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: history of present illness: this is a 50-year-old gentleman, transferred from the va for management of an esophageal bleed. the patient initially presented on to the va with complaints of nausea, vomiting, abdominal distention, and jaundice. at that time, he was felt to have alcoholic hepatitis, and was treated supportively. on , the patient had an episode of coffee-ground emesis, followed by an episode of bright red hematemesis the morning of transfer to . by report from the house officer at va, it was approximately 1 to 1.5 liters of blood that was suctioned, vomited. his hematocrit dropped from 30 to 17, his blood pressures were in the 80s systolic at that time. the patient was intubated in the setting of aspiration of the blood. he was put on an octreotide drip of 50 mcg/hour, and had an esophagogastroduodenoscopy. in addition, he had bronchoscopy to remove the hemorrhagic aspiration materials. the esophagogastroduodenoscopy, by report, showed numerous esophageal varices, which were banded. the visualization was suboptimal due to the amount of blood. the gastroenterology team at the va felt that the esophagogastroduodenoscopy with banding was suboptimal for treatment of this upper gastrointestinal bleed, thus arranged for a transfer to for possible tips procedure. while at va, the patient received six units of packed red blood cells as well as approximately eight units of fresh frozen plasma. his inr decreased from 3.8 to 2.1 following the fresh frozen plasma infusions. while at va prior to admission, sodium was 140, potassium 4.5, chloride 111, bicarbonate 22, bun 24, creatinine 1.3, glucose 163. white blood cells 26.8, hematocrit 19.6, platelets 79. pt 17.8, ptt 45.3, inr 2.1. fibrinogen 141. physical examination: on transfer, blood pressure 130/96, pulse 106, ventilator support simv. the patient was intubated, responded to hard palpation of abdomen, otherwise unresponsive. head, eyes, ears, nose and throat: normocephalic, atraumatic, sclerae grossly icteric, eyes shut. neck with no lymphadenopathy. chest: decreased breath sounds bilaterally, otherwise clear to auscultation anteriorly. cardiovascular: s1, s2, tachycardic, no murmurs, rubs or gallops. abdomen: grossly distended, tympanitic, bowel sounds absent. extremities: left lower extremity greater than right lower extremity with gross pitting edema approximately 2+ to mid-thigh bilaterally. extremities were cool, mottled, pulses present. skin: patient with maculopapular rash on torso bilaterally. past medical history: alcohol abuse, hepatitis b, hepatitis c, hypercholesterolemia, asthma, hypertension, gastroesophageal reflux disease. social history: positive for intravenous drug use in the past, three to five cigarettes per day for 35 years, positive alcohol approximately a quart of vodka per day. family history: noncontributory. allergies: peanuts. medications on transfer: octreotide drip 50 mcg/hour, albuterol metered dose inhaler as needed, albuterol nebulizer as needed, valium 10 mg every two hours as needed, folate 1 mg, gadofloxacin 400 x 1, atrovent nebulizers as needed, phenergan 25 mg every six hours as needed, aldactone 25 mg once daily, thiamine 100 once daily, protonix 40 mg intravenously twice a day, flagyl 500 mg intravenously three times a day. hospital course: on transfer, the patient was stable, with no active bleeding noted, since he was status post banding at the va, and he also remained hemodynamically stable. he was followed with every six hours hematocrit checks and continued on the octreotide drip, protonix 40 mg twice a day, and was started on intravenous levofloxacin and continued on intravenous flagyl empirically for coverage in the setting of a likely variceal bleed. the morning after transfer, the patient was noted to have some active bleeding from the mouth. the gastroenterology team was consulted for an emergent esophagogastroduodenoscopy. the esophagogastroduodenoscopy at that time showed a medium hiatal hernia, barrett's esophagus, blood in the stomach body, congestion and erythema in the antrum, stomach, body and fundus compatible with portal gastropathy. varices were noted at the fundus. final recommendations were for intrahepatic portal systemic shunt should he rebleed, or to prevent rebleeding. in the setting of the bleed, the patient was transfused one unit of packed red blood cells, as well as two units of fresh frozen plasma prior to the esophagogastroduodenoscopy. goal hematocrit was greater than 25, since he had no known history of coronary artery disease, and inr goal was for 1.6 to 1.7 for procedures. on transfer, the patient was noted to have significant abdominal distention, thus an ultrasound was obtained to evaluate for the presence of ascites. a moderate amount of ascites was noted on ultrasound. thus a diagnostic paracentesis was performed in order to rule out spontaneous bacterial peritonitis in the setting of the upper gastrointestinal bleed. the diagnostic paracentesis revealed no evidence of peritonitis. it was determined post-esophagogastroduodenoscopy that it would be in the patient's best interest to proceed to tips, performed by interventional radiology on . consent was obtained by the patient's 18-year-old son, , whose phone number is . prior to tips, interventional radiology performed a large volume paracentesis, at which time 3 liters of clear straw-colored fluid was removed. tips was performed without complications, and the patient was returned to the floor. after the tips procedure, the patient was continued to be monitored. he remained hemodynamically stable, with systolic blood pressure in the 120s, though mildly tachycardic in the low 100s. his hematocrit remained stable, and it was thus determined that he should be extubated since the primary reason for intubation was airway protection in the setting of massive upper gastrointestinal bleed. the patient was eventually weaned to pressure support and peep of 5 and 5. the patient did well, with a mild alkalosis, thought to be chronic in the setting of known liver disease, cirrhosis. after being monitored on pressure support, the patient was extubated on the morning of without difficulty, and maintained on face mask oxygen. the patient remained hemodynamically stable, and was in no respiratory distress. thus it was determined that the patient no longer required intensive care unit level of care, and then thus was called down to the floor. the patient was discharged to the floor in stable condition, with intentions to transfer the patient back to the for continued care post-tips. discharge medications: 1. atrovent nebulizers every six hours as needed 2. albuterol nebulizers every six hours as needed 3. lactulose 30 by mouth three times a day 4. combivent one to two puffs every six hours as needed 5. levofloxacin 500 mg intravenously every 24 hours, day five, planned seven to ten day course 6. metronidazole 500 mg intravenously every eight hours, day five, also with a planned seven to ten day course 7. pantoprazole 40 intravenously every 12 hours 8. octreotide 50 mcg/hour, today day four, planned course five days discharge status: stable, to the va discharge diagnosis: 1. upper gastrointestinal bleed 2. portal gastropathy 3. transjugular intrahepatic portosystemic shunt 4. alcoholic hepatitis 5. hepatitis b 6. hepatitis c dr., 12-adp dictated by: medquist36 d: 23:51 t: 01:24 job#: procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine percutaneous abdominal drainage percutaneous abdominal drainage gastric lavage injection of anesthetic into spinal canal for analgesia intra-abdominal venous shunt diagnoses: chronic hepatitis c without mention of hepatic coma alcoholic cirrhosis of liver acute kidney failure, unspecified acute respiratory failure chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta alcohol abuse, continuous mixed acid-base balance disorder 

Answer: The patient is high likely exposed to