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: penicillins attending: chief complaint: ams, tachycardia major surgical or invasive procedure: none history of present illness: 49 year old male with history of htn, hep c, alcohol abuse, epilepsy tbi after motorcycle accident presents with ams, tachycardia, and auditory and visual hallucinations. patient had gone to a cognitive neurology clinic visit today, was noted to be acting strange, complaining of progressive short term memory loss for the last 6-8 weeks. his case worker accompanied him, says that this is very different from his baseline mental status. he was sectioned at cognitive neuro and sent to the ed. patient reports having auditory and visual hallucinations for the last several months. visual hallucinations are of bugs flying around his head, also states that he has been hearing voices; a few nights ago, felt that someone was hiding behind his chair trying to hurt him. denies active si; when asked about hi states "i feel like throttling someone". endorses history of depression and anxiety, but denies previous psych hospitalizations or suicide attempts. does not take psych meds or follow with a therapist. baseline etoh abuse (several "gallons" per day, beer and vodka), but states last drink 3 days ago. . in the ed, his initial vitals were: 98.7, 134, 134/93, 20, 98% ra. he was triggered for mental status and tachycardia. he got 3l of iv fluids, including a banana bag. was treated with ativan 2mg iv x2, valium 10 mg po x1, and valium 5 mg iv x1. his heart rate persisted in the 130's despite fluids and benzos. his blood pressure and respiratory rate remained stable. ekg was notable for sinus tachycardia. his neuro exam in the ed was nonfocal. he was confused and appeared to be hallucinating. following the benzos, he was able to be aroused and have conversations, but was sleepy. labs notable for white count of 13 and creatinine of 2.5 (baseline 1.0). vitals prior to transfer were: 112/70, 130, 19, 99%. . in the micu, patient was sleepy and occasionally fell asleep during the interview but was easily arousable. he had somewhat slowed speech and flat affect but did not appear to be actively hallucinating. his mini mental status score was 20/30. pt fever, chills, nausea, vomiting, abd pain, headache, stiff neck, weight loss. did endorse intermittent racing heart. tachycardia improved from 130 to 100 without further intervention. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: 1. obstructive sleep apnea. 2. history of gastric ulcer. 3. status post appendectomy. 4. hypertension. 5. hepatitis c. 6. alcohol dependence since the age of 15 7. epilepsy tbi social history: lives alone in apartment, unemployed and on disability. h/o multiple arrests including a&b since adolescence and a charge of attempted murder (beating his stepfather) which was eventually dismissed. reports biological father raped him multiple times when patient was four years old to get back at patient's mother. lost custody of his children (multiple mothers) who are now in care. ivdu, cocaine, mj and crack; last drug use 3 months ago (cocaine). continues to drink heavily (as above). denies smoking. family history: one sister with brain tumor. substance abuse including alcohol in multiple family members including siblings and father. physical exam: vitals: bp: 124/83 p: 95 r: 18 o2: 99% ra general: alert, oriented x 2, drowsy but easily arousable, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: tachycardic, regular rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: obese, soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: strength 5/5, sensation intact, no dysmetria, no drift, cn 2-12 intact. pertinent results: admission labs: 05:30pm blood wbc-13.4*# rbc-5.38 hgb-15.8 hct-46.0 mcv-86 mch-29.3 mchc-34.2 rdw-15.6* plt ct-180 12:16am blood wbc-8.9 rbc-4.45* hgb-13.4* hct-38.0* mcv-85 mch-30.0 mchc-35.1* rdw-15.4 plt ct-123* 05:30pm blood pt-13.6* ptt-23.2 inr(pt)-1.2* 05:30pm blood glucose-76 urean-25* creat-2.5*# na-136 k-3.6 cl-92* hco3-26 angap-22* 12:16am blood glucose-107* urean-23* creat-1.6* na-136 k-3.2* cl-99 hco3-26 angap-14 05:30pm blood alt-44* ast-60* alkphos-64 totbili-1.9* 12:16am blood alt-35 ast-44* ld(ldh)-183 alkphos-50 totbili-1.2 05:30pm blood lipase-44 12:16am blood lipase-43 12:16am blood ctropnt-<0.01 05:30pm blood calcium-10.3 phos-5.7*# mg-2.0 03:40pm blood albumin-4.0 calcium-9.4 phos-2.9 mg-1.8 12:16am blood vitb12-401 folate-greater th 12:16am blood tsh-2.8 05:30pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg urine culture (final ): no growth. rapid plasma reagin test (final ): nonreactive. reference range: non-reactive. ekg : probable sinus tachycardia. diffuse st-t wave changes which are non-specific. compared to the previous tracing of profound sinus tachycardia is new. cxr: findings: the study is limited by body habitus and ap portable technique. please note the left lung base is difficult to assess. overall no focal consolidation is identified. however, lung volumes are markedly diminished with resultant bronchovascular crowding. no frank failure is identified. there is mild prominence of the central pulmonary vasculature again in part due to low lung volumes although mild element of vascular congestion cannot be excluded. the mediastinum is distorted due to low lung volumes. the cardiac silhouette size is exaggerated by the same. no definite effusion or pneumothorax is seen. impression: limited study due to factors above. no gross consolidation or failure noted. ct head: impression: 1. no acute intracranial process. 2. marked cerebral and cerebellar atrophy. 3. left anterior temporal encephalomalacia. discharge labs: 06:50am blood wbc-5.4 rbc-4.43* hgb-13.1* hct-38.5* mcv-87 mch-29.6 mchc-34.0 rdw-15.6* plt ct-124* 06:50am blood pt-12.1 inr(pt)-1.0 06:20am blood glucose-86 urean-15 creat-0.9 na-139 k-3.7 cl-101 hco3-30 angap-12 06:50am blood alt-27 ast-29 alkphos-45 06:50am blood calcium-9.1 phos-2.9 mg-1.8 brief hospital course: 49 year old male with history of alcohol withdrawal complicated by seizures presents with sinus tachycardia, altered mental status and auditory/visual hallucinations. . # alcoholic withdrawal - patient was monitored in icu overnight for withdrawal. did not require any valium once on the floor. no signs/symptoms of withdrawal. was continued on thiamine, folate, mvi. . # mental status change - unsure of the etiology. seems chronic in nature with several week history of auditory/visual hallucinations. psych and neurology saw patient and thought problems were secondary to either alcohol withdrawal, korsokoff's, or traumatic brain injury. ct head negative for acute intracranial pathology. patient discharged with instructions to follow up with cognitive neuro for testing. . # acute renal failure - pre-renal with creatinine of 2.5 on admission. improved to 1.0 with intravenous fluids. . # htn - patient was not controlled on home regimen. metoprolol and hydrochlorthiazide were uptitrated with better control. inactive issues - cognitive neurology testing - oral surgeon follow-up for right tongue lesion medications on admission: 1. multivitamin 1 tab daily 2. folic acid 1 mg daily 3. metoprolol succinate 25 mg daily 4. levetiracetam 1500 mg 5. hydrochlorothiazide 12.5 mg daily discharge medications: 1. multivitamin capsule sig: one (1) capsule po once a day. 2. folic acid 1 mg tablet sig: one (1) tablet po once a day. 3. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*0* 4. levetiracetam 500 mg tablet sig: three (3) tablet po twice a day. 5. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 6. vitamin b-12 250 mcg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 7. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: primary: altered mental status, hypertension discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you during your hospitalization. you were admitted because of altered mental status noted at your cognitive neurology appointment. this was thought to be secondary to withdrawal from alcohol as you had recently stopped drinking. you were monitored in the intensive care unit for any signs of withdrawal and then were transferred to the general medicine floor. you had no signs of withdrawal while on the general medicine floor. you were seen by our psychiatrists and neurologsits who thought that your memory problems were either due to something called korsakoff's syndrome, which can be caused from too much drinking, or from the trauma you suffered in your accident. you should not drink any more alcohol as this will lead to more problems with your thinking and memory. we noted your blood pressure to be elevated so we increased the dosage of your blood pressure medications. we made the following changes to your medications. increased metoprolol succinate to 50mg by mouth daily hydrochlorthiazide (hctz) to 25mg by mouth daily added vitamin b12 250 mcg by mouth daily thiamine 100mg by mouth daily please follow-up with dr. and your cognitive neurologist. followup instructions: please follow-up with dr. in the next 1-2 weeks for an appointment. his phone number is . you will also need to talk to him about seeing an oral surgeon to follow-up the swelling of your tongue. you need to reschedule your appointment with cognitive neurology to be reassessed. department: radiology when: wednesday at 9:30 am with: ultrasound building: cc clinical center campus: west best parking: . garage department: liver center when: wednesday at 10:40 am with: , md building: lm campus: west best parking: garage md procedure: alcohol detoxification diagnoses: obstructive sleep apnea (adult)(pediatric) chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified epilepsy, unspecified, without mention of intractable epilepsy altered mental status accidents occurring in unspecified place other and unspecified alcohol dependence, unspecified alcohol withdrawal late effects of motor vehicle accident alcohol-induced persisting amnestic disorder late effect of intracranial injury without mention of skull fracture amnestic disorder in conditions classified elsewhere 

Answer: The patient is high likely exposed to