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: ranitidine attending: chief complaint: fall major surgical or invasive procedure: egd history of present illness: 66 y/o female w/ h/o hcv cirrhosis, hcc s/p rfa, gave syndrome, dm2 who presents w/ 1 d h/o slurred speach, double vision, and new onset l leg numbness/weakness. daughter reports that the patient had 3 falls prior to day of admission but no head trauma or loc. in ed neuro consulted and thought to have r midbrain cva. ct head negative. as patient was going to mri for further evaluation of her neurological symptoms she began having an epsisode of hematemis x 1 and ngt returned red-tinged fluid. repeat hct was stable at 32.7. patient was taken for egd and noted to have esophageal varices, gastropathy, and a variceal bleb was banded. past medical history: hcv cirrhosis hcc s/p rfa dm2 gave syndrome w/ multiple gibs hypothyrdoidism h/o encephalopathy htn h/o cholangitis gerd s/p tahbso s/p apendectomy s/p ccy social history: lives w/ daughter speaking only quit tobacco 10 years ago no etoh family history: not obtained physical exam: 98.4 107/47 hr 66 rr 17 100% ra general: lying in bed, nad, drowsy heent: nc/at, non-icteric, no jvd, no adenopathy lungs: ctab cardiac: rrr, no m/g/r abd: obese, soft, non-tender, normal bowel sounds ext: 1+ non-pitting edema bilaterally, 2+ dp neuro: left facial droop, otherwise cn ii-xii intact, difficulty picking legs up off bed however can plantar/dorsiflex bilateral toes/feet, full range of upper extremity motion, no asterixis pertinent results: 03:30pm glucose-152* urea n-14 creat-1.3* sodium-135 potassium-6.2* chloride-111* total co2-19* anion gap-11 03:30pm alt(sgpt)-23 ast(sgot)-82* ck(cpk)-60 alk phos-84 amylase-59 tot bili-1.5 03:30pm wbc-2.1* rbc-2.90* hgb-10.8* hct-31.2* mcv-108*# mch-37.4* mchc-34.7 rdw-15.0 03:30pm neuts-74.2* lymphs-19.6 monos-4.6 eos-1.3 basos-0.3 03:30pm pt-14.9* ptt-34.0 inr(pt)-1.4 head mri: findings of signal abnormality and slight expansion of the posterior corpus collosum may represent changes related to ischemia, infarction or demyelination (marchiafava bignami is a possibility). a neoplastic process might also be considered, but seems unlikely. ruq u/s: a small amount of ascites is seen in the abdomen and pelvis. the loops of bowel are in this fluid with no convenient focus for paracentesis. paracentesis is not recommended. brief hospital course: 66 y/o female w/ hcc, esld, gave syndrome, dm2 who presented w/ l leg numbness, weakness, diploplia x 1 day who experienced 1 episode of hematemisis while being evaluated in the er. 1. weakness - patient evaluted in er by neurology and noted to have left sided weakness and left sided facial droop consistent w/ r sided mid-brain stroke. initial head ct negative. head mri demonstrated changes w/in the corpus collosum consistent w/ an ischemic or paraneoplastic process. to further evaluate this neuro suggested an mrv or lumbar pucture. however the family was not interested in further interventions given their monther's esld. in addition, it is unlikely that these interventions would have altered management. 2. gi bleed - patient w/ one episode of gi bleeding in er now s/p egd w/ banding. on the floor the patient's hct slowly decreased secondary to slow gastric bleeding from gave syndrome and on hd #6 it had drifted down to 28. the patient was transfused 2 units of blood with an appropriate increase to 32 upon discharge. 3. esld - the patient appeared encephalopathic on admission and she was continued on her home regimen of lactulose w/ slight improvement in her mental status upon discharge. her metronidazole was discontinued in light of several case reports which suggested a possible relation between this drug and neurological findings. she continued cipro for sbp prophylaxis. an ultrasound demonstrated minimial ascites, not enough to tap. 4. dispo - the patient was discharged home with home health aide, occupational therapy and physical therapy. given that the patient is a difficult stick, the family requested that the double lumen picc line be left in place for blood draws. the family is aware of the possible risk of infection. medications on admission: flagyl 500 po tid cipro 750 po qwk estradiol 0.5 mg po qd folic acid 1 mg po qd levoxyl 88 mcg po qd aldactone 50 mg po qd calcium carbonate 500 po qd vitamin d 400 iu protonix 40 mg po qd ferrous sulfate 325 mg po qd propranolol 10 mg po qd nph 20 @ 8am; 8 @ 8 pm lactulose 45 ml po tid vitamin d 400 iu po qd discharge disposition: home with service facility: vna discharge diagnosis: 1. left sided weakness 2. gi bleed 3. end stage liver disease discharge condition: stable discharge instructions: please call your primary care doctor or go to the emergency room for fever, chills, nausea, vomiting, worsening mental status or for other concerns. followup instructions: patient to be discharged home w/ home nursing/home health aide/pt/ot w/ bridge to hospice. procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine endoscopic excision or destruction of lesion or tissue of esophagus transfusion of packed cells diagnoses: cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia chronic hepatitis c with hepatic coma portal hypertension unspecified acquired hypothyroidism malignant neoplasm of liver, primary esophageal varices in diseases classified elsewhere, without mention of bleeding cerebral artery occlusion, unspecified with cerebral infarction angiodysplasia of stomach and duodenum with hemorrhage 

Answer: The patient is high likely exposed to