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: history of present illness: this is a 73-year-old female admitted with upper gi bleed secondary to esophageal varices due to primary biliary cirrhosis or cryptogenic cirrhosis. on the patient had two rounds of coffee ground vomitus and she was unsure whether there was bright red blood present. she states she was lightheaded on standing, had some headache but did not lose consciousness, have chest pain, shortness of breath, palpitations, fever, chills, or any blood or melena per rectum. physical examination: had a blood pressure of 80/40 in the emergency room with guaiac positive melenic stool per rectum. lungs clear to auscultation bilaterally. heart was regular with no murmurs, rubs or gallops and the abdomen was soft, nontender, but distended and tympanitic. she had no edema. she had an urgent egd on which showed grade 2 varices in the lower of the esophagus with stigmata of recent bleeding. two bands were placed and the patient was continued on iv octreotide drip and protonix. her hematocrit was noted to be 24 so she was transfused 4 units of blood after which the hematocrit came up to 37.5. she was npo, transferred to the micu. the octreotide drip was discontinued and the patient began tolerating liquids and soft solids. she has had no other complaints except a history of chronic diarrhea for approximately one year which is non bloody. hospital course: she was hydrated with ?????? normal saline at 60 cc per hour, had an increased alkaline phosphatase at 449 and an increased total bilirubin at 2.9, .7 of which was indirect. the patient had an ultrasound of the liver which showed multiple hypoechogenic masses in the liver, largest in the left lobe with a differential diagnosis including metastases, lymphoma and multifocal hcc. these lesions were easily amenable to ultrasound guided needle biopsy and this was performed during this hospitalization with the patient to follow-up as an outpatient on the results. alpha fetoprotein came back at 1.9, aiding a source which was probably not hepatic. the patient spiked a fever to 101.6 after the micu stay and was treated for pneumonia using a 10 day course of levofloxacin 500 mg po q day. the patient was also started on a course of amoxicillin 500 mg tid for 7 days per infectious disease for enterococcal urinary tract infection. dr. felt the patient stable to be discharged home and she was on . she is to follow-up with dr. , take a course of antibiotics for pneumonia and uti, change her insulin regimen to glucotrol xl 10 mg and add protonix 40 mg q day. condition on discharge: stable. discharge status: to home. discharge diagnosis: 1. upper gi bleed. 2. liver abnormality likely tumor. 3. pneumonia. 4. enterococcal uti. , m.d. dictated by: medquist36 procedure: endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: urinary tract infection, site not specified unspecified essential hypertension cirrhosis of liver without mention of alcohol diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled diaphragmatic hernia without mention of obstruction or gangrene osteoporosis, unspecified macular degeneration (senile), unspecified streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] esophageal varices in diseases classified elsewhere, with bleeding 

Answer: The patient is high likely exposed to