones identified within the gallbladder. the gallbladder wall does appear edematous, consistent with patient's liver disease. common duct is not dilated. the right kidney measures 10.0 cm. the left kidney measures 11.9 cm. no definite evidence of stones or hydronephrosis, although evaluation of the parenchyma again limited by overlying gas. the spleen appears unremarkable. pancreas and aorta are not clearly visualized on this study. impression: very coarsened, nodular appearing liver with heterogeneous echotexture consistent with cirrhosis. bidirectional flow, although predominantly hepatopetal, within the portal vein. moderate amount of perihepatic ascites. cxr clear x 2 during admission brief hospital course: 45 w with etoh cirrhosis transferred with ugib from fundic varices, now controlled s/p tips with subsequent stable vitals and hct. . #gib -- pt had stable hct s/p tips. she hadknown varices, and the the decreased portal pressures will hopefully prevent further bleeds. no bleeds during this hospitalization. hct stable. - continue ppi, nadolol . #cirrhosis -- likely etoh cirrhosis. pt had afp 3.6 and hepatitis panels negative. rising bili and elevated enzymes may represent acute etoh hepatitis vs. hepatic ischemia tips. discriminant function >33, but as pt. had recent gi bleed, held off on steroids and bili started to improve. started on diuretics during her stay and diuresed well prior to discharge - sw consulted for continued etoh use - on lactulose, ppi, and nadolol. - now on 40/100 of lasix/aldactone. will go home on this dose . #etoh abuse -- long h/o etoh abuse with previous h/o withdrawal sx. during her admission she did not show any e/o withdrawal. - con't mvi, thiamine, folate. - sw arranged with pt. services for etoh cessation which pt. states she will access. . #fever/leukocytosis -- pt had fever on transfer and was started on ceftriaxone empirically for possible sbp/uti given ascites and inability to successfully get bedside tap. blood cultures now negative. more likely acute alcoholic hepatitis. pt. became afebrile, but wbc remained elevated, c/w etoh hepatitis. lfts continue to trend down. c. diff studies negative. ceftriaxone d/c'd upon discharge. . hyponatremic on admit, improved on diuretics, likely hypervolemic hyponatremia liver dz. . #diarrhea -- diarrhea resolved (other than loose stool from lactulose), likely lactulose. c. diff negative . #anemia -- modestly macrocytic with fairly wide rdw, making multiple etiologies potentially culprit. likely liver dz. b12, folate wnl. fe studies c/w acd. . medications on admission: -alprazolam 0.5mg po prn -propranolol 20 mg po bid -nexium 40 mg po qday discharge medications: 1. hydrocortisone 2.5 % cream sig: one (1) appl rectal qid (4 times a day). disp:*1 qs* refills:*2* 2. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 7. lactulose 10 g/15 ml syrup sig: fifteen (15) ml po q8h (every 8 hours) as needed. disp:*1 qs* refills:*2* 8. spironolactone 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. furosemide 80 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. disp:*30 tablet(s)* refills:*1* discharge disposition: home with service facility: discharge diagnosis: alcoholic hepatitis ___________________ depression hypothyroidism discharge condition: good, ambulating with walker, satiing 100%ra, tolerating pos discharge instructions: please seek medical attention should you develop a fever, increased abdominal distension, abdominal pain, yellowing of your skin, bleeding from your rectum, hematemesis, or confusion. also return should you develop nausea, vomiting, dizziness, chest pain or shortness of breath. please stop drinking any alcohol at this time, as it will adversely affect your health. adhere to a low salt diet (<2g/day), and take all medications exactly as prescribed. follow up at the appts. as below followup instructions: you have the following appointments which you should attend: provider: , md phone: date/time: 3:00 in bldg. , south suite . please report to appointment 1 hour before appointment in order to have your labs drawn. provider: , md phone: date/time: 9:00 in the md, msc, mph procedure: venous catheterization, not elsewhere classified percutaneous abdominal drainage transfusion of packed cells injection of anesthetic into spinal canal for analgesia intra-abdominal venous shunt diagnoses: alcoholic cirrhosis of liver iron deficiency anemia secondary to blood loss (chronic) hyposmolality and/or hyponatremia portal hypertension unspecified acquired hypothyroidism depressive disorder, not elsewhere classified blood in stool diarrhea hypovolemia varices of other sites other and unspecified alcohol dependence, continuous acute alcoholic hepatitis 

Answer: The patient is high likely exposed to