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: morphine / histamine h2 inhibitors / heparin agents attending: chief complaint: increasing abdominal girth major surgical or invasive procedure: 4u ffp paracentesis history of present illness: 47 female with h/o hcv cirrhosis compocated by encephalopathy, ascites, and h/o portal vein thrombosis (right anterior portal vein) and portalcaval shunt (reversed flow in main portal vein) presents from liver clinic with increasing abdominal girth. she also described sob, nausea, worsening lower ext edema. she denied abd pain, fevers, chills. she was admitted for a large volume paracentesis but her inr on admission was 3.8. she received 4units of ffp which decreased her inr to 2.2 and then 2 more units during the tap. she then had 6l of non-bloody ascitic fluid removed without complication. she received 36gm of albumin following the tap. her bp on admission was 120/70 and remained stable following the tap. over the next several hours, pt complained of abd pain but this resolved on its own without medication. in the am, she was found to have a hct of 24, down from 32 and plts 35, down from 72. she received 2units of plts and 1unit of prbcs. her bp was then noted to be decreased at 80/40 which improved mildly to 90/30 with 1.5l of ns. temp noted to be low at 94 and she was placed on bear hugger which improved temp to 96.7. her mental status also had decreased from admission and her urine output was minimal, 225cc over the past 12 hours. creatinine this am was 1.9 from 0.9 yesterday. . previous hospital course (per h&p): she was recently hospitalised from /- for abdominal discomfort at which time she underwent paracentesis that ruled out sbp and relieved her abdominal pain. she also underwent us that revealed patent portal and hepatic vessels. while her discharge summary maintains that she was continued on furosemide/ spirinolactone/propranolol, the patient did not receive any scripts on discharge and as a result did not take these medications. also, due to worsening renal function, she was started on octreotide/ midodrine/albumin for hepatorenal syndrome (cr 3.3 at its worst) which resolved prior to her discharge. the hospitalisation was also significant for mild dic for which she received cryoglobulins and uti (+ enterococcus and +klebsiella). she received a 7 day course of amoxicillin for which enterococcus was sensitive but klebsiella unknown. past medical history: hcv cirrhosis c/b esophageal varices, ascites, partial portal vein thrombosis h/o gastritis morbid obesity recent cholecystitis h/o etoh abuse sickle cell trait social history: patient denies etoh and tobacco use. she has a history of heavy alcohol use. lives alone apartment; son and mother nearby family history: none physical exam: physical exam: t 95, bp 120/70, hr 82, rr 20, 96%ra wt 301.6lb heent: + scleral icterus. no thrush. neck: no , normal thyroid contour lungs: ctab cardiac: rrr, no murmurs abdomen: obese, soft, mildly distended dull to percussion throughout, no tenderness, liver non-palpable due to large volume of ascited extremities: + pretibial edema extending above knee r>l, no asterixis. no palmar erythema pertinent results: 10:10am blood wbc-8.1 rbc-3.69* hgb-11.0* hct-32.4* mcv-88 mch-29.8 mchc-33.9 rdw-26.0* plt ct-72*# 10:10am blood neuts-68.3 bands-0 lymphs-19.8 monos-10.6 eos-1.1 baso-0.2 10:10am blood hypochr-1+ anisocy-2+ poiklo-2+ macrocy-2+ microcy-normal polychr-normal ovalocy-occasional target-occasional schisto-occasional tear dr 10:10am blood pt-23.0* ptt-63.2* inr(pt)-3.8 10:10am blood glucose-76 urean-17 creat-0.8 na-129* k-3.9 cl-101 hco3-19* angap-13 10:10am blood alt-33 ast-65* alkphos-70 totbili-30.3* dirbili-20.8* indbili-9.5 10:10am blood albumin-3.1* 10:10am blood ammonia-39 . radiology 1. small cirrhotic liver with what appears to be a portocaval shunt. 2. moderate ascites. 3. cholelithiasis without evidence of acute cholecystitis. 4. no hydronephrosis. 5. borderline splenomegaly. . brief hospital course: a/p: 48 yo morbidly obese woman with hcv cirrhosis c/b encephalopathy, esophageal varices and partial vein thrombosis (but no hx of sbp) presents with increasing abdominal girth likely secondary to ascites. admitted for diagnostic/therapeutic paracentesis and then transferred to the icu for hypotension, confusion and anemia. . # liver cirrhosis: meld score of 34 on admission. pt became more encephalopathic during her hospital course. she was not a transplant candidate due to her obesity. a family meeting was held on hospital day #4 which included the pt's closest family members, her hepatologist, dr. , her pcp, . and the icu team. after it was explained that the pt's prognosis was very poor given that she was not a transplant candidate, the decision was made by the family and the medical team to withdraw care. the pt was made comfortable and she expired several hours later. . # recurrent ascites: on the medical floor, pt had a large volume paracentesis (6 liters) followed by replacement with albumin. she had no evidence of sbp. . # hypotension: pt became hypotensive following the large volume paracentesis despite replacement with albumin. this was thought to be the large volume tap verses sepsis though she had no other evidence of sepsis. she was placed on pressors to maintain a map>55. once the decision was made to withdraw care, the pressors were discontinued. . # anemia: hct dropped following the tap and there was concern for bleed into her abdomen. she received one unit of prbcs. ct of the abdomen and pelvis showed no evidence of bleed. her hematocrit remained stable at 24-26 following the acute drop. . # arf: creatinine has increased from 0.9 on admission to 1.9 on admission to icu. urine lytes with na of 10 indicating either pre-renal or hepatorenal. fluid challenge with 36gm of albumin, one unit of prbcs and 2l of ns. will check creatinine this afternoon. pt previously diagnosed with hepatorenal and was started on midodrine, octreotide and albumin; these were continued. her creatinine continued to increase, likely due to her worsening liver failure. . pt expired during this admission after family discussion to make her comfort care only. medications on admission: rifaximine 200mg tid lactulose 30cc qid titrated to 3-4bm/day protonix 40mg po qd discharge medications: none discharge disposition: home discharge diagnosis: none discharge condition: expired discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified percutaneous abdominal drainage transfusion of packed cells transfusion of other serum diagnoses: anemia, unspecified cirrhosis of liver without mention of alcohol acute kidney failure, unspecified hepatorenal syndrome hyposmolality and/or hyponatremia unspecified viral hepatitis c without hepatic coma hypotension, unspecified morbid obesity esophageal varices in diseases classified elsewhere, without mention of bleeding portal vein thrombosis sickle-cell trait 

Answer: The patient is high likely exposed to