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: acute alcohol withdrawal. major surgical or invasive procedure: none. history of present illness: 43m with history of alcohol abuse, schizophrenia and depression who presents from with alcohol withdrawl. the history was obtained from the medical record, as the patient is unable to provide any history. the patient initially presented to st. hospital with alcohol intoxication with a serum alcohol level of 450. he was treated with ativan and reached sobriety and subsequently transferred to on under a section 12 for suicidal ideation and hearing voices. he was started on zyprexa and a standing lorazepam taper for symptoms of alcohol withdrawl. over the last two days, the patient has become increasingly tremulous with altered mental status. it appears that he received a total of 17mg of lorazepam over the past two days. his last drink was on the morning of . . in the ed, the patient was minimally responsive, hypertensive to 166/109 and tachycardic to 115. he was started on ivf and given a total of 25mg of iv valium. head ct was negative and tox screen was positive for benzos. he is admitted to the micu for frequent ciwa scale assessments and poor mental status. past medical history: 1. alcohol dependence, drinks one gallon vodka daily 2. schizophrenia, followed at clinic but not currently taking his meds, history of multiple admissions 3. depression 4. htn 5. opioid and cocaine abuse, last smoked crack cocaine 2 months ago social history: lives with wife. they have three grown children (ages 23,22,21). patient has been on ssdi for the past 11 years due to mental illness. drinks 1 gallon of vodka daily for years. had five years of sobriety between and to save his marriage. occasionally uses cocaine, last smoked crack cocaine two months ago. rarely abuses klonopin and vicodin, but "very seldom", last in . family history: non-contributory. physical exam: vitals: t 95.0 bp 159/107 hr 112 rr 18 100% ra gen: somnolent but arousable to voice, follows some commands, mumbling somewhat incoherently heent: pupils 2mm and minimally reactive bilaterally, nystagmus on lateral gaze, dry mucous membranes with some dried blood neck: no lad, no jvd lung: coarse upper airway sounds, no wheezing or rales cor: tachycardic, regular rhythm, no murmurs appreciated abd: soft, ntnd, nabs ext: warm and well-perfused, no edema neuro: somnolent, but arouses to voice, oriented x 1.5 (name, ), moves all extremities, follows some commands pertinent results: 02:00am blood wbc-4.3 rbc-3.77* hgb-11.9* hct-33.7* mcv-89 mch-31.5 mchc-35.3* rdw-14.2 plt ct-152 02:00am blood neuts-69.2 lymphs-24.9 monos-4.7 eos-0.9 baso-0.3 02:00am blood plt ct-152 02:00am blood glucose-103 urean-10 creat-0.9 na-141 k-3.4 cl-103 hco3-25 angap-16 02:00am blood alt-27 ast-38 alkphos-98 amylase-184* totbili-0.2 02:00am blood lipase-40 02:00am blood albumin-4.0 04:04am blood calcium-8.0* phos-3.7 mg-1.2* 04:04am blood tsh-5.5* 04:21am blood free t4-0.5* 04:04am blood vitb12-642 folate-8.3 02:00am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-pos tricycl-neg rpr(sts): . ecg : sinus tachycardia. st-t wave flattening in lead ii and t wave inversion in leads iii and avf. delayed precordial r wave progression. active inferior ischemic process cannot be excluded. . ct head : no intracranial hemorrhage. brief hospital course: a/p: a 43yom with history of alcohol abuse, htn, schizophrenia and depression who is admitted to micu from (section 12) with acute alcohol withdrawal. . 1. alcohol withdrawal: the patient's last drink was reported as approximately 24 hrs prior to admission, although this would have been during his admission to . he was maintained on ciwa scale and give valium 10mg prn for ciwa scale or autonomic signs of withdrawal. since the pt. was unreliable on the ciwa scale, he was given valium for autonomic/objective signs of withdrawal. amylase elevation is likely related to alcoholism rather than pancreatitis. pt. was seen by psychiatry and was treated with valium and haldol (for h/o schizophrenia). pt. was treated with thiamine, folate, and initially fluid resuscitated with d5ns, and then transitioned to regular diet. patient discharged in stable condition without any signs of ongoing withdrawl. . 2. htn: history of htn, was acutely hypertensive on admission, likely related to acute alcohol withdrawal. withdrawal symptoms were treated with valium as above. pt. was started on clonidine patch, which maintained normotension. . 3. substance abuse: pt has h/o polysubstance abuse including alcohol, cocaine and opiates, and tested positive for alcohol and barbiturates on this admission. was seen by social work and substance abuse counseling. . 4. schizophrenia/depression: schizophrenia previously treated with seroquel and zyprexa. on transfer to , pt had + suicidal ideation and + auditory hallucinations. pt. was seen by psychiatry and treated with haldol and prn:tid for agitation. daily ecgs were monitored while pt. was on haldol. b12 and folate levels were normal. pt. had a 1:1 sitter around the clock due to suicidal ideation. . 5. hypothyroidism: pt. found to have low t4 and elevated tsh, consistent with hypothyroidism. started on 75mcg levothyroxine. will need follow up tsh check in weeks. please ensure that patient has follow up with his pcp regarding this issue. . addendum *** patient had abnormal tft's, specifically a free t4 that was low at 0.6 and a normal tsh of ~3.5. the ddx for this is sick thyroid versus secondary ( central hypothyroidism). as the patient tft's were measureed when he was ill, i suspect this is from sick thyroid. nonetheless, he will require repeat tft's in months to ensure normalization. he should not be on thyroid replacement therapy yet. this discharge summary states that he was discharged on levothyroxine though the d/c meds do not list levoqthyroxine. his page 1 also does not list it. 6. fen: electrolytes were aggresively followed & repleted in order to decrease seizure/arrhythmia risk. pt. was fed a regular diet. . 7. ppx: heparin sq. ppi. . 8. dispo: pt. spent 3 days in micu, and was tranferred to a medical service on . medications on admission: clonidine discharge medications: clonidine tts 1 patch 1 ptch td qfri acetaminophen 325-650 mg po q4-6h:prn thiamine hcl 100 mg po daily folic acid 1 mg po daily citalopram hydrobromide 5 mg po daily haloperidol 5 mg po bid diazepam 5-10 mg po q4-6h:prn prn for ciwa > 10 discharge disposition: extended care facility: bornwood psychiatric facilty discharge diagnosis: acute alcohol withdrawal discharge condition: stable procedure: venous catheterization, not elsewhere classified diagnoses: unspecified essential hypertension unspecified acquired hypothyroidism unspecified schizophrenia, unspecified other and unspecified alcohol dependence, unspecified alcohol withdrawal 

Answer: The patient is high likely exposed to