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 / codeine attending: chief complaint: hematemesis major surgical or invasive procedure: - egd - tips angioplasty and embolization of varices history of present illness: 46 yo f w/ etoh/hcv cirrhosis, grade 1 varices and portal gastropathy who presented to the ed yesterday with 1 episode of hematemesis on , which the patient describes as "dark clots...just old blood". she subsequently left ama and returned the next day with melena x 1. of note, pt was recently admitted in with hematemesis and melena and admitted to the micu due to hypotension to sbp 70s. at that time she was treated with ng lavage, ffp, vitamin k, levofloxacin 500, octreotide, ppi and fluid resucitation along large volume blood transfusions (9 units). her course was complicated by hypoxia and fluid overload. she is s/p tips in and since that time has been doing relatively well. the patient denies the use of nsaids, anti-coagulants, iron supplementation or pepto bismol. past medical history: cirrhosis -heavy etoh abuse, +hcv (viral load undetectable), c/b coagulopathy/thrombocytopenia, elevated portal pressures with varices and portal gastropathy s/p tips -celiac sprue dx on bx egd however not on diet since has no symptoms according to patient -chronic le neuropathy -diastolic chf a. last echo in , pasp 28, ef >55% b. ett/mibi: , no ischemic regions -anemia: baseline hct ~30, chronic blood loss, ?sprue -asthma -depression -osteopenia -hypothyroidism -s/p ccy -tah for endometrial hyperplasia social history: lives with husband and 29 y.o son. heavy etoh abuse in the past, last drink long time ago according to patient. hx of +screens here in the past, tobacco 1 ppd x 30 years. no ivdu. family history: father died of mi in 80's. many alcoholics in family. one cousin with celiac sprue. physical exam: vs: 98.4 102/53 92 20 99% ra gen: looks older than stated age, very aggressive personality but answers questions appropriately, nad heent: perrla, eomi, no icterus, dry mm, telangiectasias on face, poor dentition, neck supple cv: rrr no m/r/g lungs: ctab on anterior exam abd: soft, nt, nd, +bs, trace of liver edge beneath costal margin, no rebound or guarding ext: no edema, warm, dry skin, tender to touch skin: + spider angiomata neuro: no gross deficits pertinent results: serum tox negative hct 31 inr 1.9 plts 83 recent imaging: ekg : sr at 93 bpm, nl axis, qtc slightly prolonged at 450 ms, twi v1-3 u/s: patent tips stent with no significant change in velocities of flow compared to . egd : varices at the lower third of the esophagus erythema and congestion in the stomach body and fundus compatible with moderate portal gastropathy varices at the second part of the duodenum no gastric varices tips 1. successful placement of a transjugular intrahepatic portosystemic shunt using three 10-mm bare metallic wallstents extending from a right portal vein to the right hepatic vein. 2. slightly unusual hepatic venous anatomy identified with two separate right hepatic veins which were small in caliber. 3. gradient between the portal vein and ivc pre-tips placement was 13 mmhg. post- tips placement the gradient was 9 mmhg. egd: grade i varices at the lower third of the esophagus grade 1 esophagitis in the gastroesophageal junction portal gastropathy duodenitis in the proximal bulb large duodenal varix brief hospital course: blood loss anemia/gi bleeding: pt was transferred from floor to micu after an episode of hematemesis and melena. after transfer to micu, patient was followed closely by transplant hepatology. pt was s/p tips placement by ir on - pt now returns with duodenal bleeding and had an egd with cauterization. hepatic venogram performed on revealed a probable umbilical varix, which was embolized with multiple coils. pressure gradients across the tips were about 10 mmhg before and after angioplasty of proximal portion. pt's blood count remained stable and patient was discharged to home from the micu. medications on admission: - gabapentin 900 mg po q8h - levothyroxine 50 mcg po daily - albuterol 1-2 puffs inhalation q6h as needed. - levofloxacin 500 mg tablet po daily for sbp ppx - not taking x 1 month - lactulose prn for constipation >3 days - pantoprazole 40 mg tablet daily discharge medications: 1. gabapentin 300 mg capsule sig: three (3) capsule po tid (3 times a day). 2. levothyroxine 25 mcg tablet sig: two (2) tablet po daily (daily). 3. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 4. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 6. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours). discharge disposition: home discharge diagnosis: primary: upper gi bleed secondary: etoh cirrhosis discharge condition: good - patient is ambulating, taking oral intake, and back to baseline condition. discharge instructions: please take all medications as prescribed. if you have any symptoms of bleeding, change in the color or consistency of your stool, vomiting, or vomiting any blood, please seek immediate medical attention. followup instructions: .provider: , md phone: date/time: 5:20 provider: , rd phone: date/time: 2:00 procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine angioplasty of other non-coronary vessel(s) transcatheter embolization for gastric or duodenal bleeding transfusion of packed cells transfusion of other serum phlebography of the portal venous system using contrast material procedure on single vessel diagnoses: thrombocytopenia, unspecified congestive heart failure, unspecified chronic hepatitis c without mention of hepatic coma alcoholic cirrhosis of liver iron deficiency anemia secondary to blood loss (chronic) unspecified acquired hypothyroidism asthma, unspecified type, unspecified depressive disorder, not elsewhere classified mononeuritis of lower limb, unspecified blood in stool esophageal varices in diseases classified elsewhere, with bleeding hematemesis hypovolemia varices of other sites diastolic heart failure, unspecified other and unspecified alcohol dependence, unspecified mechanical complication of other vascular device, implant, and graft disorder of bone and cartilage, unspecified 

Answer: The patient is high likely exposed to