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: upper gi bleed major surgical or invasive procedure: upper endoscopy history of present illness: this is a 79 y.o. gentleman with colon cancer, etoh cirrhosis presenting from an outside hospital with upper gi bleed and sepsis. he presented to on with sudden onset of fevers, chills, rectal bleeding and hematemesis. there he was admitted to the icu. he was noted to have left le cellulitis and 33% bandemia. his sbp was in the 80s and he was started on dopamine, unasyn, and tequin. his hct was noted to drop from 33 to 24. he was transfused 2 units prbc on . on the morning of he had temp of 103.7, blood cultures + for gpc, and was started on vancomycin. at 3pm he began vomiting bright blood (~100 cc). dr. was consulted and recommended vitamin k, ffp, octreotide gtt and transfer to for variceal banding. past medical history: 1) colon cancer, diagnosed in s/p xrt x 3, with resulting radiation proctitis. he elected not to have surgery because he did not want a colostomy 2) etoh cirrhosis with portal htn. has had esophageal and gastric varices. he recalls 2 episodes of variceal bleeds 3) fem-fem bypass in 4) diabetes, diet controlled social history: former etoh abuse. has not had a drink in over 10 years. no smoking--quit 18 y.a. retired tree surgeon. involved daughter. full code but would not want prolonged intubation. family history: non-contributory physical exam: temp:100.0 bp: 140/48 hr:78 rr:14 o2:100 2l gen: nad, a/o x3 heent: pearla. eomi. cv: rr no m/r/c/g. port-a-cath without erythema pulm: cta b/l abd: soft/nt/nd. no fluid wave or asterixis. no hsm. ext: no edema. marked, dry erythema of left leg from knee to ankle without bullae or vesicles. 1+ dp b/l. no spider angiomas neuro: motor at all flex/ex. sensation: gi to lt. cn ii-xii gi. pertinent results: glucose-160* urea n-55* creat-1.8* sodium-141 potassium-4.1 chloride-111* total co2-19* anion gap-15 alt(sgpt)-122* ast(sgot)-145* ld(ldh)-289* alk phos-68 amylase-918* tot bili-3.7* lipase-15 albumin-2.6* calcium-6.6* phosphate-4.1 magnesium-1.7 wbc-8.9 rbc-2.97* hgb-9.3* hct-25.7* mcv-86 mch-31.4 mchc-36.3* rdw-18.0* neuts-94.2* lymphs-4.0* monos-1.6* eos-0.1 basos-0.1 plt count-54* inr:1.8 ecg: nsr at 80 bpm. nl axis/intervals. qtc=470. low voltage cxr: port-a-cath in good position. basilar atelectatic change in left costophrenic angle. no chf. egd: 4 cords of grade ii-iii varices at lower third of oesophagus with stigmata of bleeding. 4 bands placed. angioectasia in the antrum and second portion of duodenum. brief hospital course: the patient is a 79 y.o. gentleman with colon cancer, etoh cirrhosis who presented with upper gi bleed and ? le cellulitis with gram + cocci bacteremia. the patient was admitted to the icu where he had an egd with 4 bands. blood cultures from the osh came back positive for strep group c and the patient was treated with unasyn. 1) upper gi bleed: secondary to variceal bleed. he was seen by gi/liver team on admission and multiple varices were visualized by egd, all with stigmata of recent bleeding. he required a total of 3 u prbc, and hematocrit remained stable after this intervention. he was initially on an ocreotide drip which was stopped after a few days. twice daily protonix was initiated, and he was started on nadolol (40mg qd). hematocrits remained stable, and he was transferred to the floor. the patients hct remained stable during the rest of his hospitalization. dr. (gi) contact dr. (patients outpatient gi) and scheduled a followup egd in a few weeks. 2) cellulitis/sepsis: he likely has chronic le venous insufficiency secondary to his pvd. he likely had an ulcer on lle that acted as a portal of entry for infection. blood cultures at osh were growing out 2/4 bottles gpc (not yet speciated). he was started/continued on vancomycin and unasyn for coverage (to be narrowed based on micro data). he was transferred also on levofloxacin which was discontinued). he was initially on dopamine gtt on transfer, transitioned to levophed on arrival. this was weaned to off, and he remained hemodynamically stable. at this point osh records were faxed over and cultures were positive for strep group c. id was called and recommened d/cing vancomycin as unasyn would be adequate for strep c. upon discharge (antibiotic day 7), the patient was switched to po augmentin (will complete a 14 day course). all cultures obtained at remained negative. the patient will need survellence cultures after completion of his antibiotic course. the patients pcp (dr. ) will follow the patient next week. 3) cirrhosis: likely secondary to etoh, transplant surgery was contact while in-house. he was maintained on aldactone; portal us of liver showed cirrhotic liver with a very small amount of perihepatic ascites (not enough to tap or mark). hepatitis serologies were sent and are pending. he will follow up with gi/liver. lasix was restarted prior to discharge (the patient had been on bumex prior to admission). 4) colon cancer: he has known colon cancer, currently receiving therapy at . he has a port-a-cath for access. 5) hyperamylasemia: likely secondary to bleeding varices. normal lipase. this trended down and abdominal exam remained benign. 6) pvd: s/p fem-fem bypass. vascular surgery was consulted while in-house. pentoxyfylline was initially held while in-house but may be restarted as an outpatient. the patient will need to have further vascular evaluation and likely further surgery. after speaking with the patients outpatient vascular surgean (dr. it was decided that the patient would be better served having further surgery at . it was also decided that they patient should finish his course of antibiotics prior to any intervention so he will be re-admitted in 1 month. the patient will be following with his pcp next week and any further pre-op evaluation will be done at that time. we plan to readmit the patient on for further vascular intervention. 7) low platelets - the patients platelet count was consistently low. an outpatient evaluation should be considered with the patients pcp. medications on admission: protonix 40 mg daily aldactone 25 trental 400 mg qid vicodin 1 tab neurontin 600 mg bumex 1 mg discharge medications: 1. spironolactone 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 2. gabapentin 300 mg capsule sig: two (2) capsule po bid (2 times a day). disp:*120 capsule(s)* refills:*2* 3. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 4. nadolol 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 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. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. augmentin 875-125 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: gi bleed bacteremia discharge condition: stable discharge instructions: --please return to the er if you have an signs of bleeding (spitting up blood, blood in your stool, dizzyness, or lightheadedness) --please followup with all of your appointments. please take all medication as we have prescribed. **we have changed your medications. please take the medications as we have prescribed. ******instead of bumex you will now be taking lasix --you will be readmitted to the hospital likely on . the admitting office will call you to arrange the details. followup instructions: --you have an appointment with dr. on monday () at 2:30. --dr wants to perform your repeat egd next thursday. please call his office on monday to get specific instructions for the procedure. () md procedure: endoscopic excision or destruction of lesion or tissue of esophagus transfusion of packed cells transfusion of platelets infusion of vasopressor agent diagnoses: thrombocytopenia, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver severe sepsis portal hypertension peripheral vascular disease, unspecified cellulitis and abscess of leg, except foot septic shock personal history of malignant neoplasm of large intestine esophageal varices in diseases classified elsewhere, with bleeding streptococcal septicemia venous (peripheral) insufficiency, unspecified ulcer of calf 

Answer: The patient is high likely exposed to