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: history of present illness: the patient is a 62 year old woman with a history of hepatic encephalopathy secondary to alcoholic cirrhosis who was found unresponsive at her nursing home. the patient was tachypneic with occasional cough, saturating in the mid 80s in room air. ems was called and brought the patient to the , noted that the patient had vomited once in the ambulance. on arrival, she had a respiratory rate of 18, oxygen saturation 87% in room air. she was intubated for airway protection secondary to question of emesis in route to the hospital and altered mental status on arrival. past medical history: 1. alcoholic cirrhosis. 2. chronic obstructive pulmonary disease. 3. urinary tract infection. 4. vre and methicillin resistant staphylococcus aureus; although the methicillin resistant staphylococcus aureus history is questionable, there is a definitive known vre urinary tract infection. 5. peptic ulcer disease with upper gastrointestinal bleed. 6. anemia, thrombocytopenia. 7. hypertension. 8. cerebrovascular accident. 9. seizure disorder. 10. dementia. 11. diabetes mellitus. 12. schizophrenia. 13. depression. 14. aspiration pneumonia. 15. multifocal parenchymal hemorrhages. allergies: sulfa and dilantin. medications on admission: 1. thiamine. 2. carbamazepine. 3. keppra. 4. lactulose. 5. perphenazine. 6. reglan. 7. folic acid. 8. gabapentin. 9. ativan. social history: she lives at the and has a history of chronic alcohol use. physical examination: vital signs on admission revealed a temperature of 98.6, blood pressure 138/80, pulse 77, respiratory rate 18, was on ventilator ac at 12 by 600 with a fio2 of 1.0 initially. on physical examination, the patient was intubated and sedated. on head, eyes, ears, nose and throat examination, her sclera were anicteric. the pupils are equal, round, and reactive to light and accommodation. her neck was supple. there was marked increased tone in all extremities. cardiovascular was regular rate and rhythm, normal s1 and s2, no murmurs, rubs or gallops. chest was clear to auscultation bilaterally although coarse. the abdomen was soft, nontender, no hepatosplenomegaly. she was guaiac positive per the emergency department. extremities - she showed no edema. neurologically, she was sedated, showed extensor posturing in her upper and lower extremities and her toes were upgoing. no further neurologic examination was possible at the time. laboratory data: white blood cell count was 7.0, hematocrit 38.7, platelet count 142,000, neutrophils 78%, lymphocytes 14%, monocytes 3%. her chem7 showed a sodium of 143, potassium 3.9, chloride 114, bicarbonate 21, blood urea nitrogen 14, creatinine 0.7. partial thromboplastin time 28.3, prothrombin time 14.0, inr 1.4. ammonia was 215 and lactate was 1.9. on chest x-ray, there was only mild perihilar haziness. ct of the head showed a new left frontal infarct approximately one centimeter as well as a number of old parenchymal infarcts. hospital course: 1. acute mental status changes - although the ct of the head demonstrated small parenchymal hemorrhage for which neurosurgery and neurology were consulted, a repeat head ct was felt to be a nonacute infarct and unlikely to be contributing to the acute mental status changes. it is unclear per the neurology consult whether this is due to transient changes in coagulopathy or questionable amyloid angiopathy. no interventions were taken for this parenchymal hemorrhage other than keeping the inr less than 1.5 and the platelet count above 100. also on the acute mental status changes, the patient's had an electroencephalogram which was negative for seizures. she also had a lumbar puncture which was negative for cerebrospinal fluid pathology. therefore, it was felt that the acute mental status changes were secondary to hepatic encephalopathy given the elevated ammonia, the triggering factor which was thought to be urinary tract infection as the urine grew out vancomycin resistant enterococcus. for this urinary tract infection, the patient was initially treated with levaquin and flagyl. once the enterococcus was isolated, she was changed to linezolid first intravenously and now continued p.o. for outpatient. the encephalopathy was treated with lactulose. 2. alcohol cirrhosis - the patient's encephalopathy was treated as above. she had an ultrasound which was negative for ascites and demonstrated normal portal hepatic blood flow, no evidence of hepatic or portal venous thrombosis. the patient's ammonia level improved as did her mental status throughout her hospital course. 3. respiratory failure - the patient was intubated for airway protection. her mental status improved over the hospital course and she was eventually extubated and did well from her pulmonary status. her persistent wheezing is likely secondary to chronic obstructive pulmonary disease and we are suggesting continuing the albuterol mdi. 4. urinary tract infection - as noted above treated with linezolid for vre. she will complete a fourteen day course for a complicated urinary tract infection. 5. she had an episode of hypernatremia which resolved when her free water deficit was replaced. 6. seizure disorder - the patient was maintained on anticonvulsant. an electroencephalogram was negative for seizure activity. 7. anemia - potentially due to slow gastrointestinal bleed as the patient has had guaiac positive stool although no gross blood, hematemesis or hematochezia. it is recommended that the patient follow-up with her primary care physician for potential colonoscopy. condition on discharge: good. discharge status: to . medications on discharge: 1. gabapentin 100 mg p.o. twice a day. 2. levetiracetam 500 mg p.o. twice a day. 3. carbamazepine 200 mg p.o. three times a day. 4. reglan 10 mg p.o. three times a day. 5. perphenazine p.o. three times a day. 6. thiamine 100 mg p.o. once daily. 7. folic acid 1 mg p.o. once daily. 8. albuterol ipratropium mdi one to two puffs inhalation q4hours as needed. 9. lactulose 10 grams per 15ml syrup or 30ml p.o. three times a day. 10. lansoprazole 30 mg p.o. once daily. 11. linezolid 600 mg p.o. q12hours for eleven days. 12. vitamin b12 100 mcg tablet p.o. once daily. 13. multivitamin tablet p.o. once daily. follow-up plans: the patient will be discharged to star of and will be followed up by her primary care physician, . in two to three days. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung insertion of endotracheal tube injection or infusion of oxazolidinone class of antibiotics diagnoses: urinary tract infection, site not specified alcoholic cirrhosis of liver iron deficiency anemia secondary to blood loss (chronic) chronic airway obstruction, not elsewhere classified other convulsions unspecified schizophrenia, unspecified hepatic encephalopathy hemorrhage of gastrointestinal tract, unspecified hyperosmolality and/or hypernatremia 

Answer: The patient is high likely exposed to