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 48 year old female with alcoholic cirrhosis who was recently status post shunt, who was discharged from on saturday, , and has had dark stool since then with bright red blood per rectum on the morning of admission, and one episode of hematemesis, approximately one cup. she also complains of lightheadedness and dizziness. she contact ems and arrived in the emergency department at 05:50 p.m. at that time, her temperature was 98.7 f.; blood room air. she denied chest pain or use of nonsteroidal anti-inflammatory drugs. she did complain of shortness of breath. she was given three liters of intravenous normal saline in the emergency department. her blood pressure increased to 116/45 and her heart rate was 112. the patient was also given 50 mg of intravenous ranitidine in the emergency department. of note, the patient was recently admitted to on , for a variceal bleed, at which point she has sodium morrhuate sclerotherapy and trans-jugular interhepatic portal systemic shunt procedure (tips). she was discharged after a right upper quadrant ultrasound showed a patent tips on and she went home on spironolactone and lactulose. past medical history: 1. alcoholic cirrhosis, status post tips as above for recurrent variceal bleed after multiple instances of sclerotherapy and banding. last sclerotherapy . 2. alcohol abuse for many years; quit in , but had recurrent alcohol abuse in after the death of a loved one. she has now been sober for two weeks. 3. hypertension. 4. hypothyroidism. 5. vitiligo. 6. negative for hepatitis a, b and c in . 7. pneumovax in . admission medications: 1. lactulose. 2. synthroid 100 micrograms q. day. 3. spironolactone 100 mg q. day. allergies: no known drug allergies. social history: ethanol abuse; last drink was two weeks ago. lives alone. works as a travel . lives in an apartment. never married; no children, no tobacco. family history: no liver disease. alcoholism in multiple family members. physical examination: temperature 96.4 f., oral; heart rate 119; blood pressure 135/47; respiratory rate 24; oxygen saturation 99% on room air. the patient is lying flat and is not dyspneic or uncomfortable. her skin is icteric. she has vitiligo on her hands and forehead. she has good capillary refill. her sclerae are icteric. she has a very pale conjunctivae. her oropharynx is dry. her neck is supple with no jugular venous distention noticed. her heart is tachycardia with a ii/vi systolic ejection murmur noted at the left upper sternal border. heart sounds are otherwise normal. lungs are clear to auscultation on anterior examination. abdomen is obese, soft, nontender, and nondistended. liver edge is not palpable. extremities demonstrate one plus pitting edema in both ankles. palmar erythema is noted. laboratory data: white blood cell count 9.2, hematocrit 15.8, platelet count 27. prothrombin time 17.8 and international normalized ratio of 2.2. activated partial thromboplastin time 35.8. sodium 134, potassium 3.8, chloride 94, carbon dioxide 21, blood urea nitrogen 26, serum creatinine 1.1. glucose 176; serum calcium 6.8, serum magnesium 1.6, serum phosphate 3.4. alt 95, ast 119, lipase 86, albumin 2.2, alkaline phosphatase 278, amylase 23, ammonia 53, total bilirubin 19.4. electrocardiogram sinus tachycardia at a rate of 120 with normal axis and no st segment or t wave abnormalities noted. hospital course: the patient was admitted with presumed recurrent variceal bleed. she received intravenous octreotide 25 micrograms per hour drip, intravenous protonix, and packed red blood cells and platelet transfusion for hemodynamic support. she received a total of four units of packed red blood cells, four units of fresh frozen plasma and one unit of mixed platelets. esophageal gastroduodenoscopy was performed on the evening of . this showed a large esophageal ulcer with necrotic tissue at the sclerotherapy sites from . there was organized clot with no sign of current bleeding. the patient did have esophageal varices but no fundal varices, indicating that the tips has probably not closed. the patient was started on sucralfate in addition to pantoprazole. after transfusion, the patient's hematocrit returned at 31. the patient was hemodynamically stable and was transferred to the general medicine wards on the seventh floor of the clinical center. due to peripheral edema, her spironolactone was increased to 100 mg from 50 and furosemide 20 mg was added to her regimen. the patient remained stable on this regimen for the remaining two days of her hospitalization. her hematocrit was unchanged, and her vital signs remained stable. she was rapidly advanced to a full diet without complications and was able to walk about the medicine wards without symptoms. of note, it was difficult to draw blood from her peripheral veins and she required two femoral venous blood draws for routine laboratory monitoring. the second of these two on , was complicated by femoral artery puncture with a #19 gauge needle; however, after pressure was held for 15 minutes and the patient remained in bed rest for two hours, there were no complications of this bleed. the patient was felt to be stable for discharge on the afternoon of . discharge condition: stable. disposition: transfer to home. discharge medications: 1. spironolactone 100 mg p.o. q. day. 2. furosemide 20 mg p.o. q. day. 3. levothyroxine 100 micrograms p.o. q. day. 4. sucralfate suspension 10 cc., p.o. four times a day. 5. pantoprazole 40 mg p.o. q. day. 6. magnesium oxide 400 mg p.o. twice a day. 7. ciprofloxacin 500 mg p.o. q. day times seven days. 8. magnesium oxide 400 mg p.o. twice a day times seven days. 9. lactulose 30 cc., p.o. three times a day, titrated to two soft stools. 10. multivitamin. discharge instructions: 1. the patient is to follow-up with either dr. or dr. . she will call to schedule an appointment and see whoever who has the first available clinic appointment. , md dictated by: medquist36 d: 15:00 t: 19:22 job#: procedure: other endoscopy of small intestine diagnoses: thrombocytopenia, unspecified alcoholic cirrhosis of liver portal hypertension hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure esophageal varices in diseases classified elsewhere, without mention of bleeding other and unspecified coagulation defects 

Answer: The patient is high likely exposed to