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: no known allergies / adverse drug reactions attending: chief complaint: acute alcohol intoxication major surgical or invasive procedure: endotracheal intubation and extubation history of present illness: this is a 35 y/o man with a history of alcoholism, active heroin use, homelessness and hepatitis c who presented with alcohol intoxication and was intubated for airway protection. his alcohol level in the ed was 574 and he was completely unresponsive to noxious stimuli. his sodium was 152, which improved with fluid resuscitation. he was admitted to the micu and started on a propofol gtt. he self-extubated the morning of . while in the micu, he had a fever to 102.5, grew coag positive staph from his sputum, and grew 1/4 bottles with gpc's from his blood. cxr showed a possible pneumonitis. he was started on vancomycin given his history of mrsa and was seen by social work. . on the floor, the patient says he felt "like he was run over by a truck", but not like he's acutely withdrawing. he feels like he was sick for about a week before coming in, but with non-specific symptoms. he has a history of hep c that has never been treated, and multiple prior hospitalizations for detox, but no other chronic medical conditions. has not had endocarditis, and has previously been hiv negative. he has had withdrawal symptoms and hallucinations before, but never withdrawal seizures. his last heroin use was in the couple of days prior to admission, but he is not sure of which day exactly. past medical history: etoh abuse iv drug abuse hcv social history: patient is homeless. he is estranged from his 3 children and their mother. has a twin brother who is now living with the mother of his children. as a child the patient was in care but then he was eventually adopted (but now estranged from adopted parents as per omr notes). he has had multiple encarcerations. patient has had two prior suicide attempts, both while intoxicated. in he jumped in front of a bus, and in he jumped off a bridge resulting in a broken leg. mr. drinks gallon of etoh per day. his first drink was at the age of 14 when he drank a bottle of southern comfort and blacked out. he will pass out, wake up with dts, and then treat himself with etoh (though he says sometimes this is difficult as he's dry-heaving from the dts). he has had at least 1 withdrawal seizure. mr. uses iv drugs (that's how he thinks he contracted hcv) and has shared needles. he is homeless and has no desire to live in a shelter family history: per last dc summary, brother with alcoholism and poly-substance abuse. other family history unknown. physical exam: admission exam: vitals: 97.1 110 112/54 19 99% ps 5/5, 60% general: intubated and sedated heent: sclera anicteric, mmm, ett in place neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally with ventilator noises, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley in place ext: warm, well perfused with bounding peripheral pulses. feet dirty with multiple abrasions. . discharge exam: vs: t 98.7 bp 127/91 hr 90 rr 18 o2 sat 98% ra ciwa 0 gen: nad heent: eomi, ncat cv: rrr, no m/r/g. normal s1/s2, no s3/s4. pulm: ctab, no accessory muscle use abd: ntnd, nabs, no rigidity, rebound or guarding ext: wwp, no c/c/e. ulcerations of the feet bilaterally that the patient states are from wearing donated shoes that are too small. no e/o active infection. neuro: a/ox3, cn ii-xii intact. non focal. pertinent results: admission labs: 11:46pm lactate-2.1* 11:35pm glucose-87 urea n-8 creat-0.6 sodium-149* potassium-3.6 chloride-117* total co2-23 anion gap-13 11:35pm calcium-7.1* phosphate-2.7 magnesium-1.9 05:09pm lactate-3.1* 04:58pm alt(sgpt)-206* ast(sgot)-309* alk phos-89 tot bili-0.6 12:59pm asa-neg ethanol-574* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 12:59pm wbc-9.2 rbc-4.10* hgb-13.7* hct-38.1* mcv-93 mch-33.4* mchc-36.0* rdw-12.7 12:59pm pt-13.6* ptt-28.2 inr(pt)-1.2* 12:59pm plt count-85* discharge labs: 07:55am blood wbc-6.3 rbc-4.29* hgb-14.3 hct-40.5 mcv-94 mch-33.3* mchc-35.3* rdw-14.5 plt ct-266 07:55am blood neuts-43* bands-0 lymphs-28 monos-23* eos-2 baso-0 atyps-4* metas-0 myelos-0 07:55am blood hypochr-normal anisocy-normal poiklo-normal macrocy-normal microcy-normal polychr-normal 07:55am blood glucose-106* urean-14 creat-0.8 na-137 k-4.6 cl-101 hco3-27 angap-14 03:10pm blood caltibc-368 vitb12-1469* ferritn-1218* trf-283 03:10pm blood hiv ab-negative rapid plasma reagin test (final ): nonreactive. reference range: non-reactive. 4:58 am sputum source: endotracheal. **final report ** gram stain (final ): this is a corrected report (). >25 pmns and <10 epithelial cells/100x field. 3+ (5-10 per 1000x field): gram positive cocci. in pairs, chains, and clusters. 3+ (5-10 per 1000x field): gram negative rod(s). . previoulsy reported without :. 3+ (5-10 per 1000x field): gram negative rod(s) (). respiratory culture (final ): commensal respiratory flora absent. due to mixed bacterial types ( >= 3 colony types) an abbreviated workup will be performed appropriate to the isolates recovered from this site. staph aureus coag +. moderate growth. staphylococcus species may develop resistance during prolonged therapy with quinolones. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. gram negative rod(s). rare growth. streptococcus pneumoniae. moderate growth. beta streptococci, not group a. moderate growth. haemophilus influenzae, beta-lactamase negative. beta-lactamse negative: presumptively sensitive to ampicillin. confirmation should be requested in cases of treatment failure in life-threatening infections.. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin------------- 0.5 s trimethoprim/sulfa---- <=0.5 s . 8:52 am blood culture source: venipuncture. **final report ** blood culture, routine (final ): staphylococcus, coagulase negative. isolated from only one set in the previous five days. sensitivities performed on request.. aerobic bottle gram stain (final ): gram positive cocci in clusters. reported to and read back by @ 8:57am . anaerobic bottle gram stain (final ): gram positive cocci in clusters. 10:38am blood lactate-0.9 brief hospital course: primary reason for admission: 35 year old man with acute alcohol intoxication and gcs <8 intubated for airway protection. . active problems: # respiratory distress: was intubated in the ed for airway protection in the setting of alcohol intoxication. he self-extubated the morning after admission without difficulty. . # alcohol intoxication: alcohol level 574 in the ed, with otherwise negative tox screen. he was initially placed on propofol gtt and later changed to a valium ciwa scale. he was given iv thiamine on admission and also received folate, b12 and multivitamins throughout his course. at the time of discharge his ciwa score was 0 and he showed no signs of withdrawal. social work consult was obtained and mr was provided with resource teaching for outpatient detox as well as new shoes. on the day of discharge, he said he was not interested in assistance with cutting back on alcohol intake. . # fever: spiked fever on hd2 felt to likely be aspiration pneumonitis; his sputum grew coag positive staph sensitive to levofloxacin and rare gnr and he was started on vancomycin given his history of mrsa. his blood later grew gpcs in clusters in bottles of sets that was later noted to be coag negative staph. blood cultures were thought to be contamination and vanc was d/c'ed and he was started on levofloxacin for pna. tte was also obtained and showed no e/o endocarditis. pt had no stigmata of endocarditis and had been afebrile for 48 hours at the time of discharge. . # hypernatremia: likely related to volume depletion on admission, improved with iv fluids and d5w. . # elevated lactate: likely related to poor perfusion in setting of volume depletion and alcohol intake. improved with iv fluids. . # thrombocytopenia: likely alcohol related or related to underlying liver disease and alcohol abuse. improved. . transitional issues: pt was discharged with pcp follow up. he was provided with resources for detox. he stated he knew how to access detox resources and would discuss his plans for detox with his pcp. note, he had a negative hiv test on this admission. medications on admission: none discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. multivitamin tablet sig: one (1) tablet po daily (daily). 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 4. levofloxacin 750 mg tablet sig: one (1) tablet po daily (daily) for 4 days: take 1 pill by mouth daily for 4 days starting . disp:*4 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: alcohol intoxication discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr , it was a pleasure caring for you at the . you were admitted for alcohol intoxication and placed on a breathing machine to protect your airway. while you were here we found an infection in your lungs that we treated with antibiotics. we also obtained an echocardiogram to make sure there was no infection in your heart. it will be important for you to take the antibiotics we prescribed you. additionally, we would recommend you stop using drugs and alcohol. a follow up appointment has been made with your primary care physician. suggest you talk more with your outpatient doctor about your plans to stop using drugs and alcohol. thank you for allowing us to partipate in your care. followup instructions: name: , a location: center address: , , phone: when: , , 4pm procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: thrombocytopenia, unspecified unspecified viral hepatitis c without hepatic coma alcohol abuse, unspecified pneumonitis due to inhalation of food or vomitus hyperosmolality and/or hypernatremia opioid abuse, unspecified lack of housing 

Answer: The patient is high likely exposed to