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: cold medicine attending: chief complaint: brbpr and hypotension major surgical or invasive procedure: colonoscopy history of present illness: this is a 51 yo man with a history of hep c cirrhosis c/b hcc in , diastolic dyfunction with ef 65% who presents with c/o melena. apparently the patient was admitted last week for a colonoscopy. the patient had a colonoscopy on which revealed polyps in the transvere colon, sigmoid colon, ascending colon, and the hepatic flexure which all underwent biopsy. post biopsy he had a fever and was diagnosed with rll pna on . he was discharged home on a 7 day course of levofloxacin. since discharge, the patient noted purple streaks of blood in his stool starting this am, and has had 3 bm today. he denies associated emesis, cp, palpitations, or abdominal pain. he does admit to some orthostasis and dizziness earlier today. . in the ed, the pts vitals were: t 97.9 hr 65 bp 96/51, rr 16, sat 99%ra. he received 3 l ns in the setting of his sbp dropping to 86. he was guaiac positive. ngl was negative for ugi bleed. hepatology saw the pt with plan for colonoscopy in the am. past medical history: hep c cirrhosis diagnosed c/b hcc 1 episode of afib several years ago, coumadin d/c'd diastolic dysfunction ef 65% in moderate as diet controlled dm h/o etoh abuse gi polyps social history: lifelong smoker--35 pack yrs, quit several wks ago. h/o etoh abuse but quit. h/o marijuana abuse and iv drug abuse but quit. an environmental worker. he has no children. he is single and lives in . family history: the patient's mother had breast cancer but is doing well and is alive. no other gi cancers. no history of hep b or hep c in the family. physical exam: vitals: afebrile bp 116/55 hr 60 rr 24 sat 100% ra gen: middle-aged man, nad, sitting up in bed heent: perrl, conjunctivae mildly icteric, mmm neck: supple, no lad, jvd not appreciated cv: rrr, grade 4/6 sem at lusb radiating to carotids lungs: ctab ab: soft, ntnd, nabs, no hsm by percussion extrem: no c/c/e, full dp/pt pulses neuro: no asterixis, a and o x3, cn ii-xii grossly intact guaiac positive in ed pertinent results: admission labs 05:28pm blood wbc-7.0 rbc-2.89* hgb-10.5* hct-29.8* mcv-103* mch-36.2* mchc-35.1* rdw-14.5 plt ct-81* neuts-81.9* lymphs-9.3* monos-7.1 eos-1.7 baso-0 05:28pm blood pt-16.0* ptt-30.0 inr(pt)-1.5* 05:28pm blood glucose-214* urean-15 creat-1.1 na-131* k-4.3 cl-98 hco3-26 angap-11 calcium-8.2* phos-2.3* mg-1.6 ammonia-63* digoxin-0.7* echo conclusions: the left atrium is markedly dilated. the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets are severely thickened/deformed. there is moderate aortic valve stenosis (area 0.8-1.19cm2). no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mass or vegetation is seen on the mitral valve. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the prior study (images reviewed) of , there is now moderate to severe aortic stenosis. impression: no valvular vegetations seen. if clinically indicated, a tee may be better to exclude a small valve vegetation. brief hospital course: gib: the patient was initially in the micu, where he was stable and quickly transferred to the floor. the patient's course was stable. his initial hct was 29.8 within his baseline, with his repeat hct being 28.4. his inr was 1.5. he received 1u of ffp, 1u of platelets and vitamin k 10sc. the patient remained hd stable. colonoscopy was performed and the area of prior polypectomy was embolized, cauterized successfully. the patient was transferred to 10 for further mgmt. the patient continued to have persistently guaiac positive stools, however his hct remained stable on the floor. he had no further episodes of blood loss or melena and was scheduled for an egd as an outpatient. . # fever: the patient spiked a fever on the floor which quickly resolved. he has moderate as and was not given abx prior to scope on . post-procedure, spiked to 103 and had rigors. cultures were negative and patient was felt to have a pneumonia, so was diagnosed w/ 7d course of levofloxacin (last dose 3/31). was not given any other abx before scope. ? if patient could have had a transient bacteremia peri- or post-procedure, so an echocardiogram was obtained which showed no vegetations. numerous blood cultures also showed no growth. . # cirrhosis/coagulopathy: no evidence of encephalopathy. lasix was held. the patient had egd in which showed 3 cords of grade ii-iii esophageal varices. he is , was given blood products/vitamin k prior to scope. . # hypotension: likely related to gi bleed. resolved and the patient was slowly re-started on his blood pressure medications. . # h/o afib: nsr currently. digoxin was continued. diltiazem was initially held but then restarted. no anticoagulation given liver dysfunction. . # dm: fs qid + iss. . # hyponatremia: resolved. it was previously likely in setting of cirrhosis. . # fen: advance diet to regular. no further ivf. checked lytes daily, repleted prn. . # access: 2 lbiv . # ppx: pneumoboots, ppi, no bowel regimen currently . # full code . # comm: with patient; father is # . .. medications on admission: coreg 3.125 mg b.i.d. diltiazem xr 120 mg daily digoxin 0.25 mg daily lasix 40 mg every day aldactone 100 mg every day lisinopril 10 mg daily discharge medications: 1. digoxin 125 mcg tablet sig: two (2) tablet po daily (daily). 2. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 3. diltiazem hcl 120 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 4. temazepam 15 mg capsule sig: one (1) capsule po hs (at bedtime) as needed. 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. cefpodoxime 100 mg tablet sig: two (2) tablet po q12h (every 12 hours) for 5 days. disp:*20 tablet(s)* refills:*0* 7. lisinopril 20 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary diagnosis: bleeding from polypectomy site aortic stenosis . secondary diagnosis: hepatitis c cirrhosis hcc atrial fibrillation dm - diet controlled discharge condition: good. afebrile, bp and hr stable. discharge instructions: you were admitted for evaluation of bleeding from your rectum. repeat colonoscopy was performed and it found that you were bleeding from the site of your polypectomy. the bleeding was controlled with injections and cautery. your hematocrit remained stable throughout your admission, but you were given blood products to lower your bleeding risk peri-procedure. post-colonoscopy, you developed a fever and were started on antibiotics in case of infection, particulary on your aortic valve. you remained afebrile for the rest of your hospitalization and all cultures showed no growth at time of discharge. you had an echo performed which showed a worsening of your heart murmur, but no infection on your valve. you were discharged on cefpodoxime for a 7 day course and you should follow-up with your outpatient cardiologist within the next 4 weeks. . you should have a cxr performed in weeks to evaluate for resolution of your pneumonia. please set this up through your pcp's office. . please take all medications as prescribed. several changes have been made: 1) your lasix and aldactone are being held until you follow up with dr. on . 2) your lisinopril has been restarted upon discharge. 3) you are being discharged with a course of cefpodoxime - please take all of these antibiotics as prescribed. . please keep all your follow up appointments as outlined below. . please call your pcp or go to the nearest er if you develop any of the following symptoms: fever, chills, shortness of breath, difficulty breathing, chest pain, lightheadedness or dizziness, dark or tarry stools, bright red blood from your rectum, or any other worrisome symptoms. followup instructions: please keep the following appointments: , md phone: date/time: 1:40 cat scan phone: date/time: 10:00 . please make an appointment with your pcp weeks so that you can have a repeat cxr performed to evaluate for resolution of your pneumonia. . please also make an appointment with your outpatient cardiologist within the next 4 weeks. please make this appointment at your convenience. procedure: endoscopic destruction of other lesion or tissue of large intestine transfusion of other serum transfusion of platelets diagnoses: pneumonia, organism unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver hyposmolality and/or hyponatremia portal hypertension unspecified viral hepatitis c without hepatic coma atrial fibrillation aortic valve disorders personal history of tobacco use hemorrhage complicating a procedure other specified cardiac dysrhythmias hypotension, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other postprocedural status other specified complications of procedures not elsewhere classified esophageal varices in diseases classified elsewhere, without mention of bleeding personal history of malignant neoplasm of liver accidents occurring in residential institution diverticulosis of colon (without mention of hemorrhage) personal history of colonic polyps alcohol abuse, in remission angiodysplasia of intestine (without mention of hemorrhage) 

Answer: The patient is high likely exposed to