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: seizures major surgical or invasive procedure: intubation history of present illness: 57m with history of heavy etoh abuse and depression, no prior seizure history, presenting s/p seizure. he is a heavy drinker drinking oz vodkas per day and has been drinking for >30 years. he is unemployed and sits at home drinking. however, he has had a gi illness over the last few days resulting in episodes of vomiting bilious but not bloody and unable to keep anything down as well as mild diarrhea, with mild rlq abdominal pain, and 6-8 episodes of small amounts of non bloody diarrhea. on their way , he told his brother that he was not feeling well and was supporting himself on a barricade on yawkey. then he turned his head and started to fall, while he was bear-hugged and eased to the ground, sustaining abrasions to his left knee (psoriatic plaque on right knee). pt is unable to characterize the type of seizure and does not remember what happened. however, he does note that blood was dripping out of his mouth and tongue trauma was present. he was seizing for about 3 minutes and then stopped. per report, the patient was post-ictal. emt noted fsbg of 260. in ed, initial vs were t 98.6 p 129 bp 180/116 rr 24 97% ra. on arrival, pt noted to have tremor but per report this is at his baseline which he has had for the past 3-4 years; however, he was noted to be hypertensive, tachycardic, and diaphoretic on exam as well as restless lungs and cardiac exam otherwise normal. pt was given banana bag, electrolyte repletion, iv ativan 8mg total, and had head ct w/o con since the patient reportedly fell one week ago and hit head. ekg performed which showed sinus tach but otherwise unremarkable. patient's clinical status improved in the ed including becoming less hypertensive and tachycardic. he is ao x 3 a little off. he had two peripheral ivs placed. vs on transfer were t 98.2 ??????f (36.8 ??????c), pulse 99, respiratory rate 22, bp 147/101, o2 saturation 97. on arrival to the micu, patient's vs. t 98.8 hr 100 bp 143/103 rr 20 97% on ra. pt states he is comfortable and without complaints. his abdominal pain has improved and he states that he has had no diarrhea or vomiting today. he denies any visual or auditory hallucinations. he denies any previous history of seizures or family history of seizures. review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies shortness of breath, cough, dyspnea or wheezing. denies chest pain, chest pressure, palpitations. denies constipation, abdominal pain, diarrhea, dark or bloody stools. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: depression htn etoh abuse for >30 years psoriasis social history: lives at home with wife. unemployed. stays home most of day drinking vodka ( drinks per day) and does work on his patio. never had an etoh withdrawal seizure before. no smoking or drug use family history: father passed away at age 84. 4v cabg mother alive at 82. healthy mother's brother and sister: alcoholism physical exam: admission exam: vitals: 98.8 hr 100 bp 143/103 rr 20 97% on ra general: alert, oriented x3, no acute distress, with bilateral upper extremity tremor heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp 6cm, no lad cv: tachycardic, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-distended, bowel sounds present, no organomegaly, no tenderness to palpation, no rebound or guarding gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, gait and reflexes deferred. + tremor, worse with intention skin: hot and dry with psoriatic plaques over right leg and left abdomen discharge exam: pertinent results: admission labs 06:15pm blood wbc-16.2* rbc-4.71 hgb-16.6 hct-50.1 mcv-107* mch-35.2* mchc-33.0 rdw-13.9 plt ct-123* 06:15pm blood neuts-64.4 lymphs-28.7 monos-5.7 eos-0.3 baso-0.8 06:15pm blood pt-11.3 ptt-28.1 inr(pt)-1.0 06:15pm blood glucose-236* urean-23* creat-1.8* na-134 k-3.0* cl-81* hco3-13* angap-43* 06:15pm blood alt-90* ast-78* ld(ldh)-301* alkphos-70 totbili-1.4 06:15pm blood albumin-5.4* calcium-10.7* phos-6.4* mg-1.8 06:15pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 05:42am blood type- po2-26* pco2-44 ph-7.43 caltco2-30 base xs-2 05:42am blood lactate-1.0 urine studies 05:51am urine color-yellow appear-clear sp -1.009 05:51am urine blood-sm nitrite-neg protein-30 glucose-150 ketone-tr bilirub-neg urobiln-neg ph-6.0 leuks-neg 05:51am urine rbc-<1 wbc-<1 bacteri-few yeast-none epi-0 05:51am urine casthy-3* studies cxr: impression: no acute cardiopulmonary process noted, possible opacity in right apex concerning for aspiration. head ct: impression: no acute intracranial process. volume loss out of proportion to patient's age. ekg: nsr, no ischemic change. brief hospital course: 57-year-old male with history of heavy etoh abuse who stopped drinking prior to admission secondary to a gi illness with multple episodes of vomiting who then presented with a seizure. 1. seizure: the likely etiology was thought to be alcohol withdrawal seizure. ct head negative, glucose adequate, tox screen benign and not lab abnormalities to suggest alternative etiology. he was treated for alcohol withdrawal (see below) and improved. he had no further seizures in the hospital. 2. etoh abuse and etoh withdrawal: he has a significant etoh history and presented in withdrawal. the seizure likely was a complication of this. he was treated with ativan (later switched to valium) ciwa scale. his symptoms improved. at the time of discharge he had no withdrawal symptoms and was without tremor. the patient endorsed a desire to treat alcoholism and will be discharged to detoxification/alcohol treatment centerxxx 3. respiratory failure: the patient was intubated for respiratory failure and inability to protect airway. he was extubated without problem. was treated for aspiration pneumonia with vancomycin/zosyn and later switched to levofloxacin. initially he had chest pain and cough which resolved with treatment. at discharge he was saturating on room air without respiratory complaints. 4. acute kidney injury: upon presentation creatinine was 1.8. with hydration went to 1.1. likely secondary to recent gi illness. 5. orthostatic hypotension: xxxxx 6. hypertension: treated with ace inihibitor and metoprolol tartrate. improved. 7. weakness: the patient had significant deconditioning. he improved rapidly with physicial therapy. 8. gi illness: resolved upon admission. 9. depression: stable during admission. he is on fluoxetine and mirtazipime. - patient was full code transitional issues - needs treatment for alcohol abuse. - needs additional physical therapy medications on admission: remeron 7.5mg daily lisinopril 20mg daily prozac 20mg daily discharge medications: 1. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 2. mirtazapine 15 mg tablet sig: 0.5 tablet po hs (at bedtime). 3. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day): apply to buttocks area on rash. disp:*qs qs* refills:*2* discharge disposition: home discharge diagnosis: primary: alcohol withdrawal seizure pneumonia secondary: psoriasis rash orthostatic hypotension hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted for a seizure. the cause of this was thought to be due to alcoholic withdrawal. you were treated for alcoholic withdrawal in the hospital. it is essential that you follow up with your plans for treatment of your alcohol abuse. please contact crisis program at to set up treatment. you also were treated for a pneumonia while you were here. you do not need further treatment for the pneumonia. you have a rash on your back and buttocks. please keep your dermatology appointment on for further evaluation and management of these rashes. the appointment is listed below. please resume your home medications. the following medications have been added to your regimen: - start thiamine - start multivitamin - start miconazole for rash followup instructions: please call and set up an appointment with your pcp. you have not seen her at her new location they want you to set up the appointment. please set it up for 1-2 weeks from discharge. her contact information is below: name: , location: family medicine address: , , phone: department: dermatology when: monday at 2:30 pm with: , md building: sc clinical ctr campus: east best parking: garage procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: unspecified essential hypertension acute kidney failure, unspecified other convulsions depressive disorder, not elsewhere classified acute respiratory failure pneumonitis due to inhalation of food or vomitus alcohol abuse, continuous other psoriasis alcohol withdrawal delirium 

Answer: The patient is high likely exposed to