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: valproic acid and derivatives attending: chief complaint: unresponsive major surgical or invasive procedure: none history of present illness: mr. is a 41 yo m who was found down by roommate in a pool of blood after a fall vs. assault. the patient was brought to ed for further evaluation and treatment. past medical history: etoh abuse (1 gallon whiskey/day) depression anxiety ptsd-sexual abuse from parents as a child thrombocytopenia cirrhosis with esophageal varices - two recent bleeding episodes social history: denies smoking 1 gallon of etoh a day family history: noncontributory physical exam: on discharge: afebrile, vss gen: nad, lying in bed heent: small unrepaired granulating laceration on chin cv; rrr nl s1s2 pulm: cta b/l no w/c/r abd: soft, nt/nd ext: no c/c/e pertinent results: 03:15am asa-neg ethanol-381* acetmnphn-neg bnzodzpn-pos barbitrt-neg tricyclic-neg 03:15am wbc-13.3* rbc-4.06* hgb-9.9* hct-31.6* mcv-78* mch-24.4* mchc-31.3 rdw-22.4* 03:15am alt(sgpt)-169* ast(sgot)-305* ck(cpk)-2081* alk phos-396* amylase-71 tot bili-1.5 11:48am wbc-4.4 rbc-3.07* hgb-7.6* hct-24.1* mcv-79* mch-24.8* mchc-31.6 rdw-21.6* 07:45pm blood wbc-6.7 rbc-3.85* hgb-10.1* hct-32.2* mcv-84 mch-26.3* mchc-31.4 rdw-21.1* plt ct-559* 11:48am blood wbc-4.4 rbc-3.07* hgb-7.6* hct-24.1* mcv-79* mch-24.8* mchc-31.6 rdw-21.6* plt ct-278 : ct of the facial bones: there is moderate left periorbital soft tissue swelling. no retrobulbar hematoma. the globes are intact. the orbits demonstrate no fractures. the frontal sinuses, maxillary sinuses and ethmoid air cells are clear. there are comminuted fractures of the nasal bones bilaterally. there is rightward nasal septal deviation and a 7-mm area of high density adjacent to the distal portion of the nasal septum, raising the possibility of a nasal septal hematoma. there is no significant blood or fluid within the nasal cavity. : ct- 1. acute l3 vertebral body compression fracture with small paravertebral hematoma, 7 mm in diameter. no retropulsed bony fragments or gross evidence of epidural hematoma. if there is suspicion for acute cord injury, mri can better delineate the ligamentous structures and the central canal. 2. multiple chronic and subacute rib fractures. 3. fatty liver. : cta-1. patchy scattered ground-glass opacities in both lungs are likely infectious or inflammatory, and may represent a combination of aspiration with superimposed infection. 2. no pulmonary embolism or aortic dissection. 3. diffuse fatty infiltration of the liver with multiple contour abnormalities on the surface of the liver suggestive of early cirrhosis. brief hospital course: the patient was brought to the er intoxicated, tachycardic, and tremulous. he was found to have a nasal septal fracture, l3 compression fracture, and possible gi bleeding. the patient was not hemodynamically stable, he was intoxicated but appeared tremulous and to be in acute delerium tremens despite a blood alcohol above 350 mg/dl. he was intubated to protect his airwayand admitted to the trauma service in the trauma icu. the patient was evaluated by gi for the gi bleed who recommended blood transfusions as needed, volume repletion, a ppi, levaquin for cirrhosis and portal hypertension to reduce infectious risk and mortality, thiamine, folate, and an mvi, and evaluation of hepatitis profile, albumin, and an ultrasound to evaluate portal/hepatic flow. hepatology was also consulted who followed during his stay. the patient was transfused as needed throughout his hospital stay for anemia and hemodynamic instability when appropriate. his hematocrit was monitored frequently, and at the time of discharge had been stable for one week with no transfusions. the patient was given instructions to follow up with his pcp, . at to arrange for an outpatient colonoscopy when appropriate. initially, the patient remained intubated to protect his airway during alcohol withdrawal. the vent was weaned as tolerated, but the patient developed fevers on for which he was started empirically on vanc and zosyn for presumed vap. the patient was bronched, and bal cultures were followed for sensitivities (they grew coag + staph aureus--mrsa). despite these febrile episodes, the patient did not develop leukocytosis. the patient was also tested for clostridium difficil, and was found to be positive; his antibiotics were changed to flagyl and vanco. the patient was persistently febrile, however, for which his lines were changed on , extubation was attempted, but the patient developed respiratory distress requiring re-intubation. on , the patient was succesfully extubated, from a nutrition standpoint, the patient was started on tube feeds while intubated,which were titrated up when appropriate to goal. once extubated, the patient was started on a diet when appropriate. his diet was advanced, and the patient received anti-emetics when necessary for nausea. the hospital course was also complicated by decreasing platelet count, for which hit was tested, and found to be negative. the patient received benzodiazepines throughout his hospital course, which were weaned slowly as indicated. the patient's hemodynamic instability improved with transfusions and aggressive volume repletion. the patient was also felt to have rhabdomyolysis for which aggressive hydration and serial cks and urine myoglobin were monitored; the myoglobinuria resolved with treatmetn. the patient became briefly hypervolemic during his stay for which he was diuresed when appropriate. the patient was evaluated by ortho-spine who had the patient fitted for a tlso brace which he was instructed to wear when out of bed. the patient received physical therapy treatment and evaluation throughout his stay. mr. was put on gi prophylaxis and had scds and sqh for dvt prophylaxis. he was transferred to the floor from the icu when the patient was stable and a bed was available. the patient did well on the floor with no complications. his diet was tolerated, the patient was urinating without a foley catheter, he ambulated multiple times throughout the day with the aid of physical therapy, and he continued on benzodiazepines for dt prophylaxis, and flagyl for c.diff. at the time of discharge, the patient was afebrile and doing well; both he and the team felt the patient was ready for discharge. the patient was seen by social work and case menagement, and was sent home with the appropriate follow up information for discharge. the patient was instructed to continue all home medications, and was given a prescription for flagyl, as well as a valium taper. the team also spoke with his sister, dr. and his girlfriend concerning his disposition and follow up. medications on admission: prozac, trazadone, neurontin discharge medications: 1. fluoxetine 40 mg capsule sig: one (1) capsule po daily (daily). 2. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 3 days. disp:*9 tablet(s)* refills:*0* 3. valium 2 mg tablet sig: one (1) tablet po every six (6) hours for 5 days. disp:*20 tablet(s)* refills:*0* 4. valium 2 mg tablet sig: 0.5 tablet po every six (6) hours for 5 days: take 1 mg( tab) every 6 hours for 5 days, then as needed only for agitation, trembling or anxiety. disp:*10 tablet(s)* refills:*1* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 6. gabapentin 600 mg tablet sig: one (1) tablet po tid (3 times a day). 7. trazodone 100 mg tablet sig: two (2) tablet po hs (at bedtime) as needed. tablet(s) discharge disposition: home with service facility: homecare discharge diagnosis: alcohol withdrawal gastro-intestinal bleed mrsa pneumonia clostridium difficil discharge condition: stable discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. followup instructions: please follow up with orthopedics-spine at 1:10pm on wed ; the clinic number is . please have an appointment with dr. on tues at 1:45pm; the phone number is . you have an appointment with dr. at 10 am on ; their phone number is . please follow up with your pcp weeks, dr. at ; we have called your physician but were unable to make an appointment for you. you will need to have a colonoscopy in the future as your were found to have a gi bleed while in the hospital. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus closure of skin and subcutaneous tissue of other sites transfusion of packed cells diagnoses: thrombocytopenia, unspecified acute posthemorrhagic anemia alcoholic cirrhosis of liver infection with microorganisms resistant to penicillins depressive disorder, not elsewhere classified open wound of forehead, without mention of complication anxiety state, unspecified intestinal infection due to clostridium difficile methicillin susceptible pneumonia due to staphylococcus aureus open wound of jaw, without mention of complication hemorrhage of gastrointestinal tract, unspecified other and unspecified complications of medical care, not elsewhere classified closed fracture of lumbar vertebra without mention of spinal cord injury rhabdomyolysis closed fracture of multiple ribs, unspecified alcohol withdrawal delirium closed fracture of nasal bones acute alcoholic intoxication in alcoholism, continuous posttraumatic stress disorder injury by unspecified means, undetermined whether accidentally or purposely inflicted 

Answer: The patient is high likely exposed to