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: penicillins attending: chief complaint: lower gi bleed major surgical or invasive procedure: egd, colonoscopy history of present illness: ms. is a 49 year old female with a history of celiac disease, alcoholic cirrhosis, who initially presented to her regularly scheduled liver clinic appointment where she was complaining of brbpr for the past few days. she says that over the past few days at home, when she was going to the bathroom she would see what she describes as cherry colored blood on the toilet paper and in the toilet bowl. she has also had some epigastric abdominal pain over the past few days, otherwise she has been feeling pretty well. she was recently started on diuretics for her ascites and that has improved significantly, as has her lower extremity edema. she said that she would not have come in for the bleeding, but thought that she would mention it in the office today. she says that she has been eating and drinking well, and that her only other concern was that she has occasionally been getting bloody noses since her admission with repeated attempts at feeding tube placement. after a discussion between the nurse practitioner and dr. she was referred into the er for further evaluation. in the ed, initial vs were: 99.1, 118, 142/79, 20, 100% on ra. her labs were notable for a hct of 28.2 from 32 in the end of and 36 in the middle of , her inr was 1.4, platelets 359. a ruq ultrasound showed stable gallbladder sludge and wall edema, known cirrhosis and no ascites. she received 2l of ns, but remained tachycardic particularly with movement at times up to the 120's, so she was admitted to icu for closer monitoring. . on arrival to the micu, her initial vs were: 98.5, 89, 123/73, 18, 100% on ra. her only current complaint is that she still has some mild epigastric pain, otherwise feels well. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. . past medical history: alcoholic hepatitis alcoholic cirrhosis celiac disease diagnosed 1 yr ago by biopsy hx jaundice at birth and 2 episodes at around 9 and 11 yr old for about 2 wks each time that resolved spontaneously. appendectomy diagnostic laparoscopy for ovarian cyst back, ankle, wrist surgeries social history: denies tobacco. admits to heavy etoh use since the age of 18 yr old, cut back 5 yrs ago, 1 yr ago was only drinking socially and has completely stopped for the past month. denies illicit drug use. was recently working as a practice manager, now unemployed. family history: , mother and 2 brothers have insulin dependent diabetes. mother died 6 months ago. father died of heart disease 6 years ago, suffered from recurring gi problems suggestive of celiac dz prior to that. physical exam: general appearance: well nourished, no acute distress eyes / conjunctiva: perrl cardiovascular: (s1: normal), (s2: normal), (murmur: no(t) systolic, no(t) diastolic) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (breath sounds: clear : ) extremities: right lower extremity edema: trace, left lower extremity edema: trace skin: warm neurologic: attentive, responds to: verbal stimuli, oriented (to): person. place, time , movement: not assessed, tone: increased pertinent results: 08:40pm blood wbc-12.2* rbc-3.18* hgb-8.8* hct-28.2* mcv-89# mch-27.7# mchc-31.2 rdw-16.3* plt ct-397 08:40pm blood pt-14.0* ptt-28.1 inr(pt)-1.3* 08:40pm blood glucose-126* urean-20 creat-0.9 na-137 k-4.5 cl-102 hco3-24 angap-16 08:40pm blood alt-64* ast-70* alkphos-135* totbili-1.3 08:40pm blood albumin-3.6 phos-3.8 mg-2.3 . ruq u/s : findings: the liver is diffusely echogenic, compatible with known cirrhosis. the degree of echogenicity limits evaluation for focal liver lesions, but no lesion is identified. there is no intra- or extra-hepatic bile duct dilation. the common duct is not dilated measuring 4 mm. a small amount of layering sludge is seen within the gallbladder, which is not dilated. mild gallbladder wall edema is nonspecific in the setting of liver disease. son sign is negative. doppler assessment of the main portal vein shows patency and normal hepatopetal flow. normal color flow is seen in the left portal, right anterior portal and right posterior portal veins. single views of the right and left kidneys show no hydronephrosis, measuring 9.5 and 10.6 cm respectively. the spleen is normal measuring 9.9 cm. there is no ascites. impression: 1. echogenic liver compatible with fatty deposition and known cirrhosis. no focal liver lesion identified. 2. gallbladder wall edema and a small amount of sludge appear longstanding. no specific superimposed evidence for acute cholecystitis. . egd : esophageal candidiasis (biopsy) abnormal mucosa in the duodenum otherwise normal egd to third part of the duodenum. . colonoscopy : diverticulosis of the sigmoid colon grade 1 internal hemorrhoids prominent rectal veins were noted. no clear rectal varices seen. otherwise normal colonoscopy to cecum brief hospital course: ms. is a 49 y/o female with a history of alcoholic cirrhosis, recent alcoholic hepatitis on prednisone who presents from liver clinic with episodes of bright red blood per rectum for the past few days. . #) likely lower gi bleed: based on her description of the bleeding and rectal exam in the er with red blood in the vault and external hemorrhoids, seems most consistent with lower gi bleed. colonoscopy confirmed grade 1 internal hemorrhoids as likely source, though not actively bleeding. she also had prominent rectal veins but no varices. she was advised to follow a high fiber diet. she remained hemodynamically stable without need for prbcs. she was instructed to call the liver center after the weekend of discharge to discuss follow up. she had an egd in with no evidence of varices. . #) epigastric pain: stable ruq ultrasound, no evidence of cholecystitis, she has been on high doses of prednisone which could be causing gastritis. likely explanation was esophageal candidiasis given findings on eeg. she was loaded with 200mg of po fluconazole and given a 2 week course of 100mg daily. she was advised to follow a gluten free diet given findings on egd consistent with her known celiac disease . #) alcoholic cirrhosis: no evidence of decompensation at this time. advised to stop drinking. held home diuretics. ttransitioned to solumedrol while prepping for colonoscopy then changed back to prednisone post colonoscopy for her etoh hepatitis taper. . #) transitional issues: -pt to call liver center after the weekend for follow up medications on admission: home medications: folic acid 1 mg once a day lasix 20 mg once a day reglan 5 mg three times a day mirtazapine 15 mg at bedtime omeprazole 20 mg at bedtime prednisone 30 mg daily aldactone 50 mg once a day, calcium with vitamin d multivitamin discharge medications: 1. fluconazole 100 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 13 days: take your next dose tomorrow . disp:*13 tablet(s)* refills:*0* 2. folic acid oral 3. lasix 20 mg tablet sig: one (1) tablet po once a day. 4. reglan 5 mg tablet sig: one (1) tablet po three times a day. 5. mirtazapine 15 mg tablet sig: one (1) tablet po once a day. 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 7. prednisone 20 mg tablet sig: 1.5 tablets po once a day. 8. spironolactone 25 mg tablet sig: one (1) tablet po once a day. 9. calcium+d oral 10. multivitamin oral discharge disposition: home discharge diagnosis: hemorrhoids esophageal candidiasis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ms. , you were admitted to the icu for concern for gi bleed. you underwent both an upper and lower endoscopy which showed no active bleeding but changes consistent with your celiac disease and likely fungal infection, as well as hemmorhoids which are likely the source of your recent bleeding. please follow a gluten free, high fiber diet. we strongly advise that you abstain from alcohol. please call the liver center on monday to discuss when your next lab draw would be. we started the following medication: fluconazole 100mg by mouth for 2 weeks for fungal infection in your esophagus followup instructions: please call the liver center on monday to discuss when you should follow up department: when: thursday at 5:00 pm with: , licsw building: sc clinical ctr campus: east best parking: garage department: liver center when: friday at 10:00 am with: , md building: lm campus: west best parking: garage procedure: colonoscopy esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: long-term (current) use of steroids alcoholic cirrhosis of liver alcohol abuse, unspecified celiac disease internal hemorrhoids with other complication diverticulosis of colon (without mention of hemorrhage) external hemorrhoids without mention of complication candidal esophagitis personal history of allergy to penicillin 

Answer: The patient is high likely exposed to