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: codeine attending: chief complaint: gi bleed major surgical or invasive procedure: egd with variceal banding. history of present illness: history of present illness: 33 year old man with a history of cirrhosis, hep c, gi bleeding, transfered from osh with bright red blood per rectum. pt reports that he was at drug and alcohol rehab earlier in the day, which he went to after drinking a fifth of vodka and some beers, when he vomited frank blood four times. at rehab his bp was recorded as 103/90, pulse 80. the pt was transfered to hosp, where he had bright red blood per rectum and he recieved 2u ffp, 1u prbc, dilaudid, morphine, pantoprazole and octreotide. ngt at drained 200cc dark red blood, and rectal exam revealed guaiac pos black stool. he reports a gib 1 month ago (), at which time gi banding of 3 esophageal varices was performed. in the procedure report for this banding, the hosp endoscopist recommended that if pt were to re-bleed he should be transfered to for evaluation for tips, so the pt was transfered to for eval for tips and further management of gib. in the ed, initial vs were: t 98 p 66 bp 118/70 r 20 o2 sat 97%ra. the pt complained of abdominal pain, and had guaiac pos brown stool on rectal exam. labs notable for hct 30.2 (27 at osh). patient was given dilaudid, ondansetron, diazepam, ceftriaxone, octreotide gtt, pantoprazole gtt. ngt placed with ~150cc coffee ground emesis. on gastric lavage 500 cc clear was removed with small amount of bloody thin effluent. ruq ultrasound did not show portal vein thrombosis, or ascites on prelim read. the ed asked the liver fellow to see pt, and reported that hepatology would do egd in am. on transfer to micu vital signs were stable, and he had 2 18 gauge pivs. . on the floor, patient complains of abdominal pain, but reports that he feels better. . review of sytems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. no dysuria. denied arthralgias or myalgias. past medical history: hcv cirrhosis portal htn - tear - s/p esoph variceal banding opiate abuse etoh abuse social history: current etoh use, current tobacco use, current marijuana, cocaine, amphetamine use, remote ivdu, lives with friend, works as a plumber. mother is contact person. family history: alcoholism in both parents, no gi d/o or cancer in family. physical exam: vitals: t: 97 bp: 129/75 p: 68 r: 10 o2: 95% general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, bibasilar rales cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: abdomen soft, nondistended, multiple scratches on abdomen, ttp in epigastrium and b/l upper quadrants, no rebound or guarding, spleen tip palpable ?8 cm from costal margin gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: a+ox3, cn ii-xii intact, 5/5 strength in u+le bilaterally, gait assessment deferred pertinent results: ruq u/s: 1. son hepatic characterisitics are consistent with cirrhosis. 2. no portal venous thrombus. hepatic arterial supply is normal. hepatic veins unremarkable. 3. splenomegaly. cxr: no acute process egd : esophagus: mucosa: localized discontinuous erythema and granularity of the mucosa were noted in the lower third of the esophagus and gastroesophageal junction. these findings are compatible with esophagitis. 2 ulcers of prior banding noted in the mid-lower esophagus. protruding lesions 2 cords of grade i varices and 1 cord of grade ii varices were seen starting at 35 cm from the incisors in the lower third of the esophagus. the varices were not bleeding. one band was applied at 2 o'clock position. stomach: normal stomach. duodenum: normal duodenum. impression: erythema and granularity in the lower third of the esophagus and gastroesophageal junction compatible with esophagitis 2 ulcers of prior banding noted in the mid-lower esophagus esophagus in the esophagus varices at the lower third of the esophagus otherwise normal egd to second part of the duodenum brief hospital course: # ugib: patient was transferred from osh for further evaluation and management of mr. upper gi bleed. in the ed, patient was given dilaudid, ondansetron, diazepam, ceftriaxone, and started on octreotide gtt and pantoprazole gtt. ngt placed with ~150cc coffee ground emesis. on gastric lavage 500 cc clear was removed with small amount of bloody thin effluent. ruq ultrasound did not show portal vein thrombosis, or ascites. ct abdomen showed splenomegaly, small ascites, gastric varices and hepatic steotosis with hypertrophy of left lobe. recieved 1 unit prbcs. patient was admitted to micu with 2 18-gauge pivs. egd was performed that showed two grade 1 varixces and one grade 2 varice that was banded. patient was continued on octreotide for 48 hours. 24 hours after stopping octreotide, ppi was changed from iv to po. mr. had no further hematemisis at . hematocrit was checked initially every 8 hours then spaced to every 12 hours--stable entire admission. patient did have melena later in admission, however this was expected and due to history of ugib. po intake was gradually advanced from sips to regular diet--which he was tolerating well on discharge. on day of discharge, patient became very anxious and was planning to leave ama to admit himself into inpatient rehab, which the social worker at said he didn't qualify for. rather than let him leave ama, patient was prepared for discharge and started on nadolol due to risk of mortality from gi bleed. patient was advised of the risk of leaving the hospital at this time and instructed to seek treatment for his alcoholism. patient was also advised to follow-up with a hepatologist near his home as he did not want in . additionally, patient was told of importance of repeat egd in weeks to evaluate status of varices and banding. . # etoh abuse: patient was started on ciwa scale with diazepam dosed accordingly. patient was adequately monitored throughout the taper, and was <10 consistently on the ciwa during his last 12-18 hours of hospitalization. recieved 25 mg valium during the last 36 hours of his admission. u/s of liver consistent with cirrhosis. social work was consulted and briefly spoke with mr. over the phone. he was requesting inpatient rehab, however, due to his hospitalization for the gib at , he didn't qualify any longer for inpatient rehab. unfortunately, patient was determined to leave on /9. it was felt he was adequately treated for his alcohol withdrawal at this time and his paperwork was hastily prepared prior to his leaving the hospital. risks of continued alcohol abuse in setting of liver disease with known variceal bleeds were explained to him prior to his departure. . # abdominal pain: no definite source located for abdominal pain, however likely secondary to capsular stretch given patient's history of alcohol abuse. additionally, reportedly ran abdomen into deck prior to admission. ct abdomen/pelvis was negative. treated with iv morphine then transitioned to po morphine and decreased substantially prior to discharge. patient was given no narcotics on discharge. . # heptatitis c virus - mr. has a history of hcv, per his verbal report. hcv antibody and viral load were tested during the hospitalization. viral load determined to be 17.8 million. patient to follow-up with pcp or hepatologist for further management of this chronic illness. . # thrombocytopenia: likely secondary to liver disease, however there also may be a component of sequestration due to splenomegaly. not acute issue during hospitalization. medications on admission: nadolol 40mg daily discharge medications: 1. nadolol 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 2. cefpodoxime 200 mg tablet sig: one (1) tablet po twice a day for 3 doses. disp:*3 tablet(s)* refills:*0* 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 7. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: variceal bleeding cirrhosis alcohol dependence hepatitis c virus discharge condition: good. hemodynamically stable with stable hematocrit for 48 hours. discharge instructions: you were admitted to the hospital for bleeding from distended veins in your esophagus. this bleeding is secondary to scarring in your liver from alcohol and hepatitis c which is causing elevated pressure throughout the blood vessels in your body. a band was applied to one of these varices. your blood counts remained stable for 2 days prior to your discharge. you were started on nadolol, omeprazole, and sucralfate to protect your stomache and prevent future bleeding. you were also started on an antibiotic which helps prevent abdominal infections. you should finish this course as it is being prescribed for you. you should continue all of the other medications until otherwise instructed and you should have an egd in weeks to check on your varices. you were also given medications to prevent alcohol withdrawal symptoms. these medications were tapered prior to discharge. the risk of death when bleeding from your esophagus is more than 50%. if you want to live, you must stop drinking alcohol. it is poison to your body and your scarred (cirrhotic) liver. in addition, you should be treated for hepatitis c as your viral load was 16 million. you should have further discussion with your pcp regarding care and establishment with a liver doctor. please call 911 or return to the ed should you experience dizziness, lightheadedness, abdominal pain or distention, tremors, seizures, hallucinations, confusion, shortness of breath, chest pain, cough or vomit blood, have dark black or bright red bowel movements or anyother concerning symptoms. followup instructions: please follow up with dr . you should have a liver doctor as well. you were not arranged to see anyone in as you requested to see someone in . you need to have another egd in weeks to check the status of your varices and have any additional banding completed. procedure: insertion of other (naso-)gastric tube endoscopic excision or destruction of lesion or tissue of esophagus alcohol detoxification diagnoses: chronic hepatitis c without mention of hepatic coma alcoholic cirrhosis of liver portal hypertension abdominal pain, other specified site esophageal varices in diseases classified elsewhere, with bleeding hematemesis other and unspecified alcohol dependence, continuous splenomegaly alcohol withdrawal 

Answer: The patient is high likely exposed to