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 38 year old gentleman with a history of etoh abuse and esophageal varices who was transferred to on , to the medical intensive care unit with hematemesis, bright red blood per rectum, with a systolic blood pressure in the 140s and a hematocrit of 30.0. he arrived intubated for airway protection from the outside hospital status post transfusion with four units of packed red blood cells and one fresh frozen plasma. endoscopy done at outside hospital showed diffuse gastropathy with oozing. in the medical intensive care unit he received q. four hours hematocrit checks, intravenous octreotide, a hepatic ultrasound, a diagnostic paracentesis, hepatitis serologies, afp check, prophylaxis antibiotics and a repeat esophagogastroduodenoscopy on . he was noted to have esophageal grade 1 varices that were not bleeding at that time, portal hypertensive gastropathy, and a nonbleeding moderately sized fundic varix. the hematocrit remained stable in the intensive care unit with no further bleeding. he was treated for a likely aspiration pneumonia with levofloxacin and clindamycin and was changed to azithromycin prior to his transfer to the floor. he was extubated on , changed to nasal cannula oxygen and transferred to the floor on . past medical history: 1. etoh abuse and history of withdrawal seizures. 2. history of esophageal gastric varices. 3. hypertension. 4. history of remote right ankle fracture. allergies: to keflex. family history: family history of hypertension. social history: drinking three to four beers a day. tobacco, one and a half packs per day. physical examination: on initial presentation, vital signs were a temperature of 99.8 f.; heart rate of 114, blood pressure of 145/74; saturation of 100%. he arrived intubated, on cpap and pressure support of 18 and 8 respectively. he was sedated and ventilated, but responded to touch. he had moist mucous membranes and clear oropharynx. pupils were equal with anicteric sclerae. he had no jugular venous pressure elevation. multiple spider angiomas were noted on his skin. lungs were clear to auscultation bilaterally. he had a regular rate but was noted to be tachycardic. he had a distended abdomen with positive bowel sounds. two plus pitting edema was noted bilaterally. laboratory: on admission, cbc showed a white blood cell count of 15.0, hematocrit of 28.2, platelet count of 232. chem-7 showed a sodium of 144, potassium of 4.4, chloride of 113, carbon dioxide of 22, bun of 20, creatinine of 0.7, glucose of 145. he had an alt of 13, ast of 31, alkaline phosphatase of 105, direct bilirubin of 1.7, total bilirubin of 3.4, albumin of 2.7. he had an inr of 1.5 and a ptt of 40. ekg performed at the time showed no evidence of ischemia. hospital course: intensive care unit course preceded as listed in the hpi. the patient received multiple blood cultures which were no growth. he had sputum cultures performed that showed four plus organisms consistent with oropharyngeal flora as well as beta lactamase negative h. flu with moderate growth. the peritoneal fluid done on diagnostic tap showed two plus polys, no organisms and negative culture. initial chest x-ray showed patchy consolidation of the right lung, aspiration pneumonitis versus pneumonia. hepatic ultrasound done on showed fatty infiltration of the liver, moderate to large ascites, gallbladder sludging with no ductal dilation and patent hepatic vasculature. the patient, on initial transfer to the floor was monitored with 12 hour hematocrit checks and continued on a proton pump inhibitor. he had already completed a five day course of octreotide by the time he arrived on the floor. he was followed closely by the gastrointestinal service. his hematocrit remained stable so he was changed to q. 24 hour hematocrits on the 27th. his upper gastrointestinal bleed remained stable for the rest of his course and he did not require further transfusion. he had known liver disease and appeared to have fluctuating mental status changes that improved with increasing doses of lactulose. he was followed closely by liver for this. 2. respiratory status: the patient was extubated as previously mentioned on . he was initially on levofloxacin and clindamycin for presumed aspiration pneumonitis versus pneumonia. he was changed to azithromycin prior to his transfer to the floor. however, he developed a fever to 101.0 f., on the . he was recultured at that time and it was presumed that azithromycin was insufficient coverage for his pulmonary infection. he was restarted on his intensive care unit regimen of levofloxacin and clindamycin. there was a report from one of his nurses that he had had difficulty with swallowing his water with his morning meal so he was requested to have a swallow evaluation. his bedside swallow evaluation was entirely normal so he was put back on his p.o. diet and had no further difficulties during this stay. 3. etoh: the patient was initially maintained on a ciwa scale but did not require ativan doses while on the floor. he was seen by addiction services in order to assess whether or not he was ready or wiling to accept help with his current level of drinking. he admitted to his care team as well as to his family that he intended to continue drinking after discharge. social work came and talked with the patient as well as with the family in order to determine the best disposition for the patient. the patient lived with his parents at home prior to this admission and they verbalized willingness to take him back upon discharge. they understand and voiced understanding of his need for supervision given his hepatic encephalopathy and level of impulsivity. we discussed with them the need for the lactulose in order to maintain his mental status as well as discussed the possibility that he may have further gastrointestinal bleeds in the future given his degree of liver disease. condition on discharge: stable. disposition: discharged to home. discharge instructions: 1. the patient is instructed to follow-up with the clinic within the next several weeks. 2. he is instructed to see his primary care physician within the next two weeks. discharge diagnoses: 1. gastric bleeding due to liver disease. 2. alcohol abuse. 3. hepatic encephalopathy. 4. alcoholic liver disease. discharge medications: 1. spironolactone 25 mg, two tablets p.o. q. day. 2. propranolol 60 mg, capsule q. day. 3. pantoprazole 40 mg q. day. 4. lactulose every eight hours, titrated to produce more than three bowel movements per day. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine arterial catheterization transfusion of packed cells diagnoses: congestive heart failure, unspecified acute posthemorrhagic anemia other pulmonary insufficiency, not elsewhere classified pneumonitis due to inhalation of food or vomitus hepatic encephalopathy hemorrhage of gastrointestinal tract, unspecified other and unspecified alcohol dependence, unspecified alcohol withdrawal 

Answer: The patient is high likely exposed to