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: sulfa (sulfonamides) attending: chief complaint: hypovolemic hypotension major surgical or invasive procedure: none history of present illness: 49 yo m w/ hx of etoh abuse, who was found down by ems and brought to the ed about 15:30, initially in yellow zone then noted to be hypotensive. received 4l ns, and a banana bag through a femoral line and was briefly on levophed for sbps 70s. in the ed he was afebrile, an ekg was checked and revealed a paced rhythym. ce's were trended and were negative. he says that he had been sober for several months up until the afternoon pta when he fell off the wagon. he states that he drank just over a pint of vodka "in one shot" and that this was his first drink since . he says that he was in his usual state of health and did not have any f/c/ns, chest pain or bleeding. he does not elaborate on why he went back to drinking. past medical history: # htn # hypercholesterolemia # v-pacer for bradycardia (?sick sinus), aicd for hf # cad s/p mi "100% occlusion, no stents, ?appropriate for cabg # chf with ef 15-20% # dm2 # bph # depression # alcohol abuse social history: # personal: homeless, living in a veterans' shelter. # alcohol: denies abuse. unable to quantify the amount he drinks. had been sober for several months until he drank a pint of vodka today. # recreational drugs: denies # tobacco: ~1 ppd for unknown number of years. family history: # father: unknown # mother: cancer physical exam: vitals: t:98.6 bp:132/90 p:108 r: sao2:93 on 2l general: remorsefuls, awake, alert, nad, thouth diaphoretic heent: ncat, perrl, eomi, no scleral icterus, mmm, no lesions noted in op neck: supple, no significant jvd or carotid bruits appreciated pulmonary: lungs cta bilaterally, no wheezes, ronchi or rales cardiac: tachycardic, quiet nl s1 s2, no murmurs, rubs or gallops abdomen: obese soft, ntnd, normoactive bowel sounds, no masses or organomegaly noted extremities: cool, no edema, 2+ radial, dp pulses b/l lymphatics: no cervical, supraclavicular, axillary or inguinal lymphadenopathy noted skin: no rashes or lesions noted. neurologic: alert, oriented x 3. able to relate history without difficulty. cranial nerves grossly intact pertinent results: 03:35pm plt count-222 03:35pm neuts-62.3 lymphs-30.8 monos-3.6 eos-2.4 basos-1.0 03:35pm wbc-5.8 rbc-4.33* hgb-13.1* hct-37.8* mcv-87# mch-30.2 mchc-34.5 rdw-15.1 03:35pm asa-neg ethanol-293* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:35pm ck-mb-notdone ctropnt-<0.01 03:35pm alt(sgpt)-31 ast(sgot)-29 ld(ldh)-183 ck(cpk)-82 alk phos-68 tot bili-0.3 03:35pm estgfr-using this 03:35pm glucose-223* urea n-14 creat-1.0 sodium-140 potassium-4.2 chloride-99 total co2-27 anion gap-18 06:54pm lactate-3.6* 07:10pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 07:10pm urine color-straw appear-clear sp -1.006 07:10pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 07:10pm urine gr hold-hold 07:10pm urine hours-random 07:10pm urine hours-random 07:28pm pt-19.1* ptt-33.1 inr(pt)-1.7* 10:47pm o2 sat-92 10:47pm lactate-2.5* 10:47pm type-mix ph-7.33* comments-green top 03:35pm blood alt-31 ast-29 ld(ldh)-183 ck(cpk)-82 alkphos-68 totbili-0.3 01:46am blood ck(cpk)-79 06:20am blood ck(cpk)-69 06:20am blood ck-mb-notdone ctropnt-<0.01 01:46am blood ck-mb-notdone ctropnt-0.02* 03:35pm blood ck-mb-notdone ctropnt-<0.01 06:20am blood d-dimer-<150 06:20am blood caltibc-308 vitb12-833 folate-18.6 ferritn-51 trf-237 03:35pm blood asa-neg ethanol-293* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg brief hospital course: hypotension: this was most likely extreme hypovolemia in the setting of an alcohol binge cominbed with taking his home bp meds. he improved after 8 liters of ivf and an overnight stay in the micu. there was concern for underlying infection in the micu given that his lactate was initially elevated however it trended down and he never manifested infection. given his history of mi cardiac etiology was ruled out by his fluid responsiveness, ekg without ischemic changes, and negative ces. his tachycardia abruptly improved on and his pressures stabilized in the low 110's. he eventually tolerated the readition of his home carvedilol. the rest of his home bp meds were held pending follow-up with dr. . we would recomend maximizing his beta-blocker and ace inhibitor over smaller doses of ace, beta and spi, but we leave this up to dr. . ?increased work of breathing - on mr complained of increased work of breathing and was noted to be diaphoretic. pe was ruled out given his low-probability (inr 1.8 and receiving sq heparin.), and his d-dimer returned at <150. pna was another concern though his very thorough pa/lateral shows no signs of pna. flash pulmonary edema was also of concern though his exam and cxr were not concerning for this. his original mi presented partly as sob however his cardiac enzymes remain flat and his ekg is unchanged. at this point anxiety was the most likely source for his symptomology and it had resolved by . etoh: he received a banana bag in the ed and apparently cleared mentally while there. he never required a single dose of ativan on his ciwa. he was initially resistant to seeing a social worker though did agree and is currently very motivated to stop drinking. . hct drop: a 6 point hct drop was noted from admission and remained stable throughout the stay. this was likely dilutional given large volume fluid repletion. we also assessed his folate, b12, iron and retics to expedite his outpatient work-up . cad/chf: he has had an mi diagnosed at with reduced ef, and without revascularization. acei and spironolactone were held for hypotension. we did reintroduce his carvedilol and continued his home simvastatin 40 and asa. we continued his home warfarin for his history of ?lv thrombus. he will follow-up with dr. shortly to restart these meds. . 6. dmii: finger sticks were in the 200s here. we kept him on insulin sliding scale in house, and eventually restarted his glyburide. he can restart his metformin at home. medications on admission: simvastatin 40mg daily glyburide 5mg paroxetine 60mg daily warfarin 10mg daily metformin 1g furosemide 20mg daily spironolactone 12.5mg daily carvedilol 3.125mg lisinopril 2.5mg daily mg oxide 420mg tid mvi daily asa 325mg daily terazosin ? dose discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. paroxetine hcl 20 mg tablet sig: three (3) tablet po daily (daily). 7. warfarin 5 mg tablet sig: two (2) tablet po once daily at 4 pm. 8. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). 9. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 10. magnesium oxide 420 mg tablet sig: one (1) tablet po tid (3 times a day). 11. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. discharge disposition: home discharge diagnosis: hypovolemic hypotension discharge condition: stable discharge instructions: you were admitted to the hospital for low blood pressure. this is because you drank alcohol, became dehydrated, and took your blood pressure meds. with holding of your meds and several liters of iv fluids your blood pressure returned to acceptable levels. we successfully restarted your home carvedilol. the following changes were made to your home medications: you should not take your: furosemide spironolactone lisinopril terazosin until you discuss with dr. at the causeway va please return to your local ed if you have fever greater 101, chest pain, sob, doe, or worsening of baseline dizziness with walking. followup instructions: appointment #1 md: pharmacist specialty: pharmacy date/ time: 11:30am location: 251 causeway, phone number: 1- special instructions for patient: the office will be contacting you with an appointment with dr. . in the mean time they booked an appointment with a pharmacist to review your medications. procedure: venous catheterization, not elsewhere classified diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation depressive disorder, not elsewhere classified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) anxiety state, unspecified other specified cardiac dysrhythmias hypotension, unspecified old myocardial infarction chronic systolic heart failure automatic implantable cardiac defibrillator in situ hypovolemia lack of housing chronic total occlusion of coronary artery alcohol abuse, episodic 

Answer: The patient is high likely exposed to