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: etoh withdrawal abdominal pain major surgical or invasive procedure: diagnostic paracentesis history of present illness: 41yf with alcoholic cirrhosis who presented from osh with 3d of ruq pain nausea/vomiting. her abdominal pain was made worse with eating or laying flat. she denies fevers/chills. ruq us at osh demonstrates gb wall thickening 7mm without pericholecystic fluid. her wt ct was 16.7 at osh with tbili 5. she was transferred to for management of putative acute cholecystitis. . at , pt started on unasyn, but u/s and ct showed no evidence of acute chole, but rather gb wall edema c/w cirrhosis. was admitted to sicu with plan for diagnostic para and hida scan, but plan for hida was dropped. meanwhile, patient was feeling more agitated c/w previous <24 hour periods w/o etoh. patient reported last etoh intake on , with a decades-long history of 1bottle of wine or vodka daily hx of etoh use. . in the sicu, patient was thought to be showing some increased signs of agitation, and so was transferred to the micu for possible etoh w/d. past medical history: - cirrhosis (dx day of admission) - etoh abuse - bilateral carpal tunnel release 2y ago - breast augmentation 14 years ago - c-section x 2 social history: former dialysis rn. etoh abuse x 20 years 6 cocktails/day. 1 bottle of wine/day. prefers merlot and vodka. no ivdu or other illicit drug use. tobacco 1.5ppd x 30 years. family history: father with stomach ca. mother with htn physical exam: physical exam on discharge: vitals: t:97 bp:98/60 p:92 r: 18 o2:96% ra general: alert, anxious, nad heent: mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, mild abdominal tenderness, full belly, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 1. labs on admission: 09:30pm blood wbc-13.6* rbc-2.26* hgb-8.7* hct-26.4* mcv-117* mch-38.6* mchc-33.0 rdw-15.6* plt ct-212 10:57pm blood pt-16.4* ptt-30.6 inr(pt)-1.5* 09:30pm blood glucose-115* urean-3* creat-0.5 na-139 k-2.6* cl-100 hco3-26 angap-16 09:30pm blood alt-40 ast-177* alkphos-268* totbili-4.7* dirbili-3.4* indbili-1.3 09:30pm blood lipase-21 09:30pm blood albumin-3.0* calcium-8.2* phos-2.6* mg-1.2* 09:59pm blood k-2.4* . 2. labs on discharge; 05:35am blood wbc-10.3 rbc-2.01* hgb-7.7* hct-24.4* mcv-121* mch-38.1* mchc-31.5 rdw-15.7* plt ct-261 05:35am blood pt-16.0* ptt-32.9 inr(pt)-1.4* 05:35am blood glucose-108* urean-5* creat-0.4 na-140 k-4.1 cl-112* hco3-20* angap-12 05:35am blood alt-38 ast-196* alkphos-221* totbili-2.7* 05:35am blood calcium-7.7* phos-2.2* mg-1.9 11:30am blood caltibc-107* vitb12-741 folate-11.8 ferritn-782* trf-82* 10:27am blood hbsag-negative hbsab-positive hbcab-negative hav ab-positive 11:30am blood igg-952 iga-253 igm-134 10:27am blood hcv ab-negative 10:56am blood freeca-0.96* . 3. imaging/diagnostics: - cxr: normal chest. - abdominal u/s: 1. heterogeneous nodular echotexture of the liver with increased echogenicity that is compatible with provided history of cirrhosis. 2. moderate amount of simple intra-abdominal ascites. 3. main portal vein is patent. 4. gallbladder sludge. no evidence of cholecystitis. 5. mild splenomegaly measuring up to 14.3 cm. - ct abdomen/pelvis: 1. no evidence of acute cholecystitis. diffuse fatty liver infiltration/heterogeneity and a moderate amount of abdominal and pelvic ascites and varices c/w cirrhosis. 2. the patient has diverticulosis with colonic wall hypertrophy; however, there are no surrounding changes to suggest acute diverticulitis. . ================================================== pending labs on discharge (to be followed up: 09:30pm blood ama-pnd smooth-pnd 09:30pm blood -pnd 09:30pm blood ceruloplasmin-pnd 09:30pm blood alpha-1-antitrypsin-pnd =================================================== brief hospital course: 41 yo f with history of alcohol abuse, initially admitted for concern of acute cholecystitis and alcohol withdrawal, found to have cirrhosis. . # etoh withdrawal: no prior history of dts or active withdrawal however concern given high daily etoh intake. no hallucinations. ciwa < 10 throughout hospitalization. thiamine, folate, multivitamins given and a social work consult was ordered. patient declined social work consult. patient instructed to attend aa meeting or join support group to help alcohol cessation. patient declined. . # abdominal pain/nasea/vomiting: exam negative for acute abdomen. mild diffuse abdominal tenderness but non-localizable. ct scan without evidence of acute process and ruq us at osh with gb wall thickening 7mm but without pericholecystic fluid. transaminitis remained stable, likely chronic. transitioned to oral diet. weaned off pain medication. . # cirrhosis: new diagnosis on on transfer from osh (). transaminitis and cholestatic picture noted on labs, unclear past history but pt reports heavy drinking and ast/alt ratio > 4, which remained stable. viral hepatitis panel negative for acute infection. autoimmune panel and wilson's disease labs pending at the time of discharge. diagnostic paracentesis negative for spontaneous bacterial peritonitis. serum-ascites albumin gradient 2.6, consistent with ascites due to portal hypertension. . ================================================== pending labs on discharge (to be followed up: 09:30pm blood ama-pnd smooth-pnd 09:30pm blood -pnd 09:30pm blood ceruloplasmin-pnd 09:30pm blood alpha-1-antitrypsin-pnd =================================================== medications on admission: none discharge medications: 1. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: cirrhosis transaminitis alcohol abuse discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ms. , you were admitted to () because you had abdominal pain. we found that you have fibrosis of the liver called cirrhosis, most likely from your alcohol use. your liver enzymes were elevated but remained stable. you had withdrawal from alcohol and we treated you for that. we tapped the fluid in your abdomen which did not show an infection. . it is very important that you call the liver clinic at to make a follow-up appointment on monday . the phone number is listed below. you should join a support group and stop alcohol consumption to prevent progression of your liver disease. . we made the following changes to your medications: started: - folic acid 1 mg by mouth daily - thiamine 100 mg by mouth daily - multivitamins 1 tab by mouth daily followup instructions: please call the liver center at at ( on to schedule a follow-up appointment within the next 2 weeks. procedure: percutaneous abdominal drainage diagnoses: anemia, unspecified alcoholic cirrhosis of liver portal hypertension hypopotassemia other ascites chronic pancreatitis other abnormal blood chemistry other abnormal glucose acute alcoholic hepatitis alcohol withdrawal 

Answer: The patient is high likely exposed to