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: intracranial hemorrhage major surgical or invasive procedure: endotracheal intubation history of present illness: mr. is a 60 year-old right-handed man with a past medical history including hypertension, hyperlipidemia, polycystic kidney disease and alcohol abuse who was initially evaluated at after he was found unresponsive by his some at his home on and was transferred to the for further evaluation and care when imaging revealed a right temporal hemorrhage. he was initially intubated for airway protection and admitted to the neuro icu. head ct on was stable. hospital course was c/b t1 fracture, hepatic mass, aspiration pna rx with vanc/zosyn and re-intubation due to hypercapneic respiratory failure. patient was also treated for etoh withdrawal. he was seen by cardiology for + troponins, tachycardia, and depressed (ef 35%) which were thought to be due to his time unresponsive, alcohol, and dehydration/infection. he was not started on anticoagulation given his head bleed. he was re-extubated on and called out to the medicine service the evening of . cta on showed small subsegmental pes and ggo c/w multilobar pna and pleural effusions. . the evening of the pateint was noted to be hypoxic to the 80s on room air. he was placed on nasal canula which improved his sats to the mid 80s and then placed on nrb with imporvement to the 90s. he appeared comfortable on the nonrebreather and abg showed 7.49/37/183/29. he was then placed on shovel mask and maintained sats in the 90s. however, he was tachypneic to the 30s and noted that he was "tired." micu was called to evaluate the pt for possible intubation due to respiratory failure. . the patient appeared calm with sats in the high 90s on shovel mask. however, he was exhibiting paridoxical abdominal breathing and use of accessory muscles. he was tachycardic to the 150s and hypertensive to the 150s. given his known underlying lobar pna and pes he was transferred to the icu for possible intubation. . in the icu the pt was placed back on non-rebreather and looked more comfortable. the decision was made to monitor his respiratory status and hold off on intubation. he was noted to have a sluggish and dilated right pupil and was sent for stat head ct. otherwise exam was notable for mild scattered wheezes. . review of systems: (+) per hpi (-) denies fever, chills, headache, sinus tenderness, rhinorrhea or congestion, nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: etoh abuse (1.5l hard etoh/day) tobacco use htn pckd depression diverticulosis hypogonadism hyperglycemia chronic rib fractures social history: lives alone. etoh abuse. ongoing tobacco use. question of ivdu. family history: unkown physical exam: vitals: t:99.3 bp:144/84 p:97 r:18 o2:95% on 4l nc general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: tachycardic regular rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 01:00am blood ctropnt-0.39* 07:56am blood ck-mb-10 mb indx-0.3 ctropnt-0.42* 04:02pm blood ck-mb-7 ctropnt-0.29* 12:11am blood ck-mb-5 ctropnt-0.29* 02:22pm blood ctropnt-0.25* . . 01:00am blood alt-23 ast-110* ck(cpk)-4733* alkphos-62 totbili-1.4 07:56am blood alt-20 ast-89* ld(ldh)-446* ck(cpk)-3522* alkphos-54 amylase-55 totbili-1.1 04:02pm blood ck(cpk)-2585* 12:11am blood alt-19 ast-65* ck(cpk)-1885* alkphos-53 totbili-1.0 12:51am blood alt-22 ast-49* ck(cpk)-926* . . 1:01 pm sputum source: endotracheal. **final report ** gram stain (final ): pmns and <10 epithelial cells/100x field. 2+ (1-5 per 1000x field): gram negative rod(s). 2+ (1-5 per 1000x field): gram negative diplococci. respiratory culture (final ): sparse growth commensal respiratory flora. moraxella catarrhalis. heavy growth. . . ct abdomen impression: 1. partially fatty liver with numerous hypodense hepatic lesions. though some of these may be cysts, others show evidence of delayed enhancement and overall these lesions are not well characterized. these findings as well as the dilated biliary ducts would be best assessed via mr appropriate. 2. scattered poorly marginated pulmonary nodular opacities. while these may represent areas of aspiration or inflammation, underlying neoplastic nodularity is not excluded. we would recommend a repeat dedicated ct of the chest after appropriate treatment and when stable in order to document resolution or stability of these findings. 3. innumerable bilateral renal cysts, possibly pckd. 4. atherosclerotic disease. 5. sigmoid diverticulosis. 6. multiple chronic rib fractures. . . ct head impression: intracerebral hematoma in the right temporal and occipital lobes with extension into the posterior of right lateral ventricle as seen on the recent ct head of 20:57 hours. bilateral low-density extra-axial collections in keeping with csf hygroma unchanged. no new hemorrhage. no evidence of av malformation on the cta study. . . mr impression: right temporal hematoma with intraventricular extension. there is suggestion of associated enhancement which may be seen in the setting of a subacute hematoma or a metastatic lesion. recommend followup study after resolution of acute blood products. chronic subdural hygromas bilaterally. brief hospital course: icu course - patient was admitted after being found down at home for an unknown period of time. according to his brother he had recently been in 3 automobile accidents involving head trauma. his son had been unable to reach him at home for 2 days and when landlord opened apartment they found him on the ground with a bookcase collapsed near him, and an empty bottle of captain . in the icu he was noted to have ecchymosis around his left eye and some dried blood near his nose. while intubated he was able to follow commands and had intact cranial nerves as well as sensation in all 4 extremities. ct revealed a large temporal hemorrhage on the right side. he was extubated and there were no obvious neurologic deficits on exam. troponins had been elevated in-house, and he peaked at 0.42. a tte was performed which showed hypokineses. he started to withdraw from etoh and was having elevated systolics in the 160s, agitation and delerium. he required large iv doses of ativan and was then reintubated for concern of airway protection. the patient was then re-extubated without issues and started on antibiotics for concern of pneumonia. he was sent to the stroke team for continued care. . neuro icu . sirs . micu course: the patient presented to micu after respiratory distress/increasing o2 requirement and possible impending respiratory failure. he was placed on non-rebreather mask and stabilized. he was on zosyn and vancomycin was dc'd based on speciation of moraxella from sputum. he was gently diuresed as it was felt that his acute respiratory distress was likely secondary to flash pulmonary edema. he was given nebulizer treatments as needed. a ct of the head showed interval expected evolution of right temporal parenchymal hemorrhage with surrounding edema and local mass effect, and extension into the right lateral ventricle. his neuro exam remained stable. his blood pressure was controlled with a goal of sbp < 160. neurosurgery was consulted and felt that no intervention was warranted but that he should have a follow-up head mri on . the results from a cta of the chest came back and showed small subsegmental pe's. he was not anticoagulated given his ich. bilateral lenis were performed and negative for dvt. the patient was maintained on a ciwa scale with valium. his c-collar was removed per trauma team recommendations. his htn was controlled with uptitrating of metoprolol to his home dose of 50 mg adn continuation of his norvasc. given slight rise in creatinine, his ace-i was held but should be restarted soon given his tte which showed of ef which cardiology thought was likely due to etoh cardiomyopathy. at time of transfer he was tolerating a regular heart healthy diet and had pneumoboots for prophylaxis. he spiked a fever on the morning of transfer and had several loose stools, so a ua was sent in addition to a c.diff test. . medical floor hospital course: mr. was a 60 year old man with pmh of alcohol abuse who was found down and discovered to have right temporal parenchymal hemorrhage and has had hospital course complicated by multilobar pneumonia, and etoh withdrawal and was transfered from the micu with with a stable t1 fracture, stable temporal intraparenchymal hematoma, stable bifrontal subdural hematomas, liver mass identified on ct, subsegmental pes, and multilobar pna that was treated with 8 days of iv zosyn. . # respiratory distress: his respiratory distress was likely caused by agitation in the setting of etoh withdrawal and poor underlying repiratory function with multilobar pna, pes, and pleural effusions. on arrival to the medical floor he was sating well on 3l nc and appeared comfortable. he was continued on iv zosyn and completed an 8 day course of antibiotics on for his multilobar pna that had developled in the setting of mechanical ventillation. his oxygen requirement was titrated to ra with o2 sats ranging from 95-98%. . # r temporal hematoma: initial etiology remained unclear, although av malformation and malignancy remained possiblities. neurosurgery recommended a bp goal of <160. he is scheduled to have outpatient repeat mri and clinic appointment ot follow resolution. . # pe: rml and rll sub-segmental pulmonary emboli on ct scan. no anticoagulation was started because of head bleed. biateral lenis were found to be negative. his respiratory status was supported and improved throughout his hospital course. he may be anti-coagulated once cleared by neurosurgery. . # etoh withdrawal: he was continued on ciwa with valium 5 mg po q2h with no valium requirement on through with dicontinuation of ciwa on . a social work consult was obtained to evaluate for resources and etoh abuse conseling. . #. t1 fracture: ok to discontinue the c-collar per trauma surgery . #. liver mass: ct a/p showed numerous hypodense hepatic lesions and dilated biliary ducts. mri was obtained revealing a 4.2 cm left liver lobe mass and cbd dilitation with suggestion of ampulary stricture. he will need outpatient liver tumor clinic follow up and ercp as an outpatient follow-up. . #. htn: goal sbp<160 per neurosurgery. metoprolol was increased from home dose of 50 to 150mg of metoprolol succinate to maintain blood pressure under 160. norvasc 5 mg daily was continued. lisinopril 5mg was also started to maintain his blood pressure. . #. ef 35%, global dysfunction seen on echo: etiology included pe versus alcoholic cardiomyopathy versus ischemic cardiomyopathy. beta blocker therapy continued and acei was started once renal status returned to baseline. medications on admission: metop 50 nifedipine xl 60 questran light miralax altrazolam 1mg fluoxetine 20 qd androdern patch2.5 mg qhs vit d 3k units qd discharge medications: 1. testosterone 2.5 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal q24h (every 24 hours). 2. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 6. simvastatin 80 mg tablet sig: one (1) tablet po once a day. 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 8. metoprolol succinate 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). discharge disposition: extended care facility: health care center discharge diagnosis: right temporal parenchymal hemorrhage bilateral frontal subdural hemorrhages t1 vertebral fracture subsegmental rml and rll pulmonary emboli liver mass on ct scan nstemi discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital with a head bleed and fracture of your spine. you were evaluated and treated by the neurosurgery and medicine services. your hospital course was complicated and required intensive care. you have ongoing serious medical problems that include 1.) a brain bleed, 2.) a t1 vertebral fracture, 3.) blood clots in your lungs, 4.) a mass that was discovered in your liver, and 5.) a heart attack. each of these problems will need a follow-up appointment with a specialist. follow-up appointments with neurosurgery, cardiology, a liver specialist and your primary care doctor have been arranged on your behalf. you should take your home medications as described in this discharge document and keep your outpatient appointments. the following changes have been made to your outpatient medicaitons: 1.)your alprazolam has been stopped 2.)your nifedipine has been stopped 3.)your miralax has been stopped 4.)your questran light has been stopped 5.)your metoprolol 50mg was increased to metoprolo xl 150mg daily 6.)you were started on amlodipine 5mg daily 7.)you were started on lisinopril 5mg daily 8.)you were started on simvastatin 80mg daily 9.)you were started on folic acid, thamine and a multivitamin supplement followup instructions: 1.) neruosurgery: department: radiology when: thursday at 3:00 pm with: xmr building: cc campus: west best parking: garage please arrive for this appointment at 2:45pm. . . department: neurosurgery when: thursday at 4:00 pm with: , md building: lm bldg () campus: west best parking: garage . . 2.)pcp: : , address: , , phone: appointment: tuesday 2:30pm . . 3.)cardiology: department: med grp when: thursday at 1:30 pm with: , md building: (, ma) campus: off campus best parking: on street parking . . 4.)hepatology: you should see the liver specialists within two week of leaving the hospital. if you are not called within one week with an earlier appointment please call 1- to verify appointment for next week. department: liver tumor service/transplant when: friday at 10:20 am with: , md building: lm campus: west best parking: garage . . outpatient ercp procedure is being scheduled for you please call or to confirm this appointment. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube insertion of endotracheal tube diagnoses: pneumonia, organism unspecified other primary cardiomyopathies subendocardial infarction, initial episode of care tobacco use disorder unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified intracerebral hemorrhage hypopotassemia systolic heart failure, unspecified other and unspecified hyperlipidemia acute respiratory failure pneumonitis due to inhalation of food or vomitus closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury encephalopathy, unspecified subdural hemorrhage other pulmonary embolism and infarction rhabdomyolysis other and unspecified alcohol dependence, continuous unspecified disorder of liver alcohol withdrawal polycystic kidney, unspecified type fracture, cause unspecified 

Answer: The patient is high likely exposed to