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: chocolate flavor attending: chief complaint: n/v/d major surgical or invasive procedure: central venous catheter placement ercp-guided nasobiliary tube placement was attempted on but was unsuccessful. history of present illness: 72-year-old russian-speaking woman with htn admitted with 1 day of non-bloody diarrhea, non-bloody, non-bilious emesis, and intermittent "pulling" epigastric pain of moderate intensity which radiated to the ruq after a wild mushroom ingestion. was walking near her home in with her son (also currently hospitalized in icu) when they saw some mushrooms by the street in front of a house nearby. the patient had eaten similar-appearing mushrooms in so felt that they would be safe to eat. describes mushrooms as having a -beige cap, "not sponge mushrooms." she ate these around ~9 pm and then ~6:30 am and 2 hours later developed symptoms. no fever, chills, dizziness, lightheadedness, jaundice, hematemesis, hematochezia, melena, numbness, weakness, or parasthesias. presented to where ast 152 alt 155 ap 134 inr 1.2 ptt 35.1. treated with activated charcoal 50 g (vomited up in our ed), nac 13 g iv. transferred to where initial vs 98.3 82 116/81 18 98%ra. alt 279 ast 280 ap 130 tbili 0.8 lipase 22 co2 18 ag 14 wbc# 17k. ekg showed sinus rhythm with normal intervals. given compazine 10 mg iv, zofran 4 mg iv, 1 l ns. vital signs prior to transfer 98.2 80 153/67 14 96%ra. upon arrival in the micu, feels well, denying abd pain or nausea. past medical history: hypertension social history: moved from to u.s. with her husband in . he passed away 1 month later from cardiac disease. never smoked. etoh at holidays. family history: noncontributory. physical exam: admission physical exam: vitals - t 98.2 bp 160/75 hr 87 rr16 02 sat 98%ra general: well-appearing, nad heent: sclera anicteric, charcoal coating on tongue, op otherwise clear neck: supple no jvd or lymphadenopathy cardiac: reg rate nl s1s2 no m/r/g lungs: r basilar crackles no wheeze/rales abdomen: soft nondistended mildly tender in midepigastrium no rebound or guarding, guaiac neg per ed notes ext: warm, dry +pp no edema derm: no rash neuro: awake, alert, conversing appropriately pertinent results: =========== imaging =========== . ruq u/s impression: 1. diffuse fatty infiltration of the liver. please note that more severe forms of hepatic fibrosis/cirrhosis cannot be excluded. 2. cholelithiasis. no evidence of acute cholecystitis. 3. normal color flow and waveforms within the hepatic arteries, portal veins, and hepatic veins as described above. 4. likely hepatomegaly. . : cxr pa and lat: impression: low lung volumes, with right lung base likely atelectasis. mild cardiomegaly, without chf. . ercp: limited ercp with opacification of only the common bile duct which appears normal. . tte the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is borderline pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. . =================== admission labs =================== 08:15am blood wbc-11.7* rbc-4.30 hgb-13.0 hct-39.0 mcv-91 mch-30.1 mchc-33.2 rdw-15.0 plt ct-276 08:15am blood neuts-83.0* lymphs-13.0* monos-3.2 eos-0.4 baso-0.4 12:18pm blood pt-30.7* ptt-64.2* inr(pt)-3.1* 02:28pm blood fibrino-258 02:28pm blood fdp-10-40* 08:15am blood glucose-165* urean-17 creat-0.9 na-141 k-3.9 cl-109* hco3-18* angap-18 08:15am blood alt-279* ast-280* alkphos-130* totbili-0.8 12:30pm blood alt-491* ast-536* ck(cpk)-183* alkphos-136* totbili-1.1 05:32pm blood alt-1249* ast-1289* alkphos-137* totbili-1.4 10:03pm blood alt-3256* ast-3480* alkphos-147* totbili-1.4 01:45pm blood alt-9360* ast-9640* ld(ldh)-8960* alkphos-142* totbili-1.3 08:15am blood lipase-22 09:47am blood ck-mb-5 ctropnt-<0.01 08:15am blood albumin-4.6 calcium-8.9 phos-3.3 mg-2.1 05:32pm blood calcium-9.4 phos-2.9 mg-2.3 iron-294* cholest-199 05:32pm blood caltibc-332 ferritn-1125* trf-255 02:28pm blood d-dimer-8198* 06:09am blood %hba1c-6.1* 05:32pm blood triglyc-32 hdl-65 chol/hd-3.1 ldlcalc-128 09:47am blood igm hbc-negative 12:30pm blood hbsag-negative hbsab-negative hav ab-positive igm hav-negative 05:32pm blood ama-negative 05:32pm blood -negative 05:32pm blood cea-1.6 afp-3.0 05:32pm blood igg-1443 iga-288 igm-87 05:32pm blood hiv ab-negative 05:32pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 12:30pm blood hcv ab-negative 02:13pm blood type- po2-79* pco2-31* ph-7.41 caltco2-20* base xs--3 10:35am blood lactate-1.6 12:28pm blood lactate-2.0 ca19-9 6 (wnl) ceruloplasmin 29 (wnl) 05:32pm blood vitamin d 25 hydroxy- 28 (wnl) 11:55am urine color-pink appear-cloudy sp ->1.030 11:55am urine blood-tr nitrite-neg protein-30 glucose-neg ketone-15 bilirub-neg urobiln-0.2 ph-5.0 leuks-neg 11:55am urine rbc-0 wbc-0 bacteri-many yeast-none epi-0 11:55am urine amorphx-many 05:32pm urine bnzodzp-neg barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-neg urine culture neg rpr nr rubella igg/igm pos vzv igg pos cmv igg pos ebv igg pos, igm neg . ====================== discharge labs ====================== complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 05:25am 9.6 3.40* 10.5* 30.6* 90 30.9 34.4 15.4 180 pt/inr: 14.2/1.2 renal & glucose glu bun creat na k cl hco3 angap 05:25am 95 15 0.9 139 4.2 104 27 12 alt ast alkphos totbili 799* 66* 171* 2.5* brief hospital course: the patient is a 72 year-old female with a history of untreated hypertension, who presented with gi distress and lft abnormalities after mushroom ingestion. . #amanita mushroom ingestion complicated by acute severe hepatitis: patient presented with hepatitis due to ingestion of amanita mushrooms. initially received activated charcoal, n-acetylcysteine, high-dose penicillin, cimetidine, and oral milk thistle. transplant surgery consulted in preparation for possible transplant requirement. lft's and synthetic dysfunction trended up, peaked on hd#2, then declined. ercp-guided nasobiliary tube placement was attempted on but was unsuccessful due to technical and anatomic issues. iv silibinin (milk thistle was started ) and stopped on with inr at 1.2. the patient's symtoms resolved completely, and all liver function tests continued to trend down at discharge. she was discharged home with a follow-up appointment at the liver center in three days. . #. hypertension: patient reported a history of untreated hypertension. while inpatient, she was hypertensive with sbp ranging from 140-170s. she remained asymptomatic and was started on metoprolol and lisinopril with improvement in her hypertension. she was instructed to have blood pressure checked as an outpatient, with medication adjustments as needed. #chest pain - seen in consultation by cardiology who recommended coronary cta for preoperative evaluation should a transplant be required. statin therapy deferred given acute hepatitis. would likely benefit from aspirin therapy and outpatient stress testing given report of frequent anginal symptoms. medications on admission: mvi discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnoses: hepatitis secondary to amanita toxicity hypertension discharge condition: good; afebrile, hemodynamically stable, ambulatory and improved discharge instructions: you were admitted to the hospital with nausea, vomiting and diarrhea following ingestion of poisonous mushrooms. you were found to have worsening abnormalities of your liver function tests, and were treated with acetylcysteine and iv silibunin. your symptoms resolved, and your liver function tests have improved to near-normal levels. additionally, you were found to have high blood pressure and were started on two new medications. you will need to have your blood pressure checked as an outpatient, and may need to increase this medication. . . we started you on two new medications for your high blood pressure: start lisinopril start metoprolol please take these medication as prescribed and have your blood pressure checked as an outpatient. . please do not use any acetaminophen (tylenol) or alcohol until your liver function recovers and your doctor . please avoid any future accidental ingestions and do not eat any mushrooms picked in the wild. . if you experience fever, chills, nausea, vomiting, diarrhea, blood in your stools, dizziness, or if your skin turns yellow please return to the hospital or call dr. office at (. followup instructions: liver center on monday at 9:45 am with . phone:. this is located in the medical office building. . provider: , md phone: date/time: 1:45. this is your new primary care provider, she is russian-speaking. this appointment is located in the clinical building. . provider: , md phone: date/time: 8:30, in the medical office building. procedure: venous catheterization, not elsewhere classified endoscopic retrograde cholangiopancreatography [ercp] diagnoses: unspecified essential hypertension acute and subacute necrosis of liver chest pain, unspecified toxic effect of mushrooms eaten as food accidental poisoning from mushrooms and other fungi 

Answer: The patient is high likely exposed to