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: abdominal pain and edema major surgical or invasive procedure: egd history of present illness: 54yo m w/ remote h/o of etoh abuse, cirrhosis w/ portal gastropathy, esophageal varices, htn, dm tranferred from osh for eval/further treatment of partial thrombosis of superior mestenteric vein/extra and intrahepatic portal vein and total occlusion of spenic vein, ?small bowel ischemia and arf (bun crt 28/2.1). he initially presented to on w/ abdominal pain and non-bloody diarrhea, 1 episode of emesis x1 day. on saturday he had 1 episode of diarrhea. sunday he had another episode of diarrhea followed by acute onset of sharp abdominal pain. he took a laxative which was followed by an episode of emesis. he also reports decreased appetite. he then presented to hosp. in their ed with stable vital signs. per report a ct abd showed the findings described above as well as marked small bowel wall thickening, moderate ascites, diffuse mesenteric fat stranding concerning for ischemia. at the osh he was eval. by surgery who recommended serial abd exams. he was started on iv heparin and zosyn and given iv dilaudid for pain. a review of his labs from the osh were sig for a leukocytosis of (up to ). ast was 41, alt 49, ldh 257. ce were neg x 2. tuberculosis 2.6. ap 93. 15. lip 11. a hypercoagulability w/u is pending at the osh. an abg showed 7.34/39/66 lactate 1.7. bld cx showed ngtd. ros: no recent illness, fevers, chills. 30 lbs weight loss over 6months to diet and excercise p patient. no headaches. n/v as described above. loose stools x 2days. no dysuria. past medical history: etoh abuse (quit 20 years ago) cirrhosis w/ portal gastropathy esophageal varices grade 1 (seen on egd ) ugi bleed superficial gastric ulcer nsaids (at gastritis 3u prbcs) diabetes cva (tia) htn gerd hiatal hernia hyperchol osteoporosis benign bladder tumor s/p resection smv complete & partial portal and hepatic vein thrombosis social history: no recent tobacco use (quit 10 years prior), h/o etoh abuse (quit 20 years ago), married with 4 children family history: father w/ cirrhosis to alcoholism. htn (mother and father) physical exam: vs: 99.1 bp 141/71 hr 106 02sat 93 on 4l gen: nad, slight discomfort from new abd distension heent: anticteric sclera, pupils 2mm bilaterally reactive to light. dry mm.neck supple, no lad, no carotid bruits cv: rrr, nl s1, s2, ii/vi sem at the lusb pulm: slight bilateral bibasilar rales, lungs sounds distant to body habitus abd: obese, tenderness throughout the upper quadrants, could not assess for hsm to obesity, hypoactive bs ext: warm, dry, +2 distal pulses bl, no femoral bruits , no edema neuro: alert & oriented, cn ii-xii grossly intact, 5/5 strength throughout. no sensory deficits to light touch appreciated. +asterixis pertinent results: studies: per osh records: fast us : ascites . cxr : low lung volumes. no acute pulmonary process. calcification of the aorta. . ct abd & pelvis w/w/o con (as paraphrased from report): 1. new partial thrombosis of the smv and protions of the extra and intrahepatic portal vein and near to of the splenic vein near teh portosplenic confluence. also, new marked small bowel wall thickening greates in the rlg w/ small to mod ascites and diffuse stranding of mesenteric fat. given these findings ishcemia should be considered. 2. features c/w cirrhosis 3. small amount of pelvic ascites. miltiple thickened loops of small bowel in the rlq. ecg interpretation : sinus tach, lafb, unchanged from prior brief hospital course: he was transferred here to the micu from . initially, he was on the medical service then transferred to the surgical service under dr. . empiric zosyn continued and well as iv fluid given npo status. iv heparin continued. venous lactate was 4 up from 1.7 at osh. serial abdominal exams were done and notable for a soft, nodistened, mildly tender abdomen in the epigastric/ruq area without guarding/rebound. wbc continued to be elevated at 25.8. blood and urine cultures were drawn on and were negative. he required 3+l nc 02 and was also tachycardic and tachypneic. a chest and abd ct were done to r/o pe in setting of thrombosis. no central or segmental pulmonary embolus was noted. o2 requirements decreased and he was weaned off o2. lungs remained clear. a repeat ct abd was done showing thrombus at the confluence of the splenic and superior mesenteric veins, extending into the smv and many of its tributaries. thrombus at the origin of the left portal vein, extending into both left portal vein and right anterior portal vein. hepatic veins were not evaluated. abdomen remained soft, non-distended and without pain. ir evaluated him and felt that thrombectomy was not indicated. a liver doppler u/s was done to further evaluate flow. this demonstrated patent main and right portal veins. the left portal vein was not well imaged. hepatic veins were patent. the splenic vein and smv could not be imaged due to bowel gas. hepatology was consulted. dr. saw him and performed an egd on noting varices at the lower third of the esophagus, polyps in the pre-pyloric region. varices were grade ii. recommendations included checking hepatitis serologies, afp and monitoring of platelets while on heparin. a repeat abd/pelvis cta was recommended to reassess the thrombi and follow up on the hypercoagulable labs done at . some of these labs were still pending at time of discharge. the following was available: protein c activity 50, hoocysteine 4.6, anti thromb iii 4.6, anti thromb iii function 59, protein c antigen pend, protein s antigen pend, protein s activity 78, prothrombin pend, cardiolipin igg ab pend, and cardiolipin igm pend. the plan was set for a repeat ct to be done in follow up as an outpatient. he was transferred out of the micu where the ng was removed on . diet was gradually advanced and well tolerated. nutrition recommended a low sodium diet. he was passing regularly formed guaiac negative stool. hcts remained stable and wbc decreased to normal. heparin drip was adjusted to keep ptt's in the 60-80 range. coumadin was initiated and inr increased to 2.1 on (goal 2.0-2.5). he was discharged on coumadin 5mg qd. he had received 5mg & , 7.5mg on and 5mg on with inr becoming therapeutic. of note, arf resolved. at the osh creatinine was 2.7. this decreased to 1.1 upon admission and further trended down to 0.7. insulin sliding scale was used for hyperglycemia given that glucophage was held. consult was obtained. dr. recommended glyburide 2.5mg qd with avoidance of metformin given h/o lactic acidosis. his pcp . in ma (was contact to manage the inr/coumadin. inr was ordered to be drawn q monday and thursday with results fax'd to dr. . : ace held renal insuff at osh. bp ranged between 141/98 to 106/70. hr remained in the mid 80's. he will f/u with drs. and . medications on admission: medications at home: nadolol 40mg qdaily protonix 40 metformin 500mg zetia 10mg qdaily lisinopril 5mg qdaily mvi dqaily glucosamine chondroitin claritin prn . meds on transfer: heparin gtt zosyn 2.25g iv q8hrs riss dilaudid 1mg iv q3hrs zofran 4mg iv q4hrs prn discharge medications: 1. outpatient lab work twice weekly inr. monday and thursday fax to dr. (tel:) 2. warfarin 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. glyburide 2.5 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). disp:*30 tablet(s)* refills:*2* 4. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. 5. zetia 10 mg tablet sig: one (1) tablet po once a day. 6. nadolol 20 mg tablet sig: 0.5 tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: partial thrombosis of smv, portal vein and hepatic vein alcoholic liver cirrhosis dm discharge condition: fair discharge instructions: please call dr. office if any bloody vomit/stools including black stools, easy bruising, increased abdominal girth/leg edema, dizziness/weakness,jaundice, lethargy/confusion or abdominal pain. take coumadin as prescribed. you should have inr lab draws you should use an electric razor to shave followup instructions: provider: , md phone: date/time: 8:30 provider: , md phone: date/time: 11:00 call your pcp . to schedule follow up appt she will manage your coumadin dosing and inr values (fax # ) call clinic to schedule an appointment with a nurse educator and md procedure: other endoscopy of small intestine insertion of other (naso-)gastric tube diagnoses: esophageal reflux diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver acute kidney failure, unspecified other and unspecified alcohol dependence, in remission osteoporosis, unspecified esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum other venous embolism and thrombosis of inferior vena cava portal vein thrombosis benign neoplasm of stomach 

Answer: The patient is high likely exposed to