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: gabapentin / trazodone / codeine attending: chief complaint: etoh withdrawal major surgical or invasive procedure: none history of present illness: 38 m with h/o epilepsy, alcoholism, alcohol withdrawal seizures, and delirium tremens (per pt report). last drink noon on . drinks gallon alcohol daily. ran out of money so presented to the emergency department. reports seizure prior to arrival. does not recall any of the specifics surronding the seizure though he states that he fell to the ground. he does not remember hitting his head. no one witnessed the event. he was not incontinent to bowel or bladder. not currently taking any medications for seizures. reports having three seizures each month. denies drinking anti-freeze or anything other than vodka. . in the ed. initial vitals, 98.5 116 148/97 18 100%. lab data revealed bicarb of 21 and anion gap of 22. no imaging. 40mg iv valium and 2 mg iv ativan yet continues to be tremulous and tachycardic (over 3 hours). given banana bag x one. ns running. possible scabies. vitals prior to transfer while patient is walking bp: 200/90 hr: 162 rr: 23 02sat: 98%. . in the icu the patient is aox3 and continues to be tremulous past medical history: -small sdh -alcohol abuse and polysubstance abuse -alcohol withdrawal seizure -epilepsy, since age 14 -migraines -bipolar disorder -low back pain -multiple psychiatric hospitalization at and among others. per , multiple suicide attempts and psychiatric hospitalizations -mva s/p chest tube placement in ' -in past notes in , pt was also noted to have ptsd, impulse d/o, rage d/o and antisocial personality d/o family history: patient is adopted. physical exam: vs: temp: 100.3 bp:150/58 hr:109 rr: 15 o2sat 98% gen: pleasant, disheveled, tremulous heent: perrl, eomi, anicteric, mmm, op without lesions, no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules resp: bilateral wheezes, no evidence of respiratory distress cv: rr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly ext: no c/c/e skin: multiple maculopapular lesions with evidence of excoriations. multiple lesions on hand appear serpentine in nature. neuro: aaox3. cn ii-xii intact. 5/5 strength throughout. no sensory deficits to light touch appreciated. tremulous. pertinent results: labs on admission: 05:05am blood wbc-8.1# rbc-3.32* hgb-10.7* hct-32.0* mcv-96 mch-32.1* mchc-33.3 rdw-15.5 plt ct-249 05:05am blood glucose-83 urean-11 creat-0.5 na-135 k-3.3 cl-102 hco3-22 angap-14 05:05am blood alt-23 ast-51* alkphos-89 totbili-0.7 07:00pm blood asa-neg ethanol-317* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg brief hospital course: 38 m with h/o epilepsy, alcoholism, alcohol withdrawal seizures, and delirium tremens (per pt report) who presents in alcohol withdrawal requesting treatment. . 1. etoh withdrawal: patient presented to the emergency department requesting detox. his last drink was approx 6 hours prior to arrival. he typically drinks gallon on vodka daily. his etoh level on arrival was 317. tox screen was otherwise negative. patient became increasingly hypertensive, tachycardic, and tremulous. he was given ativan 2mg iv and valium for a total of 40mg iv over 3 hours though he continued to show signs of withdrawal. he was admitted to the icu continues and required approx 200mg of valium over 6 hour period to control his symptoms of withdrawal. he was given a banana bag and started on thiamine, folate, and mvt. the morning after discharge the patient left ama. . 2. anion gap acidosis: likely starvation versus alcoholic ketoacidosis. resolved after two liters of ivf. . 3. h/0 epilepsy: no longer on meds. reports seizure prior to presentation. not clear if this was a alcohol withdrawal seizure. patient was monitored on seizure precautions. aed were not restarted prior to presentation. . 4. scabies: patient with evidence of scabies on exam. contact precautions applied. treated with both permethrin and ivermectin x one. bendaryl and sarna as needed for itching. medications on admission: none discharge medications: pt encouraged to take multivitamin, folate, thiamine discharge disposition: home discharge diagnosis: etoh withdrawal alcoholism hx of seizure disorder discharge condition: stable, ambulatory discharge instructions: pt left ama. followup instructions: pt encouraged to follow up with primary care physician and discuss alcoholism and options for detox. md procedure: alcohol detoxification diagnoses: acidosis epilepsy, unspecified, without mention of intractable epilepsy lumbago bipolar disorder, unspecified alcohol withdrawal acute alcoholic intoxication in alcoholism, continuous scabies 

Answer: The patient is high likely exposed to