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: alcoholic cirrhosis, sbp major surgical or invasive procedure: orotracheal intubation left internal jugular central line history of present illness: 39yo m with etoh cirrhosis with portal htn, recent admission here for alcoholic hepatitis, htn, dm, who was transferred directly from for further management of acute renal failure, sbp, and decompensated liver disease. . during last hospitalization at , patient admitted with alcoholic hepatitis treated with prednisone. patient discharged on prednisone 40mg po daily. . unable to obtain direct signout from , but per discharge summary and available records, reason for transfer is further mnanagement of decompensated cirrhosis and evaluation for possible liver transplantation. brief summary of hospital course there between are as follows. please review osh discharge summary for full synopsis. . patient was admitted on for worsening confusion and intermittent abdominal pain. abdominal and pelvic ct showed cirrhotic liver with splenomegaly, varices, and small ascites and mild thicking of ascending colon. confusion possibly secondary to hepatic encephalopathy, however infectious workup significant for possible sbp by paracentesis (3929 wbc with 80% neutrophils). bcx grew out strep salivarius which prompted id consult which recommended ctx/flagyl, and getting tte to r/o endocarditis which was negative. prednisone was stopped after discussion with dr. here. mental status improved with lactulose/rifaximin. cr started increasing to peak of 2.2, concern for hrs vs prerenal etiology. patient started on albumin, had renal consult called. on discharge, cr 2, tbili 30.9. . on arrival, vitals were 97.2, 98/66, 65, 18, 100% on ra, 174lbs. patient with jaundice, but pleasant, aox3, and comfortable. denies hematemesis, bloody bowel movements. past medical history: alcoholic cirrhosis with portal hypertension - diagnosed with liver biopsy at ceneter per report heterozygote for hemachromatosis diabetes htn duodenal ulcer social history: patient with long history of etoh abuse, per fiance, last drink of vodka . lives with fiance, 2 children family history: noncontributory. physical exam: vs - 97.2, 98/66, 65, 18, 100% on ra, 174lbs general - patient jaundiced in nad, comfortable, appropriate, aox3 heent - sclera jaundiced, mmdry, op clear neck - supple, no thyromegaly, no jvd, no carotid bruits lungs - chest with spider angiomata, cta bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use heart - pmi non-displaced, rrr, no mrg, nl s1-s2 abdomen - +distended, no hernia noted, +bs extremities - 2+ pitting edema up to knees bilaterally skin - +whole body jaundice neuro - no asterixis, cn exam intact, motor, sensation normal, no tremor pertinent results: 11:50pm blood wbc-19.0* rbc-3.41* hgb-11.9* hct-34.2* mcv-100* mch-35.0* mchc-34.9 rdw-16.6* plt ct-141*# 11:50pm blood neuts-83.7* lymphs-10.7* monos-3.4 eos-1.6 baso-0.5 11:50pm blood pt-42.5* ptt-66.8* inr(pt)-4.7* 06:00am blood pt-45.8* ptt-79.6* inr(pt)-5.1* 11:50pm blood glucose-156* urean-42* creat-1.0 na-126* k-3.3 cl-99 hco3-16* angap-14 11:50pm blood glucose-156* urean-42* creat-1.0 na-126* k-3.3 cl-99 hco3-16* angap-14 06:05am blood glucose-88 urean-40* creat-0.8 na-125* k-3.8 cl-99 hco3-16* angap-14 11:50pm blood alt-76* ast-104* ld(ldh)-412* alkphos-243* totbili-38.3* dirbili-26.4* indbili-11.9 11:50pm blood albumin-2.6* calcium-6.8* phos-2.2* mg-2.6 06:00am blood caltibc-55* ferritn-1839* trf-42* 11:50pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . : abdominal u/s 1. no interval change in portal hypertension, with reversal of flow in the portal venous system, and perisplenic varices. 2. coarse hepatic echotexture consistent with cirrhosis. 3. small-to-moderate amount of ascites. 4. tiny amount of perirenal fluid along the left kidney unlikely of clinical significance. otherwise, normal renal ultrasound. brief hospital course: 39yo m with etoh cirrhosis with portal htn, recent admission here for alcoholic hepatitis, htn, transferred from osh for further management of sbp, and decompensated liver disease. pt eventually suffered from septic shock likely secondary to pulmonary infection and also respiratory failure/ards. after discussion with the family the pt was made comfort measures only on and the pt was placed on a morphine drip. . #. septic shock: on pt was intubated and started on pressors for hypotension and respiratory failure. pt was bolused with 6l of fluid and started on levophed, dopamine and vasopressin. likely source was aspiration/hap. pt was started on vancomycin/zosyn on . maps were difficult to keep above 60 even with aggressive fluid resuscitation and pressors. given the grim prognosis the family decided to make the pt on the afternoon of . the pt expired shortly after. . #. respiratory failure: on pt was intubated and started on pressors for hypotension and respiratory failure. initial blood gases showed acidemia that were refractory to increased minute ventilation. pt's respiratory status was concerning for ards in the setting of recent volume overload, alcoholic hepatitis/esld and likely aspiration/hap pneumonia. given the grim prognosis the family decided to make the pt on the afternoon of . the pt expired shortly after. . #. etoh cirrhosis/alcoholic hepatitis: decompensated alcoholic liver disease with cirrhosis and portal htn, worsening coagulopathy (initial inr 5.1), hyperbilirubinemia (>30). coagulapathy improved with 1u ffp transfusion, vitamin k, and inr remained below 4.5. initially was not encephalopathic, on lactulose and rifaxamin, however developed increasing encephalopathy with slurred/delayed speech, episodic disorientation, and asterixis. meld 38 (calc ). continued on nadolol, egd showed non-bleeding gastric and esophageal varices. last drank alcohol , was not candidate for transplant list while admitted given need for 3 continuous months of sobriety at home. . #. sbp/?bacteremia - pt had paracentesis on at with 3929 wbcs and 80% neutrophils, tp 0.6, alb<0.1, started on ctx/flagyl. also, 1/4 bottles of blood cultures there grew out strep salivarius but unclear if true bacteremia, or patient ever febrile there. wbc trended up at osh - 16.8 on admission to 24.8 on transfer (prednisone discontinued at osh given concern for sbp). ceftriaxone was discontinued when repeat paracentesis on showed no evidence of sbp. third paracentesis on suggested sbp with 450 wbc, so ceftriaxone restarted with albumin, and pt received 6u albumin and 1l ivf through . wbc trended down from 29.4 to 14.9 before transfer to micu. peritoneal fluid culture and blood cultures demonstrated no growth to date. urine culture was negative. multiple c. dif stool assays negative at osh, and negative here x1, with no signs/symptoms. . #. acute renal failure - creatinine on admission to osh was 1 and then increased to peak at 2.2, was 2 at transfer in the setting of starting spironolactone and lasix. diuretics were discontinued and pt was given iv fluids and albumin. creatinine on admission to was 1.0, trending down to 0.6, however then began to spike to 1.2 in context of poor po intake and increasing hepatic encephalopathy. diuretics were held and iv fluid rehydration and albumin were given to address potential pre-renal cause, with creatinine spiking at 1.8 then trending down to 0.8. . #. etoh use: patient has heavy history of etoh use, in detox recently, but outside window for withdrawal. tox screen negative. no signs of withdrawal developed while admitted, and pt was supplemented with multivitamin, thiamine, and folate. . #. ? hemochromatosis - heterozygous with nl iron, low tibc, very high ferritin, and low transferrin. . #. dm: controlled on metformin at home. at , placed on insuling sliding scale with blood sugars in mid-100's to low-200's. . #. hyponatremia - stable hyponatremia in the mid-120's, likely related to cirrhosis and activated renin-angiotensin-aldosterone axis. at osh na has been ranging 124-127 and was stable with na of 127 at . was given low-na diet and strict fluid restriction held given need to hydrate gently to alleviate acute renal failure. on after discussion with the family the pt was made . the pt expired shortly afterwards. medications on admission: ceftriaxone 1gm daily thiamine 100mg daily folate 1mg daily protonix 40mg daily mvi rifaximin 400mg lactulose 10gm daily nadolol 40mg albumin 100ml (2%) q6hr benadrul 25mg q6hr discharge medications: expired discharge disposition: expired discharge diagnosis: respiratory failure septic shock end-stage liver disease alcoholic cirrhosis discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other endoscopy of small intestine insertion of endotracheal tube percutaneous abdominal drainage percutaneous abdominal drainage diagnoses: acidosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver acute kidney failure, unspecified acquired coagulation factor deficiency unspecified septicemia hyposmolality and/or hyponatremia severe sepsis other and unspecified alcohol dependence, in remission portal hypertension acute respiratory failure pneumonitis due to inhalation of food or vomitus septic shock hepatic encephalopathy acute alcoholic hepatitis spontaneous bacterial peritonitis 

Answer: The patient is high likely exposed to