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: the patient was transferred from . he arrived intubated. this is a 54-year-old man with chronic alcohol abuse. he was admitted to with bilateral shoulder pain and was intoxicated, smelling of alcohol. his blood alcohol level was 286. it was reported that he vomited either coffee-brown emesis or bright red blood with some differing reports. on discharge summary report from the gastroenterology department at the outside hospital, ng suction was positive for coffee-grounds systolic blood pressure were in the 80s and 90s. he was admitted to their intensive care unit and treated with an octreotide drip, as well as intravenous protonix b.i.d. hematocrit was 31.7% but then fell to 28.4%. he received 1 u packed red blood cells with his hematocrit rising to 32.1%. he also received blood transfusion. ammonia at that time was 144. the patient was started on lactulose and underwent egd. this was notable for 4+ esophageal varices and portal gastropathy but no evidence of gastric ulcer. consultation was made with the gi team here, and arrangements were made for transfer for a tips procedure. on transfer, vitals were a temperature of 101.8??????, heart rate 108, respirations 18, blood pressure 112/50, oxygen saturation 98% on 4 l. en route from , he became tachypneic and hypoxic with an oxygen saturation of 90% on rebreather mask. he was emergently intubated en route. past medical history: cirrhosis. hypertension. thrombocytopenia. anemic alcoholic abuse. peripheral neuropathy. allergies: no known drug allergies. medications on admission: aldactone, lasix, folate, multivitamin, vitamin b, dovonex topically, prilosec, baclofen. social history: he is divorced with one son. is unemployed. questionable history of additional nsaid abuse, as well as admitting to 12 oz vodka every day. he smokes a pack a day times many years. family history: noncontributory. physical examination: vital signs: temperature 103.2??????, blood pressure 118/59, heart rate 117, respirations 13, oxygen saturation 96% on ac ventilation set at tidal volume of 600, respirations 12, peep 5. general: the patient was intubated in apparent distress, and was not responsive to commands. lungs: clear. cardiovascular: tachycardia, regular. abdomen: soft. no bowel sounds. liver edge palpable 3 cm below the costal margin. no palpable spleen tip, positive fluid wave, with some minimal flank dullness. extremities: no cyanosis, clubbing or edema. guaiac: negative. hospital course: the hospital course progressively worsened with each subsequent day with rising total bilirubin and increasing inr despite no anticoagulation and supplementation of intravenous vitamin k. the patient was also pressor dependent during his course and became less and less arousable. after several family meetings, the decision was made to withhold further medical care. on , with the patient's prognosis worsening and renal function decreasing, in addition to his liver failure, the decision was made by the patient's family to remove ventilatory support. the patient expired on , at approximately 10:30 p.m. the patient's family declined autopsy at that point but indicated that they would consider tissue donation. dr., 12-838 dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances arterial catheterization central venous pressure monitoring alcohol detoxification diagnoses: alcoholic cirrhosis of liver acute kidney failure, unspecified unspecified septicemia acute respiratory failure pneumonitis due to inhalation of food or vomitus hepatic encephalopathy alcohol abuse, continuous alcohol withdrawal 

Answer: The patient is high likely exposed to