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: motrin attending: chief complaint: etoh intoxication major surgical or invasive procedure: intubation history of present illness: the patient is a 61 y/o m with pmhx of polysubstance abuse, who is quite well known to the emergency department, who presented to the ed in the setting of alcohol intoxication. per report, the patient was most recently in the emergency department this morning with alcohol intoxication. he represented to the emergency department this evening in a similar fashion. in the ed, he was noted to have vomit in his airway. he was intubated for airway protection with no complications. in the ed, labs were significant for etoh level of 494. chem 7 did reveal an ag. he was given clindamycin out of concern for potential aspiration. cxr was unremarkable. head ct was remarkable for minimally displaced comminuted fractures of the right maxillary sinus involving the anterior wall and right inferior orbital floor as well as the posterior and medial walls; also bilateral anterior nasal bone fractures. plastic surgery was consulted who recommended sinus precautions as well as augmentin. of note, in the ed, he also underwent wood's lamp exam given eye erythema, which was negative. unable to obtain ros on arrival to the ed as pt is intubated and sedated. past medical history: etoh abuse w/ reported history of seizures and dts polysubstance abuse (heroin remotely, and cocaine more recently) chronic hcv infection remote history of vertebral osteomyelitis low back paim / degenerative disease / vertebral compression fractures pseudo-seizures hypertension depression left parietal bone lesion nos - ?atypical hemangioma calf injury with left gluteal transplant to left calf social history: the patient is homeless, and drink half pint vodka daily. he reports smoking cigarettes daily for many years, could not quantify. denies any drug use. family history: reports family history of diabetes physical exam: physical exam: vitals: : 98.8 bp: 124/89 p: 94 r: 14 o2: 96% on cmv 500x16, fio2 50%, peep 5 general: intubated, sedated heent: perrl, c-collar in place, evidence of facial trauma neck: cervical collar in place cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly ext: warm, well perfused, 2+ pulses neuro: sedated, not responding to verbal or painful stimuli on my exam pertinent results: 02:45pm blood wbc-9.2 rbc-4.81 hgb-13.5* hct-41.2 mcv-86 mch-28.2 mchc-32.8 rdw-17.0* plt ct-384 03:01am blood wbc-6.8 rbc-4.18* hgb-11.6* hct-35.2* mcv-84 mch-27.8 mchc-33.0 rdw-17.0* plt ct-244 03:01am blood neuts-59.9 lymphs-30.9 monos-4.1 eos-4.6* baso-0.5 02:45pm blood pt-11.1 ptt-30.9 inr(pt)-1.0 02:45pm blood glucose-107* urean-9 creat-0.9 na-140 k-4.0 cl-99 hco3-24 angap-21* 03:01am blood glucose-103* urean-5* creat-0.7 na-138 k-3.2* cl-98 hco3-28 angap-15 03:26am blood calcium-7.6* phos-3.8 mg-1.6 03:01am blood calcium-8.1* phos-3.5 mg-1.4* 02:45pm blood asa-neg ethanol-494* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 03:02pm blood type- temp-37.1 po2-82* pco2-52* ph-7.34* caltco2-29 base xs-0 comment-green top 03:02pm blood lactate-3.3* 03:14pm blood o2 sat-97 brief hospital course: hospital course: this is a 61 year old gentleman with pmhx of polysubstance abuse, who is quite well known to the emergency department, who presented to the ed in the setting of alcohol intoxication, status post intubation for airway protection. he was admitted to the medical intensive care unit for management of his airway. he was extubated within 24 hours. due to his frequent admissions for alcohol detoxication and significant risk of death associated with his frank inability to care for himself secondary to severe alcohol dependance, a section 35 was obtained to evaluate for mandated medical detox and substance abuse rehabilitation. . alcohol intoxication: the patient was intubated in the field for alcohol detoxication. he was extubated withing 24 hours. a psychiatric evaluation was performed, there was no evidence of mental illness other than severe alcohol dependance. the patient was treated with valium for management of alcohol withdrawal symptoms and was medically stable at the time of discharge. he was given a multivitamin, folic acid and thiamine prior to discharge. . disposition: since , the patient was seen in the emergency department 33 times for alcohol related visits with 24 admissions to a medical unit for management of alcohol dependance, withdrawal symptoms. in the last week (starting ) he was seen in the ed 3 times with 3 admissions for alcohol intoxication, the last resulting in intubation. the patient has been seen by social work during his multiple admissions where there documented that the patient has no insignt into his alcohol depenance, does not admit that his intoxication led to this admission. the patient has repeatedly rejected any sw intervention to deal with substance abuse and refuses to speak or commit to any other support for sobriety. given the frequency of admissions for alcohol dependance and his high risk of death due to consequences of his substance abuse. a section 35 was obtained, and the patient was transported by police escort to court. it is strongly recommended that the patient have medical detox and prolonged substance abuse rehabilitation. . facial fracture: ct sinus revealed a new minimally displaced comminuted fractures involving the right maxillary sinus and the right orbital floor and junction of the maxilla and zygomatic arch. plastic surgery was consulted who recommended treatment with augmentin for 7 days and follow-up in plastic surgery clinic. he was recommended to use afrin twice daily and sudafed daily for four days as sinue precautions. . hypertension: home dose of amlodipine initially held and then restarted. . transitions of care: - section 35 court - continue augmentin x 7 days, afrin twice daily and sudafed daily for 4 days medications on admission: medications (per omr) 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). disp:*60 capsule, delayed release(e.c.)(s)* refills:*0* 5. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 6. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day). disp:*60 tablet, chewable(s)* refills:*0* discharge medications: 1. amoxicillin-pot clavulanate 875-125 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 2. folic acid 1 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 3. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 4. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 5. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 6. multivitamin capsule sig: one (1) capsule po once a day. capsule(s) 7. afrin 0.05 % aerosol, spray sig: one (1) nasal twice a day for 2 days. disp:*qs * refills:*0* 8. sudafed 30 mg tablet sig: one (1) tablet po once a day for 2 days. disp:*2 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: 1. alcohol intoxication, facial fracture discharge condition: level of consciousness: alert and interactive. activity status: ambulatory - independent. mental status: clear and coherent. discharge instructions: you were admitted to the hospital for alcohol intoxication. you were found after a fall. you required intubation (mechanical ventilation) to assist you with breathing given the degree of your intoxication. you were able to come off the ventilator soon after admission to our intensive care unit. you were found to have a facial fracture in the setting of your fall that was evaluated by our plastic surgeons. you were started on a 7 day course of antibiotics for treatment of this facial fracture. because of your recurrent admissions for alcohol intoxication that is clearly interfering with your ability to function and take care of your health, you were placed on a section 35. this is a court ordered mandate for professional detoxication. a psychiatric evaluation was performed while you were here and there was no evidence of mental illness other than severe alcohol dependance. you are at high risk of death due to consequences of your substance abuse. you are strongly recommended to have medical admission for professional detox. continue augmentin 875/125mg three times a day for 5 days continue afrin twice daily for 2 additional days continue sudafed daily for 2 additional days followup instructions: plastic surgery please call to schedule a follow-up for your facial fracture. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis tobacco use disorder unspecified essential hypertension closed fracture of malar and maxillary bones closed fracture of orbital floor (blow-out) delirium due to conditions classified elsewhere lack of housing closed fracture of base of skull without mention of intra cranial injury, with no loss of consciousness closed fracture of nasal bones acute alcoholic intoxication in alcoholism, continuous 

Answer: The patient is high likely exposed to