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: transfer from osh for upper gastrointestinal bleeding. major surgical or invasive procedure: upper endoscopy x 2 with banding of varices x 2 at outside hospital. intubation at outside hospital. history of present illness: this is a 52y/o male w/ hcv hepatitis, cirrhosis, hcc, s/p radiofrequency ablation, thrombocytopenia, h/o dt, seizure d/o, and recurrent cellulitis who is transfered from wxva after p/w ugib. he initially presented on the with melena and hematemesis, a hct drop of 8 points from baseline 35 and a ng lavage positive for 750cc of dark fluid initially and then 100cc of brb. he received 1 units prbcs was started on octreotide gtt at that time. he underwent an egd on day of admission , demonstrating old blood in the stomach, no active bleeding, grade 2+ esophageal varices w/one suggestive of a recent bleed. six bands were successfully placed. his hct continued to drop for the next two days, and he received each day 2 units prbcs, 4 units ffp, and 6 units of platelets. however, on the evening of , he developed a recurrent bleed with a large melanotic stool and a 6-pt hct drop. he was restarted on an octreotide gtt, iv ppi, and given 2 u prbcs, 6 units of platelets, and 2 units of ffp. on he was electively intubated for airway protection and underwent a repeat egd which showed esophageal varices but no active bleeding. the varices were banded again. he was then transfered to for +/- transplant evaluation on . he arrived to the micu on , intubated and sedated for airway protection. he was weaned off sedation and also underwent a paracentesis, which was negative for sbp. he was extubated w/o complications yesterday. he had no further bleeding episodes and received 1 u prbcs and 2 units of platelets while in the unit. his octreotide gtt was d/c'd today. he had a ct of his abd/pelvis which demonstrated an ileus, however pt is having bm's and no n/v, able to tolerate po. an ruq u/s demonstrated an old pvt w/o progression since of this year. past medical history: 1. cirrhosis - hcv, grade iii esophageal varices, 2. hcv - diagnosed , s/p 2 incomplete trials of peg ifn/ribavirin, d/c'd for depression and noncompliance, diagnosed with hepatocellular carcinoma, approximately 4-cm mass. he underwent radiofrequency ablation of this lesion on . repeat ct without lesions. 3. thrombocytopenia 4. h/o seizure disorder - on keppra 5. s/p r mastoidectomy - for gsw to head, deaf in r ear 6. h/o ptsd - s/p gsw 7. depression/anxiety 8. iv drug use from to 9. history of hepatitis b in social history: lives in by himself in his own apartment. he is divorced and has an 8-year-old daughter. currently unemployed, on social security. volunteers at va. h/o heavy alcohol abuse -, during which he drank a pint to a quart of vodka per day, sober x 4 yrs. h/o iv heroin use, last use 4yrs ago. + tobacco use, 1 ppd x ~40y. h/o incarceration for domestic abuse. presently uses <1pp day. family history: father died at age 62, had a history of emphysema, asthma, copd, lung cancer, stroke, alcoholism, hypertension, type 2 diabetes. mother and sister with breast cancer. sister recently passed away from breast ca. physical exam: vs: t 95.7, bp 98/64, hr 75, rr 16, sao2 99%/ra general: sitting in chair, chronically-ill appearing male in nad, ao x 3 heent: nc/at, perrl, mmm, o/p clear, poor dentition, mild icterus neck: supple, no lad cv: rrr, sem heard throughout, best at llsb pulm: cta b/l no w/r/r anteriorly abd: nabs, nt, no hm appreciated, distended with tympany to percussion and dullness at flanks ext: 2+ edema, dermatosclerotic changes, no c/c. neuro: perrla, moving all extremities, 1+ reflexes b/l; no asterixis pertinent results: labwork on admission: 03:37pm wbc-9.0# rbc-3.06* hgb-9.8* hct-28.8* mcv-94 mch-32.0 mchc-34.1 rdw-19.7* 03:37pm plt count-39* 03:37pm glucose-133* urea n-17 creat-0.8 sodium-143 potassium-3.8 chloride-118* total co2-21* anion gap-8 03:37pm alt(sgpt)-40 ast(sgot)-56* ld(ldh)-256* alk phos-71 amylase-30 tot bili-4.5* 03:37pm lipase-28 03:37pm albumin-2.7* calcium-7.5* phosphate-2.1* magnesium-2.0 . ekg: nsr at 100 bpm. normal axis and intervals. unchanged lbbb, compared to . . cxr - endotracheal tube is 4 cm above carina. right jugular cv line has tip located in region of cavoatrial junction. no pneumothorax. there are low lung volumes with probable atelectasis in the left lower lobe but the lungs are otherwise grossly clear on this suboptimal film. there is slight gaseous distention of the colon. . ct abd - no evidence of recurrence around rf ablation site or new hepatic lesions. interval increase in abdominal and pelvic ascites. stable appearance to perisplenic varices and multiple collateral vessels with increase in gastric and esophageal varices. small nonocclusive chronic thrombus within the main portal vein, grossly stable dating back to . otherwise unremarkable hepatic and portal veinous systems. cholelithiasis without evidence of cholecystitis. dilated air and fluid filled colon with minimal dilatation of small bowel. no evidence of mechanical obstruction, findings suggestive of ileus. . ruq u/s - cirrhotic liver with no focal liver lesions identified. patent intrahepatic portal and hepatic veins with extrahepatic portal vein not well visualized. portal hypertension with patent umbilical vein. minimal ascites. brief hospital course: 52 year-old male with hcv/etoh cirrhosis, hcc s/p radioablation who is transferred from osh after two episodes of variceal bleed for evaluation of +/- transplant. . 1. upper gastrointestinal bleeding: secondary to gastric variceal bleed, status post banding on and . no further bleeding episodes. hematocrit stable for 72 hours prior to discharge. octreotide gtt discontinued . the patient was given vitamin k sc x 3 doses. the patient was continued on propanolol and ppi for prophylaxis. there was no need for ir evaluation for tipss. the patient was given ciprofloxacin to complete a ten-day course for sbp prophylaxis in the setting of gib; paracentesis negative for sbp on . the patient was given sucralfate qid for a ten-day course after banding. the patient will have follow-up endoscopy performed in three weeks. . 2. cirrhosis/hepatocellular carcinoma: complicated by ascites, variceal bleed, encephalopathy. the patient is status post diagnostic paracentesis negative for sbp. the patient's diuretics were decreased to lasix 20 mg and aldactone 50 mg daily for rise in creatinine. the patient was continued on propanolol for prophylaxis. the patient was given ciprofloxacin for sbp prophylaxis given recent active bleeding. the patient was given lactulose for encephalopathy. the patient is being evaluated as an outpatient for liver transplant. meld score 17 on discharge but patient has known hcc. . 3. acute renal failure: resolving prior to discharge. the rise in creatinine occurred in the setting of restarting diuretics at higher doses than previous. likely pre-renal as responded to decreasing doses of diuretics. . 4. thrombocytopenia: likely due to splenic sequestration and liver disease. the patient's platelets remained at baseline. there was no need for platelet transfusion. . 5. seizure disorder: no active issues. the patient was continued on levetiracetam and zonisamide. medications on admission: meds (from ) - lasix 40 mg qd aldactone 100 mg qd keppra 1500 mg b.i.d. zonisamide 100 mg in the morning and 200 mg at night bupriinorphine/naloxone clotrimazole 10mg troche . meds (upon micu transfer)- 1. levetiracetam 1500 mg po bid 2. pantoprazole 40 mg iv q12 3. phytonadione 10 mg sc qd 4. zonisamide 100 mg po qam 5. zonisamide 200 mg po qpm 6. ciprofloxacin 400 mg iv q12 7. sucralfate 1 gm po qid dissolve 8. lactulose 30 ml po bid titrate to 5-6bm/d 9. furosemide 40 mg iv qd 10. spironolactone 100 mg po qd 11. nadolol 40 mg po qd discharge medications: 1. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). 2. zonisamide 100 mg capsule sig: one (1) capsule po qam (once a day (in the morning)). 3. zonisamide 100 mg capsule sig: two (2) capsule po qpm (once a day (in the evening)). 4. 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* 5. spironolactone 25 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. lactulose 10 g/15 ml syrup sig: thirty (30) ml po daily (daily). disp:*300 g* refills:*2* 8. propranolol 20 mg tablet sig: two (2) tablet po twice a day. disp:*90 tablet(s)* refills:*2* 9. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day) for 6 days. disp:*24 tablet(s)* refills:*0* 10. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 11. outpatient lab work please draw electrolytes (including bun/cr) and liver enzymes (ast, alt, alk p, tbili, ldh, albumin, inr) next week and fax results to dr. at at the liver center. discharge disposition: home with service facility: homecare discharge diagnosis: primary: variceal bleed status post banding x 2 at outside hospital . secondary: 1. cirrhosis - hcv, grade iii esophageal varices, 2. hcv - diagnosed , s/p 2 incomplete trials of peg ifn/ribavirin, d/c'd for depression and noncompliance, diagnosed with hepatocellular carcinoma, approximately 4-cm mass. he underwent radiofrequency ablation of this lesion on . repeat ct without lesions. 3. thrombocytopenia 4. h/o seizure disorder - on keppra 5. s/p r mastoidectomy - for gsw to head, deaf in r ear 6. h/o ptsd - s/p gsw 7. depression/anxiety 8. iv drug use from to 9. history of hepatitis b in discharge condition: afebrile, vital signs stable. hematocrit stable. discharge instructions: you were hospitalized with bleeding from varices because of your liver disease. you should take nadolol every day to prevent future bleeding. you have a repeat endoscopy scheduled in three weeks as below. also, please have your labs checked next week and faxed to the liver clinic as specified in the prescription. . please contact a physician if you experience fevers, chills, abdominal pain, nausea, vomiting, black stools or blood in your stools, or any other concerning symptoms. . please take your medications as prescribed. - you should continue propanolol 40 mg twice daily to prevent future bleeding. - you should take protonix 40 mg twice daily to reduce stomach acid and prevent future bleeding. - you should continue lasix 20 mg and aldactone 50 mg once daily to prevent fluid in your abdomen (ascites). - you should take ciprofloxacin for 5 more days to prevent infection after bleeding. - you should take sucralfate for 6 more days to coat your esophagus after banding. . please keep your follow-up appointments as below. you need to have a repeat endoscopy as scheduled below. followup instructions: repeat endoscopy: provider: west,room one gi rooms date/time: 8:00 provider: , md phone: date/time: 8:00 you should arrive at 7:30 am prior to the procedure. . provider: , md phone: date/time: 8:30 md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours percutaneous abdominal drainage transfusion of packed cells transfusion of platelets diagnoses: thrombocytopenia, unspecified cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified paralytic ileus epilepsy, unspecified, without mention of intractable epilepsy malignant neoplasm of liver, primary esophageal varices in diseases classified elsewhere, with bleeding hepatic encephalopathy 

Answer: The patient is high likely exposed to