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: hypotension major surgical or invasive procedure: placement of tube for variceal bleeding cardiopulmonary resuscitation history of present illness: mr. is a 50m with history of hepatitis c s/p aborted ifn treatment and alcohol cirrhosis, who is transferred from osh with gi bleed and hypotension. on transplant list. discharged on 20th hepatic encephalopathy. . presented yesterday morning to hospital with massive esophageal bleed with hgb 5, sbp 50s. was placed in the ed, had esoph banding x 5. a total 10u rbc, 8u ffp, 15u platelets, 15mg vit k, 7l ns was given in the course. post banding he arrived to the osh micu. he was progressively hypotensive and was started on 20 of levophed + vasopressin. he was placed on protonix and octreotide drip. decision to transfer to yesterday. this now on 2 of levophed, off vasopressin, map 65. intubated on pressure control 40 fio2, 22/5. this am prior to transfer hgb 8.8, plt 120--> 71 despite transfusion, wbc 8.7. was placed on cefotaxime for empiric sbp coverage but climb from 1.2-2.6. potassium to 6 this am-- got ca gluc, insulin, d50, starting bicarb gtt, no peaked t wave changes on ekg. inr from 5--> 1.8 after vit k, ffp. t bili 16.1, ast 1323, 314. prior to tranfer map 65, hr 70 (l arm 20mm difference),patient intubated sedated (morphine and ativan). note of a distended abdomen with report of kub with gas. no further active hematemesis. yesterday blood coming from mouth and nasopharynx which was thought trauma. has been discontinued. he received 4mg morphine, 4mg ativan over past 24h. access included r ij tlc, 2 periph 18, 1 20gg iv. they had planned to order 2u rbc for transport. discussion with hepatology service was done prior to transfer. last meld 42. . on arrival to the icu patient hypotensive to 70/40, vasopressin added with good result map to 62. abdomen markedly distended. . patient is known to the liver service at . hepatitis c genotype 3 s/p ifn, treatment stopped due to thrombocytopenia, participated in eltrombopag study, last hcv vl 1,540 iu/ml, has been decreasing w/o treatment. cirrhosis with encephalopathy and ascites with hx of sbp on norfloxacin prophylaxis, diuretics. esophageal varices s/p banding at hospital . no egd in . creatinine baseline 0.6-0.9. no hx of hepatorenal. past medical history: - hepatitis c genotype 3 s/p ifn, treatment interrupted due to thrombocytopenia, participated in eltrombopag study, last hcv vl 1,540 iu/ml, has been decreasing w/o treatment - cirrhosis c/b encephalopathy and ascites; workup started for transplant - varices (?type) s/p banding at hospital - bronchitis - asthma - h/o seizure in the setting of alcohol withdrawal - h/o negative ppd social history: he lives alone in a rooming house. his daughter lives 15 minutes a way, and another daughter lives close by. he has a companion who is supportive but is also a recovering alcoholic. he smokes cigarettes. he has smoked for 35-40 years at 2-3 packs per day, but now has cut down to less than 1 pack per day. he has been drinking alcohol since age 14-15 with 6-12 beers a day with shots of liquor, but has been sober for 21 months. he previously used quite a bit of recreational drugs including marijuana, cocaine, psychedelic drugs. brief ivda in the past. family history: his father, uncle, brother and wife all died of alcoholic cirrhosis. there is no history of heart disease, diabetes or cancer in the family. physical exam: vs: 104, 80/40, 98.4, cvp 33, bladder pressure 25. ac peep 5, rr 14, tv 550. gen: ill appearing male with distended abdomen on ventilator, jaundiced heent: icteric difficult to assess jvp. blood suctioned from oropharynx, et tube present cv: rrr no mrg chest: diminished breath sounds bilaterally abd: distended, tense, dullness to percussion. no bowel sounds heard. hepatosplenomegaly present. site of previous para with oozing of peritoneal fluid, echymoses. extr: edema, cool le, palpable distal pulses neuro: sedated. pertinent results: chest (portable ap) : single portable ap upright chest: compared to ct of . the extreme lung apices are excluded on this study as is the left cp angle. there is a ng tube in place with its tip in the fundus of the stomach. the visualized lung parenchyma is clear. there is no evidence of chf/volume overload. the heart size is within normal limits and the mediastinal and hilar contours are unremarkable. abdomen u.s. (complete study) port : impression: 1. findings consistent with cirrhosis. 2. bidirectional doppler waveform in the main portal vein, indicating mixed hepatopetal and hepatofugal flow. 3. gallstones with gallbladder wall thickening, stable. 4. small amount of ascites. chest (portable ap) : single supine portable radiograph: compared to study of one hour prior. the tube remains in place with its tip coursing off the inferior aspect of the image. it loops on the superior aspect of the image, perhaps residing outside of the patient, but may be coiled in the hypopharynx. the balloon has been deflated since the prior radiograph. there is no definitive evidence of pneumomediastinum or pneumothorax. there remains moderate volume overload. right ij tip is difficult to directly visualize given technique. abdomen (supine only) port : findings: there is a nasogastric tube and tube identified. there is a large amount of gas seen within the stomach. there are prominent loops of likely colon. there is also increased density throughout the abdomen consistent with known ascites. there is no definite evidence for free intra-abdominal air or pneumatosis. this bowel gas pattern is nonspecific. if there is high clinical concern, a ct scan could be performed. hematology: 03:18pm blood wbc-10.3# rbc-2.71* hgb-9.0* hct-23.7* mcv-87# mch-33.1* mchc-37.8* rdw-19.6* plt ct-85* 09:51pm blood wbc-5.8 rbc-1.47*# hgb-4.9*# hct-13.2*# mcv-90 mch-33.0* mchc-36.6* rdw-21.1* plt ct-46* 11:14pm blood wbc-5.8 rbc-1.54* hgb-4.9* hct-14.2* mcv-92 mch-32.1* mchc-34.7 rdw-20.2* plt ct-41* 12:06am blood wbc-4.6 rbc-2.03*# hgb-6.4*# hct-18.8*# mcv-93 mch-31.3 mchc-33.7 rdw-17.0* plt ct-69*# coags: 03:18pm blood pt-34.0* ptt-50.7* inr(pt)-3.6* 09:51pm blood pt-38.9* ptt-70.7* inr(pt)-4.2* 11:14pm blood pt-41.9* ptt-80.6* inr(pt)-4.6* 12:06am blood pt-22.4* ptt-81.7* inr(pt)-2.1* 03:18pm blood fibrino-113* chemistries: 03:18pm blood glucose-82 urean-38* creat-2.7*# na-138 k-5.9* cl-104 hco3-21* angap-19 09:51pm blood glucose-35* urean-37* creat-3.3* na-140 k-5.8* cl-106 hco3-17* angap-23* 11:14pm blood glucose-94 urean-35* creat-3.0* na-139 k-6.3* cl-106 hco3-15* angap-24* 12:06am blood glucose-108* urean-31* creat-2.7* na-144 k-5.8* cl-110* hco3-14* angap-26* 03:18pm blood alt-2844* ast-8550* alkphos-709* totbili-21.5* 09:51pm blood alt-1794* ast-6158* ld(ldh)-4494* alkphos-529* totbili-15.9* 11:14pm blood alt-1462* ast-4930* ld(ldh)-3660* ck(cpk)-1274* alkphos-437* totbili-13.6* 03:18pm blood albumin-2.4* calcium-7.7* phos-8.6*# mg-1.8 lactates: 03:34pm blood lactate-5.9* 06:32pm blood lactate-7.1* 10:00pm blood lactate-9.0* 11:19pm blood lactate-10.8* 12:15am blood lactate-10.7* ascitic fluid studies: ascites analysis 05:00pm wbc 80, rbc 3925, polys 18, lymphs 13 ascites chemistry 05:00pm glucose 100, ld(ldh) 154 brief hospital course: following patient's admission he immediately required addition of vasopressin to norepinephrine to support his blood pressure. hepatology service was aware of patient prior to transfer and was consulted at time of admission. due to low tidal volumes on ventilator and a tense abdomen at admission, a therapeutic paracentesis was performed with removal of 5 liters of ascitic fluid and noted improvement in both tidal volumes and bladder pressures. the fluid proved to have a high rbc count; however, was not consistent with sbp as there were only 80 total wbcs. 100 grams of albumin were given at time of paracentesis in order to support intravascular volume. patient was also ordred for 2 units of prbcs to be transfused at time of admission; however, his hct was stable upon transfer from outside hospital. several hours following admission, the patient's blood pressure began to drop with maps in the mid-50s despite 1 l ns as well as the previously mentioned 100 g albumin. prbcs were unable to be obtained for transfusion due to the patient having antibodies making crossmatch exceedingly difficult. at this time 1 l ns was infused and phenylephrine was initiated as a third vasoactive to support blood pressure. in recognition of falling blood pressure, ng tube was hooking to suction and appromiately 500 mls of dark red blood were pulled to suction trap. then in recognition of likely repeat variceal bleeding, additional ns was infused and blood bank was contact for emergency release of blood prior to complete crossmatch. hepatology service was simultaneously contact and they came into the hosptial with plans to place tube to tamponade the bleeding. shortly after blakmore was inserted and prior to confirmatory cxr or inflation of balloon, the patient became bradycardic and lost a pulse. cpr was initiated as indicated for pulseless electrical activity. during code compressions were done continuously save rhythm checks. several rounds of atropine and epinephrine were given. a femoral cordis was placed and many units of blood were given via rapid transfuser. in all, patient received 9 units of prbcs, 8 units of ffp, 2 bags of platelets, and 2 units of cryoprecipitate. he was shocked a single time following identification of an unstable narrow-complex tachycardia. a pulse and stable blood pressure were regained and code was ceased. despite the massive amount of blood products transfused, the patient's hct only changed from 13 prior to code to 19 at the end of the code. patient's two daughters had been present for most of code. they were updated on the patient's poor prognosis following the code and decided to make the patient dnr/dni as well as "comfort measures only". prior to being able to carry out cessation of supportive medication and ventilation, the patient became bradycardic and lost his pulse again. he was pronounced dead shortly following this second episode of bradycardia and loss of pulse. medications on admission: medications at home (per last d/c summary): albuterol 90 mcg 2 puffs every day advair 250/50 1 inh furosemide 40 mg once a day spironolactone 100 mg once a day, nadolol 20 mg once a day esomeprazole (nexium) 40 mg once a day, lactulose 30cc qid norfloxacin 400mg daily trazodone 50 mg qhs magnesium oxide 400mg daily citalopram 40mg daily nicotine 21mg patch daily medications at time of transfer: levophed gtt octreotide gtt protonix gtt morphine prn ativan prn discharge medications: none, patient expired. discharge disposition: expired discharge diagnosis: primary: gastrointestinal bleeding secondary: hepatic cirrhosis hepatic failure discharge condition: none. patient expired. discharge instructions: none. patient expired. followup instructions: none. patient expired. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours cardiopulmonary resuscitation, not otherwise specified diagnoses: hyperpotassemia acute kidney failure with lesion of tubular necrosis chronic hepatitis c with hepatic coma alcoholic cirrhosis of liver other and unspecified alcohol dependence, in remission asthma, unspecified type, unspecified acute respiratory failure paralytic ileus other ascites esophageal varices in diseases classified elsewhere, with bleeding epistaxis spontaneous bacterial peritonitis 

Answer: The patient is high likely exposed to