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: hypotension major surgical or invasive procedure: hd line placement and removal history of present illness: 62-year-old woman with a history of alcohol abuse, chronic alcoholic pancreatitis, and copd who was transferred to on from hospital for worsening alcoholic hepatitis. was transferred to from etoh detox the previous week for lethargy and dark stools, which had evidently been ongoing for several weeks. at the osh, was found to have a bilirubin of 3 on admission, ast of 199, alt of 60, alk phos of 308, ggt of 1611, plts of 68,000. sodium of 117, creatinine of 1.1, and hct of 11.3. exam was significant for encephalopathy, distended abdomen, and heme positive dark stools. patient was treated with octreotide, ppi , lactulose, lasix, rocephin (for presumed, not confirmed sbp) and prednisolone in context of alcoholic hepatitis. egd was never performed as patient was deemed too unstable. patient continued to decline clinically and labs were concerning for hrs; as such, she was transferred to for further work-up. . since transfer to her cr has rapidly worsened from 1.6 to 6.9 despite midodrine, octreotide and albumin. her renal failure has been attributed to hrs. she was started on vancomycin and zosyn for presumed hap started on . vancomycin was stopped on but vanco level has been therapeutic since that time given worsening renal function. temp hd line was placed . plan was to initiate hd today, but patient was hypotensive with an sbp in the 70s while at hd just prior to starting hd, so she was transferred to the icu for closer monitoring and consideration of cvvh initiation. prior to arrival, she received 200 ccs of ns with improved sbp to the 90s. . in the icu, patient is sedated. she states that she is at to pick up her husband. she states the year is . she is unable to provide any additional history. . review of sytems: patieht unable to provide. past medical history: --alcohol abuse (large tumblers of wine throughout the day, as per daughters) --copd --s/p nephrectomy for benign renal nodules --chronic alcoholic pancreatitis social history: patient lives with her husband near . her husband drinks as well. she has 2 daughters, aged 38 and 40, one of whom ( ) is her healthcare proxy. ms. used to work for as a quality inspector specialist but was laid off in of this year, and as a result, has started drinking during the day. patient states she drinks 3-4 glasses of wine/day, but her daughters say she drinks much more. denies smoking or illicit drug use. family history: not obtained during initial interview. physical exam: admission physical exam: t: 96.5, bp: 145/80, hr: 73, spo2: 92% on 4l general: jaundiced, mumbling, no acute distress heent: pearla, mucous membranes dry chest: crackles at lower bases bilaterally cardiac: regular rate and rhythm; no murmurs, rubs, or gallops abdomen: obese, +bs, soft, non-tender, no appreciable fluid wave extremities: positive peripheral pulses, 1+ edema bilaterally skin: warm, dry, and jaundiced pertinent results: 07:20pm pt-17.7* ptt-38.1* inr(pt)-1.6* 07:20pm plt count-165 07:20pm neuts-84.3* lymphs-8.5* monos-2.8 eos-3.6 basos-0.9 07:20pm wbc-12.8* rbc-2.94* hgb-10.2* hct-32.4* mcv-110* mch-34.8* mchc-31.5 rdw-17.6* 07:20pm albumin-4.2 calcium-9.3 phosphate-2.2* magnesium-2.3 07:20pm lipase-40 07:20pm alt(sgpt)-71* ast(sgot)-138* ld(ldh)-387* alk phos-154* amylase-17 tot bili-13.8* 07:20pm glucose-233* urea n-38* creat-1.4* sodium-144 potassium-4.4 chloride-110* total co2-22 anion gap-16 09:14pm urine granular-0-2 hyaline-* 09:14pm urine rbc->50 wbc-* bacteria-none yeast-rare epi-0-2 09:14pm urine blood-lg nitrite-neg protein-25 glucose-neg ketone-neg bilirubin-sm urobilngn-neg ph-5.0 leuk-tr 09:14pm urine color-amber appear-hazy sp -1.010 09:14pm urine hours-random urea n-379 creat-55 sodium-65 potassium-32 chloride-114 cxr : 1. ill-defined opacities bilaterally at the lung bases, improved since , similar to , possibly from aspiration. 2. bibasilar opacities, likely atelectasis at the lung bases. 3. small left pleural effusion. 4. stable mild cardiomegaly. . ruq u/s : patchy echogenic hepatic echotexture and reversed flow in the portal veins and splenic vein suggesting the presence of a splenorenal shunt. the findings are consistent with cirrhosis and portal hypertension. brief hospital course: this is a 62-year-old woman with a pmhx. of alcohol abuse, chronic pancreatitis, and copd who presented from hospital with worsening alcoholic hepatitis and likely hepato-renal syndrome. the hospital course was complicated by hepatic encephalopathy and progressive renal failure with signficant uremia along with a hospital acquired pneumonia. the patient's renal function continued to decline despite treatment for hepato-renal syndrome. a temporary hd line was placed in her right ij and, on , the patient went to hd where her sbps declined to the 80s with acute worsening of her mental status. she was transferred to the micu. shortly after arriving to the micu, the patient's hcp (daughter, ) met with the micu and hepatology physicians and expressed a wish for her mother to be comfortable without escalation of care and a focus on comfort. the patient was made cmo. her medications were discontinued aside from morphine and zydis. her hd line was removed. medications on admission: on transfer # lidocaine 5% patch 1 ptch td daily # albuterol 0.083% neb soln 1 neb ih q6h:prn sob # midodrine 10 mg po tid # miconazole powder 2% 1 appl tp qid:prn irritation # fluconazole 200 mg iv q24h day 1 = # multivitamins 1 tab po/ng daily # fluticasone-salmeterol diskus (250/50) 1 inh ih # octreotide acetate 200 mcg sc q8h # folic acid 1 mg po/ng daily # ondansetron 4 mg iv q8h:prn nausea # pantoprazole 40 mg po q12h # heparin 5000 unit sc tid # piperacillin-tazobactam 4.5 g iv q8h # insulin sc (per insulin flowsheet) # rifaximin 550 mg po/ng # ipratropium bromide mdi 2 puff ih q6h:prn sob/wheeze # lactulose 15 ml po/ng tid # thiamine 100 mg po/ng daily discharge medications: 1. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po tid (3 times a day) as needed for agitation: as per hospice protocol. disp:*45 tablet, rapid dissolve(s)* refills:*0* 2. hospital bed sig: one (1) bed once. disp:*1 bed* refills:*0* 3. oxygen please provide patient with 2l continuous oxygen for use while under hospice care. 4. morphine concentrate 20 mg/ml solution sig: 5-10 mg po q2h (every 2 hours) as needed for pain, shortness of breath: as per hospice protocol. disp:*500 cc* refills:*0* discharge disposition: home with service facility: hospice and palliative care discharge diagnosis: liver failure renal failure hospital acquired pneumonia discharge condition: mental status: confused - always. level of consciousness: lethargic but arousable. activity status: bedbound. discharge instructions: you were admitted to the hospital with liver failure and developed kidney failure while in the hospital. this is all related to your liver losing its ability to function. given the severity of your illnessand your wishes to maximize the quality of your life at this time, your care was transitioned to focus on comfort and you were sent home with medications that will help with your breathing, pain and agitation. you and your family will be supported in managing these symptoms by a visiting hospice nurse in your home. you should contact this agency when you or your family have questions or concerns about how to manage your symptoms while at home. followup instructions: please contact your /hospice agency for questions regarding symptom management. procedure: other endoscopy of small intestine hemodialysis venous catheterization for renal dialysis insertion of other (naso-)gastric tube diagnoses: pneumonia, organism unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver acute kidney failure, unspecified hepatorenal syndrome portal hypertension chronic airway obstruction, not elsewhere classified other sequelae of chronic liver disease nonspecific abnormal findings in stool contents duodenitis, without mention of hemorrhage encephalopathy, unspecified esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum other and unspecified coagulation defects other and unspecified alcohol dependence, continuous acute alcoholic hepatitis mixed acid-base balance disorder 

Answer: The patient is high likely exposed to