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: ams major surgical or invasive procedure: tlc placement in left ij history of present illness: hpi: 46yom w/ h/o polysubstance abuse, st. jude's valve placement for endocarditis (approx. 10 yrs ago) presented to the ed after having been found wandering the streets acting "odd" and agitated per ems ("shaking movements" per bystanders prior to ems arrival). he reported feeling "unwell" over the past 3 days with diffuse joint/muscle aches, subjective fever, no appetite, nausea/vomiting/diarrhea; diarrhea, he said was a chronic problem for him. he reports that he had a fight with his wife nearly a week ago and has been using heroin (injecting), cocaine (smoking), and etoh since then. he had not used these several months prior to that. he denied cp and sob. upon arrival to the ed, he was found to be agitated and tachycardic. initial vitals revealed t 96.6 hr 133 bp 113/79 rr 20 o2sat 93% ra. an ekg demonstrated sinus tach at a rate of 106 and was w/o significant sttw changes. urine tox was positive for cocaine and opiates. he received 2l ivfs for arf and sbps in the 90s. given his significant bandemia, blood cultures were drawn. a cxr was obtained which did not reveal evidence of an infiltrate. ua did show hematuria, but only showed rare bacteria and 1 wbc. lactate, however, was found to be elevated to 3.9. given his hypotension, bandemia, and arf in the setting of ivda, the patient was transferred to the icu for sepsis evaluation and possible endocarditis eval. past medical history: polysubstance abuse (cocaine, heroin, etoh); currently undergoing treatment w/ suboxone at mental health center endocarditis s/p st. jude's valve yrs ago at hep c and b anxiety depression rotator cuff tear social history: lives at home with wife and her two children. not currently working. prior to past week, had been sober x "several months." over past week has been smoking cocaine, shooting heroin, drinking etoh. family history: non-contributory physical exam: pe: t 100.9 bp 110/59 hr 105 rr 20 o2 sat 97% on 2l nc gen: appears agitated and uncomfortable, asks for water skin: ecchymoses left deltoid heent: perrl, very dry mm, upper dentures in place, poor dentition but no evidence of abscess, purulent drainage neck: supple cv: sinus tachycardia, 3/6 systolic murmur heard throughout precordium > r and l upper sternal borders. resp: decreased bs right lung bas to mid lung field, rare exp. wheeze right upper lung field o/w ctab abd: +bs, soft, nd, ttp over epigastrium, no rebound/guarding ext: left 4th and 5th toes with ecchymoses and swelling, unable to flex extend toes w/o significant pain, no bony abnormalities/step offs. no splinter hemorrhages, no osler nodes neuro: cn 2-12, strength, sensation grossly intact pertinent results: 05:36pm urine rbc-6* wbc-0 bacteria-none yeast-none epi-0 05:36pm urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 12:57pm lactate-2.0 05:16am glucose-96 urea n-14 creat-1.3*# sodium-141 potassium-4.3 chloride-108 total co2-23 anion gap-14 05:16am alt(sgpt)-164* ast(sgot)-211* ld(ldh)-446* alk phos-51 amylase-40 tot bili-1.1 05:16am lipase-15 05:16am albumin-2.9* calcium-6.8* phosphate-3.1 magnesium-1.3* 05:16am hbsag-negative hbs ab-negative hbc ab-positive 05:16am hcv ab-positive 05:16am wbc-13.9* rbc-3.96* hgb-13.4*# hct-37.8* mcv-96 mch-33.8* mchc-35.4* rdw-12.8 05:16am neuts-90* bands-4 lymphs-1* monos-5 eos-0 basos-0 atyps-0 metas-0 myelos-0 05:16am pt-30.4* ptt-58.3* inr(pt)-3.2* 09:35pm glucose-104 urea n-16 creat-2.5* sodium-142 potassium-4.0 chloride-102 total co2-25 anion gap-19 09:35pm neuts-85* bands-13* lymphs-1* monos-0 eos-0 basos-0 atyps-1* metas-0 myelos-0 brief hospital course: 1. hypotension: patient's baseline bp was initially unknown. he was given aggressive iv hydration and placed on broad spectrum antibiotics with vanc/zosyn/flagyl for presumed sepsis and monitored in the icu. he was pan cultured prior to starting antibiotics and central access was obtained via a right ij for adequate fluid resuscitation. the patient defervesced and did not require pressors during his stay. a tee was obtained given our concern for endocarditis in the setting of ivda, hypotension and presumed bacterial sepsis. this showed no signs of vegetations with a well seated valve. given his negative culture form blood and urine, his normalization of the wbc count and his afebrile state, the antibiotics were discontinued and he remained stable through the course of the hospitalization. 2. arf: pt had an elevated serum creatinine on admission and appeared markedly volume depleted. urine lytes were obtained and consistent with a pre-renal state. the serum creatinine trended back to normal limits with iv hydration. 3. elevated transaminases and t.bili: per pt. report has h/o hep b/c. his ast/alt were mildly elevated on admission with a normal bilirubin and alk phos suggestive of non-obstructive process. he ws instructed to follow up with his pcp for repeat lfts. discharge medications: 1. warfarin 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 2. neurontin 800 mg tablet sig: one (1) tablet po four times a day. disp:*120 tablet(s)* refills:*2* 3. klonopin 1 mg tablet sig: one (1) tablet po four times a day as needed. disp:*30 tablet(s)* refills:*0* 4. vicodin 5-500 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: hypotension valve ivda sepsis arf discharge condition: good discharge instructions: patient should return to the er if he develops fevers, chills, lightheadedness, chest pain or sob. followup instructions: patient will need to follow up with his pcp dr at in 1 week. he should have his inr checked tomorrow to see if the coumadin dose needs to be adjusted over the weekend. he is being discharged on a lower dose of coumadin than previously taking. procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart diagnoses: chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified unspecified septicemia severe sepsis opioid type dependence, continuous heart valve replaced by other means chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta cocaine dependence, continuous other and unspecified alcohol dependence, continuous alcohol withdrawal 

Answer: The patient is high likely exposed to