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: resp distress, altered mental status major surgical or invasive procedure: intubation paracentesis thoracentesis central line history of present illness: 49m w/ hcv cirrhosis c/b refractory ascites, presumed hydrothorax and hepato-renal syndrome, recently left ama after evaluation for above issues, now being admitted to for resp distress, hyperkalemia, and worsening renal dysfunction. review of indicates that pt hospitalized in with new onset ascites and presumed to have hcv cirrhosis (based on immunology/imaging). initiated on diuretic therapy with aldactone and lasix. readmitted in early with recurrent ascites and also increased shortness of breath. hospital course notable for challenging interactions between patient and healthcare providers. during course, ultimately did undergo 2 large volume paracentesis reported to be consistent with chylous ascites. peritoneal cultures were negative. also found w/ large right sided pleural effusion for which underwent thoracentesis on - analysis suggested transudative process and post-procedure, pt transferred to micu for hypoxia, sedation thought to be med related. during the later portion of course, noted to have rapidly progressive deterioration in renal dysfunction with creatinine peaking at 5.6 on . treated with octreotide and midodrine for presumed hepato-renal syndrome. also noted to have increased hyponatremia to 119 from admission value of 132. apparently, there had been discussions about consideration of tips but pt had refused and ultimately left ama on . per , pt had been seen in clinic on with requests for methodone refills but had declined to return to ed as advised. continued to take 40 mg qd methadone from personal stock. over the last several days, noted to have increased confusion and lethargy per brother at home. as per report, pt. lay on couch most of the day, barely eating, minimally communicative, growing more disoriented. on day of admission, pt. had not had a bm in > 24 hours and was disoriented to time. did not recognize surroundings. noted to have some respiratory distress and ems called. in , pt. c vitals: 100/70, 60, 94.6, 33. received naloxone with some response. intubated for airway protection. noted to have k of 7.2, cr 6.9; treated emergently with calcium, insulin, bicarb, dextrose, kayexelate. renal consulted; thought given to hepatorenal vs. prerenal intravascular volume depletion; received ivf (4l ns). repeat k 6.3 and decision made to defer hd. received levofloxacin/metronidazole for possible sbp and ? asp. pna on cxr. also noted to have complete white out of r lung on cxr. admitted to intubated on propofol. had hypotension on higher doses of propofol in ed/transport and started on levophed. past medical history: 1. presumed hcv cirrhosis c/b massive ascites (vl 155k ) 2. known grade 1 varicies on egd 3. presumed hepatorenal syndrome 4. thrombocytopenia (low 100's) 5. ivda (heroin) 6. transudative right pleural effusion 7. cholithiasis on abd ct 8. hiatal hernia 9. panic attacks 10. hyponatremia social history: lives w/ mother in , remote heavy etoh, quit 10 y/a, recent iv heroin (?date) family history: mother is living, 86 years old, with hypertension. he has a sister and brother in good health. physical exam: vs - in icu: 97.6, 98/60, 86, 15, 100% on a/c - 500*12, 0.8*5 heent - sclerae muddy, ett in place. scleral injection. lungs - r c decreased bs and dullness to percussion. l clear chest - +gynecomastia, rrr, s1, s2, no rmg abd - distended, + fluid wave, nt, bs+ ext - denuded of hair distally. no edema. wwp neuro - no clonus. difficult to assess for asterixis. pertinent results: 01:25pm wbc-7.6 rbc-4.53* hgb-15.2 hct-42.5 mcv-94 mch-33.5* mchc-35.6* rdw-17.2* 01:25pm neuts-78.9* lymphs-11.7* monos-8.3 eos-0.2 basos-0.9 01:25pm plt count-159 01:25pm ammonia-84* 01:25pm albumin-2.7* 01:25pm lipase-517* 01:25pm alt(sgpt)-49* ast(sgot)-67* alk phos-129* amylase-509* tot bili-2.4* 01:25pm glucose-58* urea n-112* creat-6.9*# sodium-119* potassium-7.3* chloride-84* total co2-19* anion gap-23* 01:34pm lactate-4.7* k+-7.2* 03:09pm pt-16.6* ptt-34.7 inr(pt)-1.5* 03:19pm glucose-63* lactate-5.7* k+-6.3* 04:30pm lactate-6.1* k+-5.9* 07:17pm urine rbc-23* wbc-0 bacteria-none yeast-none epi-<1 07:17pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:17pm pt-16.9* ptt-36.1* inr(pt)-1.6* 07:17pm plt count-213 07:17pm wbc-13.9*# rbc-4.44* hgb-14.7 hct-41.9 mcv-94 mch-33.1* mchc-35.1* rdw-17.2* 07:17pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 07:17pm osmolal-305 10:35pm lactate-3.4* na+-127* k+-5.2 11:00pm cortisol-11.7 brief hospital course: 49 yo m c hx hepatits c cirrhosis admitted with worsening renal failure, hyperkalemia, ascites, hypotension, altered mental status. pt was managed aggressively in icu upon admission but his clinical status continued to deteriorate, most noteably acute renal failure from hepatorenal syndrome despite attempts to correct this. given overall grave prognosis, after a long discussion between the icu team and the patient's family (brother was health care proxy), patient was made 'comfort measures only' and transferred to a private the medicine floor. patient was made comfortable with medications and passed away on with his brother at the bedside. . 1. acute renal failure - secondary to worsening hepatorenal syndrome and pre-renal azotemia. pt was hydrated for cvp greater than 12 without improvement in cr. renal service consulted with whom discussions of dialysis were approached. pt's end stage liver disease and poor prognosis, hemodialysis not ideal. after discussion with family and involved team members; decision was made not to proceed with dialysis. cr remained stable around 6 without concominant electrolyte abnl. given grave overall prognosis, patient was made 'comfort measures only' and no further electrolytes were checked. . 2. hyperkalemia - secondary to worsening renal failure. improved with kayexelate/d50/insulin and cell mb stabilized with ca++. given grave overall prognosis, patient was made 'comfort measures only' and no further electrolytes were checked. . 3. hypotension - multifactoprial including decreased intravascualar volume and sedation. started on levophed/vasopressin which was titrated off over several days. afterwards remained hemodynamically stable. given grave overall prognosis, patient was made 'comfort measures only.' . 4. liver failure/ascites - likely had worsening of primary liver disease. child class c, meld 28. pt was started on lactulose for he. liver team followed him closely. pt was not a tips candidate and has refused this in the past. also not a candidate for liver transplant. complicated by ascites and associated pleural effusion. s/p large volume thoracentesis with subsequent reacummulation. . 5. hyponatremia - likely hypervolemic hyponatremia from liver disease. . 6. code: pt dnr/dni. after long discussion with family, pcp, work and consultants decision made to concentrate on comfort. patient passed away on . medications on admission: lorazepam 1-2 mg iv q4h:prn agitation midazolam hcl 2-4 mg/hr iv drip titrate to comfort fentanyl patch 50 mcg/hr tp q72h discharge medications: none; expired discharge disposition: expired discharge diagnosis: acute renal failure liver failure / cirrhosis hepatic encephalopathy respiratory failure requiring intubation hyperkalemia hyponatremia discharge condition: not applicable. patient expired. discharge instructions: none, expired followup instructions: not applicable. patient expired. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube thoracentesis percutaneous abdominal drainage arterial catheterization diagnoses: acidosis hyperpotassemia thrombocytopenia, unspecified unspecified pleural effusion cirrhosis of liver without mention of alcohol acute kidney failure, unspecified hyposmolality and/or hyponatremia opioid type dependence, continuous acute respiratory failure hypotension, unspecified encounter for palliative care hepatic encephalopathy viral hepatitis b with hepatic coma, acute or unspecified, without mention of hepatitis delta alcohol abuse, in remission unspecified viral hepatitis c with hepatic coma 

Answer: The patient is high likely exposed to