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: liver failure major surgical or invasive procedure: none history of present illness: this is a 47 year old male with history of alcohol abuse who presents to us with liver failure, transferred from this evening. he has liver failure with multi-organ failure requiring intubation and pressor support. he initially presented to in the early morning of with abdominal pain, diarrhea, and chest pain. he stated he had felt unwell for the past week. he called an ambulance; ems found him hypotensive with systolic blood pressures in the 70s, jaundiced, increased respiratory rate into the 40s, but mentating and able to give a brief history. upon arrival to the hospital, he was resuscitaed with 5 l of fluid; ij was placed and shortly after placement of line, mr became unresponsive; he was emergently intubated and ventilated. upon review of his labs, he was noted to have profound anion gap lactic acidosis with acute kidney injury and a creatinine of 7.8, and an abg with ph of 7.11/31/39/9.5/54. he was found to be in fulminant hepatic failure with elevated bilirubins of 35, transaminitis in the 100s, as well as a lipase of 7000 and amylase of 500. he was encephalopathic. he received vancomycin, cipro and flagyl. his blood glucose was found to be 43 and he was given an amp of d50. he was started on a levophed drip. a head ct and abdominal pelvic ct were obtained which revealed peripancreatic fluid and mild ascites on imaging. a bicarbonate drip was initiated given acidosis. thiamine, folate, and vitamins were given. dextrose drip was started. ffp and cryoprecipitate were given. tylenol level was negative; etoh level was 11. bicarb continued to be low; potassium started to rise, lactate peaked at 11. gi and nephrology were consulted, and given potential need for cvvh in the setting of hypotension - he was transferred to for further management. on route a third pressor was started (neosynephrine, vasopressin and levophed at this point). upon arrival, he was able to open his eyes to voice and able to follow simple instructions (squeezing hands on command). his vitals on transfer were hr 101, bp 92/50, rr 12, 98% on pressure support of 15 with 10 of peep. his family arrived at bedside - they stated that most of them have not been in contact with the patient, although they feel that he has been hiding his health status over the past few weeks. his alcohol history dates back to the past three years in the setting of his divorce and associated depression. he may have been drinking heavy drinks per day over the past three years; prior to this time period, he was not actively drinking. family states no prior history of jaundice or abdominal swelling; however last year he had an episode of bright red blood from above in the setting of alcohol use. per the family, he also donated one of his kidneys to his father who has end-stage renal disease. past medical history: alcohol abuse social history: per the family, he has a history of alcohol abuse, drinks 3-5 drinks of vodka daily for the last 3 years. brother informs he has failed multiple detox programs. etoh level at was 11. denies tylenol use, drug use, ivda, sexual activity, or new food exposures or recent travel. he denies ever having liver problems in the past. family history: nc physical exam: vs: temp 96.4, rr 15, sao2 98% on 10 peep and 50% fio2, hr 85, bp 100/70 (on 3 pressors) gen: jaundiced, somnolent heent: icteric cv: rrr, no m/g/r pulm: rhonchorous breath sounds bilaterally abd: mildly distended ext: 2+ lower extremity edema pertinent results: 10:57pm type-art temp-37.2 rates-/20 peep-10 po2-114* pco2-26* ph-7.35 total co2-15* base xs--9 vent-spontaneou 09:41pm hbsag-negative hbs ab-borderline hbc ab-negative hav ab-positive igm hbc-negative igm hav-negative 09:16pm type-art po2-148* pco2-29* ph-7.32* total co2-16* base xs--9 09:10pm glucose-134* urea n-52* creat-7.5*# sodium-126* potassium-4.2 chloride-81* total co2-13* anion gap-36* 09:10pm alt(sgpt)-173* ast(sgot)-914* ld(ldh)-1107* alk phos-285* amylase-170* tot bili-31.8* 09:10pm albumin-2.9* calcium-6.7* phosphate-5.1* magnesium-2.6 cholest-252* 09:10pm triglycer-258* hdl chol-less than 09:10pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:10pm wbc-15.4*# rbc-2.33*# hgb-8.7*# hct-25.4*# mcv-109*# mch-37.2*# mchc-34.2 rdw-17.9* 09:10pm neuts-83* bands-5 lymphs-11* monos-1* eos-0 basos-0 atyps-0 metas-0 myelos-0 nuc rbcs-8* 09:10pm hypochrom-1+ anisocyt-1+ poikilocy-normal macrocyt-3+ microcyt-normal polychrom-1+ target-1+ stippled-1+ how-jol-1+ brief hospital course: this 47 year old male with potential underlying history of liver disease presented with worsening hepatic failure likely secondary to acute on chronic liver disease, acute episode possibly precipitated by alcoholic pancreatitis/hepatitis or sepsis from unclear etiology. full serologic work up was obtained. abdominal ultrasound was performed to evaluate vasculature and biliary tree; no clear obstruction was identified. blood was transfused. pressors were run to keep map > 55. transplant surgery was consulted who deemed him not a candidate given his alcohol history (active drinking). renal was consulted for consideration of dialysis. lactulose was started. broad spectrum antibiotics were continued. however, given increasing pressor requirements and progressive difficulty with ventilation, a decision was made to escalate care. family was in agreement with this plan. the patient was extubated; pressors were weaned and transition to comfort care was initiated. the patient expired on . medications on admission: home medications: prilosec discharge medications: expired discharge disposition: expired discharge diagnosis: decompensated liver failure discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: acidosis hypocalcemia acute kidney failure with lesion of tubular necrosis acute and subacute necrosis of liver unspecified septicemia severe sepsis septic shock other sequelae of chronic liver disease other ascites hepatic encephalopathy acquired absence of kidney alcohol abuse, continuous acute pancreatitis acute alcoholic hepatitis other fluid overload 

Answer: The patient is high likely exposed to