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: strawberry attending: chief complaint: epigastric pain major surgical or invasive procedure: upper endoscopy history of present illness: mr. is a 43yo man w/ etoh abuse, htn, remote ivdu, depression, anxiety, and chronic lbp who reportedly drank 1 bottle per day of for 4 days prior to presentation to self-treat profound anxiety after he ran out of his narcotics. on the morning of presentation, he began having severe epigastric pain with nausea but no vomiting or other gi sx. denies melena or hematochezia. this reminded him of prior episodes of pancreatitis, so he presented to the ed. he was found to have lactate 6.3, wbc 12.7, and ag 29 and therefore admitted to the micu. he was otherwise hemodynamically stable in the ed. past medical history: htn fatty liver anxiety/depression chronic back pain djd social history: drinks 1 bottle of daily. has periods of sobriety without withdrawal. last drink was 6pm day prior to admission. smokes 1ppd x >20 yrs. tried heroin in past but no use in years, no cocaine or other drug use. family history: father cad/cabg at age 50. mother with brain tumor/seizures. both parents etoh abuse physical exam: exam on transfer to floor vitals: 98.9 78 156/99 11 96% ra gen: a&ox3, nad, comfortable, cooperative heent: sclera anicteric, mmm, op clear neck: supple, no lad cv: rrr, s1/s2 nl, no mrg lungs: ctab abd: soft, epigastric tenderness to deep palpation, nd, hypoactive bs, no rebound tenderness or guarding, able to sit up in bed on his own for lung exam ext: no c/c/e, wwp, good pulses skin: multiple tattoos, dry, intact . discharge exam: avss cv: rrr, s1/s2 nl, no mrg lungs: ctab abdomen mildly tender without rebound or guarding. no edema pertinent results: 05:30pm pt-12.0 ptt-24.3 inr(pt)-1.0 05:30pm plt count-325# 05:30pm neuts-72.2* lymphs-22.5 monos-5.1 eos-0.1 basos-0.1 05:30pm wbc-12.7*# rbc-5.43 hgb-17.5 hct-46.8 mcv-86 mch-32.1* mchc-37.3* rdw-14.5 05:30pm asa-neg acetmnphn-neg bnzodzpn-pos barbitrt-neg tricyclic-neg 05:30pm calcium-9.3 phosphate-3.2 magnesium-2.1 05:30pm lipase-16 05:30pm alt(sgpt)-117* ast(sgot)-53* alk phos-91 tot bili-0.4 05:30pm glucose-163* urea n-8 creat-0.7 sodium-141 potassium-3.3 chloride-96 total co2-19* anion gap-29* 06:41pm lactate-6.3* 10:15pm urine rbc-1 wbc-1 bacteria-none yeast-none epi-0 10:15pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 10:15pm urine color-yellow appear-clear sp -1.039* cxr (): "no acute cardiopulmonary abnormality, including no pleural effusions." ct abd/pelvis (): circumferential mural edema in the distal esophagus suggesting esophagitis, and further evaluation is recommended with endoscopy. no evidence of pancreatitis. hepatic steatosis. small bilateral pleural effusions. . egd : cold forceps biopsies were performed for histology at the duodenal bulb, stomach antrum and lower third of the esophagus. samples were obtained for microbiology using a brush in the middle third of the esophagus. impression: severe esophagitis, moderate gastritis, mild duodenitis. . h pylori: negative brief hospital course: 43m w/ etoh abuse, htn, remote ivdu, depression, anxiety, and chronic lbp who p/w severe epigastric pain and ag metabolic acidosis found to have etoh induced esphopagitis/gastritis. . ## etoh induced esphopagitis/gastritis: he was initially suspected of having pancreatitis given the location of his pain and his history of recent binge drinking, but lipase was 16 and there was no radiographic evidence of pancreatitis on his admission ct abdomen. thus, he was thought to perhaps have a functional pancreatitis. there were no signs of colitis or bowel ischemia on ct. however, he was noted to have esophageal wall thickening, that refleceted active esophagitis. gi was consulted to evaluate this, and egd is planned for , which confirmed severe gastritis, esophagitis and mild duodenitis. pt was treated with iv dilaudid with good effect and started on ppi. he was discharged with his pain controlled on his home regimen and on ppi and qid sucratafate. - gastrin level pending at time of discharge - egd biopsies pending at time of discharge ## ag acidosis: the acidosis rapidly improved with iv fluids, although the underlying etiology of hypoperfusion is unclear given that there was no sign of colitis, kidney injury, sepsis, or pulmonary embolism. the transaminitis suggests liver injury. pt was potentially type b lactic acidosis. serum tox was negative. lytes were normal on discharge. ## alcohol withdrawal: given his binge drinking, he was thought to be at high risk of etoh withdrawal and was started on a ciwa protocol upon admission to the micu. he triggered 5 times within the first 24 hours and was given a total of 50mg iv valium. upon transfer to the floor, he appeared comfortable, and his tachycardia had resolved. he was started on thiamine, folate, and mvi. . ## transaminitis: likely etoh hepatitis. hcv ab was positive. . ## htn: continued on metoprolol . ## code status: full. medications on admission: 1. nicotine 21 mg/24 hr patch 2. thiamine hcl 100 mg daily 3. folic acid 1 mg daily 4. multivitamin po daily 7. metoprolol tartrate 150 mg po bid 8. diazepam 10 mg po q8h 9. zocor 20 mg po at bedtime. 10. ranitidine hcl 150 mg po bid 11. ms contin 120mg tid discharge medications: 1. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). 4. metoprolol tartrate 100 mg tablet sig: 0.5 tablet po twice a day. 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. simvastatin 40 mg tablet sig: 0.5 tablet po hs (at bedtime). 7. ms contin 60 mg tablet extended release sig: one (1) tablet extended release po three times a day for 6 doses. disp:*6 tablet extended release(s)* refills:*0* 8. percocet 5-325 mg tablet sig: one (1) tablet po four times a day for 8 doses. disp:*8 tablet(s)* refills:*0* 9. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. discharge disposition: home discharge diagnosis: primary diagnosis - etoh induced esophagitis - alcohol withdrawl discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with abdominal pain after drinking significant ammounts of alcohol. you were found to have severe inflammation in your stomach and esophagus. please stop drinking alcohol. . you will be seeing your primary care doctor tomorrow and we have provided you one days worth of narcotics until your next visit. . we also recommend you take omperazole 40mg twice daily & carafate four times daily and schedule follow-up with a gastroenterologist in one months time. followup instructions: please follow-up with your pcp, . tomorrow. procedure: esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: acidosis other chronic pain tobacco use disorder unspecified essential hypertension hypopotassemia dysthymic disorder other and unspecified alcohol dependence, continuous acute alcoholic hepatitis alcohol withdrawal other esophagitis alcoholic gastritis, without mention of hemorrhage 

Answer: The patient is high likely exposed to