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: altered mental status major surgical or invasive procedure: intubation history of present illness: 40 year old woman with a pmh alcohol abuse, depression, anxiety, admitted for loss of consciousness after falling onto a stopped bus. the patient was found by ems unresponsive, slumped against a poll. on arrival to the ed, the patient had a gsc of 3, and was intubated for airway protection. following intubation, large amounts of blood were suctioned from the ed tube. blood subsequently decresed to the point patient is producing blood-tinged sputum. . in the ed, vs: 130s/80s, hr 80-90; rr 18 o2 100% on fio2 100%, vt 500, peep 5. patient received 2l ivf. patient underwent head ct that showed general atrophy with calcifications in frontal lobe (confirmed w/neurosurg no sign of ich). c-spine ct negative. cxr clear. stox/utox significant for etoh of 519. . on transfer, vs: 96.9 118/71 80 20 100% cmv 40% fio2; rr 20; peep 5. patient intubated and mildly sedated, but awake and following commands. denies pain. denies history of past admissions for alcohol intoxication or withdrawal seizures. however, patient has had several ed visits in past 6 months for alcohol intoxication. per siblings, patient was a social drinker until , when she started having panic attacks and worsening depression. she began to see a psychiatrist and was started on lorazepam and celexa for depression. depression has recently worsened, and patient has begun drinking to the point that friends have reached out to siblings to notify them of her alcohol abuse. she endorses one episode of visual hallucinations and dry heaving in setting of trial of abstinance from alcohol. per sister, the patient has never endorsed si. no past psych hospitalizations. past medical history: depression, panic disorder; one episode of visual hallucinations associated with alcohol abstinence; guttate psoriasis; recent cyclical dry-heaving related to menstrual cycles (mid-workup with outpatient physician); surgical correction of amblyopia as child social history: lives alone. works at health club as spa masseuse. smokes cigarettes (quantity unknown - per sister); since , has started drinking large quantities of etoh; multiple ed visits for intoxication. family unaware of recreational drug use. family history: no history of lung problems; family hx of hypothyroidism physical exam: admission physical exam: vs: 96.9 118/71 80 20 100% cmv fio2 40% rr 20 peep 5 gen: intubated, mildly sedated; neck collar in place; small amount of blood in et tube; opens eyes and moves spontaneously heent: no scleral icterus card: normal s1, s2, no murmurs, rubs or gallops resp: clear to auscultation bilterally abd: soft, non-tender, non-distended; no organomegaly; + bs ext: non-edematous; dp and pt pulses 2+ neuro: mild ansiocoria l 4mm, r 3mm; pupils reactive to light; eomi; squeezes eyes shut to command; upper ext 4-5/5 strength (unable to assess fully due to restraints); lower ext skin: pinpoint round macules with scale on arms, legs and around umbilicus; 3x5 cm scraped lesion on left forhead, bleeding; small bleeding scrapes on knees bilaterally discharge physical exam: vs: bp 142/88 hr 88 r 18 t 100% o2 ra gen: patient sleeping comfortably, alert to verbal stimuli, oriented x 3 with sad affect heent: no scleral icterus card: normal s1, s2, no murmurs, rubs or gallops resp: clear to auscultation bilterally abd: soft, non-tender, non-distended; no organomegaly ext: no clubbing/cyanosis/edema neuro: perrl, eomi, cn ii-xii intact, 5/5 strength all extremities, no tactile hallucinations or sensory deficits, no tremors appreciated skin: some facial sweating, pinpoint round macules with scale on arms, legs and around umbilicus from psoriasis at baseline; 3x5 cm lesion on left forhead, small bleeding scrapes on knees bilaterally pertinent results: 02:44pm blood wbc-8.4 rbc-3.70* hgb-11.7* hct-34.4* mcv-93 mch-31.5 mchc-34.0 rdw-16.1* plt ct-239 02:49am blood wbc-8.5 rbc-3.21* hgb-10.4* hct-29.9* mcv-93 mch-32.3* mchc-34.7 rdw-16.1* plt ct-194 02:44pm blood plt ct-239 02:44pm blood pt-11.4 ptt-24.5 inr(pt)-0.9 02:44pm blood pt-11.4 ptt-24.5 inr(pt)-0.9 02:44pm blood glucose-107* urean-10 creat-0.5 na-140 k-3.9 cl-108 hco3-27 angap-9 02:49am blood glucose-91 urean-9 creat-0.5 na-145 k-4.0 cl-114* hco3-26 angap-9 02:44pm blood alt-22 ast-24 alkphos-72 totbili-0.2 02:49am blood alt-24 ast-29 alkphos-60 totbili-0.2 02:44pm blood albumin-4.1 calcium-8.0* phos-3.6 mg-1.9 02:49am blood albumin-3.6 calcium-7.3* phos-2.6* mg-1.7 02:44pm blood asa-neg ethanol-519* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 02:43pm blood type-art rates-/16 tidal v-500 fio2-100 po2-318* pco2-57* ph-7.26* caltco2-27 base xs--2 aado2-341 req o2-62 intubat-intubated vent-controlled 06:31pm blood type-art rates-16/ tidal v-500 peep-5 fio2-40 po2-169* pco2-37 ph-7.38 caltco2-23 base xs--2 intubat-intubated vent-controlled ct head : 1. foci of hyperdensity along the anterior medial left frontal lobe may represent vascular malformation, prior trauma, or underlying lesion- less likely to represent acute intraparenchymal hemorrhage (though not excluded). recommend short interval repeat ct to assess for stability. if lesion does not demonstrate typical evolution of blood products, could be further assessed with mri. 2. prior infarct in left internal capsule. 3. global atrophy. ct neck : 1. no fracture or malalignment evident. 2. multilevel degenerative change identified. 3. left thyroid nodule. further evaluation with non-emergent outpatient thyroid ultrasound is recommended. ecg : sinus rhythm. normal tracing. no previous tracing available for comparison. cxr : impression: endotracheal tube in ostium of the right mainstem bronchus. retraction noted on a short interval subsequent study suggesting clinical team noted abnormality prior to official radiology interpretation. microbiology: - blood culture : no growth - blood culture : no growth - mrsa screen : no mrsa isolated brief hospital course: 40 year old woman with unknown pmh admitted for ams/+loc after falling off a stopped bus, found to have blood etoh of 519. intubated and sedated, but hemodynamically stable. she was extubated soon after admission to the icu and called out to the general medical wards the next day. she was noted to have flat affect but denied suicidal ideation and was otherwise well. she was discharged with a plan to follow up with her and pcp. #ams: patient was intubated in the ed for gcs of 3, s/p fall with +loc. upon transfer to the floor, the patient was intubated but awake and alert. she self-extubated the night of admission while on a spontaneous breathing trial and was stable, with good saturations on room air. etoh level found to be 519, otherwise tox screen negative. elevated alcohol was found to be source of ams. glucose within normal limits. ekg without evidence of acute ischemia. patient afebrile, with normal wbc count, normal cxr, and normal u/a. therefore, infection unlikely source of ams. patient's mental status cleared within sevaral hours of admission. she remained clear following callout to the general medical wards. #elevated etoh: patient admitted with acute alcohol intoxication in the setting of 3 years of chronic alcohol abuse. per family, the patient has had recent visual hallucinations in the setting of alcohol abstinence. on laboratory data and physical exam, no evidence of chronic liver disease. no anion gap to suggest injestion of other toxic etoh, such as methanol or ethylene glycol. patient was started on thiamine, folate, and ciwa scale for alcohol withdrawal. she was seen by social work, who felt that she was in the precontemplative stage of alcohol cessation. she did not exhibit symptoms of alcohol withdrawal, so home lorazepam was restarted after callout from the icu. she had an otherwise uneventful course as far as withdrawal. she agreed that she would contact her outpatient for follow up within one week. #history of depression/panic attacks: chronic, but worsening over the past several months. patient has had recent outpatient increase in celexa and lorazepam. no history of past hospitalizations for psychiatric issues. the patient denies si. on admission, she was restarted on her home celexa. lorazepam was initially held, as patient was put on ciwa scale for alcohol withdrawal, but restarted when patient was called out to the general medical wards. she agreed that she would contact her outpatient for follow up within one week. #transitional issues: - patient found to have thyroid incidentaloma on lateral neck ct. recommended outpatient ultrasound. - head ct findings concerning for calcification - unlikely ich. however, recommended repeat scan to f/u. - code status: full code (discussed with patient) medications on admission: celexa 50 mg daily lorazepam 0.5 mg prn anxiety discharge medications: 1. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. citalopram 20 mg tablet sig: 2.5 tablets po daily (daily). 4. lorazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day). 5. clobex 0.05 % spray, non-aerosol sig: one (1) topical as directed as needed for psoriasis. discharge disposition: home discharge diagnosis: primary: - altered mental status - inability to protect airway; intubation - alcohol intoxication secondary: - depresssion - anxiety - panic disorder discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was a pleasure to care for you during this hospitalization. you were admitted to after you were found unresponsive and intoxicated with alcohol. you were initially intubated to help your breathing, and as a result of this procedure you had some bleeding from trauma to your airway. you recovered well in the icu and the breathing tube was removed without complication. you spoke with our social worker about resources to help you control your alcohol intake, and you were otherwise medically stable. we have made the following changes to your medication regimen: - begin taking thiamine 100 mg by mouth daily - begin taking folic acid 1 mg by mouth daily please follow up with your doctor as reommended below. followup instructions: 1. primary care name: , location: medical associates address: , , phone: appointment: tuesday 1:45pm - ask your doctor if you feel you need additional resources or support to help you stop drinking alcohol 2. mental health - please call your outpatient and arrange to be seen this coming thursday to discuss this hospitalization and other sources of stress. md procedure: insertion of endotracheal tube diagnoses: other iatrogenic hypotension anemia, unspecified nausea with vomiting dysthymic disorder disorders of phosphorus metabolism altered mental status abrasion or friction burn of face, neck, and scalp except eye, without mention of infection other psoriasis intravenous anesthetics causing adverse effects in therapeutic use acute alcoholic intoxication in alcoholism, continuous panic disorder without agoraphobia noncollision motor vehicle traffic accident while boarding or alighting injuring passenger in motor vehicle other than motorcycle 

Answer: The patient is high likely exposed to