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: etoh withdrawal major surgical or invasive procedure: none history of present illness: 54y/o homeless m with h/o htn and etoh abuse last drink roughly at 6pm on and arrived to er with request for detox. patient last remembers being at yesterday prior to being brought into er. he states he drinks 12 beers and of vodka daily and that this has been his regimen for the past month. he has been a lifelong drinker but has increased his etoh consumption in the last 30 days due to the company he keeps. he has a history of 3 seizures due to etoh withdrawal and his last seizure was 3 months ago. he has been homeless for the past 6 months and worked as a handyman prior to becoming homeless. he has no family in the area. he denies any drug use other than an occasional 'toke' of marijuana. on ros he denies any fever, chills, has a chronic cough (no change), feels itchy and tremulous. otherwise unrevelaing ros patient has received 15mg po valium and 20mg iv valium in the er. patient also with scabies which was treated with permethrin. initial plan was to discharge to detox facility but given iv requirement the er was reluctant to discharge or admit to a medical floor, hence icu admission. last er vitals 99.7, 94, 137/83, 16, 2 l/nc and cxr being obtained. past medical history: htn social history: social history: - tobacco: 1 ppd x30 years - alcohol: 12 beers and vodka daily - illicits: denies - homeless x6 months, prior handyman, no family in the area. requests assistance with detox and living situation. . family history: family history: social history: - tobacco: 1 ppd x30 years - alcohol: 12 beers and vodka daily - illicits: denies - homeless x6 months, prior handyman, no family in the area. requests assistance with detox and living situation. . family history: physical exam: admission pe: . 99.7, 94, 137/83, 16, 2 l/nc general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: + diffuse wheezes no rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema very tremulous . pertinent results: 09:00am blood wbc-8.2 rbc-3.99* hgb-12.7* hct-38.0* mcv-95 mch-31.8 mchc-33.4 rdw-15.1 plt ct-286 09:05am blood wbc-6.8 rbc-4.16* hgb-13.2* hct-39.1* mcv-94 mch-31.7 mchc-33.8 rdw-14.5 plt ct-196 09:00am blood glucose-107* urean-14 creat-0.7 na-145 k-4.1 cl-106 hco3-25 angap-18 09:05am blood glucose-151* urean-19 creat-0.9 na-134 k-4.0 cl-99 hco3-24 angap-15 09:00am blood alt-39 ast-42* alkphos-84 totbili-0.3 09:05am blood alt-31 ast-28 alkphos-71 09:00am blood lipase-82* 09:00am blood asa-neg ethanol-153* acetmnp-neg bnzodzp-pos barbitr-neg tricycl-neg 11:17am blood caltibc-419 vitb12-535 folate-greater th ferritn-120 trf-322 brief hospital course: # etoh withdrawal- his last drink was at 6pm, patient has history of etoh related seizures during withdrawal, never been intubated. etoh level 153 at 0900 . positive for benzos but received in the er several hours prior to urine sample being sent. he was followed on ciwa scales and stopped to require ativan on the 12th. he was discharged on thiamine and folic acid, which he can stop if he stops drinking. pleas note he received a banana bagin the ed. . plan going forward: -salvation army shelter -social work gave information about rehab -re-establish care with pcp . # scabies- in the ed noted on abdomen and upper extremities. patient was treated with permethrin topical in the er. 1 treatment fully resolved his symptoms. . ?asthma/copd - needs o/p work-up with dr . htn - started on diuril 12.5 mg and lisinopril 5mg, may be able to come off of lisinopril in the future. dr. to follow-up. . # anemia- he was noted to have a borderline anemia with macrocystosis. b12 and folate were normal and we assumed this was secondary to etoh. . # elevated transaminases- likely due to etoh, resolved with abstinence from etoh medications on admission: hctz 25mg po dialy discharge medications: 1. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for itching. disp:*1 bottle* refills:*1* 2. multi-vitamins w/iron oral 3. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. chlorthalidone 25 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. alcohol withdrawl and associated hypertension, malnutrition and anemia. 2. scabies 3. bronchitis discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: thank you for letting us take part in your care. you came to the hospital on requesting "detox" from alcohol use. when doctors examined , they found that you were experiencing some serious signs of alcohol withdrawl. alcohol withdrawl is the severe reaction that your body has when withdrawing from alcohol and can be life threatening. some of the signs that you were experiencing a serious withdrawl include your shaking, high blood pressure, sweats, chills, numbness and headache. to treat your withdrawl symptoms, we started you on a medication called "diazepam." diazepam replaces alcohol in your body and therefore makes your withdrawl reaction less severe. we monitored your condition regularly and saw improvement over several days. because of your alcohol use, you were also found to be suffering from malnutrition as well as a blood condition called "anemia." anemia is a condition in which your blood does not have enough cells to carry the oxygen that your body needs. your anemia had two causes. first, excessive alcohol use by itself causes anemia. second, excessive alcohol prevents you from getting all the vitams and minerals your body needs to make the cells that your blood needs. these vitamins and minerals include iron, folate, vitamin b12 and thiamine. in addition, when your body does not have enough of these, your nerves can be damaged and you could experience numbness that may become permanent. it is extremely important that you have 3 meals a day and get enough vegetables in your diet. you may also want to consider taking a multi-vitamin or supplements. a third condition you were treated for in the hospital is a rash called "scabies." scabies is a skin condition that is caused my small organisms. it causes intense itching and can be spread from one person to another through close skin-to-skin contact. were treates with a medication that killed these small organisms and gradually, your rash started to resolve. your skin may continue to itch for some time. apply sarna lotion as needed to reduce your itch. keeping the skin clean and dry and avoiding scratching can help to prevent infection. however, if signs of a skin infection develop and you feel your rash has returned or worsened, please consult a doctor or return to the emergency department. as you are well aware from your life long experience, your alcohol is threatening your health and your life. it is very encouraging that you want to stop drinking and are taking the steps to meet your goal. during your hospital stay, you met with social work in order to discuss possible paths out of alcohol abuse and homelessness. please take advantage of the supports that social work discussed with you. seriously consider rejoining alcoholics anonymous. even though they may be "clicky" as you described, joining aa will make it much more likely that you will be able to quit. although it may seem impossible, you can quit drinking and achieve sobriety. lastly, it is very important that you visit a doctor on a regular basis to re-evaluate your health, especially your blood pressure, nutrition, mental health, and progress in quitting alcohol. the following changes were made to your medications: you were started on diuril 12.5 mg daily you were started on lisinopril 5mg daily followup instructions: md: np specialty: interal medicine date/ time: 10:30am location: , ma phone number: special instructions for patient: this appointment is a follow up for your hospitalization. you will be reconnected with you primary care physican dr. after this visit. procedure: alcohol detoxification diagnoses: anemia, unspecified tobacco use disorder unspecified essential hypertension unspecified protein-calorie malnutrition depressive disorder, not elsewhere classified diarrhea chronic obstructive asthma, unspecified lack of housing acute pancreatitis alcohol withdrawal nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] acute alcoholic intoxication in alcoholism, continuous scabies 

Answer: The patient is high likely exposed to