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: chest pain, etoh withdrawal major surgical or invasive procedure: none history of present illness: this is an unfortunate 47yo m with etoh abuse c/b dilated cardiomyopathy (ef49% 9/07), hcv, h/o lung aspergillosis c/b cavitary lesion who p/w etoh withdrawal and his chronic reproducible chest pain. pt has had mutliple ed visits at our institution and others for similar complaints. he currently drinks gallon of vodka daily, his last drink was 2pm yesterday. he also notes that he fell 3 days ago while cleaning his apt. he landed on his back and has some residual back pain from the fall. he denies cough/f/c. no brbpr/melena. no n/v/d/c or abdominal pain. he has an exercise tolerance of 2 to 3 flights of stairs limited by shortness of breath. no orthopnea/pnd/palpitations. last stress negative for ischemia. he notes that he takes his meds ~every other day. . in the , pt received thiamine iv, folic acid iv, multivitamin iv and acetaminophen 650mg for his chronic chest pain. his serum etoh level 274, +benzos, o/w tox screen (-) head ct- negative; ekg was unchanged from baseline and first set of cardiac enzymes negative. he received iv valium 10mg. . on the floor, he was hypertensive to 190s. he has been given a total of 30 mg of valium, his last dose at 6:30 am of valium 10 mg po. past medical history: past medical history: - etoh abuse - h/o withdrawl seizures - alcoholic dilated cardiomyopathy (ef 25%) - cocaine abuse (last use ~ 3 weeks ago) - hypothyroidism - h/o head and neck cancer s/p resection and radiation in - bilateral cavitary lung lesions; bx demonstrated aspergillous fumigatus and albicans - h/o c. diff colitis - h/o ivda per osh records (pt denies) . social history: smokes < ppd recently; prior to that he smoked 1 ppd x30 years. heavy etoh use (usually >1 gallon vodka per day). sober x10 years up until ~2 years ago; more recently, reports several months of sobriety. +cocaine abuse; last use several wks ago. he denies ivda. sexually active with his girlfriend. . family history: mother with cad. sister with h/o cva. . physical exam: t 99.5 bp 140/91 - 181/110 hr 91 rr sat 95% on ra general: pleasant, cooperative, tremulous : symmetric periorbital edema; no icterus, conjunctival erythema, pupils 5mm and symmetric neck: supple; s/p resection of left scm muscle chest: clear to auscultation throughout cv: rrr, ii/vi systolic murmur at rusb abdomen: soft, ntnd, normal bs, no hsm extr: no edema, 2+ pt pulses skin: no rashes or jaundice, face is flushed; + back wound neuro: alert& oriented x 3, cooperative; cn 2-12 intact; strength in both arms and legs pertinent results: ekg: nsr at 74 unchanged compared to cxr: stable radiograph with known cavitary lesions in both lung apices and associated changes imaging: ct head on admission: no hemorrhage. sinus mucosal disease. 07:00pm ck-mb-5 ctropnt-<0.01 07:00pm alt(sgpt)-49* ast(sgot)-82* ck(cpk)-235* alk phos-59 tot bili-0.4 07:00pm glucose-70 urea n-13 creat-0.9 sodium-140 potassium-3.4 chloride-100 total co2-23 anion gap-20 07:00pm wbc-3.1* rbc-3.32* hgb-10.7* hct-31.3* mcv-94 mch-32.3* mchc-34.4 rdw-15.7* brief hospital course: # alcohol withdrawal - he was initially tremulous on admission and required increasing ciwa scale. he was transferred to the micu on hospital day #2. while in the micu he required valium q1 hours. when transferred back to the floor, he was tapered off of valium. by hospital day #4, valium was tapered to 5 mg and on discharge valium was discontinued. he was also continued on mvi, thiamine, folate. he was also seen by sw prior to discharge. he was discharged home as he stated that he wished to go home to pay rent prior to seeking treatment in inpatient rehab. . # chest pain - his chest pain is chronic, reproducible and sharp. his ekg on admission was unchanged from baseline, and he had 3 sets of negative cardiac markers. cxr remained stable from previous showing known cavitary lesions unchanged from baseline. his exercise mibi from without evidence of ischemia. . # hypertension- on admission he had labile blood pressures ranging between 100s to 200s requiring iv hydralazine in the micu. by hospital day #4, his blood pressures normalized and he was continued on home regimen of lisnopril 30, toprol 150 daily . # dilated cardiomyopathy (ef 25%)- he appeared euvolemic on exam. he was continued on asa, bb and ace-i. . # hypothyroidism- he was continued on his outpatient regimen levothyroxine . # dysphagia- this is chronic as per his history. this is likely secondary to xrt, but recurrence of neck ca is a possibility. he will schedule an outpatient appointment with his pcp and will likely need an egd. medications on admission: aspirin 81 mg po daily levothyroxine 75 mcg po daily buspirone 10 mg po bid toprol xl 150 mg tablet po once a day lisinopril 30 mg po daily trazodone 50 mg po hs olanzapine 5 mg po hs vit b1 vit b12 hexavitamin discharge medications: 1. lisinopril 10 mg tablet sig: three (3) tablet po daily (daily). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. olanzapine 2.5 mg tablet sig: two (2) tablet po hs (at bedtime). 4. buspirone 10 mg tablet sig: one (1) tablet po bid (2 times a day). 5. metoprolol succinate 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). 6. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 7. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 8. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*30 tablet(s)* refills:*0* 10. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 11. b-complex with vitamin c tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: primary: alcohol withdrawal secondary: anxiety hypertension alcoholic cardiomyopathy discharge condition: stable discharge instructions: you were admitted to the hospital for alcohol withdrawal. you should continue to abstain from drinking. please take all medications as prescribed. if you develop chest pain, shortness of breath, persistent fever > 101, please return to the nearest emergency room. followup instructions: we have scheduled a follow up appointment for you in the clinic. your appointment information is as below: 02:30p , , medical unit procedure: alcohol detoxification diagnoses: other primary cardiomyopathies congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism disorders of phosphorus metabolism accidents occurring in other specified places other chest pain chronic diastolic heart failure cocaine dependence, continuous aspergillosis radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure alcohol withdrawal accident caused by other hot substance or object burn [any degree] involving less than 10 percent of body surface with third degree burn, less than 10 percent or unspecified acute alcoholic intoxication in alcoholism, continuous personal history of malignant neoplasm of other sites other dysphagia erythema [first degree] of back [any part] 

Answer: The patient is high likely exposed to