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: gi bleed major surgical or invasive procedure: endoscopy liver ultrasound chest ct angiogram lower extremity duplex history of present illness: this is a 45 y/o male with h/o htn, heavy etoh use, has not seen a physician 4 years, who presents with acute-onset brb per mouth starting last night. per patient, he had approximately 2 cupfuls of blood that he spit out from his mouth. no nausea or vomiting. he has also noted bleeding from his gums for the last few months, resulting in bloodstains on his pillows at night. no f/c/s, abdominal pain, hematochezia/brbpr. no prior h/o hematemesis. per patient, his stool has been dark recently, but not "tarry-appearing." denies any dizziness/lightheadedness, palpitations, sob. patient denies the blood as a result of "coughing up" or vomiting, but says it just "filled his mouth." in ed, vs were t 98.7, bp 135/83, hr 100's, rr 20, sao2 94%ra. he refused an ng lavage. hct was 36.1, plts 35, inr 1.5. he was given 2.5 mg of vit k, 40 mg iv protonix, and a banana bag. on admission, patient denies any symptoms except for anxiety as he has never been in the hospital. no further bleeding since early this am. past medical history: 1. htn - on hctz, ace-i but not compliant 2. heavy etoh use social history: lives at home with his wife and 3 kids. is an electrician, not currently working. no tobacco use. history of heavy etoh use for many years - approx 2+ bottles wine/day. no h/o etoh withdrawal/seizures as pt has never stopped drinking for many years. no illicits. last drink night prior to admission family history: father with cad, had mi at age 55. physical exam: vs: t 98.7, bp 146/82, hr 74, rr 20, sao2 97%/ra general: pleasant male in nad, ao x 3 heent: nc/at, perrl, eomi. anicteric sclerae. mmm, op clear neck: supple, no lad or tmg chest: cta bl, - egophany, - rhonchi cv: rrr, s1 s2 normal, no m/r/g abd: soft, obese, nt, +bs ext: no c/c/e, pulses 2+ b/l skin: no spider angiomas, no palmar erythema neuro: ao x 3, cn ii-xii intact. -tremors, no asterixis pertinent results: 11:25am wbc-6.4 rbc-3.64* hgb-12.9* hct-36.7* mcv-101* mch-35.5* mchc-35.2* rdw-14.8 11:25am neuts-74.6* lymphs-15.7* monos-7.9 eos-0.9 basos-0.9 11:25am plt count-35* 11:25am pt-16.0* ptt-32.7 inr(pt)-1.5* 11:25am glucose-122* urea n-9 creat-0.6 sodium-144 potassium-4.2 chloride-104 total co2-31 anion gap-13 11:25am alt(sgpt)-39 ast(sgot)-135* alk phos-88 amylase-107* tot bili-1.5 06:45am blood wbc-6.4 rbc-3.82* hgb-12.6* hct-39.4* mcv-103* mch-33.0* mchc-32.0 rdw-14.9 plt ct-130* 07:15am blood pt-15.5* ptt-29.8 inr(pt)-1.4* 06:45am blood glucose-95 urean-10 creat-0.5 na-138 k-3.5 cl-102 hco3-27 angap-13 abd us: impression: 1. diffusely echogenic liver consistent with fatty infiltration. other forms of liver disease including significant fibrosis/cirrhosis cannot be excluded on this study. 2. patent umbilical vein suggestive of underlying portal hypertension. 3. no ascites or biliary ductal dilatation. 4. no evidence of vascular occlusive disease. nchct: impression: 1. no intracranial hemorrhage or mass effect. 2. diffuse cerebral brain atrophy. 3. opacification of the left maxillary sinus, which appears expanded, and the walls of which are thickened and sclerotic. these findings are suggestive of chronic sinusitis with a mucocele. hyperdense material within the left maxillary sinus could represent inspissated secretions, blood, or perhaps be due to fungal infection. ct neck: impression: 1. no masses or areas of abnormal enhancement identified. 2. 11 mm left submandibular lymph node, likely reactive in nature. other scattered subcentimeter cervical lymph nodes do not meet ct criteria for pathologic enlargement. ct/cta chest: impression: 1. no ct evidence of pulmonary embolism. 2. diffuse fatty infiltration of the liver. 3. focal airspace opacity within the superior segment of left lower lobe, which could represent an area of atelectasis or inflammation. 4. two, 2 mm noncalcified pulmonary nodules in the right middle and right lower lobes. if the patient does not have a history of malignancy, then a one-year followup chest ct is recommended to evaluate for interval stability. egd: impression: varices at the lower third of the esophagus blood in the stomach body erythema and congestion in the whole stomach compatible with gastritis normal mucosa in the duodenal bulb and second part of the duodenum otherwise normal egd to second part of the duodenum brief hospital course: 1. esophageal varices - secondary to cirrhosis - nadolol - alcohol cessation - grade 1 on egd - will need outpatient hep a/b vaccination and serologies negative - outpatient bx 2. etoh withdrawal - treated and resolved with ciwa iv ativan 3. id - pt had likely aspiration pneumonia along with sinusitis - treated with augmentin with resolution 4. conjuncitvitis - patient had purulent drainage out of right eye. - erythromycin os 5. thrombocytopenia - unclear duration - likely secondary to direct toxic effects of etoh on bone marrow and nutrition - resolving in hospital 6. coagulopathy - underlying liver disease along with likely scurvy - vitamin c 1000 qd 7. anemia - hct 36 from 44 earlier last month. likely secondary to active bleeding exacerbated by chronic direct bm toxicity, possible splenic congestion with hemolysis, and hemodilution from fluids on arrival - now 39 discharge medications: 1. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 3. vitamin c 1,000 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: alcohol withdrawl cirrhosis vitamin c deficiency esophageal varicies aspiration pneumonia sinusitis thrombocytopenia discharge condition: good discharge instructions: return to the hospital if you start bleeding, have fever, cough, difficulty breathing, tremors, seizures followup instructions: follow up with , m. it is strongly recommended that you follow up with alcoholics anonymous procedure: other endoscopy of small intestine diagnoses: anemia, unspecified alcoholic cirrhosis of liver pneumonitis due to inhalation of food or vomitus esophageal varices in diseases classified elsewhere, with bleeding other and unspecified coagulation defects other and unspecified alcohol dependence, continuous unspecified sinusitis (chronic) alcohol withdrawal acute conjunctivitis, unspecified other specified periodontal diseases ascorbic acid deficiency 

Answer: The patient is high likely exposed to