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: hematemesis major surgical or invasive procedure: egd banding of esophogeal varices history of present illness: 76 yo f with h/o pbc and grade 2 esophageal varices p/w episode of hematemesis. pt has become increasingly anemic over the past several months with a hct dropping to the low thirties recently. b/c of this, pt has had numerous endoscopic procedures performed. in , colonoscopy revealed grade 1 internal hemorrhoids angioectasia in the proximal transverse colon. most recently on pt had a small enterocopy which demonstrated non-bleeding grade 2 varices at the lower third of the esophagus and gastroesophageal junction. because of persistent fall in hct, pt was planned for capsule endoscopy tomorrow. she was prepping for a capsule endoscopy tomorrow when she had an episode of bright red hemetemesis with 2 dark clots. pt also had an episode of cp lasting seconds during the vomiting. she denies any melena or brbpr. she denies any abd pain/f/c or lh. . in the pt t 96.4, hr 89, 151/57. 16 97% ra. hct 26, bs 360. given 1 unit prbcs, protonix 40 mg iv x1, insulin 10 u. past medical history: 1. type 2 insulin-dependent diabetes mellitus. 2. hypertension. 3. depression. 4. pyelonephritis. 5. status post cholecystectomy. 6. status post cataract surgery. 7. history of a positive ppd in the past. 8. h/o of a gastrointestinal bleed in . recent w/u of gib and iron deficiency. 9. pbc social history: denies tob/etoh/illicits. family history: non-contributory physical exam: vs: 98.7, 94, 189/73, 13, 100% 2l nc gen: stable, in no acute distress. heent: mucous membranes dry. chest: cta b/l heart: s1s2, rrr, no murmurs, rubs or gallops. abdomen: soft, non-tender, no rebound, and no guarding, +bs, guaiac-positive. extremities: no edema. neurologically: aox3. pertinent results: admit labs: ========== 01:00am pt-14.6* ptt-29.2 inr(pt)-1.3* 01:00am wbc-6.3 rbc-3.16* hgb-9.2* hct-26.9* mcv-85 mch-29.1 01:00am albumin-3.5 calcium-8.8 phosphate-3.0 magnesium-1.4* 01:00am ck-mb-notdone 01:00am ctropnt-<0.01 01:00am alt(sgpt)-19 ast(sgot)-30 ck(cpk)-62 alk phos-205* amylase-82 tot bili-0.5 . discharge labs: =============== 09:05am wbc-6.8 rbc-3.87* hgb-11.0* hct-33.2* mcv-86. . radiology: ========== abd u/s- findings: the echotexture of the liver is normal. no focal lesions are identified. the portal vein is patent with hepatopetal flow. the common bile duct measures 10 mm; within normal limits given patient's age and history of cholecystectomy. visualized portions of the aorta are normal caliber. the right kidney measures 10.1 cm. the left kidney measures 10.1 cm. there is no hydronephrosis or shadowing stone. small granuloma is again identified within the spleen that is mildly enlarged. impression: no focal hepatic lesions . portable cxr - lung volumes are lower, accounting for crowding of vessels at the lung bases. upper lungs clear. heart size normal. no pleural effusion, pneumothorax, or free subdiaphragmatic gas . repeat egd - =========== findings: esophagus- protruding lesions 4 cords of grade ii varices were seen in the esophagus. one varix had a site of recent bleeding at the proximal end. 4 bands were successfully placed on the distal portions of 3 large varices and one around the site of recent bleeding more proximally. stomach- mucosa: normal mucosa was noted. impression: normal mucosa in the stomach. esophageal varices (ligation) recommendations: continue ppi, octreotide npo for 12 hours post procedure then can have soft solids serial hematocrits sulcralfate starting tomorrow additional notes: the attending was present for the entire procedure. routine post-procedure orders. variceal bleeding site was successfully banded. liver team to see today and determine overall plan. brief hospital course: 76 y/o f with h/o pbc and grade 2 esophageal varices presented with episode of hematemesis. initial egd demonstrated 2 cords of grade iii varices in the esophagus and stigmata of recent bleeding. plan was made for repeat egd and variceal banding. repeat egd demonstrated 4 cords of grade ii varices in the esophagus. one varix had a site of recent bleeding at the proximal end. 4 bands were successfully placed on the distal portions of 3 large varices and one around the site of recent bleeding more proximally. she was placed on iv ppi and octreotide drip. she had no further evidence of gi bleeding, drop in hematocrit, or hemodynamic instability during the remainder of her stay. she was started on nadolol given her esophageal varices, and 7 days of ciprofloxacin. in addition, an abdominal ultrasound was performed which demonstrated no focal liver lesion. given her clinical stability she was transferred to the medicine floor on hd #2. the patient remaind stable as above and was discharged home with prescriptions to complete a 7 day course of ciprofloxacin, continuous nadolol and 4 days of sucraflate. in addition follow up with dr. was arranged. medications on admission: meds on admission acetaminophen 500 mg--take two every 6 hours as needed for joint pain actos 30 mg--one tablet(s) by mouth once a day aspirin 81 mg--take one tablet by mouth every day atenolol 25 mg--one tablet by mouth every day bactroban nasal 2%--use at at bedtime for two weeks desonide 0.05%--apply to affected areas twice a day diovan 80 mg--one tablet(s) by mouth once a day per dr ferrous sulfate 325 (65) mg--1 tablet(s) by mouth three times a day glucophage 500 mg--two every morning and two every evening hydrochlorothiazide 25 mg--one tablet by mouth every day lisinopril 30 mg--one tablet(s) by mouth once a day lorazepam 1mg-- pills at bedtime lotrimin 1%--apply to affected area twice a day miralax --17 g by mouth q 3 days dissolved in water glargine 20 u am nystatin u/g--apply to affected area twice a day omeprazole 20 mg--2 capsule(s) by mouth once a day timolol maleate 0.5%--per ophth discharge medications: 1. insulin glargine 100 unit/ml solution sig: twenty (20) units subcutaneous every morning. 2. nadolol 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for fever, pain. 4. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 5. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day) for 5 days. disp:*20 tablet(s)* refills:*0* 6. prilosec 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 7. ciprofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days. disp:*5 tablet(s)* refills:*0* 8. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). 9. pioglitazone 15 mg tablet sig: two (2) tablet po daily (daily). 10. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 11. stop medication. please stop taking the medication called valsartan (also called diovan). discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnoses. 1. upper gi bleed. 2. esophageal varices. 3. primary billiary cirrhosis. . secondary diagnoses. 1. type 2 insulin-dependent diabetes mellitus. 2. hypertension. 3. depression. 4. history of pyelonephritis. 5. status post cholecystectomy. 6. status post cataract surgery. 7. history of a positive ppd in the past. 8. h/o of a gastrointestinal bleed in . recent w/u of gib and iron deficiency. discharge condition: vital signs stable. hematocrit stable. ambulating. tolerating po. discharge instructions: please return to the hospital if you vomit, vomit blood, have blood in your stool, see black tarry stools, or if you have severe abdominal pain. . please take your medications as prescribed. followup instructions: provider: , mhc phone: date/time: 2:00 provider: , m.d. phone: date/time: 11:00 provider: , m.d. phone: date/time: 11:00 provider: , m.d. phone: date/time: 12:10 provider: - please call dr. for an appointment in the next week.( note that an appointment with dr. was arranged prior to discharge: 08:30a , (liver center) liver center (sb) procedure: other endoscopy of small intestine endoscopic excision or destruction of lesion or tissue of esophagus transfusion of packed cells diagnoses: unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled portal hypertension esophageal varices in diseases classified elsewhere, with bleeding other and unspecified coagulation defects biliary cirrhosis 

Answer: The patient is high likely exposed to