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: antihistamine classifier attending: chief complaint: transfer from outside hospital for nstemi major surgical or invasive procedure: none. history of present illness: mr. is a 50 year old man with a history of cad, pvd, and etoh abuse who was transferred from icu for cardiac evaluation. according to a discharge summary from (on ), he was recently seen at where he received a cardiac cath. that cath showed a large diffuse restenosis of his lad stent and well as moderate disease in his lcx and rca. he was transferred to where he was evaluated and felt to be a poor surgical candidate. overlapping stents to his lad were also considered. however, the patient refused both options and left ama, due to withdrawal symptoms according to his wife. since that time, he reported increasing sl ntg requirements and worsening sob. he then presented to with significantly increased recurrent cp. cp began on , substernal radiating to both arms. he took 6 sl ntgs without relief. he also noted coughing up blood for ~30 minutes. . in ed, he reportedly had st depressions in v3-6 and ruled in for nstemi. peak cardiac enzymes available in osh records showed tropi 29.74, ck 422, mb 71.1. per report from hospital, he has been cp free since the er with morphine and nitro gtt. he had been on asa/plavix but received no heparin due to thrombocytopenia. heme/onc was consulted and agreed with holding heparin given high bleeding risk. he had hemoptysis/ugib there and received he may have received blood transfusion today. he is a heavy drinker and his last drink was on . at he was tremulous and hallucinating and was started on an ativan gtt. patient requested an increase in his gtt from 3 mg/hr to 5 mg/hr. . on arrival to ccu, he appeared comfortable. however, he noted that he had continuous chest pain since leaving . he denied any relief of his cp at the osh. he noted that his cp is currently radiating to both arms. he also noted sob and nausea. on reevaluation soon after, without further medication, patient denies cp. he describes "throwing up blood" on the morning of admission. he thinks this was the first time it happened. he also noted coughing up some blood prior to presenting to the osh. he complained of chronic bilateral leg and back pain. he also reported a 30 lb weight loss in the last 3 weeks. further history and review of systems was difficult to obtain due to his altered mental status on arrival. past medical history: two vessel coronary artery disease - s/p bms to 90% lad , om2 50%, 50% mrca - surgical dz per recent eval at pvd - s/p bilat fem- bypass - s/p bilat external iliac stents , l 90% occl., r 70% occl. - bilat. le pain s/p repair of r groin pseudoaneurysm and disruption of of r fem- graft etoh abuse - h/o withdrawal - last detox attempt at va in borderlin diabetes mellitus hypertension hyperlipidemia hepatitis b, hepatitis c thrombocytopenia - bl plts 50 social history: married. lives with wife. disabled electrician. current heavy etoh abuse (15-30 beers/day). he has tried to stop drinking on his own but he gets tremulous, has hallucinations, and cannot tolerate the symptoms. 1 ppd x 40 years. h/o heroin, cocaine abuse. family history: fam hx sig for father w/ mi @ 52, mother w/ mi @ 76. physical exam: admission physical examination: vs: t 98.7, bp 114/56, hr 68, rr 18, o2 100% on 4lnc. 98% on ra gen: jaundiced middle aged male drowsy but in nad, resp or otherwise. heent: ncat. + scleral icterus. perrl, eomi. stye on r upper eyelid. poor dentition. op clear. neck: supple with jvp of ~ 8 cm h20. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. soft holosys murmur at llsb. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. scattered wheezes bilaterally. fine bibasilar rales. abd: +bs. mildly distended. no obvious fluid wave but slightly bulging flanks. soft, ntnd. no hsm. no abdominial bruits. groin: healed r groin surgical incision. mild bruising on l groin with scabbed puncture site but no hematoma. soft femoral bruits bilat. 2+ fem pulses bilat. ext: no c/c/e. no femoral bruits. no palmar erythema. 1+ pt and dp pulses bilat. skin: + jaundice. no spider angiomas. no caput. neuro: a+ox1.5. knows in hospital but cannot state which one. knows year is but states month in . + asterixis. eomi. perrl. face symmetric. palate elevates symmetrically. moving all extremities without difficulty. pertinent results: admission labs: 09:48pm blood wbc-2.3* rbc-3.78* hgb-9.7* hct-27.5* mcv-73* mch-25.6* mchc-35.2* rdw-17.9* plt ct-39* 09:48pm blood neuts-64 bands-0 lymphs-25 monos-6 eos-0 baso-1 atyps-4* metas-0 myelos-0 09:48pm blood hypochr-1+ anisocy-1+ poiklo-1+ macrocy-normal microcy-1+ polychr-1+ ovalocy-1+ target-1+ schisto-occasional 09:48pm blood pt-15.0* ptt-34.1 inr(pt)-1.3* 09:48pm blood plt smr-very low plt ct-39* 09:48pm blood glucose-118* urean-23* creat-1.2 na-134 k-4.2 cl-102 hco3-24 angap-12 09:48pm blood alt-28 ast-75* ld(ldh)-237 ck(cpk)-126 alkphos-53 totbili-3.9* 09:48pm blood albumin-3.2* calcium-8.9 phos-3.9 mg-1.7 cholest-62 09:48pm blood triglyc-95 hdl-25 chol/hd-2.5 ldlcalc-18 ldlmeas-less than cardiac enzymes: 09:48pm blood ck-mb-20* mb indx-15.9* ctropnt-1.55* 04:12am blood ck-mb-14* mb indx-14.3* ctropnt-1.31* ecg from osh: sinus tach @ 124. nl axis and intervals. 3- depressions in v4-6. 1mm st depressions in 1, avl. elevation in avr. elevation in v1. ecg from osh: nsr @ 70. nl axis and intervals. depressions in v5-6. <1mm st elevation in avr, v1. 2d-echocardiogram performed on tte from osh demonstrated: nl lv size. ef 55-60%. apical septal wall is hypokinetic. la and ra nl in size. rv size and function nl. moderate subvalvular thickening of mitral valve. mild mr. . rvsp calc @ 30 mmhg. tte (at ): the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. mild mitral regurgitation. head ct: vascular calcifications. mild prominence of the sulci for age. the brain otherwise appears normal. abdominal us: 1. the liver is somewhat heterogenous. no focal lesion is identified. 2. splenomegaly and trace ascites urine culture: enterococcus sp >100,000 organisms/ml. sensitivities: mic expressed in mcg/ml ampicillin------------ <=2 s nitrofurantoin-------- <=16 s tetracycline---------- =>16 r vancomycin------------ <=1 s egd: gastric antral vascular ectasia (gave) with no active bleeding brief hospital course: coronary artery disease: mr. had a known restenosis of the bare metal stent in his lad per recent cathterization at the osh. he was considered to be a poor surgical candidate for cabg given his comorbidities, but was in the process of being evaluated by cardiac surgery when he was discharged from the hospital (see below). he was continued on aspirin, simvastatin, and lisinopril during his hospital stay. he was initially put on a nitroglycerin iv drip, but was then transitioned to slng prn. he was not heparinzed given his thrombocytopenia and concern for upper gi bleed. home clopidogrel was discontinued due to thrombocytopenia and bleeding risk; he was told to discuss when to restart clopidogrel with his out-pateint cardiologist. cardiac catheterization was recommended on when mr. developed further chest pain and st depression, but the patient refused catheterization and requested to leave the hospital with close out-patient follow-up. tte from showed a preserved ef and he had no clinical evidence of chf. etoh withdrawal: mr. has a history of drinking 15-30 beers per day, and upon admission he required large amounts of benzodiazepines to control withdrawal symptoms. psychiatry was consulted to assist with management of his withdrawal symptoms, and he was placed on haldol for control of aggitation. he was also treated with folic acid and thiamine. social work was consulted for support of the patient and his wife during the admission. upper gi bleed: mr. gave a history of coughing up blood prior to admission, and there was concern for gastric varices given suspicion for cirrhosis with his history of etoh abuse and hep b/c. the gastroeneterology service was consulted, and an egd was performed on which showed gastric antral vascular ectasia (gave) with no active bleeding. he was continued on a high dose h2-blcoker while in the hospital and upon discharge. his thrombocytopenia was thought to be secondary to cirrhosis, but no liver biopsy was performed yet to show cirrhosis. urinary tract infection: urine culture from grew enterococcus, and urinalysis was consistent with uti. he was placed on a seven day course of nitrofurantoin. ***** circumstances of discharge ***** on , mr. developed transient chest pain with st depressions it was recommended that he have a cardiac catheterization performed on , but he refused the catheterization and chose to go home with out-patient follow-up. it was discussed at length with the patient and his wife that this decision was not medically advised and that it was preferred that he remain in the hospital for further management of his unstable angina. the full risks of leaving the hospital at this point in his care were discussed, and he agreed and understood that risks of leaving the hospital included but were not limited to myocardial infarction, stroke, and death if he were to return home on . despite this, he insisted on being discharged with out-patient cardiology follow-up. pending issues: (1) clopidogrel was held due to concern for thrombocytopenia and bleeding risk. please reevaluate need for restarting this medication. (2) the issue of a catheterization and cabg should be readdressed with the patient at his next cardiology and primary care appointments. medications on admission: atenolol 25 mg daily lisinopril 10 mg daily lovastatin 40 mg daily imdur 30 mg daily plavix 75 mg daily ecasa 325 mg daily ranitidine 150 mg fentanyl patch 12 mcg/hr q72 hr oxycodone 5/325 mg q4h prn ntg prn discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day). disp:*2700 ml(s)* refills:*2* 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. fentanyl 25 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). disp:*10 patch 72 hr(s)* refills:*2* 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 8. nitrofurantoin (macrocryst25%) 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 7 days. disp:*14 capsule(s)* refills:*0* 9. atenolol 100 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. ranitidine hcl 150 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*2* 11. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet sublingual up to three at a time as needed for chest pain: this medication is for chest pain and you may take up to three at a time. disp:*60 tablets* refills:*0* discharge disposition: home discharge diagnosis: primary diagnoses: 1. nstemi 2. alcohol withdrawl 3. hepatitis discharge condition: hemodynamically stable; ambulating and mentating as normal. discharge instructions: you were adnitted to the hospital for a heart attack. during your hospitalization you had alcohol withdrawal which required a breathing tube to be placed. please take all of your medications as directed on the list we give you. some of the medications that you used to take do not need to be taken any more-- please follow the new list carefully. please notice that your plavix was discontinued; you should discuss with your out-patient cardiologist whether you need to go back onto this. you should refrain from using alcohol for your heart and liver health. if you devlop chest pain, shortness of breath, dizziness, palpitations, fevers, bleeding or any other concerning symptoms, you should call your doctor or come to the emergency room. followup instructions: you should either see your main cardiologist dr. in the next two - three weeks, or you should call ( to set up a new appointment with dr. at hospital. please make sure to see them in the next couple weeks because it is important for them to see how your heart is doing. you should also make an appointment to see your primary care doctor in the next two - three weeks. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other endoscopy of small intestine insertion of endotracheal tube diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery intermediate coronary syndrome urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver unspecified viral hepatitis c without hepatic coma peripheral vascular disease, unspecified other and unspecified hyperlipidemia other complications due to other cardiac device, implant, and graft family history of ischemic heart disease hematemesis drug-induced delirium angiodysplasia of stomach and duodenum without mention of hemorrhage viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta other and unspecified alcohol dependence, continuous acute alcoholic hepatitis alcohol withdrawal delirium benzodiazepine-based tranquilizers causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to