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: found down major surgical or invasive procedure: intubation nasogastric tube palcement history of present illness: 50 year old man with known history of hepatic cirrhosis, hemochromatosis, hepatitis c, and past alcohol and cocaine abuse was found down on the floor at home by his family and brought into intubated and then transferred to . he has had prior outside hospital admissions for hepatic encephalopathy for which he has reportedly had many admissions secondary to lactulose non-compliance. while intubated in the icu, his mental status improved greatly after administration of lactulose per nasogastric tube. he had elevated serum ammonia and negative tox screens. he was successfully extubated and transferred to the medicine service in good condition for further evaluation. . after discussion with his health care proxy who is like a sister, the patient was following his proper diet and lactulose until the day of admission when he missed 2 doses and ate a . she endorsed that he had been abstinent from alcohol and drugs for several years. he sees his primary care physician in on a nearly weekly basis. he has improved greatly since being taken off sedating psychiatric medications and has been functioning well at home. two of his brothers have died of cirrhosis related to hemochromatosis and substance abuse. past medical history: hemochromatosis hepatitis c past alcholol abuse past cocaine abuse perirectal abscess esophageal varices- last scope hepatic encephalopathy hx of sacral decubitus ulcers s/p splenectomy hx of gerd social history: extensive past drinking history and crack cocaine use. family history: hemochromatosis, substance abuse physical exam: t98.9 p81 bp 112/70 rr 18 sat 98%ra gen aox3, sleeping but easily arousable to voice heent mmm slightly dry, anicteric chest ctab, no wheezes or crackles cv rrr no murmurs abd soft nt/nd, +bs, obese, +scar epigastrium ext no edema, 2+dp pulses bilaterally neuro aox3,no asterixis, moving all extremeties skin slightly yellow pertinent results: icu course: wbc-9.1 rbc-3.04* hgb-11.0* hct-31.7* mcv-104* mch-36.2* mchc-34.8 rdw-15.9* plt count-175 neuts-71* bands-2 lymphs-17* monos-4 eos-4 basos-1 atyps-1* metas-0 myelos-0 pt-15.0* ptt-38.7* inr(pt)-1.4 glucose-125* urea n-20 creat-0.7 sodium-136 potassium-5.2* chloride-111* total co2-20* anion gap-10 alt(sgpt)-69* ast(sgot)-167* ld(ldh)-398* alk phos-249* amylase-50 tot bili-2.7* albumin-2.1* calcium-8.0* phosphate-2.8 magnesium-1.7 lipase-48 lactate-1.8 urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg urine blood-lg nitrite-neg protein-neg glucose-neg ketone-tr bilirubin-sm urobilngn-8* ph-6.5 leuk-neg rbc-* wbc-0-2 bacteria-mod yeast-none epi- ammonia-185* caltibc-198* vitb12-830 folate-greater th ferritn-1212* trf-152* afp-9.8* asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg tsh-3.5 hbsag-negative hbsab-negative hbcab-negative hav ab-negative hcv ab-positive urine color-amber appear-clear sp -1.021 blood-lg nitrite-neg protein-neg glucose-neg ketone-tr bilirubin-neg urobilngn-4* ph-6.5 leuk-neg rbc-* wbc-0-2 bacteria-none yeast-none epi-0 trans epi-<1 urine culture (final ): no growth. 11:07pm ck(cpk)-103 ck-mb-3 ctropnt-<0.01 01:30pm ctropnt-<0.01 . cxr:1. endotracheal tube at the thoracic inlet. the ng tube is coiled within the esophagus. this was discussed with dr. at the time of interpretation.2. perihilar haze and diffuse air-space opacity which could be consistent with pulmonary edema. . ekg: nsr 90bpm, nl intervals and axis . medicine floor course: discharge labs wbc-12.0* rbc-2.73* hgb-9.6* hct-28.7* mcv-105* mch-35.1* mchc-33.3 rdw-15.5 plt ct-159 neuts-32* bands-0 lymphs-53* monos-11 eos-4 baso-0 atyps-0 metas-0 myelos-0 glucose-80 urean-10 creat-0.7 na-141 k-3.6 cl-111* hco3-26 angap-8 fibrino-172 calcium-8.0* phos-3.6 mg-1.7 alt-57* ast-123* alkphos-151* totbili-2.4*lipase-48 . gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 4+ multiple organisms consistent with oropharyngeal flora. respiratory culture (final ): moderate growth oropharyngeal flora. gram negative rod #1. sparse growth. gram negative rod #2. rare growth. of two colonial morphologies. . aerobic bottle (final ): no growth. anaerobic bottle (final ): no growth. . echo study date of the left atrium is mildly dilated. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. . chest (pa & lat) 1:52 pm there is continued small- to moderate-sized right pleural effusion. patchy opacity is seen in the right lower lobe indicating pneumonia versus atelectasis. the lungs are clear otherwise. the heart and mediastinum are within normal limits. again, note is made of healed fractures in the lateral and posterior aspects of the left mid ribs. impression: small right pleural effusion. right lower lobe pneumonia versus atelectasis. . mr head w/o contrast 11:54 pm impression: findings consistent with mild chronic microvascular ischemic changes. no acute infarctions are visualized. mr angiography of the circle of within normal limits. . liver or gallbladder us (single organ) 4:14 pm 1) right pleural effusion. 2) only trace free fluid adjacent to the liver. 3) nodular heterogeneous liver consistent with known cirrhosis. brief hospital course: mr is a 50 year old cirrhotic man with known hemochromatosis and hepatitis c as well as past history of alcohol and crack cocaine abuse who presented with hepatic encephalopathy likely due to medical noncompliance with lactulose and dietary indiscretion. he was brought to ed from hospital already intubated after being found down on the floor at home. after treatment with lactulose in the icu, he had improved mental status and was successfully extubated then transferred to the medicine service. in the icu course, head mri was concerning for chronic microvascular changes but no new insults were seen. right pleural effusion was noted on both cxr and liver u/s, also showing trace free fluid adjacent to the liver appearing nodular and heterogeneous (consistent with known cirrhosis). echocardiogram was normal. transaminases and liver markers were elevated at baseline. wbcs were mildly elevated without left shift and the patient remained afebrile without significant abdominal discomfort during his hospital course. he was discharged in normal mental status in his usual state of health ambulating and tolerating a healthy oral diet. he has plans to follow up in the clinic with dr. to be further evaluated for liver transplant candidacy. while social work evaluation considered him a possible viable candidate, the role of his underlying hemochromatosis makes transplant candidacy potentially more challenging. before discharge, nutrition education for the patient and his hcp, (c: h:) was performed. . hepatic encephalopathy: trigger was likely lactulose noncompliance and dietary noncompliance. echocardogram was inconsistent with chf. the patient had a right pulmonary effusion, possibly secondary to atelectasis since he lacked signs or symptoms of pneumonia. it is reoommended he get a follow up cxr the day of his outpatient hepatology clinic visit to monitor for progression. mental status and hyperammonemia rapidly improved after administration of lactulose and lasix 60mg daily. aldactone was held during admission. . cirrhosis: contributors are hcv, past etoh, and hemochromatosis. he and his hcp denied recent alcohol use. he had scant ascites that was not tappable and low susupicion for sbp. cirrhosis was complicated by coagulopathy, anemia, and relative hypotension. fibrinogen was normal. transaminitis and hyperbilirubinemia gradually improved to his baseline. hepatitis serologies were negative for a and b but positive for c. he received nadolol for known varicies and had suspected gib with guaiac positive stool but no brbpr. for this, he was also given protonix. his inr normalized after oral vitamin k one dose and hematocrit remained near his baseline around 30. outpatient egd/colonoscopy should be considered. . h/o polystubstance abuse: tox screen was negative and there was low suspicion of recent alcohol use and no evidence of withdrawal symptoms. medications on admission: lactulose 30ml q4hrs protonix 40mg qd folate 1mg daily lasix 60mg daily aldactone 25mg qd zinc 220mg daily nadolol 60mg daily ensure can discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. nadolol 20 mg tablet sig: three (3) tablet po daily (daily). 3. furosemide 20 mg tablet sig: three (3) tablet po daily (daily). 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 5. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q6 (). 6. multivitamin capsule sig: one (1) cap po daily (daily). 7. zinc oral 8. aldactone oral discharge disposition: home discharge diagnosis: hepatic encephalopathy right pleural effusion dehydration hypotension hyperchloremic metabolic acidosis transaminitis perirectal abscess liver cirrhosis hemochromatosis guaiac positive stool/gib other: hep c cirrhosis past alcholol abuse past cocaine abuse esophageal varices- last scope hepatic encephalopathy hx of sacral decub ulcers s/p splenectomy hx of gerd discharge condition: in usual state of health at baseline mental status, ambulating well, tolerating proper oral diet, hemodynamically stable, afebrile discharge instructions: please take all medications as prescribed and do not miss doses, especially lactulose, and follow your low protein low salt diet as directed. call your doctor or go to the ed if you have any mental status changes, abdominal pain, nausea, vomiting, fevers, chills, or other concerning symptoms. you will be called by the liver clinic soon to let you know when your appointment with dr. will be sometime next week. if you don't hear from them soon, call ( to follow up. you will need a chest x ray they will help you arrange for the same day of the appointment. please resume your current medications at the appropriate doses according to your medication list. no new medications or medication changes were made this admission. followup instructions: you will be called by the liver clinic soon to let you know when your appointment with dr. will be for next week if you don't hear from them soon, call ( to follow up. you will need a chest x ray they will help you arrange for the same day of the appointment. provider: , md where: lm center phone: date/time: 10:40 md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis anemia, unspecified esophageal reflux unspecified pleural effusion chronic hepatitis c without mention of hepatic coma alcoholic cirrhosis of liver other and unspecified alcohol dependence, in remission pulmonary collapse acute respiratory failure personal history of noncompliance with medical treatment, presenting hazards to health hepatic encephalopathy esophageal varices in diseases classified elsewhere, without mention of bleeding other and unspecified coagulation defects 

Answer: The patient is high likely exposed to