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: neurontin / sudafed / benadryl decongestant / seroquel / nicotine transdermal / haldol / geodon / zyprexa attending: chief complaint: hallucinations, tremulousness major surgical or invasive procedure: none history of present illness: 55 y/o w/ ptsd, anxiety and etoh abuse presents with report of unwitnessed seizure following etoh use. she originally presented to hospital earlier today and was discharged shortly after. she then went back to her group home where she endorsed auditory hallucinations. she stated voices were telling her to commit suicide. she then was transported to ed. of note, she has a remote history of dts in the setting of etoh withdrawl. . in the ed, initial vitals were 98.2 138 151/107 20 98% ra. she triggered on arrival for hr 140 bpm. serum etoh 295, otherwise tox screen negative. cxr showed no acute cardiopulmonary process. ecg showed sinus tachycardia. cbc and chem 7 within normal limits. etoh level was elevated. she was given 3l ns, but despite this was still tachycardic 100-130s and endorsed sensation of her skin crawling. she received 2mg ativan x2, followed by 10mg diazepam x2. she also received po thiamine, folate and mvi. there was no observed seizures in the ed. vitals prior to transfer were 107 14 97% on ra, 133/86. no evidence of seizure activity in the ed. . on arrival to the micu, she complained of feeling anxious, tremulous, and diaphoretic. feels like bugs are crawling on her skin. denies hallucinations (although had auditory hallucinations earlier today). also has mild sternal "squeezing" sensation, no radiation, no associated sob, no known exacerbating factors, happens at rest and with exertion, started several weeks ago. cannot recall this mornings events, but seems to think she had a seizure. states she has a remote history of seizures, details unknown. last drink was approximately 24h prior to admission. normally drinks 2-3 pints of vodka daily. past medical history: - anxiety/post-traumatic stress disorder - htn - leukemia as a child (per patient) - chronic hepatitis c - confirmed on serology / - h/o atypical chest pain - h/o cocaine use - has not used in several years - h/o etoh use - personality disorder - hospitalization , , x2,12/08,7/08,121/04,3/00,1/99,1/98, x2, all for etoh and risk for self harm - eczema social history: pints of vodka daily. smoker. last used cocaine several years ago, denies other illicits. currently residing in shelters in . has a brother nearby and a women's sponsor for support systems. family history: her father passed away from mi at age 64. mother and sister with depression. physical exam: on admission ------------ general: alert, oriented, anxious, at times tearful, tremulous heent: sclera anicteric, dry mucus membranes, oropharynx clear neck: supple, jvp flat, no lad cv: rrr, normal s1 + s2, no murmurs, rubs, gallops lungs: ctab, no wheezes, rales, rhonchi abdomen: nabs, nt/nd, no hsm gu: ext: warm, well perfused, 2+ pulses, no edema neuro: perrl, eomi, cn2-12 intact, 5/5 strength throughout, no focal sensory deficits . labs: 141 105 6 97 cbc 5.7, 36, 183 3.5 26 0.6 etoh: 295 . images: cxr: no acute cardiopulmonary process . ekg: sinus tachycardia pertinent results: admission labs: 03:20pm blood wbc-5.7 rbc-3.75* hgb-12.5 hct-36.0 mcv-96 mch-33.4* mchc-34.9 rdw-13.0 plt ct-183 03:20pm blood neuts-58.0 lymphs-35.0 monos-3.9 eos-2.8 baso-0.2 03:20pm blood glucose-97 urean-6 creat-0.6 na-141 k-6.1* cl-105 hco3-26 angap-16 03:20pm blood alt-219* ast-174* ld(ldh)-737* alkphos-64 amylase-43 totbili-0.3 03:20pm blood lipase-30 03:20pm blood albumin-4.5 calcium-9.2 phos-5.1* mg-1.9 03:20pm blood asa-neg ethanol-295* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . discharge labs: 06:10am blood wbc-4.1 rbc-3.65* hgb-12.3 hct-35.4* mcv-97 mch-33.6* mchc-34.8 rdw-13.5 plt ct-153 06:10am blood glucose-91 urean-19 creat-0.8 na-139 k-4.3 cl-102 hco3-26 angap-15 06:10am blood alt-142* ast-76* ld(ldh)-200 alkphos-65 totbili-0.2 06:10am blood hcv ab-pnd 06:10am blood hbsag-pnd hbsab-pnd . cxr : 1. no acute chest pathology. 2. new ovoid lucent lesion within the posterior 5th rib, further evaluation is recommended with dedicated chest radiograph with oblique views if necessary. repeat cxr : in comparison with the earlier study of this date, there is no evidence of acute cardiopulmonary disease. the suspected lucency within the posterior fifth left rib is no longer present and most likely represented superimposed structure. brief hospital course: 55 y/o w/ ptsd, anxiety and etoh abuse presents with tachycardia and hypertension in the setting of likely etoh withdrawl. . active issues ------------- # alcohol withdrawl: pt received a total of 80mg diazepam in the icu (20mg iv, 40mg po), with scores mostly acounted for by subjective complaints, minimally tremulousness, and had no hemodynamic instability while in the icu. she did not have any evidence of seizure activity. she was eventually spaced to q3 scores, and then was called out to the floor. the pt was started on a multivitamin regimin with folate and thiamine. her regimen was spanned out, and eventually patient was placed on librium 50 mg tid per psychiatry recommendation. her symptoms of withdrawal abated by the time of discharge. . # scabies infection: patient was treated adequately with permetherin one week prior to admission for scabies. she began feeling pruritic and had lesions that looked active on her skin during her admission. dermatology was consulted and recommended retreatment with permetherin, as well as one dose of ivermectin. she was off contact precautions at the time of discharge, and is considered to be treated and non-infectious. patient should be retreated once more with permetherin from neck to toes on , one week after the last treatment. . # psychiatric concerns: psychiatry was consulted to evaluate for dual diagnosis including ptsd, anxiety, possible personality disorder with her poly substance abuse. the psychiatry team ultimately recommended section 12, eventually removed, and that patient might benefit from an inpatient psychiatric admission once medically stable. the patient was amenable to the suggestion. she is being discharged to 4 at on her own . . # transaminitis: patient was noted to have lft abnormalities during admission. hepatitis b and c testing was ordered and should be followed up. possible component of alcoholic hepatitis. acetaminophen level was normal. . # tachycardia: patient initially presented with tachycardia, likely secondary to etoh withdrawl. the pt's vital signs stabilized with diazepam therapy. . inactive issues --------------- # chronic hepatitis c virus: uncertain of current severity of disease. does not have stigmata of cirrhosis. lfts elevated compared to baseline, though in setting of alcohol use. . transition of care ------------------ # follow-up: patient will be discharged to inpatient psychiatry voluntarily. she has pending hepatitis b and c testing at the time of discharge. she should be arranged for pcp at the time of discharge. . # code status: confirmed full code medications on admission: none discharge disposition: extended care discharge diagnosis: primary diagnosis: alcohol withdrawal scabies infection discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was a pleasure taking care of you at . you came for further evaluation of tremors. further testing showed that you were withdrawing from alcohol. you got better with treatment. you are now being sent for inpatient psychiatry treatment. it is important that you continue to take your medications. the following changes have been made to your medications: we added hydrocortisone cream for your itchiness. we added folate, thiamine and a multivitamin for nutrition. we added permetherin for one additional treatment on for your scabies infection. followup instructions: none scheduled md procedure: alcohol detoxification diagnoses: thrombocytopenia, unspecified unspecified essential hypertension chronic hepatitis c without mention of hepatic coma other convulsions anxiety state, unspecified altered mental status tachycardia, unspecified alcohol withdrawal acute alcoholic intoxication in alcoholism, continuous posttraumatic stress disorder 

Answer: The patient is high likely exposed to