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: hypothermia major surgical or invasive procedure: none history of present illness: mr. is a 70 year old male with a history of alcohol abuse who was found down by ems yesterday evening outside in the rain. he was visibly intoxicated with alcohol on his person. he does not remember the event but remembers buying alcohol yesterday. he thinks that his last drink was last night. he was not noted to have any signs of trauma when he was found. he was brought to the emergency room for further management. . in the emergency room his initial vitals were t: 83.4 degrees f (95 degrees rectal) bp: 125/75 hr: 72 rr: 16 o2: 99% on ra. he was treated with a warming blanket and his temperature improved to 36.6 but his blood pressures decreased to the 80s systolic despite 4 liters of normal saline. he received a bannana bag. because of his hypotension he was received vancomycin and ceftriaxone and was started on levophed. fast exam was negative. he had a central line placed. he was transferred to the for further management. . on review of systems he currently has no complaints. he denies lightheadedness, dizziness, cough, congestion, nausea, vomiting, abdominal pain, dysuria, hematuria, leg pain or swelling. all other review of systems negative in detail. past medical history: alcohol abuse - last drink yesterday evening, no history of withdrawal seizures, no history of dts hypertension social history: drinks brandy (pint a day). no history of withdrawal. no smoking or illicit drug use. lives in senior housing. family history: mother died at age 70 of unknown causes. father died at age 80 of unknown causes. sister died recently of cervical cancer. brother died at age 55 of a sudden mi. physical exam: general: alert, oriented, slightly slurred speech but appropriate, no acute distress heent: no signs of trauma, sclera anicteric, mm dry, oropharynx clear neck: jvp not elevated cardiac: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi gi: soft, non-tender, non-distended, +bs, no organomegaly appreciated gu: foley draining clear yellow urine ext: wwp, 2+ pulses, no clubbing, cyanosis or edema neurologic: faint tremor bilaterally rectal: guaiac negative in er pertinent results: ========== radiology ========== cxr - 1. no radiographic evidence of pneumonia. 2. increased density in the right lung apex behind the right sternoclavicular joint in which underlying mass lesion cannot be excluded. recommend repeat pa and lateral radiographs including lordodic views. alternatively cross sectional imaging may be used. ========== labs ========== blood culture x 2 - ngtd . 02:05am blood wbc-13.7* rbc-3.39* hgb-11.7*# hct-32.1* mcv-95 mch-34.6* mchc-36.5* rdw-13.5 plt ct-286 11:50pm blood wbc-17.6* rbc-4.30* hgb-14.9 hct-41.1 mcv-96 mch-34.7* mchc-36.3* rdw-13.0 plt ct-372 01:05am blood pt-15.0* ptt-26.9 inr(pt)-1.3* 10:14am blood glucose-82 urean-14 creat-0.7 na-142 k-3.6 cl-111* hco3-15* angap-20 11:50pm blood alt-38 ast-46* ld(ldh)-266* ck(cpk)-396* alkphos-74 totbili-0.4 10:14am blood calcium-7.3* phos-3.5 mg-1.4* iron-pnd 11:50pm blood tsh-4.5* 11:50pm blood asa-neg ethanol-346* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 04:46am blood lactate-2.5* 02:12am blood lactate-3.2* 11:56pm blood glucose-73 lactate-2.9* na-149* k-4.0 cl-106 calhco3-22 brief hospital course: impression: mr. is a 70 year old male with a history of alcohol abuse who presents after being found down outside. . hypothermia/exposure: resolved with warming. no ekg abnormalities. likely secondary to exposure outside in the setting of known alcohol abuse. no signs of trauma. appeared well on transfer from icu. . hypotension: transiently required pressors in the emergency room. now off pressors and well appearing. low suspicion that this represents septic physiology but more likely vasodilation in the setting of rewarming. he did have evidence of lactic acidosis on presentation but this also could be secondary to trauma from exposure. no evidence of active bleeding given negative stool guaiac and negative fast exam. antibiotics were intially started and then d/cd on hd#1. lactate and wbc trended down. . anemia: patient's hematocrit is now 32.1 from 41.1 on admission after receiving 4 l iv fluids. likely patient was hemoconcentrated on admission and this represents dilutional effect. guaiac negative, negative fast exam. blood pressures now improved. b12 and folate normal. iron studies consistent with aocd. h/h stabilized w/o signs of bleeding. pt informed to fu w pcp at discharge . alcohol abuse: patient drinks a pint of brandy per day but reports no severe episodes of withdrawal. was placed on valium ciwa scale in the icu, and thamine/folate/mvi were repleted. on floor, pt showed no signs of withdrawal and was 0 on ciwa scale >12 hrs w/o needing valium. appreciate sw help, was able to get pt into an rehab program . hypothyroidism: in the acute setting, tsh was checked and slightly elevated. t4 was slightly low. pcp can recheck as outpt. . medications on admission: none discharge medications: 1. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. tylenol 325 mg tablet sig: one (1) tablet po every 6-8 hours as needed for fever or pain. discharge disposition: extended care facility: hospital discharge diagnosis: hypothermia etoh abuse discharge condition: good discharge instructions: to hospital you were admitted to the hospital with low temperature after being found down by police unresponsiveness because of alcohol intake. you recovered with warming blankets and fluids. we strongly encourage you to stop drinking. your are being transferred to an inpatient alcohol recovery program. you have mild anemia, please make sure a doctor follows up on it followup instructions: 1. dr. , address: 415 rddorchester, ph: (. pls make follow up appt in weeks after discharge from rehab procedure: venous catheterization, not elsewhere classified diagnoses: anemia, unspecified unspecified essential hypertension other and unspecified hyperlipidemia hypotension, unspecified hypothermia acute alcoholic intoxication in alcoholism, continuous accident due to excessive cold due to weather conditions 

Answer: The patient is high likely exposed to