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: keppra attending: chief complaint: seizure major surgical or invasive procedure: intubated prior to arrival to extubation on history of present illness: ms. is a 44 year old woman with uncertain medical history who was brought to emergency department by police after being found intoxicated and having a seizure in the police care. at she was found to have an alcohol level of 277 with negative serum tox screen. while there she had a witnessed seizure lasting less than five minutes. she was given ativan im 4 mg. immediately after her seizure she was found to be hypoxic and hypotensive. intubation was attempted but reportedly very difficult requiring multiple attempts and anasthesia consult. patient reportedly had emesis and hemoptysis during attempted intubation. after intubation a central line was placed and patient was started on levophed and given a cetriaxone 2 mg iv. patient was transferred to for higher acuity of care. . on arrival to the ed, vital signs were t bp 107/61 hr 72 rr 35 spo2 76%. labs were notable for hct 31, etoh 128, lactate 1.0, creatinine 0.7. she underwent ct head which was negative for an acute process. she underwent cxr to confirm et tube and cvl placement which revealed bilateral infiltrates. in the ed he received ceftriaxone 1 g iv, flagyl 500 mg iv x 1, levophed and 2 l iv ns. . of note patient was known to local ems who reported a known alcohol and seizure history. she is currently under police custody for domestic assault (reportly tried to stab her boyfriend). at the osh a nurse was able to get ahold of her health care proxy who reported she was recently admitted to hospital for double pneumonia. . review of systems: unable to obtain as patient is sedated. past medical history: seizure disorder adhd hypertension alcohol dependence neuropathy, alcoholic anxiety copd/asthma tobacco abuse hx pancreatitis lower back pain gastric ulcers gerd recent admission for pneumonia depression, likely bipolar ptsd social history: patient has a remote history of living in a shelter. prior to her admission she was living with boyfriend. she reports a remote history of spending 9 months in prison for oui. she reports her alcoholism began at the age of 37 after sexual assault. she denies abuse of any illicit drugs. she reports she began smoking three months ago and is trying to quit. family history: family history: unable to obtain as patient was sedated. otherwise, not relevant to this admission. physical exam: physical exam on arrival to icu: vitals: t: 99.8 bp: 121/88 p: 76 r: 24 o2: 99% on fio2 100% on vent general: awake, uncomfortable, significant facial edema heent: sclera anicteric, mmm, intubated, injected conjunctiva neck: supple, jvp not elevated, no lad cv: distant heart sounds, regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, appears distended, bowel sounds present, no rebound tenderness or guarding gu: foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema . discharge: vitals: t: afeb 132/97 88 22 93 ra gen: aaox3. appears comfortable, non-toxic. heent: eomi, perrl, mmm. neck: no lad. jvp wnl. resp: minor scattered wheezes throughout, with good ae. otherwise cta. coarse rhonchi clear with cough. cv: rrr. no mrg. abd: +bs. soft, nt/nd. ext: no cee. neuro: cn 2-12 grossly intact. no tremor or asterixis. psych: pleasant, conversant. pertinent results: admission labs: . 11:35pm glucose-82 urea n-10 creat-0.5 sodium-140 potassium-3.5 chloride-108 total co2-27 anion gap-9 11:35pm calcium-7.3* phosphate-2.5* magnesium-2.4 05:10pm type-art temp-37.2 po2-110* pco2-52* ph-7.35 total co2-30 base xs-2 intubated-intubated 10:43am lactate-0.9 12:06am alt(sgpt)-21 ast(sgot)-34 alk phos-46 tot bili-0.1 12:06am lipase-34 12:06am albumin-3.4* iron-15* 12:06am caltibc-393 vit b12-199* folate-11.2 ferritin-12* trf-302 12:06am phenobarb-less than phenytoin-<0.6 valproate-less than 12:06am asa-neg ethanol-128* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 12:06am fibrinoge-162 . urine studies: 12:06am urine ucg-negative 12:06am urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 12:06am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 12:06am urine color-straw appear-clear sp -1.008 . micro: blood cx: pending . sputum cx: no growth . sputum cx: pending . mrsa screen: negative . imaging: . echo: the left atrium is mildly dilated. left ventricular wall thicknesses and cavity size are normal. doppler parameters are most consistent with normal left ventricular diastolic function. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. . impression: normal global and regional biventricular systolic function. no diastolic dysfunction or pathologic valvular disease seen. . cxr: 1. lines and tubes in satisfactory position. 2. mild pulmonary vascular congestion. 3. right upper lobe and left lower lobe atelectasis versus aspiration. . cxr: the patient was extubated in the meantime interval with removal of the vent tube. the right internal jugular line has been removed as well. there is no change in the cardiomediastinal silhouette. prominence of the pulmonary arteries is redemonstrated and might be consistent with pulmonary hypertension. the lungs are essentially clear with no new consolidations worrisome for interval development of infectious process. right pleural effusion is most likely present, small. minimal atelectasis at the right lung base is unchanged. . ct head: 1. no evidence of acute intracranial process. 2. paranasal sinus disease brief hospital course: . 46 year old woman transferred from osh ed after presenting with intoxication and experiencing witnessed seizure. . # hypoxic respiratory failure: initial hypoxia was likely due to apnea during her seizure. patient with known history of alcohol intoxication, witnessed seizure, emesis during attempted intubation, and cxr findings were all suggestive of an aspiration event. patient's respiratory status, however, improved dramatically with lasix alone. she was able to be extubated the following day and remained afebrile, with normal wbc making aspiration pneumonia unlikely. . # seizure: initially unclear whether patient had a primary seizure disorder or if patient's seizure history is in the setting of alcohol withdrawal. patient's active intoxication during her seizure suggests that she has an underlying seizure disorder and her alcohol use lowered her seizure threshold. this was later confirmed with the patient and her boyfriend. was restarted on her home zonisamide 500 mg daily and monitored on a ciwa scale. she had no further episodes of seizure activity during her admission. . # alcohol intoxication: patient brought into osh ed while intoxicated. per ems patient is known to them to have alcohol dependence. her last drink was reportedly around 7 pm on . toxicology screen positive for benzos (after ativan and versed given at osh). patient admits to a history of delirium tremens during prior attempts to get sober. she was monitored for > 72 after her last drink on a ciwa scale without evidence of dts. she declined discharge to an alcohol rehabilitation program. she was discharged home with plans to attend daily aa meetings and follow up with her therapist on regular basis. recommend patient continue home naltrexone, clonazepam, thiamine, folate, multivitamin. . # intermittent hypotension: patient intermittently required levophed after intubation at osh. this appeared directly related to sedation for mechanical ventilation and resolved with weaning sedation and extubation. . # anemia: patient with hematocrit of 31 on presentation. unclear baseline. no evidence of active bleeding on presentation. she has known b12 deficiency and was continued on b12 and folate supplements. . # asthma: patient reports diagnosis of asthma. currently breathing comfortably, but with some wheezing on exam. pt was returned to her home regimen at the time of discharge. . # ? gastric ulcer vs. gastritis: this history is provided per report of hcp and not confirmed. counsel against continued alcohol abuse. recommend patient continue her home omeprazole 20 mg po bid and have her hematocrit monitored by her primary care provider. . # question of abnormal chest imaging: needs to have ct chest to evaluate for hilar adenopathy on cxr, ? sarcoid. the icu team discussed with the pcp, reported pt had a recent ct chest to further evaluate. will defer further workup to pt's pcp. . # hypertension, benign - lisinopril 10 mg po/ng daily . # neuropathy, d/t alcohol - gabapentin 300 mg po/ng hs - pregabalin 100 mg po/ng tid . # b12 deficiency also contribute to neuropathy and anemia. - cyanocobalamin 1000 mcg po/ng daily . # anemia: no evidence of active bleeding, but pt with hx of gastric ulcers and recent alcohol abuse. . # asthma/copd: . # psychiatric: bipolar, depression, adhd, ptsd will continue home medications. - risperidone 1 mg po bid - mirtazapine 15 mg po/ng hs - clonazepam 1 mg po/ng tid - citalopram 40 mg po/ng daily . # polypharmacy/patient medication confusion: per discussion with the icu team, pt seems to have some confusion about her extensive medication list. her medications were reconciled with her pcp and her pharmacy, however, would encourage patient to bring all of the medications that she currently uses to her next pcp appointment for further reconciliation, to ensure they are being used appropriately. . # emergency contact: (boyfriend/hcp) # code: full # disposition: home with referral to alcohol rehabilation resources medications on admission: med list confirmed with patient and : claritin 10 mg po daily flovent 44 mcg 2 puffs naltrexone 50 mg daily albuterol nebulizer gabapentin 300 mg qhs pregabalin 200 mg tid symbicort 80-4.5 2 puffs cyanocobalamin 1000 mcg po daily---not on pharmacy's list remeron 15 mg qhs risperidone 1 mg po bid multivitamin daily zonisamide 500 mg qhs prednisone 40 mg daily x 3 days citalopram 40 mg daily klonopin 1 mg tid methylphenidate 20 mg daily lisinopril 10 mg daily omeprazole 20 mg colace 100 mg thiamine 100 mg daily folic acid 1mg daily other active presciptions per pharmacy (patient does not report taking these medications) creon units po with meals prazosin 1 mg qhs lorazepam was to be replaced by clonazepam but both rx were filled on flovent 220 mcg inh nicotine patches lamotrigine (now listed as an allergy but patient has refills available) propanolol discharge medications: 1. claritin 10 mg tablet sig: one (1) tablet po once a day. 2. flovent hfa 44 mcg/actuation aerosol sig: two (2) puffs inhalation twice a day. 3. naltrexone 50 mg tablet sig: one (1) tablet po once a day. 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for sob/wheeze. disp:*30 neb* refills:*0* 5. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 6. pregabalin 200 mg capsule sig: one (1) capsule po tid (3 times a day). 7. symbicort 80-4.5 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation twice a day. 8. cyanocobalamin (vitamin b-12) 500 mcg tablet sig: two (2) tablet po daily (daily). 9. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime): (remeron). 10. risperidone 1 mg tablet sig: one (1) tablet po bid (2 times a day). 11. multivitamin tablet sig: one (1) tablet po daily (daily). 12. zonisamide 100 mg capsule sig: five (5) capsule po at bedtime. 13. citalopram 40 mg tablet sig: one (1) tablet po once a day. 14. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). 15. methylphenidate 20 mg tablet sig: one (1) tablet po once a day. 16. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 17. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 18. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 19. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 20. nicotine 7 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily) for 10 days. disp:*10 patch 24 hr(s)* refills:*0* discharge disposition: home discharge diagnosis: # hypoxic respiratory failure # seizures # alcohol abuse/withdrawl # b12 deficiency secondary: hypertension neuropathy anemia asthma/copd hx gastric ulcers discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted after a seizure while you were intoxicated. you required intubation and management in the icu. you were also treated for alcohol withdrawl. you are strongly encouraged to quit alcohol, and to use the resources in your community to help you quit, such as aa. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours central venous catheter placement with guidance diagnoses: other iatrogenic hypotension acute respiratory failure other vitamin b12 deficiency anemia epilepsy, unspecified, without mention of intractable epilepsy chronic obstructive asthma, unspecified alcoholic polyneuropathy alcohol withdrawal acute alcoholic intoxication in alcoholism, continuous posttraumatic stress disorder benign essential hypertension bipolar i disorder, most recent episode (or current) depressed, unspecified 

Answer: The patient is high likely exposed to