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: haldol / darvon attending: chief complaint: s/p fall major surgical or invasive procedure: femoral cvl picc history of present illness: 64 y.o. female with hep c/etoh cirrhosis, history of gibs and monoclonal gammopathy who presented to the ed after suffering a fall at home. patient ambulates with a walker at home and per daughter and hcp, is not fully independent with her adls. she reportedly was trying to maneuver her walker and fell backwards hitting her head and it is unclear if she loss consciousness. per the patient's daughter who does not live with her and did not witness the fall, the patient was reportedly sleepy after her fall and slept through the night. once the fall was learned of this morning, the patient was brought to the er for further evaluation. upon arrival in the er, vitals were stable and the patient was complaining of back pain and right wrist and shoulder pain. ct head, c-spine and torso as well as plain films of the hips, right wrist and shoulder revealed a t3 burst fracture without spinal cord involvement, but otherwise showed chronic, insignificant injuries. patient was seen by trauma surgery and neurosurgery, both of whom felt that surgery was not indicated. incidentally, patient was found to have a hct of 17, down from 24 a month prior. she denied any melena, hematochezia or hematemesis. she was given 2 units of ffp and 10 of vitamin k for an inr of 2.9 and then written for 2 units of prbcs, one of which she received prior to coming to the unit for further management. . in the icu, patient was hemodynamically stable and lying in bed comfortably, denying chest pain, sob, palpitations, lightheadedness/dizziness. past medical history: - ?etoh/ hcv cirrhosis with recurrent hepatic encephalopathy - iron deficiency anemia - gi bleed - hemorrhoids, s/p tips; also w/ known portal gastropathy - sigmoid diverticulosis - schatzki's ring - duodenal polyps and duodenitis - monoclonal gammopathy of undetermined significance - psychotic disorder on olanzapine - polysubstance abuse - etoh, cocaine, marijuana - copd - temporal lobe epilepsy (per daughter no seizure in 30 yrs) - subcutaneous variceal rupture s/p hematoma exploration in llq - chronic kidney disease (baseline cr ~1.4) - fractures: clavicle and pubic rami social history: lived in nursing home but recently discharged home with hospice (1/). history of tobacco, etoh and drug abuse. she is originally from . she worked as an administrative assistant when she was younger, but is now on ssdi (for ?schizophrenia and seizure disorder). patient's daughter, , is heavily involved in care. family history: mother: asthma, grandmother with diabetes, htn. no family history of liver disease or bleeding disorders. great aunt with epilepsy. physical exam: vitals: t: 96.4, bp: 92/52, p: 89, r: 17, o2: 100% 2l general: awake, alert, nad, resting in a hard neck collar heent: nc/at; perrla, eomi; op clear, nonerythematous neck: supple, jvp not elevated, no lad lungs: ctab cv: s1, s2 nl, no m/r/g appreciated abdomen: soft, nt, nd, + bs; multiple surgical incisions noted on abdomen ext: no c/c; 2+ pitting edema b/l in les pertinent results: 06:00pm blood wbc-3.9*# rbc-1.83* hgb-5.8* hct-17.9*# mcv-98# mch-31.6 mchc-32.4 rdw-16.7* plt ct-90* 04:25pm blood pt-28.8* ptt-92.2* inr(pt)-2.9* 04:25pm blood glucose-65* urean-10 creat-1.4* na-127* k-4.9 cl-96 hco3-23 angap-13 04:25pm blood alt-21 ast-36 ck(cpk)-73 alkphos-119* totbili-2.5* 04:25pm blood albumin-1.7* calcium-8.4 iron-33 04:25pm blood caltibc-26* ferritn-925* trf-20* 03:54am blood hapto-<20* 04:33pm blood lactate-2.1* 08:48am urine color-amber appear-hazy sp -1.023 08:48am urine blood-lg nitrite-pos protein-tr glucose-neg ketone-tr bilirub-mod urobiln-4* ph-6.5 leuks-sm 08:48am urine rbc->50 wbc->50 bacteri-many yeast-none epi-0-2 images: ct c-spine impression: 1. possible acute compression fracture of t3 involving anterior and posterior columns with posterior retropulsion of the fragmented vertebral body. the thecal sac is indented. evaluation of cord injury, posterior longitudinal ligament complex, and possible extra-axial hematoma at this site is incomplete with ct and would recommend mri for better evaluation. 2. chronic fracture of the spinous processes of c7, t1, and t2. in addition, there is anterior widening between the vertebral bodies of c6 and c7. all these findings may represent sequela of a prior hyperextension injury; however, acute injury of the anterior longitudinal ligament at c6/c7 cannot be fully excluded. mri would be better for evaluation. 3. degenerative changes in the cervical spine, most notably at c4/c5, c5/6 with loss of intervertebral disc space height and posterior disc osteophyte complexes. 4. as the t3 vertebral body fractures incompletely assessed on this study, one cannot exclude additional vertebral body injuries below this level and would recommend further imaging to better evaluate. ct head: impression: no acute pathology. . cxr: impression: feeding tube in place. . ct chest/abdomen/pelvis impression: 1. age-indeterminate compression fractures at t3 and t8. chronic compression fracture at t11. old spinous process fractures at t3 and t4. chronic posterior right eleventh and twelfth rib fractures. likely chronic sacral insufficiency fracture. a bone scan may be useful for further evaluation. 2. cirrhotic-appearing liver with stable tips catheter. slightly increased volume of abdominal and pelvic ascites. 3. enlarged ptotic gallbladder without wall thickening or gallstones to suggest cholecystitis. 4. no retroperitoneal collections to suggest hematoma. 5. marked biapical emphysema. 6. dense atherosclerotic calcifications, however, the abdominal vasculature appears patent. 7. secretions within the thoracic trachea put the patient at increased risk for aspiration. . lower ext u/s impression: no dvt. right groin hematoma without vascular flow. no av fistula. brief hospital course: 64 y.o. female with hep c/etoh cirrhosis, history of gibs and monoclonal gammopathy who presented to the ed after suffering a mechanical fall at home. hospitalization was complicated by gi bleeding, aspiration event with progressive hypoxia and hypotension in spite of agressive antibiotic and supportive therapy. given lack of improvement patient was made cmo on . she expired later that afternoon. below is a problem based summary leading to her death. # t3 burst fracture: she hit her head on fall, but denied loc. in the ed the patient's vitals were stable. ct head, c-spine and torso as well as plain films of the hips, right wrist and shoulder revealed a t3 burst fracture without spinal cord involvement, but otherwise showed chronic, insignificant injuries. patient was seen by trauma surgery and neurosurgery, both of whom felt that surgery was not indicated. # anemia/hct drop: patient has a history of gib and now presents with a hct of 17, down from 24.5 one month ago. last egd in 2/' without varices. patient was found to have a hct of 17 on admission, down from 24 a month prior. she was transfused 2u (), 4u () and 2u (). the patient had a right femoral line that was pulled and showed hematoma on u/s. no evidence of fistula or aneurysm. she was evaluated by vascular surgery and recommended supportive care. her hct increased to 28 on , but then again dropped to 21 the evening of . the patient underwent ct-scan of her abd/pelvis that did not show evidence of rp bleed. she had guaiac positive brown stool. on frank blood was aspirated from oropharynx. . #. aspiration pneumonia: pt with likely aspiration on and cxr showed questionable rml pneumonia. the patient was started on vanco/unasyn and maintained on broad spectrum antibiotics, later changing to vanc/ meropenem, although with progressive decline. #uti: the patient had a postive ua that eventually grew e. coli which was treated unasyn given her aspiration pneumonia. # cirrhosis: her liver disease is secondary to etoh and hcv. patient is followed at liver center by dr. . she was continued on lactulose, rifaxamin, and ursodiol, and still felt not to be a transplant candidate. . # ckd: on admission the patient's cr was 1.4, which was near her baseline. her creatinine trended down to 1.3. . # goals of care: pt made dnr/dni. discussed goals of care with daughter and patient, with ongoing deterioration patient was made cmo . prophylaxis: scds, ppi, lactulose access: picc code: dnr/dni communication: patient and her daughter, (hcp): medications on admission: 1. rifaximin 400 mg po tid 2. ursodiol 300 mg po bid 3. camphor-menthol 0.5-0.5 % lotion qid prn 4. olanzapine 5 mg po bid 5. lactulose 30 ml po q6h 6. keppra 750 mg po bid 7. tramadol 50 mg po q4h discharge medications: expired discharge disposition: expired discharge diagnosis: primary: t3 fracture anemia right thigh hematoma aspiration pneumonia uti secondary: etoh/ hcv cirrhosis mgus copd chronic kidney disease discharge condition: expired discharge instructions: expired followup instructions: expired procedure: venous catheterization, not elsewhere classified transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: thrombocytopenia, unspecified urinary tract infection, site not specified acute posthemorrhagic anemia alcoholic cirrhosis of liver acute kidney failure, unspecified unspecified viral hepatitis c without hepatic coma unspecified fall alcohol abuse, unspecified chronic kidney disease, unspecified pneumonitis due to inhalation of food or vomitus closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury epilepsy, unspecified, without mention of intractable epilepsy hypoxemia other encephalopathy hemorrhage of gastrointestinal tract, unspecified tachycardia, unspecified 

Answer: The patient is high likely exposed to