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: patient recorded as having no known allergies to drugs attending: chief complaint: melena/hematochezia major surgical or invasive procedure: endoscopy with esophageal variceal banding history of present illness: ms. is a 52yo female with hepatitis c (on no treatment), cirrhosis, pud, erosive gastritis, h/o etoh use, and hx of ugib ( hospitalizations at in , last admission ), and iron deficiency anemia presenting with 1-2 days of coffee-ground emesis and melena. per patient, she had several episodes of black tarry loose stools yesterday morning and then developed n/v/coffee ground emesis starting yesterday evening through the morning. . upon review of records, the patient was hospitalized at from / for hematemesis, egd showed cords of nonbleeding grade 1 esophageal varices. also with localized mildly erosive gastritis with small erosions in prepyloric region of stomach without active bleeding. she also had antral erosions and ulcer scars from prior. has had some difficulty with compliance, missing appts in past. . in ed, initial vitals were t98.6 hr116 bp110/50 rr18 100% on ra initial hct 21.3, inr 1.7 given 3l ns, and 1 unit of ffp, t/c for blood, none given yet in ed. ng lavage was bright red blood initially then cleared to pink with 1l saline, ngt was left in. patient with 16g and 18g piv. given iv zofran, 40mg iv protonix and started on octreotide gtt. gi saw patient in ed, wants to do egd in icu. vitals on transfer hr110, bp101/62, rr15, 99% on ra. . on arrival to the icu, patient slightly nauseous but otherwise comfortable, in no pain. she received a total of 2 units prbcs prior to egd in micu. egd showed 3 columns of grade ii varices in the distal esophagus with 2 bads placed. no evidence of lesions in stomach, normal duodenum. . review of systems: review of systems is negative for fevers, chills, chest pain, sob, jaundice, abdominal pain, brbpr or constipation. past medical history: . past medical history: - hepatitis c; diagnosed 2 years prior (per patient, no h/o ivdu but may have contracted through transfusion of sexual transmission with ivdu in past), no current treatment - h/o pud and antral erosions in past s/p h. pylori treatment in - iron deficiency anemia (recent baseline around 27) undergoing anemia workup at outpatient, on iv fe - gerd - htn . social history: . social history: lives alone, does marketing. patient had 4 days of increased etoh intake over weekend (average of 3 drinks of wine per day) which is more than her usual intake of -2glasses of wine per day. denies tobacco or ivda. . family history: no history of liver or gastrointestinal illnesses. physical exam: physical examination: vs: t98.9, hr 101-113, bp 119/70, rr23, 100% on ra gen: african american woman, comfortable, in nad skin: no jaundice heent: ngt in place. no jvd, neck supple, no lymphadenopathy in cervical, posterior, or supraclavicular chains noted. chest:lungs are clear without wheeze, rales, or rhonchi. cardiac: regular rhythm; no murmurs, rubs, or gallops. abdomen: no apparent scars. non-distended, and soft without tenderness, no hsm extremities:no peripheral edema, warm without cyanosis neurologic: no asterixis, no tremor . pertinent results: admission laboratory data: . 144 / 103 / 30 --------------149 3.6 \ 23 \ 0.7 . ca: 7.9 mg: 1.8 p: 4.1 alt: 60 ap: 57 tbili: alb: ast: 145 ldh: dbili: tprot: : lip: 54 . wbc 6.0 plt 284 hct 21.3 n:64.6 l:26.9 m:7.4 e:0.8 bas:0.4 . pt: 18.5 ptt: 26.4 inr: 1.7 . studies: egd the lower third of the esophagus, at least 2 (possibly 3) columns of faintly discolored/slightly distended vessels were seen that are possibly grade i esophageal varices. no ulcerations or active esophagitis. no red-wheel sign nor active (variceal) bleeding seen. no intervention.localized mildly erosive gastritis characterized by a few small erosions and mucosal erythema were found in the prepyloric region of the stomach. there were no large blood clots, avms or active bleeding sources seen. a small linear abrasion was noted in the stomach cardia, likely ngt trauma.the examined duodenum was normal. there were no avms or ulcerations noted throughout the stomach or duodenum. impression: - possible grade i esophageal varices in the lower-third of the esophagus --- these may be less prominent/decompressed than normal because of recent bleeding. - gastritis in the pre-pyloric area. - normal examined duodenum. - no avms or ulcers noted throughout. . brief hospital course: 52yo female with hepatitis c cirrhosis, hx ugib from esophageal variceal and gastric erosions in past, active etoh use, fe deficiency anemia presenting with melena/hemetemesis and ugib from esophageal varices and in setting of increased etoh use. . # bleeding esophageal varices: egd upon admission showed 3 grade ii esophageal varices. these were the likely source of bleeding and were banded. there was no evidence of gastric erosions or ulcers contributing. she received a total 3 units prbc with appropriate increase in hematocrit, which was subsequently stable. octreotride drip was started and continued for approximately 48 hours. she was initially on an iv ppi that was transitioned to po ppi. she was also given sucralfate. diet was quickly advanced. there was no evidence of rebleed ing. . # hcv cirrhosis: patientwas followed by dr. at . no active treatment active etoh use per notes. no evidence of ascites, encephalopathy, or sbp. she was given prophylacic ceftriaxone, changed to ciprofloxacin for a total 5-day course on discharge. nadolol was held in the setting of acute bleed but restarted on discharged. follow up was arranged with her primary hepatologist. . # h/o etoh use: patient presented with increased recent etoh intake. she was placed on a ciwa with valium but showed no signs of withdrawal and was not given any valium. she was given counseling about the dangers of ongoing alcohol abuse and the availability of services to help her quit. thiamine, folate, and multivitian were restarted when she was able to take po and continued on discharge. . # fe deficiency anemia: home iron was restarted on discharge . # gerd: she was initially on iv ppi and then po bid ppi as above. home qd ppi was restarted on discharge. # contact: , sister ( full code status was discussed with patient medications on admission: nadolol 40mg daily omeprazole 40mg iv iron qweek/ferrous sulfate 325mg tid trazodone 25mg qhs for sleep colace 100mg daily thiamine 1 tablet daily folate 1mg daily multivitamin 1 tablet daily discharge medications: 1. trazodone 50 mg tablet sig: .5 tablet po at bedtime as needed for insomnia. 2. nadolol 40 mg tablet sig: one (1) tablet po once a day. 3. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 4. docusate sodium 50 mg/5 ml liquid sig: five (5) ml po once a day as needed for constipation. 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 doses. disp:*3 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: esophageal variceal bleed secondary: cirrhosis with portal hypertension, alcoholism, hepatitic c discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you came to the hospital because of coughing up blood and black stools. you were found to have bleeding veins in your esophagus. this is due to your liver disease. the bleeding stopped after a banding procedure. you will need to follow up closely with your liver doctor. you should also continue the ciprofloxacin for one more day. (one pill tonight, one tomorrow morning, last dose tomorrow night). the only change in your medications is the antibiotic: ciprofloxacin, which you will only need for one more day followup instructions: we arranged an appointment with your liver doctor: gastroenterology appointment: thurs., @ 12:20pm name: , , md where: location:, phone: ( procedure: endoscopic excision or destruction of lesion or tissue of esophagus alcohol detoxification diagnoses: esophageal reflux unspecified essential hypertension alcoholic cirrhosis of liver iron deficiency anemia secondary to blood loss (chronic) portal hypertension unspecified viral hepatitis c without hepatic coma diaphragmatic hernia without mention of obstruction or gangrene esophageal varices in diseases classified elsewhere, with bleeding gastroesophageal laceration-hemorrhage syndrome acute alcoholic intoxication in alcoholism, continuous 

Answer: The patient is high likely exposed to