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: liver failure major surgical or invasive procedure: central venous line placement arterial line placement intubation history of present illness: this is a 60 y/o female with a hx of etoh abuse who was transferred from hospital on with decompensated liver failure. she originally presented to the osh with severe jaundice and mental status changes. initially at the osh, her labs were significant for an elevated wbc at 14,800 with 18% bands. her total bilirubin was 13.0, with a direct bilirubin of 8.1, alkphos 310, ast 246, alt 262. amylase and lipase were normal. albumin was 1.8 and inr was 1.8. . due to the concern for sepsis, she was treated initially for acute cholecystitis with ampicillin/sulbactam and ceftriaxone. us of the gallbladder revealed sludge and multiple calculi. the liver was found to have a fatty infiltrate. a ct showed no evidence of obstruction, ascites or neoplasm but confirmed a fatty liver. an alternative diagnosis of etoh hepatitis was considered. pentoxiphylline was started. the pt's lfts trended down while the bilirubin to 14.6 upon transfer. the patient was also found to have with a creatinine of 3.3 on presentation, which improved to 1.7 upon transfer. was presumed to be due to hypotension and atn. pt was also hyponatremic on admission to 120, improved to 130 on transfer. cultures on transfer had shown no growth to date. bp meds were held at the osh due to borderline hypotension and bradycardia. the patient was transiently on low dose dopamine. the patient was also treated with a detox protocoll for etoh withdrawal and lactulose for elevated ammonia and presumed chronic liver disease. on the day of transfer the patient had acutely worsening ms changes likely secondary to bzd and/or etoh withdrawal and was intubated for airway protection. . since her admission here to the sicu at , the patient was changed to vancomycin and zosyn for antibiotic coverage. blood cultures and urine cultures were drawn and are ntd. the patient was maintained intubated and lactulose and rifaximin was given for hepatic encephalopathy. the patient developed a hypernatremia. she was maintained on dopamin gtt and was found to have intermittent spurts of svt and cardiology was consulted who recommended a change to neosynephrine which was done. hepatology was consulted and recommended further workup for liver failure. this has included hepatitis serologies. she was hep a ab positive. remaining hep serologies were negative. , ama and smooth antibodies were negative. cmv and ebv have been sent and are pending. . of note to further assess the patient's mental status, a head ct was obtained it did not show any acute process. despite being off the propofol it continues to be difficult to arouse the patient. to protect her airway she continues to be intubated. the patient has now been transferred to the micu for further mgmt of her medical condition. past medical history: pmh: etoh cirrhosis? h/o svt, followed by dr. , on sotalol and diltizem generalized anxiety macrocytosis h/o rheumatic fever social history: married for 40yrs, has two grown children, works in sales at a nursery, smoked for at least 20yrs between 1pack and 1 1/2packs a day. she quit about 5 yrs ago. drinks about scotches/highballs a day and has been doing so for "many years". family history: father died of brain tumor at age 67 mother died of h.flu infection at age 71 physical exam: vs t 97.8 bp 112/57 hr 75 rr 26 psv 12/5 fio2 40% o2 sat 98-100% orthostatics gen: overweight caucasian female in nad, lying in bed, who does not respond to command heent: nc/at, perrla, scleral icterus neck: no lad, no jvd, no carotid bruit cor: s1s2, regular rhythm, no m/r/g pulm: cta b/l anteriorly, no rrw abd: + bowel sounds, soft, nd, nt skin: jaundiced, ext: 2 + pitting edema neuro: does not follow commands. pertinent results: 11:51pm glucose-129* urea n-15 creat-1.4* sodium-149* potassium-4.9 chloride-118* total co2-14* anion gap-22* 11:51pm estgfr-using this 11:51pm alt(sgpt)-215* ast(sgot)-226* ld(ldh)-1600* ck(cpk)-559* alk phos-292* amylase-50 tot bili-12.9* 11:51pm lipase-36 11:51pm ck-mb-8 ctropnt-0.02* 11:51pm albumin-2.0* calcium-7.7* phosphate-1.4* magnesium-1.6 11:51pm hbsag-negative hbs ab-negative hbc ab-negative hav ab-positive 11:51pm hcv ab-negative 11:51pm wbc-15.1* rbc-2.44* hgb-11.2* hct-33.5* mcv-138* mch-45.9* mchc-33.4 rdw-17.1* 11:51pm neuts-86.3* lymphs-9.1* monos-4.3 eos-0.2 basos-0.2 11:51pm plt count-292 11:51pm pt-17.4* ptt-45.9* inr(pt)-1.6* 11:51pm fibrinoge-144* . studies: liver duplex : 1.diffusely echogenic liver consistent with extensive fatty infiltration. 2.patent smv with reversed flow in the splenic vein. 3.portal vein without detectable flow, presumed to be secondary to thrombosis. . cxr : portable ap chest radiograph was reviewed with no prior studies available for comparison. the et tube tip is 4 cm above the carina. the ng tube tip passes below the diaphragm most likely terminating in the stomach. the cardiomediastinal silhouette is unremarkable. linear opacity at the left base is consistent with atelectasis. the rest of the lungs are normal. there is no appreciable pleural effusion. there is no pneumothorax . brief hospital course: hospital course: 59 yo with etoh cirrhosis, who presents with altered ms . . # altered mental status: on admission the patient's altered mental appeared to be multifactorial. the differential diagnosis included hepatic encephalopathy, alcohol withdrawl, benzo withdrawl, and infection. the patient had a negative ct head and a negative mr head. an eeg demonstrated findings consistent with widespread encephalopathy. ammonia was elevated in the 80s. tsh was normal. she was placed on broad spectrum antibiotics (initially vancomycin and zosyn) and continued on lactulose and rifaximin. despite aggressive treatment, as described below, the patient's condition continued to decline. she continued to be encephalopathic. on discussion with her family, including her daughter/hcp, the patient was made and died after aggressive life support measures were withdrawn. . # acute hepatitis: on admission the patient had markedly elevated lfts and total bilirubin. this was felt to likely be due to etoh. the hepatology service followed the patient throughout the admission. she was placed on pentoxifylline and, lactulose and rifaximin. transplant surgery followed but given the patient's instability made her a poor candidate acutely. the patient remained encephalopathic throughout her hospitalization. . # shock: the patient met sirs criteria and had an elevated white count but no clear source of infection. the patient required neosynephrine and intermittent fluid boluses to maintain her blood pressure. initially the patient was placed on vancomycin and zosyn alone. however, doxycycline was later added. as multiple cultures eventually grew out yeast, caspofungin was also added. despite this broad coverage the patient continued to have a pressor requirement and her white count continued to rise. as above, the patient was ultimately made comfort measures only. . # respiratory failure: this was due to altered mental status. the patient was continued on ventilatory support and could not be weaned due to her encephlopathy as above. ventilatory support was withdrawn with the changing of her code status to . . # svt: the patient had episodes of a fib with rvr requiring dccv. the patient intermittently required diltiazem and esmolol drips to control her heart rate as well. . # : the patient intially had renal failure, likely pre-renal in the setting of hypotension. this resolved with pressor support and fluids as above. . # ppx: the patient was maintained on pneumoboots and an h2 blocker thorughout the admission. . # fen: the patient was supported with tube feeds throughout the admission. . # code: initially the patient was full code but her code status was changed to upon discussions with her daughter/healthcare proxy . medications on admission: medications at home: diltiazem xt 300 qdaily sotalol 120 qdaily vit d 400 qdaily mva glucosamine . medications on transfer from osh: pentoxifylline 400 folic acid qdaily mva qdaily librium 25mg q6hr thiamine 100 qdaily lactulose 30mg q4hr unasyn 3g qdaily ceftriaxone 1mg qdaily dopamine gtt . medications on transfer from sicu: insulin sc (per insulin flowsheet) phenylephrine 0.5-5 mcg/kg/min iv drip titrate to sbp >90, <140 albumin 25% (12.5g / 50ml) 25 gm iv q6h piperacillin-tazobactam na 2.25 g iv q8h chlorhexidine gluconate 0.12% oral rinse 15 ml oral chlordiazepoxide hcl 10 mg po q8h:prn etoh withdrawal propofol 20-100 mcg/kg/min iv drip titrate to sedation famotidine 20 mg po bid rifaximin 600 mg po bid folic acid/multivitamin/thiamine-1000ml d5w continuous at 50 ml/hr heparin 5000 unit sc bid vancomycin 1000 mg iv prn <15 discharge medications: patient died during the admission. discharge disposition: expired discharge diagnosis: patient died during the admission. discharge condition: patient died during the admission. discharge instructions: patient died during the admission. followup instructions: patient died during the admission. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances diagnoses: acute kidney failure, unspecified unspecified septicemia severe sepsis atrial fibrillation acute respiratory failure other specified cardiac dysrhythmias septic shock hepatic encephalopathy hyperosmolality and/or hypernatremia acute alcoholic hepatitis alcohol withdrawal portal vein thrombosis 

Answer: The patient is high likely exposed to