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: lipitor / latex / statins-hmg-coa reductase inhibitors attending: chief complaint: nausea, hematemesis major surgical or invasive procedure: egdx2 without banding or coagulation history of present illness: 66f with known etoh cirrhosis c/b 2 cords grade ii varices s/p banding in who presents with nausea, vomiting, and dark stools. she reports 5 episodes of dark stools on day of admission, including one in ed, one episode of dark emesis at home on doa and one episode here in the ed. she denies any dark stools or nausea prior to yesterday. she called her sister in law after the episode of emesis at home and came into the hospital. she had oral surgery performed on day prior to admission for dental implants and tolerated it well without complications. she was seen in yesterday afternoon and no labs were checked as she seemed to be improving. of note, the patient presented to the ed on with fatigue and malaise and increased salivation. hct noted to be stable at 35 at that time. she was given ivf and discharged home feeling improved. she admitted to not taking many of her medications recently, including nadolol for bleeding ppx, as she felt that she was "taking too many" and she wanted to discuss with dr. . in the ed, initial vs were: 98 104 114/46 18 99% ra. labs were notable for a hct of 25.5 (from 35.9 on ), plt 186, inr 1.7, wbc 14.7 with 85%n, k 5.2, bun 63, cr 0.8. exam notable for guaiac positive black stool and being fully oriented and alert. she was given 1l ns, pantoprazole 80mg iv, zofran 4mg iv, ceftriaxone 1 gram iv, octreotide bolus and gtt was started. she was ordered for 2u prbcs. hepatology was consulted and recommended admission to micu with plan to scope tonight. 3 large bore pivs were placed. vs at transfer: 98.5 96 96/60 16 100% ra. on arrival to the micu, patient reports nausea still present but improved, denies abdominal pain, fevers, dizziness/lh. past medical history: -etoh cirrhosis child's b - esophageal varicies - iron deficiency anemia - ovarian cancer - asthma - chronic pancreatitis - esophageal ring - peripheral neuropathy - hypertension - elevated cholesterol - allergic rhinitis - s/p left lateral colectomy for a large high grade - dysplastic sigmoid adenoma/diverticulitis social history: the patient is married and lives with her husband, is retired. her husband broke his leg in and is using a cane at home. last drink . used to drink ~2 bottles of wine per day. no smoking or other drug use family history: sister with breast cancer at age 57, mother disease, father died of an mi at age 48 physical exam: admission physical: . general: alert, oriented, no acute distress, cachectic and jaundiced, no asterixis heent: sclera anicteric, mmm, oropharynx with dried blood, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: appropriate, moving all extremities . discharge physical: . physical exam: vitals: 98.4 90/50 74 18 94%ra general: anxious but in nad heent: sclera anicteric, mmm, bruising along right perioral area cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, distended, bowel sounds present, no organomegaly no fluid wave appreciated gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: appropriate, moving all extremities pertinent results: 10:53pm blood wbc-14.7*# rbc-2.64*# hgb-8.4*# hct-25.5*# mcv-97 mch-31.8 mchc-32.9 rdw-14.5 plt ct-186 06:35am blood wbc-11.7* rbc-3.18* hgb-10.1* hct-29.7* mcv-94 mch-31.8 mchc-34.1 rdw-15.0 plt ct-120* 02:05pm blood hct-26.4* 09:35pm blood hct-24.2* 06:48am blood wbc-10.3 rbc-2.61* hgb-8.1* hct-23.8* mcv-91 mch-31.1 mchc-34.0 rdw-17.0* plt ct-108* 01:25pm blood hct-29.1* 03:36pm blood hct-26.2* 05:30pm blood hct-26.7* 12:48am blood wbc-9.6 rbc-3.31*# hgb-10.3*# hct-29.8* mcv-90 mch-31.1 mchc-34.6 rdw-16.7* plt ct-96* 05:45am blood wbc-9.2 rbc-3.32* hgb-10.4* hct-30.0* mcv-90 mch-31.4 mchc-34.8 rdw-17.1* plt ct-93* 05:10pm blood wbc-9.1 rbc-3.36* hgb-10.6* hct-30.4* mcv-91 mch-31.6 mchc-34.9 rdw-17.0* plt ct-124* 10:53pm blood pt-17.8* ptt-26.9 inr(pt)-1.7* 06:35am blood pt-15.9* ptt-27.3 inr(pt)-1.5* 06:48am blood pt-16.5* ptt-27.0 inr(pt)-1.6* 05:45am blood pt-13.6* ptt-26.1 inr(pt)-1.3* 10:53pm blood glucose-291* urean-63* creat-0.8 na-131* k-5.2* cl-96 hco3-21* angap-19 06:35am blood glucose-283* urean-62* creat-0.8 na-131* k-5.2* cl-99 hco3-21* angap-16 06:48am blood glucose-131* urean-41* creat-0.7 na-130* k-4.5 cl-102 hco3-23 angap-10 05:45am blood glucose-139* urean-29* creat-0.7 na-132* k-4.4 cl-103 hco3-21* angap-12 10:53pm blood alt-35 ast-36 alkphos-73 totbili-1.0 06:35am blood alt-33 ast-33 alkphos-68 totbili-2.5* 06:48am blood alt-29 ast-32 alkphos-54 totbili-3.0* 05:45am blood alt-36 ast-42* alkphos-66 totbili-3.4* 10:53pm blood lipase-53 10:53pm blood ctropnt-<0.01 egd findings: esophagus: protruding lesions a few cords of grade i varices were seen in the lower third of the esophagus and middle third of the esophagus. there was no active bleeding. there was no high risk lesion seen. there was some patchy linear ulcerations without high risk lesions seen in the distal third of the esophagus. there was no clear lesion to band. scaring from prior banding sites were noted. stomach: contents: melena was seen in the fundus and stomach body pbscuring complete view. there was no red blood; there was no active bleeding. duodenum: contents: melena was seen in the whole examined duodenum. there was no red blood; there was no active bleeding seen. impression: varices at the lower third of the esophagus and middle third of the esophagus blood in the fundus and stomach body blood in the whole examined duodenum otherwise normal egd to third part of the duodenum egd findings: esophagus: other prior scar from banding noted. white plaques, likely mucus, seen in the distal esophagus. no varices noted stomach: other portal hypertensive gastropathy of the whole stomach gastritis with some thickened folds and erosions in antrum duodenum: normal duodenum. impression: prior scar from banding noted. white plaques, likely mucus, seen in the distal esophagus. no varices noted portal hypertensive gastropathy of the whole stomach gastritis with some thickened folds and erosions in antrum otherwise normal egd to third part of the duodenum brief hospital course: 66f with alcoholic cirrhosis c/b grade ii varices, encephalopathy, ascites who presents with nausea and melena and found to have acute on chronic anemia, likely due to upper gi bleed. # ugib: known iron deficiency anemia at baseline with hct usually around 35, now with acute drop to 25 with bun of 60s out of proportion to creatinine, most likely due to upper gi bleed, though must also consider blood loss from recent oral surgery. egd showed superficial ulcerations on varices but no stigmata of recent bleed (no banding or interventions required), however there was diffuse black blood throughout the stomach and duodenum. hemodynamically stable excluding mild tachycardia. transfused 2u prbc and stabilized until hd#2 when she had a melanotic bm with bright red blood and hct drop with transient hypotension concerning for brisk ugib. this was felt to be unlikely as recent egd did not show any lesion that could account for such a bleed, so hcts were trended which slowly downtrended requiring another uprbc. repeat egd on hd3 showed similar findings to previous without intervention. the etiology for her bleeding was likely due to portal hypertension and variceal bleeding since the patient admitted to self-discontinuing many of her important medications at a whim. she was instructed to never do this again and to consult her physician before discontinuing any medication in the future. # alcoholic cirrhosis: radiographic evidence on recent mri. complicated by encephalopathy, ascites, varices. meld=12, childs class b. after stabilization in hct and repeat egd, was continued on her home medications. transitional issues: - medication compliance issues medications on admission: azelastine - (prescribed by other provider) - 137 mcg (0.1 %) aerosol, spray - 2 squirts(s) nasally once daily as needed for allergy symptoms cephalexin - (prescribed by other provider) - 500 mg capsule - 1 capsule(s) by mouth twice daily for infection in the mesh ergocalciferol (vitamin d2) - 50,000 unit capsule - 1 capsule(s) by mouth q week fluticasone-salmeterol - 250 mcg-50 mcg/dose disk with device - 1 puff(s) inhaled twice a day rinse after use folic acid - 1 mg tablet - 1 tablet(s) by mouth daily furosemide - 40 mg tablet - 2 tablet(s) by mouth in am and 2 in pm gabapentin - 300 mg capsule - 1 capsule(s) by mouth two to three times daily insulin aspart - (dose adjustment - no new rx) - 100 unit/ml solution - 16u before breakfast, 14 u before dinner n insulin glargine - 100 unit/ml (3 ml) insulin pen - take 10 unit at bedtime iron polysacch complex-b12-fa - 150 mg-25 mcg-1 mg capsule - 1 capsule(s) by mouth once daily lactulose - 10 gram/15 ml solution - 15 ml(s) by mouth three times a day lipase-protease-amylase - 12,000 unit-,000 unit-,000 unit capsule, delayed release(e.c.) - 2 capsule(s) by mouth each meal nadolol - 20 mg tablet - 0.5 (one half) tablet(s) by mouth once a day nystatin-triamcinolone - 100,000 unit/gram-0.1 % cream - apply to affected areas once daily as needed pantoprazole - 40 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth twice a day penciclovir - 1 % cream - apply to affected area twice a day as needed for with herpetic outbreaks prochlorperazine maleate - (prescribed by other provider) - 5 mg tablet - tablet(s) by mouth as needed for nausea rifaximin - 550 mg tablet - one tablet(s) by mouth twice a day spironolactone - 100 mg tablet - 2 tablet(s) by mouth in am and 2 tablets in pm triamcinolone acetonide - - twice a day not for face, armpit, or groin triamcinolone acetonide - 0.1 % ointment - apply to affected area on stomach twice a day ; do not apply to genital region, armpits or face valacyclovir - 1,000 mg tablet - 2 tablet(s) by mouth twice a day; take 2 doses at onset of symptoms (2 tabs in am and 2 tabs in pm) calcium carbonate-vitamin d3 - (otc) - 600 mg-400 unit tablet - 1 tablet(s) by mouth twice a day cetirizine - (on hold from to unknown for excessive saliva) - 10 mg tablet, chewable - 1 tablet(s) by mouth once a day diphenhydramine hcl - (otc) - 25 mg capsule - 1 capsule(s) by mouth at bedtime magnesium chloride - 64 mg tablet extended release - 2 tablet(s) by mouth daily thiamine hcl - 100 mg tablet - 1 tablet(s) by mouth once a day discharge medications: 1. azelastine 137 mcg aerosol, spray sig: two (2) squirts nasal once a day as needed for allergy symptoms. 2. ergocalciferol (vitamin d2) 50,000 unit capsule sig: one (1) capsule po once a week. 3. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 4. folic acid 1 mg tablet sig: one (1) tablet po once a day. 5. furosemide 40 mg tablet sig: two (2) tablet po twice a day. 6. gabapentin 300 mg capsule sig: one (1) capsule po three times a day. 7. insulin glargine 100 unit/ml solution sig: ten (10) units subcutaneous at bedtime. 8. insulin aspart 100 unit/ml solution sig: subcutaneous twice a day: 16u before breakfast, 14u before dinner. 9. iron polysacch complex-b12-fa 150-25-1 mg-mcg-mg capsule sig: one (1) capsule po once a day. 10. lactulose 10 gram/15 ml solution sig: fifteen (15) ml po tid (3 times a day). 11. creon 12,000-38,000 -60,000 unit capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po three times a day: with each meal. 12. nadolol 20 mg tablet sig: 0.5 tablet po daily (daily). 13. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 14. rifaximin 550 mg tablet sig: one (1) tablet po bid (2 times a day). 15. spironolactone 100 mg tablet sig: two (2) tablet po twice a day. 16. valtrex 1 g tablet sig: two (2) tablet po twice a day as needed for herpetic outbreaks. 17. calcarb 600 with vitamin d 600 mg(1,500mg) -400 unit tablet sig: one (1) tablet po twice a day. 18. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po at bedtime. 19. mag 64 64 mg tablet extended release sig: two (2) tablet extended release po once a day. 20. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. 21. sucralfate 100 mg/ml suspension sig: ten (10) ml po four times a day for 4 weeks. disp:*qs qs* refills:*0* discharge disposition: home discharge diagnosis: gi bleeding alcoholic cirrhosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted for gastrointestinal bleeding. you had two endoscopies, which did not show any clear source of bleeding but did show diffuse blood throughout the stomach and intestines. you told us that you stopped taking many of your medications because you felt that you were taking too many. you cannot do this again. it is very possible that you had bleeding from your stomach because you decided to stop some medications without consulting your doctor first. please note the following changes to your medications: start sucralfate 2g by mouth twice per day for one month then stop be sure to resume nadolol to prevent further bleeding episodes. many different creams were noted on your medication list, please review these medications with your doctor to decide which among them remain necessary. followup instructions: department: liver center when: tuesday at 8:00 am with: , md building: lm campus: west best parking: garage department: cardiac services when: thursday at 1 pm with: echocardiogram building: sc clinical ctr campus: east best parking: garage department: cardiac services when: thursday at 2:00 pm with: , md building: sc clinical ctr campus: east best parking: garage procedure: other endoscopy of small intestine other endoscopy of small intestine diagnoses: acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver iron deficiency anemia secondary to blood loss (chronic) other and unspecified alcohol dependence, in remission portal hypertension asthma, unspecified type, unspecified long-term (current) use of insulin esophageal varices in diseases classified elsewhere, with bleeding other specified disorders of stomach and duodenum chronic pancreatitis unspecified hereditary and idiopathic peripheral neuropathy disorder of bone and cartilage, unspecified personal history of malignant neoplasm of ovary 

Answer: The patient is high likely exposed to