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: abdominal pain, fever major surgical or invasive procedure: upper endoscopy history of present illness: mr. is a 56 year old man with a history of hepatitis b cirrhosis and type 2 diabetes who presented to the ed this evening with complaints of several hours of upper abdominal pain. he denies having any gi symptoms such as nausea, vomiting, or diarrhea, and he said this is similar to pain that he??????s had before which is why he takes medication. he reports compliance with all of his medications. he denies any fevers, but does feel that he may have had chills at home. he also endorses a new bifrontal headache and a sensation of pleuritic chest pain over his left chest earlier today without cough or dyspnea. he also noted that his blood sugars had been high at home, so he came to the ed. . upon arrival to the ed, he had a temperature of 99.8, bp 119/58, hr 93, rr 20, sat 98% on room air. he spiked a temperature to 102.2 and was noted to be rigoring. he was also hyperglycemic >400. he was given several fluid boluses but his blood pressure trended down to the mid-90s. a ct scan of his abdomen noted thickening in the distal colon consistent with either hypoproteinemia or colitis. an unofficial ultrasound reportedly demonstrated insufficient ascites for paracentesis. he was given empiric vancomycin, levofloxacin, and metronidazole, and eventually received a total of 6.5 l of normal saline prior to transfer to the micu. past medical history: - cirrhosis due to hepatitis b; prior episodes of hepatic encephalopathy, last hb viral load not detectable - type 2 diabetes mellitus, on insulin - history of latent tuberculosis s/p 6 months of isoniazid - gerd - hypertension - e. coli septicemia in social history: former hairdresser; from vietman; denies smoking, alcohol, drugs family history: no history of liver disease physical exam: vs 97.2 bp 93/55 hr 65 rr 15 sat 99% on room air gen: awake and alert, smiling, nad heent: eomi, mildly icteric sclera, mmm, op clear, poor dentition neck: supple, no lad chest: ctab no wheezes or crackles cv: rrr, nl s1s2, no m/r/g abd: mild epigastric/periumbilical tenderness to palpation, mild distention but soft, no rebound or guarding. + bs extr: no edema, 1+ pt pulses neuro: a&o x3, no asterixis, cn 2-12 intact, 5-/5 strength throughout pertinent results: labs- 06:30pm blood wbc-4.4 rbc-3.20* hgb-11.1* hct-31.5* mcv-98 mch-34.7* mchc-35.3* rdw-15.4 plt ct-23* 06:50am blood wbc-3.9* rbc-3.25* hgb-11.0* hct-30.2* mcv-93 mch-33.7* mchc-36.3* rdw-15.7* plt ct-38* 12:14am blood pt-17.5* ptt-41.0* inr(pt)-1.6* 06:40am blood pt-19.4* ptt-39.2* inr(pt)-1.8* 06:30pm blood glucose-443* urean-15 creat-1.2 na-130* k-5.8* cl-95* hco3-27 angap-14 06:50am blood glucose-149* urean-15 creat-0.9 na-136 k-3.9 cl-102 hco3-29 angap-9 06:30pm blood alt-66* ast-113* alkphos-205* totbili-2.8* 06:50am blood alt-43* ast-63* ld(ldh)-207 alkphos-185* totbili-2.1* 06:30pm blood lipase-58 06:00am blood calcium-6.7* phos-2.1* mg-1.7 06:50am blood calcium-8.2* phos-3.1 mg-1.8 08:00pm blood ammonia-58* 07:09pm blood glucose-382* lactate-4.4* k-4.5 04:09pm blood lactate-1.2 07:25pm urine rbc->50 wbc-0-2 bacteri-occ yeast-none epi-<1 07:25pm urine blood-lg nitrite-neg protein-neg glucose-1000 ketone-neg bilirub-neg urobiln-0.2 ph-8.0 leuks-neg studies- ct abd/pelvis impression: 1. mild right colon wall edema, may be seen in the setting of hypoproteinemia, given presentation infectious colitis cannot be excluded. 2. findings consistent with cirrhosis and portal hypertension. 3. cholelithiasis. 4. no evidence of diverticulosis or diverticulitis ekg sinus rhythm. non-specific inferior st-t wave changes. possible prior inferior myocardial infarction. compared to the previous tracing of the qtc interval is not prolonged on the current tracing. read by: , d. intervals axes rate pr qrs qt/qtc p qrs t 77 158 106 408/437 37 12 -3 abd u/s with doppler impression: 1. limited study. main portal vein remains open with slow hepatopetal flow. 2. findings consistent with cirrhosis and portal hypertension, unchanged. mr would be more sensitive for evaluation for focal hepatic lesions in the setting of nodular cirrhosis. 3. cholelithiasis, no evidence of acute cholecystitis. cta with and without ct adb/pelvis impression: 1. cirrhotic liver with evidence of portal hypertension and mild decompensation. 2. no evidence of colitis. patent arterial system. 3. stable anterior compression of the celiac trunk. however, celiac axis is better evaluated on prior dedicated studies. 4. stable lesion in segment viii of the liver. continued followup as per prior mr note is recommended. 5. hypodense lesion in pancreas likely a pseudocyst or side branch ipmn. attention should be paid to this area on followup studies. 6. probable renal papilllary necrosis. 7. cholelithiasis without evidence of acute cholecystitis. egd gastic bx stomach, antrum, biopsy: antral and fundic mucosa with some features suggestive of chemical gastropathy brief hospital course: mr. is a 56 yo m with hbv cirrhosis and diabetes who presented with abdominal pain, fever, and possible colitis. in the ed he was febrile to 102.2 and began rigoring with fsbg >400 and bp in the 80s systolic. he was given 6.5l ns and his bp improved. ct abdominal demonstrated thickening in the distal colon c/w colitis. he was started empirically on vanco/levo/flagyl. ed u/s did not demonstrate ascites. he was thus transferred to the micu. in the micu, his fevers resolved. he was continued on vanco/levo/flagyl. official u/s showed patent vasculature and minimal ascites, not enough to tap. he was also noted to have a hct drop from 31->24 after his fluid boluses. he was then transferred to the floor were he continued to have mild upper abdominal pain and frontal ha. he reported gerd symptoms. his antibiotics were stopped since it was unclear if colitis was the cause of abdominal pain and he remained without fever. he had an egd which showed grade iii varices at the lower third of the esophagus and middle third of the esophagus, erythema, friability, congestion and erosion in the antrum and pylorus compatible with gastritis. his biopsy confirmed this dx. he has no evidence of pancreatitis or biliary pathology. the was no obstruction of his portal vasculature on doppler ultrasound. however, he did have a hx of severe celiac artery stenosis and vasculature and surgery were consulted to see if he had possible ischemia/anginal pain. cta did not show obstruction of any vessels. he was treated with increase ppi to and nadolol was restarted (held when hypotensive). his symptoms improved over the course of his hospitalization. pancytopenia: wbc and plt were not far from baseline. most likely from hbv cirrhosis or medication. anemia worse than baseline. drop in the setting of aggressive ivf, likely dilutional, improved before discharge. no other obvious bleeding source. hbv cirrhosis: no evidence of decompensation currently. does have history of encephalopathy. ruq u/s unremarkable except for chronic liver disease. patient was continued on lactulose, rifaximin, diuretics, and entecavir. restarted on nadolol. headache: etiology unclear, though severity seems mild. resolved. dm2: was placed on sliding scale insulin plus home humalog 75/25. well controlled. will have follow up care with liver clinic and pcp. medications on admission: entecavir 0.5 mg daily lactulose 30 cc tid rifaximin 600 mg tid nadolol 20 mg daily spironolactone 25 mg daily furosemide 20 mg daily calcium with vitamin d omeprazole 20 mg daily magnesium oxide tramadol prn lisinopril 5 mg daily humalog 75/25 35 units qam, 30 units qpm discharge medications: 1. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 2. rifaximin 200 mg tablet sig: three (3) tablet po tid (3 times a day). 3. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 4. entecavir 0.5 mg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 6. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). 7. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 8. 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* 9. magnesium oxide 400 mg tablet sig: one (1) tablet po once a day. 10. humalog mix 75-25 100 unit/ml (75-25) suspension sig: 35 units in the morning, 30 units at night subcutaneous once a day: please check your blood sugars often while taking this medication. discharge disposition: home discharge diagnosis: gastritis hepatitis b cirrhosis celiac artery stenosis diabetes mellitus pancytopenia discharge condition: good, afebrile, hemodynamically stable discharge instructions: you were admitted with abdominal pain and fever. you were initially started on antibiotics which were stopped. your cultures did not grow any infection. you had a ct scan which showed that your vessels were open. you had an upper endoscopy which showed gastritis. this may be the cause of your chronic abdominal pain. because you are on lactulose, it is normal to have loose bowel movements per day. . your protonix medication has been doubled to treat your gastritis. please continue to take all other medications as prescribed. please keep all follow up appointents. please return to the hospital if you experience fevers/chills, worsening abdominial pain, bloody diarrhea, or any other concerning symptoms. followup instructions: provider: clinic phone: date/time: 8:40 provider: , m.d. phone: date/time: 4:00 md, msc, mph procedure: other endoscopy of small intestine diagnoses: thrombocytopenia, unspecified esophageal reflux unspecified essential hypertension cirrhosis of liver without mention of alcohol diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled portal hypertension hypotension, unspecified long-term (current) use of insulin awaiting organ transplant status unspecified gastritis and gastroduodenitis, without mention of hemorrhage chronic viral hepatitis b with hepatic coma without hepatitis delta celiac artery compression syndrome 

Answer: The patient is high likely exposed to